HMPL-689 for Lymphoma

No longer recruiting at 39 trial locations
AK
VJ
Overseen ByVijay Jayaprakash, MD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called HMPL-689, a potential drug, to determine its safety and tolerability in people with certain types of lymphoma, a cancer affecting the immune system. It targets patients whose cancer has returned or has not responded to other treatments. Participants must have a confirmed lymphoma diagnosis and no remaining standard treatment options. The trial aims to assess the body's response to different doses and gather information on the drug's behavior in the body. As a Phase 1 trial, this research seeks to understand how the treatment works in people, offering participants the opportunity to be among the first to receive this new drug.

Do I have to stop taking my current medications for the HMPL-689 trial?

The trial requires that you stop certain medications before participating. You must not have used cancer therapy within 3 weeks, GCSF within 7 days, steroid therapy within 7 days, strong CYP3A4 inducers within 2 weeks, or have had a transplant within 6 months before starting the trial. Additionally, you cannot use medications known to cause QT prolongation.

Is there any evidence suggesting that HMPL-689 is likely to be safe for humans?

Research has shown that HMPL-689 is generally safe for people with lymphoma. In earlier studies, patients took HMPL-689 daily without major problems. The treatment had a manageable safety profile, with serious side effects being rare. Many patients, including those with recurrent or treatment-resistant lymphoma, responded well to HMPL-689. These results suggest that HMPL-689 could be a safe option for those considering participation in this trial.12345

Why do researchers think this study treatment might be promising?

HMPL-689 is unique because it targets a specific enzyme called PI3Kδ, which plays a crucial role in the growth and survival of lymphoma cells. Most current treatments for lymphoma, like chemotherapy or monoclonal antibodies, attack cancer cells more broadly, which can lead to more side effects. By focusing specifically on PI3Kδ, HMPL-689 might offer a more precise approach, potentially reducing side effects while effectively targeting the cancer. Researchers are excited about this targeted action because it represents a shift towards more personalized and potentially safer cancer therapies.

What evidence suggests that HMPL-689 might be an effective treatment for lymphoma?

Research has shown that HMPL-689 may help treat lymphoma that has returned or hasn't responded to other treatments. In one study, about 53% of patients experienced improvement with this treatment. It is also considered safe and manageable for patients. Early studies suggest that HMPL-689 could work well on its own, especially in challenging cases of B-cell lymphoma. Evidence indicates that HMPL-689 could benefit those who haven't had success with other treatments.12345

Who Is on the Research Team?

CH

Claudia Huang

Principal Investigator

Hutchmed Limited

NG

Nilanjan Ghosh, MD

Principal Investigator

Atrium Health Levine Cancer Institute

JB

Jonathan B Cohen, MD

Principal Investigator

Emory Winship Cancer Institute

Are You a Good Fit for This Trial?

This trial is for patients with certain types of lymphoma that have relapsed or are not responding to standard treatments. Participants should be in relatively good physical condition (ECOG status 0 or 1) and expected to live more than 24 weeks. They must not have severe organ dysfunction, recent major surgery, heart issues like congestive heart failure, a history of significant liver disease, or any other condition that could interfere with the study.

Inclusion Criteria

I am fully active or can carry out light work.
I have NHL with no standard treatments left and am expected to live more than 24 weeks.
My lymphoma type is one of the specified types (e.g., CLL/SLL, FL grade 1-3a).

