Trial to Evaluate the Safety and Pharmacokinetics of HMPL-689 in Patients With Lymphomas
Stopped early · Phase 1
Conditions studied: Lymphoma
In brief
An open-label, dose escalation and expansion clinical trial to evaluate the safety, tolerability and PK of HMPL-689 in patients with relapsed or refractory lymphomas
Key facts
- Study ID
- NCT03786926
- Run by
- Hutchmed
- People needed
- 53
- Starts
- 2019-08-26
- Expected to finish
- 2024-06-26
- Last updated by the study team
- 2025-06-26
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- (ECOG) performance status of 0 or 1;
- Histologically confirmed lymphoma (tumor types are restricted to CLL/SLL, FL (grade 1-3a), MCL, MZL, LPL/WM, PTCL or CBCL);
- Patients with relapsed or refractory NHL for whom:
- Standard of care treatment options no longer exist (Stage 1 only);
- Standard of care treatment options no longer exist with the exception of PI3K-delta inhibitors (Stage 2 only);
- Expected survival of more than 24 weeks.
You may not qualify if…
- Patients who meet any of the following criteria will be excluded from study entry:
- Primary central nervous system (CNS) lymphoma;
- Any of the following laboratory abnormalities Absolute neutrophil count; <1.0×10\^9/L, Hemoglobin <80 g/L Platelets <50 ×10\^9/L
- Inadequate organ function, defined by the following:
- Total bilirubin ≥1.5 times the upper limit of normal (× ULN);
- AST or ALT > 2.5 × ULN;
- Estimated creatinine clearance (CrCl) per Cockcroft-Gault;
- Dose Escalation stage of trial (Stage 1) - CrCl < 40 mL/min;
- Dose Expansion stage of trial (Stage 2) - CrCl <30 mL/min;
- International normalized ratio (INR) > 1.5 × ULN, activated partial thromboplastin time (aPTT) > 1.5 × ULN;
- Serum amylase or lipase > ULN at screening or known medical history of serum amylase or lipase > ULN;
- Patients with presence of second primary malignant tumors within the last 2 years;
- Clinically significant history of liver disease;
- Prior treatment with any PI3Kδ inhibitors;
- Any prior use of the following: cancer therapy within 3 weeks of study treatment, GCSF within 7 days of screening, steroid therapy or targeted anti-neoplastic intent within 7 days of treatment, any use of strong CYP3A4 inducers within 2 weeks prior to initiation of study treatment, prior autologous transplant within 6 months of study treatment, prior allogenic stem cell transplant within 6 months of study treatment;
- Clinically significant active infection or interstitial lung diseases (including drug induced pneumonitis);
- Major surgical procedure within 4 weeks prior to initiation of study treatment;
- Adverse events from prior anti-neoplastic therapy that have not resolved to Grade less than or equal to 1, except for alopecia;
- New York Heart Association (NYHA) Class II or greater congestive heart failure;
- Congenital long QT syndrome or QTc >470 msec;
- Currently use medication known to cause QT prolongation or torsades de pointes;
- History of myocardial infarction or unstable angina within 6 months prior to initiation of study treatment;
- History of stroke or transient ischemic attack within 6 months prior to initiation of study treatment;
- Inability to take oral medication, prior surgical procedures affecting absorption, or active peptic ulcer disease;
- History of inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis);
Where it is running
- Innovative Clinical Research Institute — Anaheim, California, United States
- Pacific Cancer Medical Center — Anaheim, California, United States
- Ventura County Hematology-Oncology Specialists — Oxnard, California, United States
- Winship Cancer Institute of Emory University — Atlanta, Georgia, United States
- Clinical Research Alliance, Inc — Westbury, New York, United States
- Levine Cancer Institute- Atrium Health — Charlotte, North Carolina, United States
- Baylor Scott and White Research Institute — Dallas, Texas, United States
- Renovatio Clinical — Houston, Texas, United States
- University of Texas Health Science Center at San Antonio — San Antonio, Texas, United States
- Medical Oncology Associates, P.S. — Spokane, Washington, United States
- Helsingin yliopistollinen keskussairaala — Helsinki, Finland
- Tampereen yliopistollinen sairaala — Tampere, Finland
- Hopital Henri Mondor — Créteil, Val De Marne, France
- CHU de Nantes - Hotel Dieu — Nantes, France
- CHU de Bordeaux - Hôpital Haut-Lévêque — Pessac, France
- Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS — Bologna, Italy
- Ospedale San Raffaele — Milan, Italy
- KO-MED Centra Kliniczne — Biała Podlaska, Poland
- Uniwersyteckie Centrum Kliniczne — Gdansk, Poland
- BioResearch Group Sp. Z. o. o. — Krakow, Poland
- NASZ LEKARZ Osrodek Badan Klinicznych — Torun, Poland
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego — Wroclaw, Poland
- ICO Badalona - Hospital Universitari Germans Trias i Pujol — Barcelona, Spain
- ICO l'Hospitalet - Hospital Duran i Reynals — Barcelona, Spain
- Fundacion Jimenez Diaz — Madrid, Spain
Full record on ClinicalTrials.gov
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