A Study of TQ05105 Tablets in Subjects With Glucocorticoid-Refractory Acute Graft-Versus-Host Disease (aGVHD)

Phase 1

Active, not recruiting

• Conditions: Glucocorticoid-Refractory aGVHD
• Interventions: Drug: TQ05105 tablets

• Registration Number: NCT04941404
• Lead Sponsor: Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Brief Summary

This is an open-label,single arm,Phase Ib study,in order to evaluate the safety,tolerability, preliminary efficacy and pharmacokinetics of TQ05105 tablets in subjects with Glucocorticoid-Refractory aGVHD

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-06-22
• Study First Submitted QC: 2021-06-24
• Study First Posted: 2021-06-28
• Study Start: 2022-06-10
• Primary Completion: 2023-07-10
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-04
• Last Update Posted: 2024-08-06
• Study Completion: 2024-12-31

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 13

Inclusion Criteria

1. Subjects voluntarily participated in the study and signed an informed consent, with good compliance.
2. Aged 12-75, gender is not limited.
3. Subjects who has received allogeneic hematopoietic stem cell transplantation (allo-HSCT) previously.
4. Clinically suspected grades II to IV acute GVHD as per MAGIC guidelines.
5. Drug resistance after glucocorticoid treatment.
6. Absolute neutrophils count (ANC) >1×109/L,Platelet(PLT)≥20×109/L within 48 hours before initial treatment.
7. Male or female subjects should agree use an adequate method of contraception during the study and within 6 months after the end of the study (such as intrauterine devices , contraceptives or condoms) ;No pregnant or breastfeeding women, and a negative pregnancy test are received within 7 days before the first administration.

Exclusion Criteria

1. Subjects with a history of progressive multifocal leukoencephalopathy.
2. Subjects with many factors influencing oral medication (such as inability to swallow, chronic diarrhea and intestinal obstruction, etc.).
3. Arteriovenous thrombotic events occurred within 6 months, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis, etc..
4. Severe respiratory diseases (requiring mechanical ventilation or O2 saturation < 90%), active tuberculosis, pulmonary hypertension and pulmonary embolism, etc..
5. Subjects with a history of psychotropic drug abuse and can not quit or have mental disorders.
6. Subjects with any severe and/or uncontrolled disease, including:

(1) Unsatisfactory blood pressure control with more than 2 drugs (systolic blood pressure ≥150mmHg or diastolic blood pressure ≥ 100mmHg) ; (2) Patients with grade ≥2 myocardial ischemia or infarction, arrhythmias (including QTc≥480ms), and grade ≥2 congestive heart failure (New York Heart Association classification); (3) Uncontrolled active infections including bacteria, fungi, parasites or viruses such ascytomegalovirus, Epstein-Barr virus, and human herpes virus 6; (4) Cirrhosis, active hepatitis; (5) Human immunodeficiency virus(HIV) positive, active syphilis; (6) Creatinine clearance rate < 30 mL/min,calculated by Cockcroft Gault formula; (7) Patients with epilepsy and need treatment. 7. Subjects with evidence of recurrence of primary disease or relapsed after allo-HSCT treatment.

8. There were grade 2 or higher toxicity (except aGVHD) caused by previous allo HSCT treatment.

9. Subjects who received allo-HSCT more than once in the past. 10. Subjects who received more than one kind of systemic treatment for Glucocorticoid-Refractory aGVHD.

10. The clinical manifestations were new-onset chronic GVHD or overlapping GVHD syndrome with both acute and chronic GVHD features.

11. Allergic to the investigational drug or its ingredients. 13. Subjects who used Janus kinase inhibitor (JAK) therapy after receiving Allo-HSCT.

12. Subjects who participated in other clinical trials within 4 weeks before initial administration.

13. According to the judgment of the investigator, there are concomitant diseases that seriously endanger the safety of the subjects or affect the completion of the study, or subjects who are considered unsuitable for other reasons.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
TQ05105 tablets	TQ05105 tablets	Participants began oral administration of TQ05105 tablets at 10 mg twice daily (BID),followed by 5 mg or 15 mg BID depending on the situation of the study. twice daily in 28-day cycle until disease progression/intolerance occurs or the sponsor terminates the study.

Primary Outcome Measures

Name	Time	Method
Drug tolerance of the first cycle (Stage 1)	Day 28 after initial administration	Dose-limiting toxicity events related to the investigational drug occured within 28 days after initial administration
Objective Response Rate (ORR) at Day 28 (Stage 2)	Day 28 after initial administration	Percentage of subjects with complete response (CR) or very good partial response (VGPR) or partial response (PR) at Day 28

Secondary Outcome Measures

Name	Time	Method
ORR at Day 28 and Day 56	Day 28 and Day 56 after initial administration	Percentage of subjects with CR or VGPR or PR at Day 28 and Day 56
Cumulative dose of glucocorticoid at Day 56	Day 56 after initial administration	Totally and weekly cumulative dose of glucocorticoid of each subject,from initial administration to Day 56 or the day end of therapy
Overall Survival (OS)	From initial administration to day 30 days after the last administration	Time from randomization to death
Duration of Response (DOR)	From initial administration to day 30 after the last administration	From date of first recorded remission to date of first recorded disease progression or date of starting any new systemic therapy for aGVHD
CR Rate at Day 28	Day 28 after initial administration	Percentage of subjects with CR at Day 28
Event Free Survival (EFS）	From initial administration to Day 30 day after the last administration	From the date of initial administration to the date of recurrence/progression of hematological diseases or transplant failure or death from any cause
Tmax	7 days after initial administration	The pharmacokinetic parameters were measured after single and multiple administration: peak time(Tmax)
AUC0-t	7 days after initial administration	The pharmacokinetic parameters were measured after single and multiple administration: area under the blood concentration-time curve (AUC0-t)
Incidence of Malignancy Relapse/Progression(MR),Non-Relapse Mortality(NRM)	From initial administration to 30 days after the last administration	From the date of first administration to the date of death due to recurrence/progression of non hematological diseases; the date of recurrence or progression of hematological diseases
Incidence of adverse events (AEs) and serious adverse events (SAEs)	From initial administration to day 30 after the last administration	Incidence of AEs and SAEs
Cmax	7 days after initial administration	The pharmacokinetic parameters were measured after single and multiple administration: peak concentration(Cmax)

Trial Locations

Locations (4)

The First Affiliated Hospital of Guangxi Medical University; 🇨🇳 Nanning, Guangxi, China

The First Affiliated Hospital of Soochow University; 🇨🇳 Suzhou, Jiangsu, China

Hematology Hospital of the chinese Academy of Medical Sciences; 🇨🇳 Tianjing, Tianjing, China

The First Affiliated Hospital, College of Medicine, Zhejiang University; 🇨🇳 Hangzhou, Zhejiang, China