The objective of this study is to evaluate the safety, tolerability and PK profile of HMPL-295S1 and determine MTD and/or RP2D in patients with advanced malignant solid tumor. It will be extended to enroll 10-15 patients at this dose after RP2D is determined, as to further evaluate the safety of RP2D and the preliminary efficacy of HMPL-295S1. In addition, an exploratory study on the pharmacokinetic biomarkers of HMPL-295S1 is planned in this study.
This study is expected to enroll 52-87 patients, including 30-60 patients for dose escalation, the enrollment will continue until about 12 patients in the dose group with response, as to determine RP2D (assuming the two dose groups will continue enrollment to 12 patients), additional 10-15 patients will be enrolled at the dose level of determined RP2D. The number of patients finally screened in the study will depend on the number of dose levels evaluated, occurrence of dose-limiting toxicity (DLT) in each dose group and the failure rate of screening.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
47
Patient starts the initial dose treatment with 5mg QD of HMPL-295S1, during dose escalation, single-dose PK evaluation will be carried out firstly in each dose group. At the first therapeutic dose level, the single-dose treatment period is 5 days; from the 2nd dose level, the sponsor can determine the adjustment of single-dose treatment period to 3-5 days based on the available PK profile. Subsequently, the patients will receive oral HMPL-295S1 QD continuously in a therapeutic cycle of 28 days (Day 1 - 28 of each cycle), until reaching the criteria on the end of treatment. The patients in RP2D extended cohort will enter the consecutive treatment period directly.
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China
Safety and tolerability of oral HMPL-295S1 monotherapy for patients with advanced solid tumors;
Occurrence of Dose Limiting Toxicities (DLTs) During the DLT Observation Period.
Time frame: from Cycle 0Day1 up to Cycle1Day28 (each cycle is 28 days)
Maximum tolerated dose (MTD)of oral HMPL-295S1.
1. Occurrence of Adverse Events (AEs) and Treatment-Related AEs. 2. Number of Participants With Clinical Significant Changes in Vital Signs, Laboratory Parameters and 12-Lead Electrocardiogram (ECG) Findings. 3. Incidence of AEs leading to dose interruption, reduction or permanent discontinuation.
Time frame: MTD from 1st patient's Cycle 0Day1 (each cycle is 28 days) up to last patient's Last dose in escalation stage. (up to a maximum of approximately 2 years )
Recommended phase II clinical study dose (RP2D) of oral HMPL-295S1.
The investigator and the sponsor will determine RP2D jointly based on the following factors: 1. MTD (if reached) 2. PK/pharmacokinetics and relevant efficacy and safety.
Time frame: Baseline up to last patient's last tumor assessment completed in escalation stage. (up to a maximum of approximately 2 years )
To investigate the pharmacokinetic (PK) profile of oral HMPL-295S1.
Plasma peak concentration of HMPL-295S1 (Cmax)
Time frame: from pre-dose to day 5 of cycle 0. (cycle 0 contains 5 days)
AUCinf (Cycle 0 ) of HMPL-295S1.
AUCinf: area under the concentration vs. time curve from zero to infinity after single (first)dose.
Time frame: from pre-dose to day 5 of cycle 0. (cycle 0 contains 5 days)
AUC(0-tlast) (Cycle 0 ) of HMPL-295S1.
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AUC from time zero to the last data point.
Time frame: from pre-dose to day 5 of cycle 0. (cycle 0 contains 5 days)
Objective Response Rate (ORR)
Percentage of patients with Complete Response(CR) or Partial Response(PR) as the best response evaluated in accordance with RECIST 1.1;
Time frame: From baseline to final assessment at end of safety follow-up visit (up to a maximum of approximately 3 years)
Time to response (TTR)
the time from the first dose of HMPL-295S1 to the first objective response.
Time frame: From baseline to final assessment at end of safety follow-up visit (up to a maximum of approximately 3 years)
Duration of response (DoR)
as the time from the first appearance of CR or PR to PD or death for any reason (whichever comes first), in the patients with objective response;
Time frame: From baseline to final assessment at end of safety follow-up visit (up to a maximum of approximately 3 years)
Disease control rate (DCR)
the proportion of patients with CR or PR or stable disease (SD) as the best response, and the duration of SD needs to be ≥6 weeks;
Time frame: From baseline to final assessment at end of safety follow-up visit (up to a maximum of approximately 3 years)
Progression-free survival (PFS)
time from the first dose of study treatment to PD or death for any reason, whichever comes first;
Time frame: From baseline to final assessment at end of safety follow-up visit (up to a maximum of approximately 3 years)
Overall survival (OS)
time from the first dose of study treatment to death for any reason.
Time frame: From baseline to final assessment at end of safety follow-up visit (up to a maximum of approximately 3 years)