The Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of HMPL-523 in Adult Subjects With Immune Thrombocytopenia (ITP)

NCT ID: NCT06291415

Last Updated: 2025-09-16

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

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-02

Study Completion Date

2026-11-30

Brief Summary

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This is an open-label, multicenter study to evaluate the safety, tolerability, and efficacy of HMPL-523 in adult subjects with ITP.

Detailed Description

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This study is a Phase 1b, open-label, multicenter, single-arm study to evaluate the safety, tolerability, and preliminary efficacy of HMPL-523 in adult subjects with primary ITP diagnosed at least 3 months prior to enrollment or randomization.

In the dose escalation stage (Part 1), subjects will receive one of 3 dose levels of HMPL-523 to determine the recommended dose of HMPL-523 for the randomized dose optimization- stage (Part 2).

At the end of Part 1, 2 dose levels will be selected to be used in the dose-optimization stage (Part 2) of the study. In Part 2 of the study, subjects will be randomized in a 1:1 ratio between the 2 dose levels to better understand the exposure/efficacy/toxicity relationship.

At the end of Part 2, the Recommended Phase 3 dose (RP3D) of HMPL-523 will be determined based on the safety, efficacy and PK data.

Conditions

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Immune Thrombocytopenia Blood Platelet Disorder Hematologic Diseases Purpura, Thrombocytopenic Purpura Blood Coagulation Disorder Thrombotic Microangiopathies Hemorrhagic Disorders Autoimmune Diseases Immune System Diseases Hemorrhage Pathologic Processes Skin Manifestations Thrombocytopenia Purpura, Thrombocytopenic, Idiopathic Primary Immune Thrombocytopenia ITP - Immune Thrombocytopenia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Part 1: Dose escalation stage - subjects will receive one of 3 dose levels of HMPL-523 to determine the recommended dose of HMPL-523 for the randomized dose optimization- stage (Part 2)

Part 2: subjects will be randomized in a 1:1 ratio between the 2 dose levels recommended by the SRC to better understand the exposure/efficacy/toxicity relationship. At the end of Part 2, the SRC will evaluate the safety, tolerability, preliminary efficacy, and PK data to determine the Recommended Phase 3 dose (RP3D) of HMPL-523.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose escalation

Part 1 will consist of the following 3 dose levels: 300, 400, and 500 mg once daily (QD).

Group Type EXPERIMENTAL

HMPL-523

Intervention Type DRUG

Syk inhibitor

Dose optimization stage

In part 2 subjects will be randomized in a 1:1 ratio between the 2 dose levels selected at the end of part 1.

Group Type EXPERIMENTAL

HMPL-523

Intervention Type DRUG

Syk inhibitor

Interventions

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HMPL-523

Syk inhibitor

Intervention Type DRUG

Other Intervention Names

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sovleplenib

Eligibility Criteria

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Inclusion Criteria

Subjects may be enrolled in this study only if they satisfy all the following criteria:

1. Adult male or female subjects ≥18 years of age
2. Diagnosis of ITP, with a duration of disease of at least 3 months prior to randomization or enrollment
3. Intolerance or insufficient response or recurrence after at least 1 prior ITP treatment (excluding splenectomy)
4. Response (defined as achieved a platelet count ≥50 × 109/L) to at least 1 prior ITP therapy (including splenectomy)
5. Adequate hematologic, hepatic and renal function

Exclusion Criteria

Subjects are not eligible for enrollment into this study if any one of the following criteria are met:

1. Evidence of the presence of secondary causes of ITP
2. Clinically serious hemorrhage requiring immediate adjustment of platelets
3. Known history of vital organ transplantation or hematopoietic stem-cell transplantation or chimeric antigen receptor T-cells (CAR-T) therapy
4. Splenectomy within 12 weeks prior to enrollment
5. Presence of active malignancy unless deemed cured by adequate treatment.
6. History of serious cardiovascular disease corrected QT interval (QTcF) ≥450 ms
7. Uncontrolled hypertension
8. Being unsuitable to participate in this study as considered by investigators
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hutchmed

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William Schelman, MD, PhD

Role: STUDY_DIRECTOR

Hutchmed

Locations

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Childrens Hospital of California

Irvine, California, United States

Site Status

Georgetown University Medical Center - Georgetown Lombardi Comprehensive Cancer Center

Georgetown, Delaware, United States

Site Status

Center for Cancer and Blood Disorders

Bethesda, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

San Juan Oncology Associates

Farmington, New Mexico, United States

Site Status

East Carolina University, Brody School of Medicine

Greenville, North Carolina, United States

Site Status

Taussig Cancer Institute

Cleveland, Ohio, United States

Site Status

Oklahoma Cancer Specialists and Research Institute

Tulsa, Oklahoma, United States

Site Status

Texas Oncology San Antonio Medical Center

San Antonio, Texas, United States

Site Status

University of Washington (UW) Medical Center

Seattle, Washington, United States

Site Status

Peninsula Private Hospital

Frankston, Victoria, Australia

Site Status

The Perth Blood Institute (PBI) Hollywood Specialist Centre

West Perth, Western Australia, Australia

Site Status

Royal Adelaide Hospital

Adelaide, , Australia

Site Status

Canberra Hospital

Canberra, , Australia

Site Status

Charite university

Berlin, , Germany

Site Status

Marien Hospital Dusseldorf

Düsseldorf, , Germany

Site Status

UMG Gottingen Hämatologie

Göttingen, , Germany

Site Status

University Hospital of Schleswig-Holstein, Department of Haematology and Oncology

Lübeck, , Germany

Site Status

Sykehuset Ostfold Kalnes (fosta) / Osfold Hospital Trust (MSL)

Grålum, , Norway

Site Status

Oslo University Hospital

Oslo, , Norway

Site Status

Hospital del Mar Barcelona

Barcelona, , Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

University de Burgos

Burgos, , Spain

Site Status

Hospital Gregorio Maranon Madrid

Madrid, , Spain

Site Status

Clinica Universidad de Navarra

Madrid, , Spain

Site Status

Hospital Infanta Leonor

Madrid, , Spain

Site Status

Fundacion Jimenez Diaz

Madrid, , Spain

Site Status

Hospital Morales Meseguer

Murcia, , Spain

Site Status

Countries

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United States Australia Germany Norway Spain

Other Identifiers

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2022-523-GLOB1

Identifier Type: -

Identifier Source: org_study_id

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