Exclusion Criteria

Any of the following laboratory abnormalities Absolute neutrophil count; <1.0×10^9/L, Hemoglobin <80 g/L Platelets <50 ×10^9/L
My cancer is a type of lymphoma that affects the brain.
Inadequate organ function, defined by the following: Total bilirubin ≥1.5 times the upper limit of normal (× ULN); AST or ALT > 2.5 × ULN; Estimated creatinine clearance (CrCl) per Cockcroft-Gault; Dose Escalation stage of trial (Stage 1) - CrCl < 40 mL/min; Dose Expansion stage of trial (Stage 2) - CrCl <30 mL/min; International normalized ratio (INR) > 1.5 × ULN, activated partial thromboplastin time (aPTT) > 1.5 × ULN; Serum amylase or lipase > ULN at screening or known medical history of serum amylase or lipase > ULN; Patients with presence of second primary malignant tumors within the last 2 years; Clinically significant history of liver disease; Prior treatment with any PI3Kδ inhibitors; Any prior use of the following: cancer therapy within 3 weeks of study treatment, GCSF within 7 days of screening, steroid therapy or targeted anti-neoplastic intent within 7 days of treatment, any use of strong CYP3A4 inducers within 2 weeks prior to initiation of study treatment, prior autologous transplant within 6 months of study treatment, prior allogenic stem cell transplant within 6 months of study treatment; Clinically significant active infection or interstitial lung diseases (including drug induced pneumonitis); Major surgical procedure within 4 weeks prior to initiation of study treatment; Adverse events from prior anti-neoplastic therapy that have not resolved to Grade less than or equal to 1, except for alopecia; New York Heart Association (NYHA) Class II or greater congestive heart failure; Congenital long QT syndrome or QTc >470 msec; Currently use medication known to cause QT prolongation or torsades de pointes; History of myocardial infarction or unstable angina within 6 months prior to initiation of study treatment; History of stroke or transient ischemic attack within 6 months prior to initiation of study treatment; Inability to take oral medication, prior surgical procedures affecting absorption, or active peptic ulcer disease; History of inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis); Patients with ongoing chronic gastrointestinal diseases; Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding that, in the investigator's opinion, gives reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or renders the patient at high risk from treatment complications.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants receive escalating doses of HMPL-689 to determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D)

Up to 4 cycles (16 weeks)
Weekly visits for dose adjustments and monitoring

Dose Expansion

Participants receive HMPL-689 at the RP2D to further characterize safety and explore preliminary anti-tumor activity

Up to 5 cycles (20 weeks)
Monthly visits for treatment and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • HMPL-689
Trial Overview The trial is testing HMPL-689's safety and how it's processed by the body in those with specific lymphomas that haven't responded well to other treatments. It's an open-label study where everyone knows what treatment they're getting, starting with small doses that increase over time.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: TreatmentExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hutchison Medipharma Limited

Lead Sponsor

Trials
104
Recruited
14,000+

Dr. Weiguo Su

Hutchison Medipharma Limited

Chief Executive Officer since 2022

PhD in Chemistry from Harvard University, BSc in Chemistry from Fudan University

Dr. Karen Atkin

Hutchison Medipharma Limited

Chief Medical Officer since 2023

MD from Harvard Medical School

Hutchmed

Lead Sponsor

Trials
38
Recruited
6,700+

Citations

Results from a Phase 1 Dose Escalation Study of HMPL ...This resulted in 52.9% (27/51) objective response rate (ORR) in efficacy evaluable patients. The median time to response (TTR) and duration of response (DOR) ...
A Study of HMPL-689 in Patients With Lymphomas Failed ...This is a Phase 1, open-label study of HMPL-689 administered orally to patients with lymphoma for whom failed of standard care or have no standard of care.
833O A phase Ib study result of HMPL-689, a PI3Kδ ...HMPL-689 showed tolerable safety profile and promising single-agent clinical activity in pts with R/R B-cell lymphoma, with high ORR and CR rates noted ...
Results from a Phase 1 Dose Escalation Study of HMPL ...This resulted in 52.9% (27/51) objective response rate (ORR) in efficacy evaluable patients. The median time to response (TTR) and duration of ...
Abstract 5234: A phase I study of HMPL-689, a small molecule ...Objectives: The primary objective is to assess the safety and tolerability of HMPL-689 in patients with R/R lymphoma, and to determine the ...
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