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The Study of ICP-248 in Patients With Mature B-cell Malignancies

Primary Purpose

Hematological Malignancies

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
ICP-248
Sponsored by
Beijing InnoCare Pharma Tech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hematological Malignancies

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age ≥ 18 and ≤ 80 years. One of the following histopathologically and/or flow cytometry-confirmed diseases according to the 2016 World Health Organization (WHO) classification criteria for lymphohematopoietic neoplasms or meeting the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria: Histopathologically and/or flow cytometry-confirmed CLL/SLL; Pathologically confirmed MCL; Pathologically confirmed B-NHL, including diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), marginal zone lymphoma (MZL), and lymphoplasmacytic lymphoma (LPL). Relapsed disease or refractory disease For subjects with B-NHL: Patients must have measurable diseasePatients with an Eastern Cooperative Oncology Group (ECOG) performance status (PS) score of ≤ 2 and a life expectancy of ≥ 6 months. Adequate hematologic function. Patients with basically normal coagulation function. Patients with adequate hepatic, renal, pulmonary and cardiac functions. CLL/SLL Patients with an absolute lymphocyte count ≥ 50 x 109/L and any lymph nodes ≥ 5 cm in the long diameter or CLL/SLL or B-NHL patients with any lymph nodes ≥ 10 cm in the long diameter will be enrolled in the study after weighing the risks and benefits with the sponsor's MM. Female patients of childbearing potential must have a negative blood pregnancy test within 7 days prior to the first dose of the investigational product; patients of childbearing potential (males and females) must agree to use a reliable birth control method (hormonal or barrier method or abstinence) with their partners from signing the ICF until 90 days after the last dose. Subjects are able to communicate with the investigator well and to complete the study as specified in the study. Before the trial, the subjects shall understand the nature, significance, possible benefits, inconveniences and potential risks, as well as the study procedures of the trial in detail and voluntarily sign the written Informed Consent Form (ICF). Subjects with CLL/SLL must have an indication for treatment as judged by the investigator. Exclusion Criteria: Prior malignancy (other than the disease under study) within 2 years before study entryKnown Central nervous system involvement by lymphoma/leukemia Underlying medical conditions that, in the investigator's opinion, will render the administration of the investigational product hazardous or obscure the interpretation of the safety or efficacy results. Prior autologous stem cell transplant (unless ≥ 3 months after transplant); or prior chimeric cell therapy (unless ≥ 3 months after cell infusion). Received a BCL-2 inhibitor prior to initial use of the investigational drug and did not achieve disease remission or disease recurrence/progression on treatment; Disease recurrence/progression after stopping or ending BCL-2 inhibitor therapy is acceptable. A history of allogeneic stem cell transplantation. Anti-cancer therapy within 28 days prior to the first dose of the investigational product An interval of less than 5 half-lives from the last dose of a strong CYP3A or CYP2C8 inhibitor or inducer (chemical agent, traditional Chinese medicine and dietary supplement) to the first dose of the investigational product, or a plan to use concurrently medications, dietary supplements or food (e.g., grapefruit or grapefruit juice) with strong CYP3A or CYP2C8 inhibitory or inductive effect during study participation. Patients who have undergone major organ surgery (excluding aspiration biopsy) or significant trauma within 28 days prior to the first dose of the investigational product, or who require elective surgery during the trial. Patients who have received a live attenuated vaccine within 28 days prior to the first dose of the investigational product (except for vaccination to prevent a major public health event). Presence of active infection that currently requires intravenous systemic anti-infective therapy. Patients with active hepatitis B or C virus infection. History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test. History of significant cardiovascular disease Patients with previous or concomitant central nervous system disordersHistory or current evidence of severe interstitial lung disease. ≥ Grade 2 toxicity due to prior anti-cancer therapy at enrollment (except for alopecia, ANC, hemoglobin and PLT). For ANC, hemoglobin and PLT, please follow the inclusion criteria. History of severe bleeding disorder Known alcohol or drug dependence. Presence of mental disorders or poor compliance. Female patients who are pregnant or lactating. Unable to swallow tablets or disease significantly affecting gastrointestinal function. Hypersensitivity to the active substance or excipients of ICP-248 tablets.

