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The overall objective of this Phase 1 study is to evaluate the safety, PK,and anti-tumor activity of daily oral dosing with HP518,selecting the RP2D of HP518 based on assessments of patients with progressive mCRPC in dose-escalation phase
This First in Human dose escalation and expansion study of HP518 in patients with progressive mCRPC after NHA and chemotherapy is being conducted not only to evaluate the safety and tolerability of orally administered HP518, but also to provide preliminary efficacy for the reference of future studies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 - Dose Escalation, 400mg/d (Cohort1) | Experimental | Oral tablet(s), once daily in 28-day cycles |
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| Part 1 - Dose Escalation 500mg/d (Cohort 2) | Experimental | Oral tablet(s), once daily in 28-day cycles |
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| Part 2 - Dose Expansion Oral tablet(s) | Experimental | Oral tablet(s), once daily in 28-day cycles |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HP518 - Dose Escalation | Drug | Part 1: Dose escalation Daily oral dosage with the prescribed dose level based on Cohort |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidences of Protocol-defined DLT during the DLT assessment period , characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study drugorally administered HP518 (Part 1) | To evaluate the safety and tolerability and determine the MTD and the RP2D of orally administered HP518 (Part 1) | 28 DAYS |
| Incidence of Treatment-Emergent Adverse Events characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness | To evaluate the safety of orally administered HP518 (Part 1) | Through study completion, an average of 1 year |
| Incidence of laboratory abnormalities, characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing | To evaluate the safety of orally administered HP518 (Part 1) | Through study completion, an average of 1 year |
| Incidence of vital signs abnormalities characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing | To evaluate the safety of orally administered HP518 (Part 1) | Through study completion, an average of 1 year |
| Incidence of ECG (PR, QRS, QT, and QTcF intervals) abnormalities characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing | To evaluate the safety of orally administered HP518 (Part 1) | Through study completion, an average of 1 year |
| PSA50 response rate | Proportion of patients showing a PSA decline by ≥50% between baseline and Week 12 of dosing with HP518. |
| Measure | Description | Time Frame |
|---|---|---|
| area under the concentration-time curve (AUC) | Assessment of pharmacokinetic parameters of HP518 | 12 weeks |
| Maximum concentration (Cmax) | Assessment of pharmacokinetic parameters of HP518 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Qianrong Xiang | Contact | +86 28 8505 8465 | qrxiang@hinovapharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Hospital Of Anhui Medical University | Recruiting | Hefei | Anhui | China |
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| HP518 - Dose Escalation | Drug | Part 1: Dose escalation Daily oral dosage with the prescribed dose level based on Cohort |
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| HP518 -Dose Expansion | Drug | Part 2: Dose expansion Daily oral dosage with the highest dose with acceptable toxicity (RP2D) based on data from Part 1. |
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| 12 weeks |
| 12 weeks |
| Time to maximum concentration (Tmax) | Assessment of pharmacokinetic parameters of HP518 | 12 weeks |
| Apparent terminal elimination half-life (T1/2) | Assessment of pharmacokinetic parameters of HP518 | 12 weeks |
| apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) | Assessment of pharmacokinetic parameters of HP518 | 12 weeks |
| oral clearance (CL/F) | Assessment of pharmacokinetic parameters of HP518 | 12 weeks |
| According to PCWG3 | evaluate PSA50 response rate: PSA decline by≥50% between baseline and 4 weeks/8 weeks/12 weeks( only Part 1) of dosing with HP518 | 8 weeks |
| According to PCWG3, evaluate time to PSA progression | PCWG3 definition: PSA increase >25% and >2 ng/mL above nadir, confirmed by progression at 2 time points at least 3 weeks apart) nadir, confirmed by progression at 2 time points at least 3 weeks apart) | Through study completion, an average of 1 year |
| Time to radiographic progression by investigator PCWG3 definition | using the RECIST v1.1 and PCWG3 definition | Through study completion, an average of 1 year |
| Evaluate the modified best overall response mBOR by investigator | According to RECIST (version 1.1) and PCWG3 | Through study completion, an average of 1 year |
| analyze the efficacy of patients with different AR phenotypes(Part 2) | According to genetic testing results | Through study completion, an average of 1 year |
| Beijing Cancer Hospital | Recruiting | Beijing | Beijing Municipality | China |
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| Beijing Friendship Hospital, Capital Medical University | Recruiting | Beijing | Beijing Municipality | China |
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| Chongqing University Cancer Hospital | Recruiting | Chongqing | Chongqing Municipality | China |
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| The Second Affiliated Hospital Of Chongqing Medical University | Recruiting | Chongqing | Chongqing Municipality | China |
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| The First Affiliated Hospital Of Xiamen Univeristy | Not yet recruiting | Xiamen | Fujian | China |
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| Lanzhou University Second Hospital | Recruiting | Lanzhou | Gansu | China |
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| The Third Affiliated Hospital of Southern Medical University | Recruiting | Guangzhou | Guangdong | China |
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| The Affiliated Hospital Of Guizhou Medical University | Recruiting | Guiyang | Guizhou | China |
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| Henan Cancer Hospital | Recruiting | Zhengzhou | Henan | China |
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| Zhengzhou Central Hospital | Recruiting | Zhengzhou | Henan | China |
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| Tongji Hospital | Recruiting | Wuhan | Hubei | China |
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| Hunan Cancer Hospital | Recruiting | Changsha | Hunan | China |
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| The First Affiliated Hospital Of Nanchang University | Recruiting | Nanchang | Jiangxi | China |
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| Liaoning Cancer Hospital & Institute | Recruiting | Shenyang | Liaoning | China |
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| Shandong Provincial Hospital | Recruiting | Jinan | Shandong | China |
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| The Affiliated Hospital Of Qingdao University | Recruiting | Qingdao | Shandong | China |
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| Yantai Yuhuangding Hospital | Recruiting | Yantai | Shandong | China |
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| Shanghai Tenth People's Hospital | Recruiting | Shanghai | Shanghai Municipality | China |
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| The First Affiliated Hospital Of Xi'An Jiaotong Univeristy | Recruiting | Xi’an | Shanxi | China |
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| Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital | Recruiting | Chengdu | Sichuan | China |
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| West China Hospital Of Sichuan University | Recruiting | Chengdu | Sichuan | China |
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| The Affiliated Hospital Of Southwest Medical University | Recruiting | Luzhou | Sichuan | China |
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| Mianyang Central Hospital | Recruiting | Mianyang | Sichuan | China |
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| The Second Affiliated Hospital Of Kunming Medical University | Recruiting | Kunming | Yunnan | China |
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| The Affiliated Hospital Of School Of Medicine Of Ningbo University | Recruiting | Ningbo | Zhejiang | China |
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| The First Affiliated Hospital of Wenzhou Medical University | Recruiting | Wenzhou | Zhejiang | China |
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