A Pivotal Study of HQP1351 in Patients With Chronic Myeloid Leukemia in Chronic Phase

NCT ID: NCT04126681

Last Updated: 2025-03-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 144 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-10-21
• Study Completion Date: 2024-08-01

Brief Summary

The purpose of this study is to evaluate the efficacy of HQP1351 in patients with chronic myeloid leukemia in chronic phase (CML-CP) who are resistant and/or intolerant to first- and second-generation tyrosine kinase inhibitors. The efficacy of HQP1351 is determined by evaluating the subjects' event free survival (EFS).

Detailed Description

This is a phase 2, randomized, open label, pivotal study to evaluate the efficacy and safety of HQP1351 in CML CP patients who are resistant and/or intolerant to first- and second-generation TKIs in China. A total of 141 CML CP patients will be included in this study. After screening, eligible subjects will be randomized by 2:1 ratio to enter HQP1351 therapy cohort and best available therapy (BAT) cohort. When the subjects in the two cohorts reach EFS assessment, they can crossover to contralateral cohort if the investigator and Sponsor think they could be clinically benefited. During treatment, each subject will be assessed regularly for hematological, cytogenetic and molecular responses. At the same time, safety information also will be evaluated.

Conditions

Chronic Myeloid Leukemia, Chronic Phase

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

HQP1351 therapy cohort

HQP1351 40 mg, taken orally once every other day of a 28-day cycle

Group Type: EXPERIMENTAL

HQP1351

Intervention Type: DRUG

HQP1351 is a new, bioavailable inhibitor against BCRABLWT and a broad spectrum of BCR-ABL mutants including BCR-ABLT315I

Best Available Therapy (BAT) cohort

Best available therapy (BAT) will be selected by the investigator for each participant.

Group Type: ACTIVE_COMPARATOR

Hydroxyurea or Interferon-based therapy

Intervention Type: DRUG

Patients will receive BAT based on the Investigator's opinion, taking into account the manufacturer's instructions, labeling, subject's medical condition, and institutional guidelines.

Homoharringtonine

Intervention Type: DRUG

Patients will receive BAT based on the Investigator's opinion, taking into account the manufacturer's instructions, labeling, subject's medical condition, and institutional guidelines.

Imatinib, Dasatinib or Nilotinib

Intervention Type: DRUG

Patients will receive BAT based on the Investigator's opinion, taking into account the manufacturer's instructions, labeling, subject's medical condition, and institutional guidelines.

Interventions

HQP1351

HQP1351 is a new, bioavailable inhibitor against BCRABLWT and a broad spectrum of BCR-ABL mutants including BCR-ABLT315I

Intervention Type: DRUG

Hydroxyurea or Interferon-based therapy

Patients will receive BAT based on the Investigator's opinion, taking into account the manufacturer's instructions, labeling, subject's medical condition, and institutional guidelines.

Intervention Type: DRUG

Homoharringtonine

Patients will receive BAT based on the Investigator's opinion, taking into account the manufacturer's instructions, labeling, subject's medical condition, and institutional guidelines.

Intervention Type: DRUG

Imatinib, Dasatinib or Nilotinib

Patients will receive BAT based on the Investigator's opinion, taking into account the manufacturer's instructions, labeling, subject's medical condition, and institutional guidelines.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Male or non-pregnant, non-lactating female patients who are 18 years of age or older.

2. CML-CP patients with positive Ph chromosome or BCR-ABL fusion genes.

3. Resistance and intolerance of first- and second-generation TKIs: defined as resistance or intolerance to imatinib, nilotinib, and dasatinib.

4. Ability to understand and willingness to sign a written informed consent form. The consent form must be signed by the patient prior to any study specific procedures.

5. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2.

6. Predicted life expectancy of ≥3 months.

7. Organ function as indicated by the following laboratory indicators must be met (Hematological indicators require that no blood transfusion or any blood products or cytokines be used within 14 days prior to testing):

• Hemoglobin ≥8.0g/dL.
• White blood cell count ≥ 3.0×10^9/L.
• Platelet count ≥ 75×10^9/L.
• Serum creatinine ≤ 1.5×upper limit of normal (ULN) or 24 hours calculated creatinine clearance ≥ 50mL/min when serum creatinine >1.5×ULN.
• Serum albumin ≥ 3.0 g/dL.
• Total bilirubin ≤ 1.5 x ULN.
• Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) ≤ 2.5 x ULN.
• Amylase≤1.5×ULN. Lipase≤1.5×ULN.
• PT/APTT/INR≤1.5×ULN.

8. Cardiac function index: ejection fraction (EF) > 50%, pulmonary arterial systolic pressure (PASP) ≤50 mmHg.

9. QT interval corrected on electrocardiogram (ECG) evaluation: QTc≤450ms in males or ≤470ms in females.

10. Males and females of childbearing potential and their partners voluntarily take contraceptive measures that the researchers believe are effective within 120 days from the signing of the informed consent to the last use of the research drug, or confirm that sterilization has been performed (at least one month before screening).