Sites / Locations

  • The First Affiliated Hospital of Bengbu Medical College
  • The First Affiliated Hospital of Anhui Medical University
  • Peking University Third Hospital
  • The First Affiliated Hospital of Chongqing Medical University
  • Fujian Medical University Union Hospital
  • The First Affiliated Hospital of Xiamen University
  • Sun Yat-Sen University Cancer Center
  • Henan Cancer HospitalRecruiting
  • The First Affiliated Hospital of Zhengzhou University
  • The Central Hospital of Wuhan
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
  • Hunan Cancer Hospital
  • Jiangsu Province HospitalRecruiting
  • The First Affiliated Hospital of Nanchang University
  • Jiangxi Cancer Hospital
  • The Second Hospital of Dalian Medical University
  • Shenyang Hospital Of China Medical University
  • Shandong cancer hospital
  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine
  • West China Hospital of Sichuan University
  • Hematology Hospital, Chinese Academy of Medical SciencesRecruiting
  • The First Affiliated Hospital of Zhejiang University School of MedicineRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ICP-248

Arm Description

ICP-248 was divided into 6 dose groups, and each dose group was given progressively

Outcomes

Primary Outcome Measures

Maximum tolerated dose and recommended Phase 2 dose
To evaluate the safety and tolerability of ICP-248 monotherapy in the selected B-cell malignancies and to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of ICP-248 monotherapy
To investigate the incidence, nature and severity of adverse events (AE) according to NCI-CTCAE V5.0 or iwCLL2018 evaluation criteria.

Secondary Outcome Measures

Pharmacokinetic (PK) profile - Area under curve (AUC0-t)
To evaluate the AUC0-t after single administration of ICP-248 and steady state of ICP-248.
Pharmacokinetic (PK) profile - Maximum Concentration (Cmax)
To evaluate the Cmax after single administration of ICP-248 and steady state of ICP-248.
Pharmacokinetic (PK) profile - Time to maximum concentration (Tmax)
To evaluate the Tmax after single administration of ICP-248 and steady state of ICP-248.
Pharmacokinetic (PK) profile - Apparent clearance (CL/F)
To evaluate the CL/F after single administration of ICP-248 and steady state of ICP-248.
Preliminary efficacy - Overall response rate (ORR)
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed overall response rate (ORR)
Preliminary efficacy - Complete response rate (CRR)
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed complete response rate (CRR).
Preliminary efficacy - Progression-free survival (PFS)
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed progression-free survival (PFS).
Preliminary efficacy - Duration of response (DOR)
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed duration of response (DOR).
Preliminary efficacy - Overall survival (OS)
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed overall survival (OS).
AUC of ICP-248 under different feeding conditions
To evaluate the AUC of ICP-248 under different feeding conditions.
Maximum Concentration (Cmax) of ICP-248 under different feeding conditions
To evaluate the Cmax of ICP-248 under different feeding conditions.
Time to maximum concentration (Tmax) of ICP-248 under different feeding conditions
To evaluate the Tmax of ICP-248 under different feeding conditions.

Full Information

First Posted
January 12, 2023
Last Updated
September 19, 2023
Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05728658
Brief Title
The Study of ICP-248 in Patients With Mature B-cell Malignancies
Official Title
A Phase I Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of ICP-248 in Patients With Mature B-cell Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 9, 2023 (Actual)
Primary Completion Date
August 30, 2024 (Anticipated)
Study Completion Date
October 30, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase I study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of ICP-248 in patients with mature B-cell malignancies. This study consists of two parts: Part 1 dose-finding period and Part 2 dose expansion period

