A Study to Evaluate ICP-022 in Patients With CLL/ SLL

NCT ID: NCT03493217

Last Updated: 2022-07-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-17

Study Completion Date

2022-12-31

Brief Summary

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The phase I/II clinical study is to investigate the safety, tolerability and efficacy of ICP-022 in R/R CLL/SLL patients.

Detailed Description

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Part I: Safety evaluation -2 regimens of ICP-022 (High and low dose QD) are designed for safety assessment. The recommended dose of phase II clinical study will be determined according to the Part I results.

Part II: Dose expansion -Anti-tumor effects of ICP-022 in Chinese patients with R/R CLL/SLL will be evaluated in approximately 80 subjects. The recommended Phase 2 dose will be used in the Part II.

Conditions

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CLL/SLL

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ICP-022

Two regimens of ICP-022 (High and low dose QD) are designed for study Part I to determine RP2D. The RP2D determined will be used in Part II to further evaluate the preliminary efficacy of ICP-022 in Chinese subjects with R/R CLL/SLL.

Group Type EXPERIMENTAL

ICP-022

Intervention Type DRUG

The drug product is a white, round, uncoated tablet.

Interventions

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ICP-022

The drug product is a white, round, uncoated tablet.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men and women with the age more than 18 years
* Subjects with confirmed diagnosis of CLL/SLL following IWCLL2008 criteria
* Refractory or relapsed CLL/SLL who have received at least one prior therapy
* At least two measurable tumors of greater than 1.5 centimeter in long axis by contrast-enhanced CT/MRI
* ECOG performance status of 0-2
* Documented failure to achieve at least partial response (PR) or documented disease progression after response to, the most recent treatment regimen.There are medicalrecords confirming that the disease has not responded to the mostrecent treatment (complete and partial remission) or that thedisease has progressed after remission
* Subjects who meet the following laboratory parameters:

* Absolute neutrophil count (ANC) ≥ 0.75×109/L, Platelet count ≥ 50×109/L independent of growth factor support within 7 days of the first dose of study drug
* Total bilirubin ≤ 2× ULN (unless due to Gilbert's syndrome); AST or ALT ≤ 2.5 ULN; Creatinine ≤ 1.5 ULN; Amylase ≤ 1.5 ULN
* International normalized ratio (INR) ≤ 1.5 ULN and activated partial thromboplastin time (APTT) ≤ 1.5 ULN
* Life expectancy ≥ 4 months
* Able to provide signed written informed consent

Exclusion Criteria

* History of other active malignancies within 5 years of study entry, unless cured without evidence of relapse or metastasis
* Current or history of lymphoma involved central nervous system
* Any history of Richter's transformation
* Prior corticosteroids (at dosages equivalent to prednisone \> 20 mg/day) given with anti-neoplastic intent within 7 days, prior chemotherapy, targeted therapy, radiation therapy, or antibody based therapies or anti-cancer TCM within 4 weeks of the start of study drug.
* Non-hematological toxicity must be recovered to ≤ Grade 1 from prior anti-cancer therapy (except alopecia)
* Current Clinically significant cardiovascular disease including:

* Any class 3 or 4 cardiac disease such as arrhythmia, congestive heart failure or myocardial infarction defined by the New York Heart Association Functional Classification, or left ventricular ejection fraction (LVEF) \< 50%
* Primary cardiomyopathy
* Clinical significant QTc prolong history or QTc\>470ms (female) QTc\>450ms (male)
* Uncontrolled hypertension
* Subjects with active bleeding within 2 months of study start or currently taking anticoagulant/antiplatelet drugs
* Urine protein ≥ 2+ and quantitation ≥ 2g/24hours
* History of deep vein thrombosis or pulmonary embolism
* Disease significantly affecting gastrointestinal function such as dysphagia, chronic diarrhea, intestinal obstruction, or resection of the stomach
* Prior allogeneic stem cell transplant within 6 months prior to first dose of study drug or related active infection
* Prior organ or allogeneic hematopoietic stem cell transplant within 6 months prior to first dose of study drug
* Major surgery within 6 weeks of screening, except for diagnostic test or vascular access setup
* Known active infection with HBV, HCV or HIV or any uncontrolled active systemic infection
* Any history of pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonia, severe lung function impairment
* Prior exposure to a BTK inhibitor or PI3K, SYK, bcl-2 inhibitors
* History of stroke or intracranial hemorrhage within 6 months prior to enrollment
* Any mental or cognitive disorder, unable to understand and comply with the requirements of the study
* Drug abuser or alcoholics
* Lactating or pregnant women, or women who will not agree to use contraception during the study and for 180 days after the last dose of study drug if sexually active and able to bear children
* Requires treatment with moderate or strong cytochrome P450 family 3, subfamily A (CYP3A) inhibitors or strong CYP3A inducers.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing InnoCare Pharma Tech Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jianyong Li, MD

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital with Nanjing Medical University

Locations

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Anhui Province Cancer Hospital

Hefei, Anhui, China

Site Status

Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status

Guangzhou First People's Hospital

Guangzhou, Guangdong, China

Site Status

The Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status

Henan Tumor Hospital

Zhengzhou, Henan, China

Site Status

Wuhan Union Hospital

Wuhan, Hubei, China

Site Status

Tongji Hospital

Wuhan, Hubei, China

Site Status

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

The second affiliated hospital of dalian medical university

Dalian, Liaoning, China

Site Status

Qilu Hosptial of Shandong University

Jinan, Shandong, China

Site Status

Shandong Provincial Hospital

Jinan, Shandong, China

Site Status

Xinhua hospital affiliated to medical college of Shanghai jiao tong university

Shanghai, Shanghai Municipality, China

Site Status

West China Hospital,Sichuan University

Chengdu, Sichuan, China

Site Status

The Chinese Academy of Medical Sciences Hematology Hospital

Tianjin, Tianjin Municipality, China

Site Status

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, China

Site Status

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Second affiliated hospital of medical college of zhejiang university

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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ICP-CL-00103

Identifier Type: -

Identifier Source: org_study_id

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