A Study of HS-10382 in Patients With Chronic Myeloid Leukemia.

NCT ID: NCT05367700

Last Updated: 2023-01-13

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: PHASE1
• Total Enrollment: 108 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-04-28
• Study Completion Date: 2026-09-30

Brief Summary

HS-10382 is a small molecular, oral potent, allosteric inhibitor. By binding a myristoyl site of the BCR-ABL1 protein, HS-10382 locks BCR-ABL1 into an inactive conformation. The purpose of this study is to investigate the safety/tolerability and the pharmacokinetic(PK) profile of HS-10382 in patients with chronic myeloid leukemia (CML). Anti-CML activity will also be investigated in this study.

Detailed Description

This is an open-label, multicenter, dose-escalation and expansion, first-in-human study in participants of CML with T315I mutation or without T315I mutation in chronic phase/accelerate phase(CP/AP). This study will consist of two parts: A part 1 dose escalation stage and a part 2 dose expansion stage. The objectives of this study are to evaluate the safety, tolerability, PK and preliminary anti-CML activity, describe the dose-limiting toxicities (DLTs), and determine the maximum tolerated dose (MTD) or maximum applicable dose (MAD) of HS-10382. Participants with CML-CP/AP are eligible for dose escalation study if they had resistance to or unacceptable side effect from BCR-ABL1 TKIs. After determination of the MTD or the MAD for CML patients, dose expansion will be undertaken to further evaluate the efficacy and safety of HS-10382 in patients with CML-CP. All patients will be carefully followed for adverse events during the study treatment and for 28 days after the last dose of study drug. Subjects of this study will be permitted to continue therapy with assessments for progression if the product is well tolerated and the subject has stable disease or better.

Conditions

CML, Chronic Phase; CML, Accelerated Phase

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

HS-10382 (Part 1: Dose escalation)

There are five escalation dose cohorts.

Group Type: EXPERIMENTAL

HS-10382(Part 1: Dose escalation)

Intervention Type: DRUG

Single or multiple dose(s) of HS-10382 once daily.

HS-10382 (Part 2: Dose expansion)

The recommended dose from the dose-escalation stage and other potential doses will be further explored.

Group Type: EXPERIMENTAL

HS-10382(Part 2: Dose expansion)

Intervention Type: DRUG

HS-10382 is administered orally once daily.

Interventions

HS-10382(Part 1: Dose escalation)

Single or multiple dose(s) of HS-10382 once daily.

Intervention Type: DRUG

HS-10382(Part 2: Dose expansion)

HS-10382 is administered orally once daily.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Signed informed consent form.

2. Men or women aged more than or equal to (≥) 18 years, and less than (<) 75 years.

3. CML-CP/AP patients with the Ph chromosome or BCR-ABL1 fusion genes.

4. Patient with CML-CP/AP who are resistant to or intolerant to previous TKIs therapy.

5. ECOG performance status of 0-2.

6. Life expectancy ≥ 12 weeks.

7. Men or women should be using adequate contraceptive measures throughout the study; Females should not be breastfeeding at the time of screening, during the study and until 6 months after completion of the study.

8. Females must have evidence of non-childbearing potential.

Exclusion Criteria

1. CML-CP patients who have acquired CCyR and have not lost it.

2. Patients with CML-CP who have progressed to AP or blast phase(BP.)

3. Patients with CML-AP who have obtained CHR or no evidence of CML in peripheral blood.

4. Patients with CML-AP who have progressed to BP.

5. Previous treatment with a BCR-ABL1 TKI allosteric inhibitor .

6. Impaired cardiac function including any one of the following:

1. Resting corrected QT interval (QTc) > 470 ms obtained from electrocardiogram (ECG), using the screening clinic's ECG machine and Fridericia's formula for QT interval correction (QTcF).

2. Any clinically important abnormalities in rhythm, conduction, or morphology of the resting ECG.

3. Any factors that increase the risk of QTc prolongation or risk of arrhythmic events,

4. Left ventricular ejection fraction (LVEF) ≤ 50%.

5. During screening period, ECG examination showed average heart rate <50 beats per minute.

6. Myocardial infarction occurred within 6 months of the first scheduled dose of HS-10382.;

7. Congestive heart failure occurred within 6 months of the first scheduled dose of HS-10382.;

8. Uncontrollable angina.

7. History of acute pancreatitis within 1 year of study entry or past medical history of chronic pancreatitis

8. Any severe or uncontrolled systemic diseases (i.e. uncontrolled hypertension or diabetes).

9. Clinically severe gastrointestinal dysfunction that may affect drug intake, transport or absorption.

10. Severe infection within 4 weeks prior to the first scheduled dose of HS-10382.

11. History of significant congenital or acquired bleeding disorders unrelated to CML.

12. Inadequate other organ function.

13. History of other malignancies.

14. History of hypersensitivity to any active or inactive ingredient of HS-10382.

15. History of neuropathy or mental disorders, including epilepsy and dementia.

16. Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions, and requirements.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 74 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Jiangsu Hansoh Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Yu Hu

Role: PRINCIPAL_INVESTIGATOR

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Locations

Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status: RECRUITING

Countries

China

Central Contacts

Yu Hu

Role: CONTACT

dr_huyu@126.com

13986183871

Facility Contacts

Yu Hu

Role: primary

dr_huyu@126.com

13986183871

Other Identifiers

HS-10382-101

Identifier Type: -

Identifier Source: org_study_id