Overview
This study is a multicenter, randomized controlled Phase I clinical study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of HMPL-306 in patients with gliomas harboring IDH1 and/or IDH2 mutations
Description
HMPL-306 is a dual IDH1/2 inhibitor. This is a multicenter, randomized controlled phase I clinical study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of HMPL-306 in patients with gliomas harboring IDH1 and/or IDH2 mutations.
The study consists of 2 parts: Part 1 (safety lead-in phase) and Part 2 (perioperative phase). Part 1 will determine safety and DLT. Part 2 will administer the HMPL-306 or no treatment to mIDH-positive gliomas.
Eligibility
Inclusion Criteria:
- Fully informed about the study and voluntarily sign the informed consent form (ICF).
- Age ≥ 18 years.
- Safety Lead-In Phase: Patients with gliomas of a documented IDH1 and/or IDH2 mutation. Perioperative Study Phase: Patients with gliomas of definitive or suspected IDH1 and/or IDH2 mutations scheduled for surgery.
- All patients must have at least one measurable lesion.
- Karnofsky Performance Status (KPS) score ≥ 80% .
- In the investigator's judgment, a life expectancy of ≥ 12 weeks.
- Sufficient bone marrow and organ function.
Exclusion Criteria:
- Previous treatment with IDH inhibitors.
- Unresolved toxicity from previous antitumor treatments not reverted to ≤ Grade 1 (except for alopecia, skin pigmentation changes, and ≤ Grade 2 peripheral neuropathy).
- Patients assessed by researchers to have high-risk or unstable conditions.
- Having other malignancies or a history of other malignancies within 5 years prior to screening.
- History of clinically significant liver disease, including active infection with viral hepatitis, or other active hepatitis, alcoholic liver disease, cirrhosis, etc.
- Patients with HIV infection.
- Pregnancy (positive pregnancy test before dosing) or currently breastfeeding women.
- Presence of diseases or conditions affecting drug absorption.
- Any other conditions, in the investigator's judgment, unsuitable for the study drug, will result in exclusion.