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

NCT ID: NCT05728658

Condition: Hematological Malignancies

Conditions: Official terms:
Neoplasms
Hematologic Neoplasms

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: ICP-248
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.
Arm group label: ICP-248

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

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age ≥ 18 and ≤ 80 years. 2. 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). 3. Relapsed disease or refractory disease 4. 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. 5. Adequate hematologic function. 6. Patients with basically normal coagulation function. 7. Patients with adequate hepatic, renal, pulmonary and cardiac functions. 8. 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. 9. 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. 10. Subjects are able to communicate with the investigator well and to complete the study as specified in the study. 11. 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). 12. Subjects with CLL/SLL must have an indication for treatment as judged by the investigator. Exclusion Criteria: 1. Prior malignancy (other than the disease under study) within 2 years before study entryKnown 2. Central nervous system involvement by lymphoma/leukemia 3. 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. 4. Prior autologous stem cell transplant (unless ≥ 3 months after transplant); or prior chimeric cell therapy (unless ≥ 3 months after cell infusion). 5. 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. 6. A history of allogeneic stem cell transplantation. 7. Anti-cancer therapy within 14 days prior to the first dose of the investigational product 8. 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. 9. 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. 10. 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). 11. Presence of active infection that currently requires intravenous systemic anti-infective therapy. 12. Patients with active hepatitis B or C virus infection. 13. History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test. 14. History of significant cardiovascular disease 15. Patients with previous or concomitant central nervous system disordersHistory or current evidence of severe interstitial lung disease. 16. ≥ 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. 17. History of severe bleeding disorder 18. Known alcohol or drug dependence. 19. Presence of mental disorders or poor compliance. 20. Female patients who are pregnant or lactating. 21. Unable to swallow tablets or disease significantly affecting gastrointestinal function. 22. Hypersensitivity to the active substance or excipients of ICP-248 tablets.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: The First Affiliated Hospital of Bengbu Medical College

Address:
City: Bengbu
Zip: 233099
Country: China

Status: Recruiting

Contact:
Last name: Yanli Yang

Facility:
Name: The First Affiliated Hospital of Anhui Medical University

Address:
City: Hefei
Zip: 230022
Country: China

Status: Recruiting

Contact:
Last name: Jian Ge

Facility:
Name: Peking University Third Hospital

Address:
City: Beijing
Zip: 100191
Country: China

Status: Recruiting

Contact:
Last name: Hongmei Jing

Facility:
Name: The First Affiliated Hospital of Chongqing Medical University

Address:
City: Chongqing
Zip: 400016
Country: China

Status: Recruiting

Contact:
Last name: Li Wang

Facility:
Name: Fujian Medical University Union Hospital

Address:
City: Fuzhou
Zip: 350001
Country: China

Status: Recruiting

Contact:
Last name: Shaoyuan Wang

Facility:
Name: The First Affiliated Hospital of Xiamen University

Address:
City: Xiamen
Zip: 361003
Country: China

Status: Recruiting

Contact:
Last name: Bing Xu

Facility:
Name: Sun Yat-Sen University Cancer Center

Address:
City: Guangzhou
Zip: 510062
Country: China

Status: Recruiting

Contact:
Last name: Zhiming Li

Facility:
Name: Henan Cancer Hospital

Address:
City: Zhengzhou
Zip: 450008
Country: China

Status: Recruiting

Contact:
Last name: Keshu Zhou

Facility:
Name: The First Affiliated Hospital of Zhengzhou University

Address:
City: Zhengzhou
Zip: 450008
Country: China

Status: Recruiting

Contact:
Last name: Zhongxing Jiang

Facility:
Name: The Central Hospital of Wuhan

Address:
City: Wuhan
Zip: 430014
Country: China

Status: Recruiting

Contact:
Last name: Hongxiang Wang

Facility:
Name: Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Address:
City: Wuhan
Zip: 430022
Country: China

Status: Recruiting

Contact:
Last name: Guohui Cui

Facility:
Name: Hunan Cancer Hospital

Address:
City: Changsha
Zip: 410000
Country: China

Status: Recruiting

Contact:
Last name: Yajun Li

Facility:
Name: Jiangsu Province Hospital

Address:
City: Nanjing
Zip: 210029
Country: China

Status: Recruiting

Contact:
Last name: Huayuan Zhu

Facility:
Name: The First Affiliated Hospital of Nanchang University

Address:
City: Nanchang
Zip: 330000
Country: China

Status: Recruiting

Contact:
Last name: Fei Li

Facility:
Name: Jiangxi Cancer Hospital

Address:
City: Nanchang
Zip: 330029
Country: China

Status: Not yet recruiting

Contact:
Last name: Wuping Li

Facility:
Name: The Second Hospital of Dalian Medical University

Address:
City: Dalian
Zip: 116027
Country: China

Status: Not yet recruiting

Contact:
Last name: Xiuhua Sun

Facility:
Name: Shenyang Hospital Of China Medical University

Address:
City: Shenyang
Zip: 110022
Country: China

Status: Recruiting

Contact:
Last name: Wei Yang

Facility:
Name: Shandong cancer hospital

Address:
City: Jinan
Zip: 250117
Country: China

Status: Recruiting

Contact:
Last name: Zengjun Li

Facility:
Name: Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Address:
City: Shanghai
Zip: 200025
Country: China

Status: Not yet recruiting

Contact:
Last name: Jianqing Mi

Facility:
Name: West China Hospital of Sichuan University

Address:
City: Chengdu
Zip: 610000
Country: China

Status: Recruiting

Contact:
Last name: Liqun Zou

Facility:
Name: Hematology Hospital, Chinese Academy of Medical Sciences

Address:
City: Tianjin
Country: China

Status: Recruiting

Contact:
Last name: Shuhua Yi

Phone: 15900265415
Email: yishuhua@ihcams.ac.cn

Facility:
Name: The First Affiliated Hospital of Zhejiang University School of Medicine

Address:
City: Hangzhou
Zip: 310000
Country: China

Status: Recruiting

Contact:
Last name: Jie Jin

Start date: March 9, 2023

Completion date: October 30, 2026

Lead sponsor:
Agency: Beijing InnoCare Pharma Tech Co., Ltd.
Agency class: Industry

Source: Beijing InnoCare Pharma Tech Co., Ltd.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05728658

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