The Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of HMPL-523 in Adult Subjects With Immune Thrombocytopenia (ITP)

Last updated: August 13, 2024
Sponsor: Hutchmed
Overall Status: Active - Recruiting

Phase

1

Condition

White Cell Disorders

Thrombosis

Thrombocytopenia And Thrombocytopenia Prevention

Treatment

HMPL-523

Clinical Study ID

NCT06291415
2022-523-GLOB1
  • Ages > 18
  • All Genders

Study Summary

This is an open-label, multicenter study to evaluate the safety, tolerability, and efficacy of HMPL-523 in adult subjects with ITP.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Subjects may be enrolled in this study only if they satisfy all the following criteria:

  1. Adult male or female subjects ≥18 years of age

  2. Diagnosis of ITP, with a duration of disease of at least 3 months prior torandomization or enrollment

  3. Intolerance or insufficient response or recurrence after at least 1 prior ITPtreatment (excluding splenectomy)

  4. Response (defined as achieved a platelet count ≥50 × 109/L) to at least 1 prior ITPtherapy (including splenectomy)

  5. Adequate hematologic, hepatic and renal function

Exclusion

Exclusion Criteria:

Subjects are not eligible for enrollment into this study if any one of the following criteria are met:

  1. Evidence of the presence of secondary causes of ITP

  2. Clinically serious hemorrhage requiring immediate adjustment of platelets

  3. Known history of vital organ transplantation or hematopoietic stem-celltransplantation or chimeric antigen receptor T-cells (CAR-T) therapy

  4. Splenectomy within 12 weeks prior to enrollment

  5. Presence of active malignancy unless deemed cured by adequate treatment.

  6. History of serious cardiovascular disease corrected QT interval (QTcF) ≥450 ms

  7. Uncontrolled hypertension

  8. Being unsuitable to participate in this study as considered by investigators

Study Design

Total Participants: 48
Treatment Group(s): 1
Primary Treatment: HMPL-523
Phase: 1
Study Start date:
April 02, 2024
Estimated Completion Date:
November 30, 2026

Study Description

This study is a Phase 1b, open-label, multicenter, single-arm study to evaluate the safety, tolerability, and preliminary efficacy of HMPL-523 in adult subjects with primary ITP diagnosed at least 3 months prior to enrollment or randomization.

In the dose escalation stage (Part 1), subjects will receive one of 3 dose levels of HMPL-523 to determine the recommended dose of HMPL-523 for the randomized dose optimization- stage (Part 2).

At the end of Part 1, 2 dose levels will be selected to be used in the dose-optimization stage (Part 2) of the study. In Part 2 of the study, subjects will be randomized in a 1:1 ratio between the 2 dose levels to better understand the exposure/efficacy/toxicity relationship.

At the end of Part 2, the Recommended Phase 3 dose (RP3D) of HMPL-523 will be determined based on the safety, efficacy and PK data.

Connect with a study center

  • Peninsula Private Hospital

    Frankston, Victoria
    Australia

    Site Not Available

  • The Perth Blood Institute (PBI) Hollywood Specialist Centre

    West Perth, Western Australia
    Australia

    Active - Recruiting

  • Royal Adelaide Hospital

    Adelaide,
    Australia

    Site Not Available

  • Canberra Hospital

    Canberra,
    Australia

    Site Not Available

  • Charite university

    Berlin, 10117
    Germany

    Site Not Available

  • Marien Hospital Dusseldorf

    Düsseldorf, 40479
    Germany

    Site Not Available

  • UMG Gottingen Hämatologie

    Göttingen,
    Germany

    Site Not Available

  • University Hospital of Schleswig-Holstein, Department of Haematology and Oncology

    Lübeck,
    Germany

    Site Not Available

  • Sykehuset Ostfold Kalnes (fosta) / Osfold Hospital Trust (MSL)

    Grålum, 1714
    Norway

    Active - Recruiting

  • Oslo University Hospital

    Oslo,
    Norway

    Site Not Available

  • Hospital Universitari Vall d'Hebron

    Barcelona,
    Spain

    Site Not Available

  • Hospital del Mar Barcelona

    Barcelona, 08003
    Spain

    Site Not Available

  • University de Burgos

    Burgos, 09001
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Madrid, 28027
    Spain

    Active - Recruiting

  • Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Gregorio Maranon Madrid

    Madrid, 28007
    Spain

    Site Not Available

  • Hospital Infanta Leonor

    Madrid, 28031
    Spain

    Site Not Available

  • Hospital Morales Meseguer

    Murcia, 30008
    Spain

    Site Not Available

  • Childrens Hospital of California

    Irvine, California 92868
    United States

    Active - Recruiting

  • Georgetown University Medical Center - Georgetown Lombardi Comprehensive Cancer Center

    Georgetown, Delaware 20007
    United States

    Site Not Available

  • Center for Cancer and Blood Disorders

    Bethesda, Maryland 20817
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • San Juan Oncology Associates

    Farmington, New Mexico 87401
    United States

    Active - Recruiting

  • East Carolina University, Brody School of Medicine

    Greenville, North Carolina 27834
    United States

    Site Not Available

  • Taussig Cancer Institute

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Oklahoma Cancer Specialists and Research Institute

    Tulsa, Oklahoma 74146
    United States

    Active - Recruiting

  • Texas Oncology San Antonio Medical Center

    San Antonio, Texas 78240
    United States

    Site Not Available

  • University of Washington (UW) Medical Center

    Seattle, Washington 98195
    United States

    Site Not Available

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