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hematological Malignancies

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
105 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ICP-248
Arm Type
Experimental
Arm Description
ICP-248 was divided into 6 dose groups, and each dose group was given progressively
Intervention Type
Drug
Intervention Name(s)
ICP-248
Intervention Description
Eligible patients will receive ICP-248 orally as per the protocol, once daily for every 28 days as one treatment cycle (except for the food effect investigation phase), until progressive disease (PD), intolerable toxicity, withdrawal of consent, loss to follow-up, initiation of other anti-cancer therapy, death, or end of study, whichever occurs first.
Primary Outcome Measure Information:
Title
Maximum tolerated dose and recommended Phase 2 dose
Description
To evaluate the safety and tolerability of ICP-248 monotherapy in the selected B-cell malignancies and to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of ICP-248 monotherapy
Time Frame
5 years
Title
To investigate the incidence, nature and severity of adverse events (AE) according to NCI-CTCAE V5.0 or iwCLL2018 evaluation criteria.
Time Frame
5 years
Secondary Outcome Measure Information:
Title
Pharmacokinetic (PK) profile - Area under curve (AUC0-t)
Description
To evaluate the AUC0-t after single administration of ICP-248 and steady state of ICP-248.
Time Frame
5 years
Title
Pharmacokinetic (PK) profile - Maximum Concentration (Cmax)
Description
To evaluate the Cmax after single administration of ICP-248 and steady state of ICP-248.
Time Frame
5 years
Title
Pharmacokinetic (PK) profile - Time to maximum concentration (Tmax)
Description
To evaluate the Tmax after single administration of ICP-248 and steady state of ICP-248.
Time Frame
5 years
Title
Pharmacokinetic (PK) profile - Apparent clearance (CL/F)
Description
To evaluate the CL/F after single administration of ICP-248 and steady state of ICP-248.
Time Frame
5 years
Title
Preliminary efficacy - Overall response rate (ORR)
Description
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed overall response rate (ORR)
Time Frame
5 years
Title
Preliminary efficacy - Complete response rate (CRR)
Description
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed complete response rate (CRR).
Time Frame
5 years
Title
Preliminary efficacy - Progression-free survival (PFS)
Description
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed progression-free survival (PFS).
Time Frame
5 years
Title
Preliminary efficacy - Duration of response (DOR)
Description
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed duration of response (DOR).
Time Frame
5 years
Title
Preliminary efficacy - Overall survival (OS)
Description
To evaluate the preliminary efficacy of ICP-248 monotherapy in the evaluated disease types as measured by investigator-assessed overall survival (OS).
Time Frame
5 years
Title
AUC of ICP-248 under different feeding conditions
Description
To evaluate the AUC of ICP-248 under different feeding conditions.
Time Frame
5 years
Title
Maximum Concentration (Cmax) of ICP-248 under different feeding conditions
Description
To evaluate the Cmax of ICP-248 under different feeding conditions.
Time Frame
5 years
Title
Time to maximum concentration (Tmax) of ICP-248 under different feeding conditions
Description
To evaluate the Tmax of ICP-248 under different feeding conditions.
Time Frame
5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥ 18 and ≤ 80 years. One of the following histopathologically and/or flow cytometry-confirmed diseases according to the 2016 World Health Organization (WHO) classification criteria for lymphohematopoietic neoplasms or meeting the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria: Histopathologically and/or flow cytometry-confirmed CLL/SLL; Pathologically confirmed MCL; Pathologically confirmed B-NHL, including diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), marginal zone lymphoma (MZL), and lymphoplasmacytic lymphoma (LPL). Relapsed disease or refractory disease For subjects with B-NHL: Patients must have measurable diseasePatients with an Eastern Cooperative Oncology Group (ECOG) performance status (PS) score of ≤ 2 and a life expectancy of ≥ 6 months. Adequate hematologic function. Patients with basically normal coagulation function. Patients with adequate hepatic, renal, pulmonary and cardiac functions. CLL/SLL Patients with an absolute lymphocyte count ≥ 50 x 109/L and any lymph nodes ≥ 5 cm in the long diameter or CLL/SLL or B-NHL patients with any lymph nodes ≥ 10 cm in the long diameter will be enrolled in the study after weighing the risks and benefits with the sponsor's MM. Female patients of childbearing potential must have a negative blood pregnancy test within 7 days prior to the first dose of the investigational product; patients of childbearing potential (males and females) must agree to use a reliable birth control method (hormonal or barrier method or abstinence) with their partners from signing the ICF until 90 days after the last dose. Subjects are able to communicate with the investigator well and to complete the study as specified in the study. Before the trial, the subjects shall understand the nature, significance, possible benefits, inconveniences and potential risks, as well as the study procedures of the trial in detail and voluntarily sign the written Informed Consent Form (ICF). Subjects with CLL/SLL must have an indication for treatment as judged by the investigator. Exclusion Criteria: Prior malignancy (other than the disease under study) within 2 years before study entryKnown Central nervous system involvement by lymphoma/leukemia Underlying medical conditions that, in the investigator's opinion, will render the administration of the investigational product hazardous or obscure the interpretation of the safety or efficacy results. Prior autologous stem cell transplant (unless ≥ 3 months after transplant); or prior chimeric cell therapy (unless ≥ 3 months after cell infusion). Received a BCL-2 inhibitor