A Phase I Study to Assess the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Properties of Oral HQP1351 in Patients With GIST or Other Solid Tumors.
Overview
- Phase
- Phase 1
- Intervention
- HQP1351
- Conditions
- Gastrointestinal Stromal Tumor (GIST)
- Sponsor
- Ascentage Pharma Group Inc.
- Enrollment
- 100
- Locations
- 6
- Primary Endpoint
- Safety and tolerance
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
This study is a Multi-center, Open-label Phase 1 Study to Determine the Recommend Phase 2 Dose (RP2D) and Evaluate PK/PD and preliminary Efficacy of HQP1351 in Patients With GIST or Other Solid Tumors.
Detailed Description
The primary objective of this phase 1 study is to determine the RP2D of HQP1351 in patients with GIST or other solid tumors. The secondary objective is to assess the safety, tolerability, PK and preliminary anti-tumor activities of HQP1351 in Patients With GIST or Other Solid Tumors.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male or not pregnant or lactating women, age≥12years.
- •Advanced and/or metastatic GIST or other solid tumors, confirmed by histology and/or cytology. GIST patients must be primary resistant to imatinib (tumor progresses within 6 months first-line imatinib treatment, or succinate dehydrogenase B (SDHB) deficient confirmed by immunohistochemistry, or NF1 mutation), OR imatinib or imatinib and at least one other TKI treatment failure (after imatinib or other TKI treatment for more than 6 months, tumor progress again after achieving tumor remission or stability).
- •Estimated survival at least 3 months.
- •Adequate hematologic and bone marrow functions.
- •Adequate renal and liver function.
- •Heart function index:
- •Troponin(I/T) ≤ Upper Limit of Normal;
- •Ejection fraction \>40%;
- •QTc interval ≤ 450 ms in male or ≤ 470 ms in female.
- •Negative serum pregnancy test (for women of childbearing potential) documented within the 24-hour prior to the first dose of investigational product.
Exclusion Criteria
- •Received any anti-cancer chemotherapy, biological agent treatment (e.g. Monoclonal antibody), immunotherapy (e.g. IFN) or radiotherapy with 28 days or 5 times half- time before first dose of HQP
- •Received any TKIs within 14 days before first dose of HQP
- •Attended any clinical trials on other drugs within 14 days before first dose of HQP
- •Have not recovered (\> Grade 1 by CTCAE, v. 4.0) from AEs (except alopecia) due to agents previously administered.
- •Malabsorption syndrome or other diseases that affect the absorption of oral drugs.
- •Cardiovascular diseases of clinical significance, uncontrollable or active, including but not limited to: history of myocardial infarction; unstable history of angina pectoris; a history of congestive heart failure or lower left ventricular ejection fraction (LVEF) than normal limit within 6 months; the history of atrial arrhythmias was judged by the researchers to have important clinical significance; history of ventricular arrhythmias, etc.
- •Hypertension was still poorly controlled after medication treatment (SBP \> 140 mmHg and/or DBP \> 90 mmHg).
- •Concurrent use any medication led to prolong QT interval.
- •Pulmonary mean arterial pressure\>35 mmHg by ECHO.
- •Significant severe cardiovascular conditions during previous TKI treatment.
Arms & Interventions
HQP1351 30mg
30 mg QOD(Minor subjects will be enrolled based on weight)
Intervention: HQP1351
HQP1351 40mg
40 mg QOD(Minor subjects will be enrolled based on weight)
Intervention: HQP1351
HQP1351 50mg
50 mg QOD
Intervention: HQP1351
HQP1351 20mg
20 mg QOD (Minor subjects will be enrolled based on weight)
Intervention: HQP1351
Outcomes
Primary Outcomes
Safety and tolerance
Time Frame: 30 days after the last dose of HQP1351
Patients with HQP1351 treatment related adverse events (AE), serious adverse events (SAE) will be assessed according NCI CTCAE Version 4.03.
Secondary Outcomes
- Maximum plasma concentration (Cmax) of HQP1351 on Day 1 and Day 27 post HQP1351 treatment on cycle 1.(28 days)
- Area under the plasma concentration versus time curve (AUC) of HQP1351 on Day 1 and Day 27 post HQP1351 treatment on cycle 1.(28 days)
- Anti-tumor activities of HQP1351(3-60 months)