Status:

RECRUITING

HMPL-453 Tartrate in Advanced Intrahepatic Cholangiocarcinoma

Lead Sponsor:

Hutchmed

Conditions:

Advanced Intrahepatic Cholangiocarcinoma

Solid Tumor, Adult

Eligibility:

All Genders

18+ years

Phase:

PHASE2

PHASE3

Brief Summary

The goal of this clinical trial is to evaluate in patients with advanced intrahepatic cholangiocarcinoma harboring FGFR2 fusion/rearrangement. The main questions it aims to answer are: To evaluate th...

Detailed Description

This is an open-label, single-arm, multicenter phase 2/3b clinical study to evaluate the efficacy and safety of HMPL-453 tartrate in the treatment of patients with advanced ICC habouring FGFR2 fusions...

Eligibility Criteria

Inclusion

  • Have fully understood the study and voluntarily signed the ICF;
  • Age ≥ 18 years;
  • a. pathologically or cytologically confirmed advanced treatment failure solid tumor with standard patients (applicable to cohorts2 stage I); b. histologically or cytologically confirmed histologically or cytologically confirmed locally advanced unresectable or metastatic ICC patients with FGFR2 fusions/rearrangements/mutation (applicable to Cohort 1, Cohort 2 Stage II, Cohort 3 and Cohort 4)
  • a. The patients have received at least one prior systemic treatment regimen for advanced ICC and has intolerable PD or toxicity(Cohort1-3); b. Patients who have not received any prior systemic therapy for advanced ICC(Cohort4)
  • Measurable lesion according to RECIST v1.1;
  • ECOG performance status of 0 or 1;
  • Life expectancy ≥ 12 weeks;
  • Female patients or male patients with partners of childbearing potential must take effective contraceptive measures per the protocol.

Exclusion

  • Patients who previously received selective FGFR targeting therapy;
  • Received approved or researched systemic anti-tumor treatment within 3 weeks prior to the start of the study treatment;
  • Radical radiotherapy within 4 weeks;
  • Have received local anti-tumor treatment within 4 weeks;
  • Major surgery requiring hospitalization or incomplete healing of the surgery incision within 4 weeks;
  • Current or prior history of retinal detachment;
  • Using a strong inducer or inhibitor of cytochrome P450 3A (CYP3A) within 2 weeks or 5 half-lives of the study treatment;
  • Taking drugs or dietary supplementsthat may cause blood phosphorus and/or blood calcium to rise within 2 weeks prior to the start of the study treatment;
  • International normalized ratio above 1.5 or partial activated prothrombin time above 1.5 times ULN;
  • History of clinically significant active hepatopathy, including active viral hepatitis, or other active hepatitis, clinically significant moderate to severe liver cirrhosis;
  • The patients with human immunodeficiency virus (HIV) infection;
  • Active infection requiring systemic treatment within 1 week prior to the start of the study treatment;
  • Screening blood phosphorus levels above ULN, or history of abnormal calcium phosphorus metabolism requiring clinical intervention or relevant medical history;
  • Currently keratopathy confirmed by ophthalmological examination;
  • Prior history of retinal detachment, or current diseases that may cause retinal detachment;
  • Clinically significant arrhythmia or conduction abnormalities requiring clinical intervention;
  • Patients with known deep venous thrombosis, treated with low molecular weight heparin (LMWH) or drugs with similar efficacy, and the investigator judges that the thrombosis is stable for ≥ 2 weeks ;
  • Toxicities caused by prior anti-tumor treatment have not recovered to grade 0 or 1;
  • The patient has any current disease or condition that affects drug absorption, or the patient cannot be orally administered;
  • Combined with other malignant tumor or a history of other malignant tumor within 5 years prior to study screening;
  • Patients currently has central nervous system metastases, meningeal metastases or spinal cord compression, except in individual cases;
  • Any other medical condition or clinically significant laboratory abnormalities judged by the investigator would make the patients unsuitable to participate in this study.

Key Trial Info

Start Date :

September 3 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 28 2030

Estimated Enrollment :

235 Patients enrolled

Trial Details

Trial ID

NCT04353375

Start Date

September 3 2020

End Date

February 28 2030

Last Update

December 31 2025

Active Locations (1)

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1

Chinese PLA General Hospital

Beijing, Beijing Municipality, China