Phase I Study of HSK42360 in Malignant Brain Tumors With BRAF V600 Mutation

Not Applicable

Recruiting

• Conditions: Malignant Brain Tumors
• Interventions: Drug: HSK42360

• Registration Number: NCT07158710
• Lead Sponsor: Haisco Pharmaceutical Group Co., Ltd.

Brief Summary

This is a phase I, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, PK of HSK42360 when given orally in pediatric patients with active BRAF V600 mutation recurrent malignant brain tumors.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-07
• Study First Submitted: 2025-08-06
• Study Start: 2025-08-15
• Study First Submitted QC: 2025-09-02
• Last Update Submitted: 2025-09-02
• Study First Posted: 2025-09-08
• Last Update Posted: 2025-09-08
• Primary Completion: 2029-05-23
• Study Completion: 2029-12-03

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 159

Inclusion Criteria

1. Age ≥6 and <18 years.
2. Karnofsky/Lansky Performance Status >60.
3. Life expectancy ≥ 3 months.
4. Patients with recurrent malignant brain tumors confirmed by histology or cytology, who have failed standard treatment (disease progression after treatment or intolerable treatment); patients who have previously received BRAF and/or MEK inhibitor therapy are allowed to be included in this study.
5. Positive BRAF V600 mutation result confirmed prior to the administration of HSK42360.
6. Patients will provide blood or tumor sample according to their own willingness.
7. Measurable disease by RANO criteria.
8. Patients with inactive CNS lesions, or patients treated with ≤5mg/day corticosteroid and without convulsion for ≥2 weeks.
9. Adequate hematologic, hepatic, and renal function.
10. Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 90 days after the last dose.

Exclusion Criteria

1. Patients with NF1 mutation.

2. malignant tumor within 2 years, with the exception of cutaneous squamous cell carcinoma, cervical carcinoma in situ, papillary thyroid carcinoma, or other tumors with low malignancy.

3. Uncontrollable pleural effusion, ascites, or pericardial effusion per protocol.

4. Treatment with any of the following:

   Prior treatment with anti-tumor drug within 4 weeks or approximately 5 × t1/2 prior to the first dose of HSK42360, whichever is shorter; Prior treatment with nitrosourea or mitomycin C within 6 weeks prior to the first dose of HSK42360; Prior treatment with palliative radiotherapy or anti-tumor herbs within 2 weeks prior to the first dose of HSK42360; Prior treatment with radiotherapy, electric field therapy, or other anti-tumor therapies within 4 weeks prior to the first dose of HSK42360.

5. Any unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) grade 1 at the time of starting study treatment, with the exception of alopecia, dermal toxicity, and other toxicity considering no safety risks by investigator.

6. Any disease which would preclude drug absorption, metabolism or pharmacokinetics, eg. active peptic ulcer or chronic gastroesophageal reflux disease.

7. Patient who have clinically significant or uncontrolled cardiac disease, include: QTc interval ≥ 450 msec; any clinically significant arrhythmia; left ventricular ejection fraction < 50%; myocardial infarction, unstable angina, or class III/IV cardiac failure by the NYHA that occurred within 6 months prior to the first dose of HSK42360.

8. Any thromboembolic events within 6 months prior to the first dose of HSK42360; any familial or aquired thrombophilia.

9. Any unstable systemic disease, eg. severe metabolic disease: liver cirrhosis, renal failure, or uremia.

10. Treatment with inhibitors/inducers for CYP3A4, or substrates of CYP3A4, CYP2C9, CYP2C8, OATP1B1, OATP1B3, OAT1, OAT3, P-gp or BCRP within 14 days or approximately 5 × t1/2 prior to the first dose of HSK42360, whichever is shorter.

11. Patient with cognitive dysfunction, or history of mental illness, other uncontrolled comorbidities, alcohol dependence, hormone dependence or drug abuse.

12. Autologous transplantation surgery within 3 months prior to the first dose of HSK42360; Allogeneic transplantation, or stem-cell Transplant surgery within 6 months prior to the first dose of HSK42360; Major surgery or significant traumatic injury occurring within 4 weeks prior to the first dose of HSK42360.

13. Patient with a history of immunodeficiency, including HIV positive, or other acquired/congenital immunodeficiency diseases.

14. Patient with severe retinal abnormalities and uveitis.

15. Patient with active hepatitis B or hepatitis C.

16. Allergic to any HSK42360 active constituent or ingredients.

17. Participate in other clinical trials within 4 weeks prior to the first dose of HSK42360.

18. Positive pregnancy test, or breastfeeding.

19. Any other circumstances that would, in the investigator's judgment, prevent the subject's participation in the clinical study due to safety concerns or compliance with clinical study procedures.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Phase Ia: HSK42360 as monotherapy	HSK42360	Phase 1a: dose escalation of HSK42360 as monotherapy at various dose levels
Phase Ib: HSK42360 as monotherapy	HSK42360	Phase 1b: dose expansion for HSK40118 as monotherapy at a dose determined during Phase 1a in patients with BRAF V600 recurrent mutation malignant brain tumors

Primary Outcome Measures

Name	Time	Method
MTD	Up to approximately 52 months	MTD determination: dose limiting toxicity (DLT) rate
RP2D	Up to approximately 52 months	RP2D determination: DLT, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary safety and anticancer activity data
Karnofsky/Lansky Performance Scale	Up to approximately 52 months	Change of the grade as a part of HSK43260 safety data
DLTs	Up to approximately 52 months	Incidence of dose-limiting toxicities (DLTs) at Cycle1
AEs	Up to approximately 52 months	Rate and severity of adverse events of HSK42360 as monotherapy

Secondary Outcome Measures

Name	Time	Method
Duration of response (DOR)	Up to approximately 52 months	DOR, defined as the time from first documented response of CR, PR or MR to the date of first documented progressive disease or death due to any cause, whichever occurs first
Progression free survival (PFS)	Up to approximately 52 months	PFS, defined as the time frocease or death due to any cause, whichever occurs first
Overall survival (OS)	Up to approximately 52 months	OS, defined as the time from the first dose of HSK42360 until the date of death due to any cause
Area under the curve (AUC)	Circle 1 (28days)
Disease control rate (DCR)	Up to approximately 52 months	DCR, defined as the proportion of patients who experience a best response of CR, PR, MR or stable disease (SD) according to RANO
Overall response rate (ORR)	Up to approximately 52 months	ORR, defined as the proportion of patients who experience a best response of confirmed CR or PR according to RANO
maximum plasma concentration (Cmax)	Circle 1 (28days)
half-life (t1/2)	Circle 1 (28days)
Tmax(Time to maximum plasma concentration)	Circle 1 (28days)

Trial Locations

Locations (6)

Xuanwu Hospital Capital Medical University; 🇨🇳 Beijing, Beijing Municipality, China

Department of Neuro-oncology, Cancer Center, Beijing Tiantan Hospital, Capital Medical University,Beijing, China; 🇨🇳 Beijing, Beijing Municipality, China

The first affiliated hospital of fujian medical university; 🇨🇳 Fuzhou, Fujian, China

Zhujiang Hospital of Southern Medical University; 🇨🇳 Guangzhou, Guangdong, China

The Third Bethune Hospital of Jilin University; 🇨🇳 Changchun, Jilin, China

Fudan University Affiliated Huashan Hospital; 🇨🇳 Shanghai, Shanghai Municipality, China