Hematologic Malignancies Clinical Trial
Official title:
A Phase I, Open-label, Dose-escalation Study of the Safety and Pharmacokinetics of HMPL-523 in Patients With Relapsed or Refractory Hematologic Malignancies
The purpose of this study is to evaluate the safety and tolerability of HMPL-523 administered
to patients with relapsed or refractory Hematologic Malignancies
To determine the maximum tolerated dosage/recommended phase 2 dosage and characterize the
dose limited toxicities associated with HMPL-523 when administered to patients with relapsed
or refractory Hematologic Malignancies
There are two stages in this study: a dose-escalation stage (stage 1) and a dose-expansion
stage (stage 2).
Dose-escalation stage (stage 1). The conventional 3+3 design (3 patients per dose cohort,
with the potential to add additional 3 patients to the same cohort to further evaluate
toxicity) will be applied for dose escalation and maximum tolerated dosage determination.
Approximately 18 to 27 evaluable patients will be enrolled. The actual number of patients
depends on the dose limited toxicities situation as well as the maximum tolerated dosage
reached at this stage.
Dosing will include QD (quaque die) and bis in die (BID) cohorts. A cycle of study treatment
will be defined as 28 days of continuous dosing.
Dose-expansion stage (stage 2). In this stage, approximately 40 patients with B-cell
Non-Hodgkin's Lymphomas or Chronic Lymphocytic Leukemia will be enrolled with 600mg once
daily as starting dose. The tumor types of the expansion stage are restricted to Chronic
lymphocytic leukemia/ small lymphocytic lymphoma (CLL/SLL), Mantle cell lymphoma (MCL),
Follicular Lymphoma (FL) (Grade 1-3a), Marginal zone lymphoma (MZL) and Waldenstrom's
macroglobulinemia / Lymphoplasmacytic lymphoma (WM/LPL). Subjects will receive HMPL-523 600mg
once daily with every 28-day treatment cycle until disease progression, death, or intolerable
toxicity, whichever comes first.
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