11. Willingness and ability to comply with study procedures and follow-up examination.

Exclusion Criteria

1. Received cytotoxic chemotherapy or radiotherapy within 28 days prior to the first administration, interferon or cytarabine or antitumor effect Chinese herbal medicine or Chinese patent medicine within 14 days prior to the first administration, or targeted BCR-ABL1 TKI within 7 days prior to the first administration, or hydroxyurea or anagrelide within 24 hours after the first administration, or adverse events (except alopecia) caused by previous treatment and have not recovered.

2. The patients who received any other investigating drugs within 14 days prior to first administration.

3. For patients with CML-CP, if they have progressed to AP or BP, they cannot be enrolled after treatment with CML-CP.

4. Patients who are currently receiving treatment with a medication that has the potential to interact with research drug.

5. Have previously been treated with ponatinib or HQP1351 (or drugs of similar composition).

6. Absorption disorder syndrome or other diseases affecting oral drug absorption.

7. Have any history of heart or vascular disease, such as hypertension (systolic blood pressure (HBP) > 140mmHg and/or diastolic blood pressure > 90mmHg), or take medications that are known to cause QT interval prolongation. The patients with well controlled HBP can be included.

8. Pulmonary systolic pressure (PSP) of echocardiography is more than 50 mmHg, or there is clinical symptom related to pulmonary hypertension.

9. Have a history of serious cardiovascular diseases during the previous treatment of chronic myeloid leukemia with TKI, including myocardial infarction, unstable angina pectoris, severe arrhythmia and congestive heart failure.

10. Underwent autologous or allogeneic stem cell transplant.

11. CML-CP patient currently diagnosed as Complete cytogenetic response (CCyR).

12. Have diseases with abnormal bleeding and coagulation function, or have a bleeding disorder unrelated to CML within 3 months before first dose of study drug.

13. Underwent major surgery (except minor surgical procedures, such as placement or bone marrow biopsy) with 14 days prior to the first dose of study drug.

14. Require concurrent treatment with immunosuppressive agents, other than corticosteroids prescribed for a short course of therapy (It is defined as a daily dose of corticosteroids less than 30 mg prednisone or the same amount of other corticosteroids within 7 days).

15. Have active nervous system (CNS) disease as evidence by cytology or pathology. In the absence of clinical CNS disease, lumbar puncture is not required.

16. History of another primary malignancies.

17. Active symptomatic infection.

18. Known to be allergic to study drug ingredients or their analogues.

19. Female patients with blood β-Human chorionic gonadotropin positive, pregnant or lactating or expecting pregnancy during the study program.

20. Suffer from any condition or illness that, in the opinion of the Investigator or the medical monitor, would compromise patient safety or interfere with the evaluation of the safety of the research drug.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

HealthQuest Pharma Inc.

INDUSTRY

Sponsor Role: collaborator

Ascentage Pharma Group Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Xiaojun Huang, Professor

Role: PRINCIPAL_INVESTIGATOR

Peking University People's Hospital

Locations

Peking University People's Hospital

Beijing, Beijing Municipality, China

Sun Yat-sen University Cancer Center

Guangzhou, Gongdong, China

Nanfang hospital of southern medical university

Guangzhou, Guangdong, China

Shenzhen Second People's Hospital

Shenzhen, Guangdong, China

The First affiliated hospital of Guangxi Medical University

Nanning, Guangxi, China

Henan Provincial Oncology Hospital

Zhengzhou, Henan, China

Henan Provincial people's Hospital

Zhengzhou, Henan, China

Tongji Hospital medical college Huazhong University of Science and Technology

Wuhan, Hubei, China

Union Hospital medical college Huazhong University of Science and Technology

Wuhan, Hubei, China

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Xiangya Hospital Central South University

Changsha, Hunan, China

Jiangsu Province Hospital

Nanjing, Jiangsu, China

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

The First affiliated hospital of Nanchang University

Nanchang, Jiangxi, China

First Hospital of Jilin University

Changchun, Jilin, China

The Affiliated hospital of Qingdao University

Qingdao, Shandong, China

Qilu hospital of Shandong University

Jinan, Shangdong, China

Ruijing Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Blood Diseases Hospital Chinese Academy of Medical Sciences

Tianjin, Tianjin Municipality, China

The First Affiliated Hospital, Zhejiang University School of Medicine(hematology dept)

Hangzhou, Zhejiang, China

The First Affiliated Hospital, Zhejiang University School of Medicine(HSCTdept)

Hangzhou, Zhejiang, China

Countries

China

References

Jiang Q, Li Z, Qin Y, Li W, Xu N, Liu B, Zhang Y, Meng L, Zhu H, Du X, Chen S, Liang Y, Hu Y, Liu X, Song Y, Men L, Chen Z, Niu Q, Wang H, Lu M, Yang D, Zhai Y, Huang X. Olverembatinib (HQP1351), a well-tolerated and effective tyrosine kinase inhibitor for patients with T315I-mutated chronic myeloid leukemia: results of an open-label, multicenter phase 1/2 trial. J Hematol Oncol. 2022 Aug 18;15(1):113. doi: 10.1186/s13045-022-01334-z.

Reference Type: DERIVED

PMID: 35982483 (View on PubMed)

Other Identifiers

HQP1351CC203

Identifier Type: -

Identifier Source: org_study_id