The Study of ICP-248 in Patients With Mature B-cell Malignancies

Last updated: September 2, 2025
Sponsor: Beijing InnoCare Pharma Tech Co., Ltd.
Overall Status: Active - Recruiting

Phase

1

Condition

Neoplasms

Hematologic Neoplasms

Hematological Disorders

Treatment

ICP-248+Orelabrutinib

ICP-248

ICP-248+Orelabrutinib+Rituximab

Clinical Study ID

NCT05728658
ICP-CL-01201
  • Ages 18-80
  • All Genders

Study Summary

A Phase I Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of ICP-248 as Monotherapy or in Combination Therapy in Patients with Mature B-cell Malignancies.This study consists of two parts: Part 1 dose-finding period and Part 2 dose expansion period.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age ≥ 18 and ≤ 80 years.

  2. One of the following histopathologically and/or flow cytometry-confirmed diseasesaccording to the 2016 World Health Organization (WHO) classification criteria forlymphohematopoietic neoplasms or meeting the International Workshop on ChronicLymphocytic Leukemia (iwCLL) criteria: Histopathologically and/or flowcytometry-confirmed CLL/SLL; Pathologically confirmed MCL; Pathologically confirmedB-NHL, including diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL),marginal zone lymphoma (MZL), and lymphoplasmacytic lymphoma (LPL).

  3. Relapsed disease or refractory disease

  4. For subjects with B-NHL: Patients must have measurable diseasePatients with anEastern Cooperative Oncology Group (ECOG) performance status (PS) score of ≤ 2 and alife expectancy of ≥ 6 months.

  5. Adequate hematologic function.

  6. Patients with basically normal coagulation function.

  7. Patients with adequate hepatic, renal, pulmonary and cardiac functions.

  8. CLL/SLL Patients with an absolute lymphocyte count ≥ 50 x 109/L and any lymph nodes ≥ 5 cm in the long diameter or CLL/SLL or B-NHL patients with any lymph nodes ≥ 10cm in the long diameter will be enrolled in the study after weighing the risks andbenefits with the sponsor's MM.

  9. Female patients of childbearing potential must have a negative blood pregnancy testwithin 7 days prior to the first dose of the investigational product; patients ofchildbearing potential (males and females) must agree to use a reliable birthcontrol method (hormonal or barrier method or abstinence) with their partners fromsigning the ICF until 90 days after the last dose.The last ICP- 248 dose or withinone month after the last dose of Orelabrutinib Or within 12 months after the lastdose of Rituximab (whichever is longer).

  10. Subjects are able to communicate with the investigator well and to complete thestudy as specified in the study.

  11. Before the trial, the subjects shall understand the nature, significance, possiblebenefits, inconveniences and potential risks, as well as the study procedures of thetrial in detail and voluntarily sign the written Informed Consent Form (ICF).

  12. Subjects with CLL/SLL must have an indication for treatment as judged by theinvestigator.

Exclusion

Exclusion Criteria:

  1. Prior malignancy (other than the disease under study) within 2 years before studyentryKnown

  2. Central nervous system involvement by lymphoma/leukemia

  3. Underlying medical conditions that, in the investigator's opinion, will render theadministration of the investigational product hazardous or obscure theinterpretation of the safety or efficacy results.

  4. Prior autologous stem cell transplant (unless ≥ 3 months after transplant); or priorchimeric cell therapy (unless ≥ 3 months after cell infusion).

  5. Received a BCL-2 inhibitor prior to initial use of the investigational drug and didnot achieve disease remission or disease recurrence/progression on treatment;Disease recurrence/progression after stopping or ending BCL-2 inhibitor therapy isacceptable.

  6. A history of allogeneic stem cell transplantation.

  7. Anti-cancer therapy within 14 days prior to the first dose of the investigationalproduct

  8. An interval of less than 5 half-lives from the last dose of a strong CYP3A inhibitoror inducer (chemical agent, traditional Chinese medicine and dietary supplement) tothe first dose of the investigational product, or a plan to use concurrentlymedications, dietary supplements or food (e.g., grapefruit or grapefruit juice) withstrong CYP3A inhibitory or inductive effect during study participation.

  9. Patients who have undergone major organ surgery (excluding aspiration biopsy) orsignificant trauma within 28 days prior to the first dose of the investigationalproduct, or who require elective surgery during the trial.

  10. Patients who have received a live attenuated vaccine within 28 days prior to thefirst dose of the investigational product (except for vaccination to prevent a majorpublic health event).

  11. Presence of active infection that currently requires intravenous systemicanti-infective therapy.

  12. Patients with active hepatitis B or C virus infection.

  13. History of immunodeficiency, including a positive human immunodeficiency virus (HIV)antibody test.

  14. History of significant cardiovascular disease

  15. Patients with previous or concomitant central nervous system disordersHistory orcurrent evidence of severe interstitial lung disease.

  16. ≥ Grade 2 toxicity due to prior anti-cancer therapy at enrollment (except foralopecia, ANC, hemoglobin and PLT). For ANC, hemoglobin and PLT, please follow theinclusion criteria.

  17. History of severe bleeding disorder

  18. Known alcohol or drug dependence.

  19. Presence of mental disorders or poor compliance.

  20. Female patients who are pregnant or lactating.

  21. Unable to swallow tablets or disease significantly affecting gastrointestinalfunction.

  22. Hypersensitivity to the active substance or excipients of ICP-248 tablets orOrelabrutinib tablets (only applicable to subjects in cohort G/H/J/K).Severeallergic reaction or intolerance to murine monoclonal antibodies or murine products.

