This study is a multicenter, randomized controlled Phase I clinical study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of HMPL-306 in patients with gliomas harboring IDH1 and/or IDH2 mutations
HMPL-306 is a dual IDH1/2 inhibitor. This is a multicenter, randomized controlled phase I clinical study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of HMPL-306 in patients with gliomas harboring IDH1 and/or IDH2 mutations. The study consists of 2 parts: Part 1 (safety lead-in phase) and Part 2 (perioperative phase). Part 1 will determine safety and DLT. Part 2 will administer the HMPL-306 or no treatment to mIDH-positive gliomas.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
52
IDH small molecule inhibitor
Huashan Hospital affiliated to Fudan University
Shanghai, Shanghai Municipality, China
RECRUITINGNumber of Subjects with Dose Limiting Toxicities (DLTs)
DLT is defined as an adverse event (AE) that meets protocol defined DLT criteria during cycle 1 and is at least possibly related to study drug.
Time frame: Up to 28 days after first dose of study drug
RP2D
Determine the Phase II recommended dose (RP2D) of HMPL-306 in patients with gliomas harboring IDH1 and/or IDH2 mutations based on a comprehensive assessment.
Time frame: From first dose of study drug to the time of progressive disease, assessed up to 24 months on average
Maximum serum drug concentration
Blood samples will be obtained from all patients for determination of the maximum serum concentration of HMPL-306.
Time frame: PK/PD weeks at screening through safety follow-up, assessed up to 24 months on average
Time to maximum concentration
Blood samples will be obtained from all patients for determination time to maximum concentration of HMPL-306.
Time frame: PK/PD weeks at screening through safety follow-up, assessed up to 24 months on average
Area under the concentration-time curve (AUC)
Blood samples will be obtained from all patients for determination of the AUC of HMPL-306
Time frame: PK/PD weeks at screening through safety follow-up, assessed up to 24 months on average
Concentration of 2-HG in brain tumor tissue
Brain tumor tissue will be obtained from suitable patients for determination concentration of 2-HG.
Time frame: PK/PD weeks at screening through safety follow-up, assessed up to 24 months on average
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