prior to initial use of the investigational drug and did not achieve disease remission or disease recurrence/progression on treatment; Disease recurrence/progression after stopping or ending BCL-2 inhibitor therapy is acceptable. A history of allogeneic stem cell transplantation. Anti-cancer therapy within 28 days prior to the first dose of the investigational product An interval of less than 5 half-lives from the last dose of a strong CYP3A or CYP2C8 inhibitor or inducer (chemical agent, traditional Chinese medicine and dietary supplement) to the first dose of the investigational product, or a plan to use concurrently medications, dietary supplements or food (e.g., grapefruit or grapefruit juice) with strong CYP3A or CYP2C8 inhibitory or inductive effect during study participation. Patients who have undergone major organ surgery (excluding aspiration biopsy) or significant trauma within 28 days prior to the first dose of the investigational product, or who require elective surgery during the trial. Patients who have received a live attenuated vaccine within 28 days prior to the first dose of the investigational product (except for vaccination to prevent a major public health event). Presence of active infection that currently requires intravenous systemic anti-infective therapy. Patients with active hepatitis B or C virus infection. History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test. History of significant cardiovascular disease Patients with previous or concomitant central nervous system disordersHistory or current evidence of severe interstitial lung disease. ≥ Grade 2 toxicity due to prior anti-cancer therapy at enrollment (except for alopecia, ANC, hemoglobin and PLT). For ANC, hemoglobin and PLT, please follow the inclusion criteria. History of severe bleeding disorder Known alcohol or drug dependence. Presence of mental disorders or poor compliance. Female patients who are pregnant or lactating. Unable to swallow tablets or disease significantly affecting gastrointestinal function. Hypersensitivity to the active substance or excipients of ICP-248 tablets.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Shuhua Yi
Phone
15900265415
Email
yishuhua@ihcams.ac.cn
Facility Information:
Facility Name
The First Affiliated Hospital of Bengbu Medical College
City
Bengbu
State/Province
Anhui
ZIP/Postal Code
233099
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yanli Yang
Facility Name
The First Affiliated Hospital of Anhui Medical University
City
Hefei
State/Province
Anhui
ZIP/Postal Code
230022
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jian Ge
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hongmei Jing
Facility Name
The First Affiliated Hospital of Chongqing Medical University
City
Chongqing
State/Province
Chongqing
ZIP/Postal Code
400016
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Wang
Facility Name
Fujian Medical University Union Hospital
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350001
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shaoyuan Wang
Facility Name
The First Affiliated Hospital of Xiamen University
City
Xiamen
State/Province
Fujian
ZIP/Postal Code
361003
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bing Xu
Facility Name
Sun Yat-Sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510062
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhiming Li
Facility Name
Henan Cancer Hospital
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450008
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Keshu Zhou
Facility Name
The First Affiliated Hospital of Zhengzhou University
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450008
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhongxing Jiang
Facility Name
The Central Hospital of Wuhan
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430014
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hongxiang Wang
Facility Name
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430022
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Guohui Cui
Facility Name
Hunan Cancer Hospital
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410000
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yajun Li
Facility Name
Jiangsu Province Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210029
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Huayuan Zhu
Facility Name
The First Affiliated Hospital of Nanchang University
City
Nanchang
State/Province
Jiangxi
ZIP/Postal Code
330000
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Fei Li
Facility Name
Jiangxi Cancer Hospital
City
Nanchang
State/Province
Jiangxi
ZIP/Postal Code
330029
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wuping Li
Facility Name
The Second Hospital of Dalian Medical University
City
Dalian
State/Province
Liaoning
ZIP/Postal Code
116027
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiuhua Sun
Facility Name
Shenyang Hospital Of China Medical University
City
Shenyang
State/Province
Liaoning
ZIP/Postal Code
110022
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wei Yang
Facility Name
Shandong cancer hospital
City
Jinan
State/Province
Shandong
ZIP/Postal Code
250117
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zengjun Li
Facility Name
Ruijin Hospital, Shanghai Jiaotong University School of Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200025
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianqing Mi
Facility Name
West China Hospital of Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610000
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liqun Zou
Facility Name
Hematology Hospital, Chinese Academy of Medical Sciences
City
Tianjin
State/Province
Tianjin
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shuhua Yi
Phone
15900265415
Email
yishuhua@ihcams.ac.cn
Facility Name
The First Affiliated Hospital of Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jie Jin

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

The Study of ICP-248 in Patients With Mature B-cell Malignancies

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