This is an open-label, multicenter study to evaluate the safety, tolerability, and efficacy of HMPL-523 in adult subjects with ITP.
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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Syk inhibitor
Childrens Hospital of California
Irvine, California, United States
Georgetown University Medical Center - Georgetown Lombardi Comprehensive Cancer Center
Georgetown, Delaware, United States
Center for Cancer and Blood Disorders
Bethesda, Maryland, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
San Juan Oncology Associates
Farmington, New Mexico, United States
Safety and tolerability of HMPL-523 in adult subjects with primary ITP
Calculated as the number and percent incidence of participants experiencing adverse events (AE).
Time frame: week 1 - week 24
Dose Limiting Toxicities
Defined as an adverse event AE that meets protocol defined Dose Limiting Toxicities (DLT) criteria during the DLT assessment window (first 28 days), unless clearly unrelated to ITP drugs.
Time frame: week 1 - week 4
Cmax (maximum plasma drug concentration)
Blood samples will be obtained from all patients to determine maximum plasma drug concentration of HMPL-523 and metabolite M
Time frame: week 1 and week 3
AUCtau (area under the concentration-time curve over a dosage interval)
Blood samples will be obtained from all patients to determine area under the concentration time curve over periodic dosing intervals for HMPL-523 and metabolite M1
Time frame: week 1 and week 3
Tmax (time to reach maximum plasma drug concentration)
Blood samples will be obtained from all patients to determine time to reach maximum plasma concentration of HMPL-523 and metabolite M1
Time frame: week 1 and week 3
Cmin (minimum plasma drug concentration)
Blood samples will be obtained from all patients to determine minimum plasma concentration of HMPL-523 and metabolite M1
Time frame: week 1 - week 20
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...and 18 more locations