23 Invasive mantle cell lymphoma, such as mother cell subtypes, polymorphic subtypes, or Ki-67 proliferation index>50%, must be discussed with the sponsor's medical monitor regarding patient benefits and risks before being included in this study.

Study Design

Total Participants: 191
Treatment Group(s): 4
Primary Treatment: ICP-248+Orelabrutinib
Phase: 1
Study Start date:
March 09, 2023
Estimated Completion Date:
October 30, 2026

Connect with a study center

  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui 233099
    China

    Site Not Available

  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui 230022
    China

    Site Not Available

  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu 1816440, Anhui 1818058 233099
    China

    Active - Recruiting

  • The First Affiliated Hospital of Anhui Medical University

    Hefei 1808722, Anhui 1818058 230022
    China

    Active - Recruiting

  • Peking University Third Hospital

    Beijing, Beijing 100191
    China

    Site Not Available

  • Peking University Third Hospital

    Beijing 1816670, Beijing Municipality 2038349 100191
    China

    Active - Recruiting

  • The First Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing 400016
    China

    Site Not Available

  • The First Affiliated Hospital of Chongqing Medical University

    Chongqing 1814906, Chongqing Municipality 1814905 400016
    China

    Active - Recruiting

  • Fujian Medical University Union Hospital

    Fuzhou, Fujian 350001
    China

    Site Not Available

  • The First Affiliated Hospital of Xiamen University

    Xiamen, Fujian 361003
    China

    Site Not Available

  • Fujian Medical University Union Hospital

    Fuzhou 1810821, Fujian 1811017 350001
    China

    Active - Recruiting

  • The First Affiliated Hospital of Xiamen University

    Xiamen 1790645, Fujian 1811017 361003
    China

    Active - Recruiting

  • Sun Yat-Sen University Cancer Center

    Guangzhou, Guangdong 510062
    China

    Site Not Available

  • Sun Yat-Sen University Cancer Center

    Guangzhou 1809858, Guangdong 1809935 510062
    China

    Active - Recruiting

  • Henan Cancer Hospital

    Zhengzhou, Henan 450008
    China

    Active - Recruiting

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan 450008
    China

    Site Not Available

  • Henan Cancer Hospital

    Zhengzhou 1784658, Henan 1808520 450008
    China

    Active - Recruiting

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou 1784658, Henan 1808520 450008
    China

    Active - Recruiting

  • The Central Hospital of Wuhan

    Wuhan, Hubei 430014
    China

    Site Not Available

  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei 430022
    China

    Active - Recruiting

  • The Central Hospital of Wuhan

    Wuhan 1791247, Hubei 1806949 430014
    China

    Active - Recruiting

  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan 1791247, Hubei 1806949 430022
    China

    Active - Recruiting

  • Hunan Cancer Hospital

    Changsha, Hunan 410000
    China

    Site Not Available

  • Hunan Cancer Hospital

    Changsha 1815577, Hunan 1806691 410000
    China

    Active - Recruiting

  • Jiangsu Province Hospital

    Nanjing, Jiangsu 210029
    China

    Site Not Available

  • Jiangsu Province Hospital

    Nanjing 1799962, Jiangsu 1806260 210029
    China

    Active - Recruiting

  • Jiangxi Cancer Hospital

    Nanchang, Jiangxi 330029
    China

    Site Not Available

  • The First Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi 330000
    China

    Active - Recruiting

  • Jiangxi Cancer Hospital

    Nanchang 1800163, Jiangxi 1806222 330029
    China

    Active - Recruiting

  • The First Affiliated Hospital of Nanchang University

    Nanchang 1800163, Jiangxi 1806222 330000
    China

    Active - Recruiting

  • The Second Hospital of Dalian Medical University

    Dalian, Liaoning 116027
    China

    Site Not Available

  • Shenyang Hospital Of China Medical University

    Shenyang, Liaoning 110022
    China

    Site Not Available

  • The Second Hospital of Dalian Medical University

    Dalian 1814087, Liaoning 2036115 116027
    China

    Active - Recruiting

  • Shenyang Hospital Of China Medical University

    Shenyang 2034937, Liaoning 2036115 110022
    China

    Active - Recruiting

  • Shandong cancer hospital

    Jinan, Shandong 250117
    China

    Site Not Available

  • Shandong cancer hospital

    Jinan 1805753, Shandong 1796328 250117
    China

    Active - Recruiting

  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai 200025
    China

    Site Not Available

  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai 1796236, Shanghai Municipality 1796231 200025
    China

    Active - Recruiting

  • West China Hospital of Sichuan University

    Chengdu, Sichuan 610000
    China

    Site Not Available

  • West China Hospital of Sichuan University

    Chengdu 1815286, Sichuan 1794299 610000
    China

    Active - Recruiting

  • Hematology Hospital, Chinese Academy of Medical Sciences

    Tianjin, Tianjin
    China

    Site Not Available

  • Hematology Hospital, Chinese Academy of Medical Sciences

    Tianjin 1792947, Tianjin Municipality 1792943
    China

    Active - Recruiting

  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang 310000
    China

    Site Not Available

  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou 1808926, Zhejiang 1784764 310000
    China

    Active - Recruiting

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