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This is a Phase 1/2 dose escalation and cohort expansion study and will assess the safety, tolerability and preliminary efficacy of HP568 alone and in combination with palbociclib in patients with ER+/HER2- locally advanced or metastatic breast cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HP568 | Experimental | In the I/II stage: HP568 administered QD or BID for 28 day cycles. |
|
| HP568 and palbociclib | Experimental | In the III stage: Daily oral dosages of HP568 for 28 days in combination with palbociclib for 21 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HP568 | Drug | In the I/II stage: HP568 administered QD or BID for 28 day cycles. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Stage I: the incidence of TEAE of HP568 | the percentage of patients with treatment-emergent Adverse events(TEAE), TEAE will be evaluated using CTCAE 5.0 standards. | From the first administration dose to 30 calendar days after the last administration dose |
| Stage I: Incidence of dose limiting toxicity DLT, maximum tolerated dose MTD (if possible). | First cycle dose-limiting toxicities and determination of a maximum tolerated dose (MTD) if applicable among the doses evaluated | 28 days |
| Stage III: Evaluate safety during the dose escalation phase of combination therapy | Adverse events will be evaluated using the CTCAE5.0 standard, and safety features will be based on the assessment of adverse events, including TEAE, laboratory indicators (blood routine, blood biochemistry, coagulation routine, blood lipids, urine routine), vital sign measurements (blood pressure, pulse, respiratory rate, and body temperature), physical examination, and 12 lead electrocardiogram. | From the first administration dose to 30 calendar days after the last administration dose |
| Stage III: Evaluate tolerance during the dose escalation phase of combination therapy | First cycle dose-limiting toxicities and determination of a maximum tolerated dose (MTD) if applicable among the doses evaluated | 28 days |
| Stage III: Evaluate the 24 week clinical benefit rate (CBR) during the dose escalation phase of combination therapy | According to RECIST 1.1 criteria, the proportion of subjects who achieve confirmed CR (complete response) and/or confirmed PR (partial response) within 24 weeks plus at least 24 weeks of SD (stable disease). | Until all patients have completed 24 weeks administration |
| Measure | Description | Time Frame |
|---|---|---|
| Stage I-III: Objective response rate (ORR) | According to RECIST 1.1 criteria, the proportion of subjects who achieve CR (complete response)+PR (partial response). | Until all patients have completed study(approximately 2 years) |
| Stage I/III: 24 week clinical benefit rate (CBR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhonghua Zhou | Contact | +86-28-85058465 | zhzhou1@hinovapharma.com |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| C500026 | palbociclib |
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| HP568 in combination with palbociclib |
| Drug |
In the III stage: Daily oral dosages of HP568 for 28 days in combination with palbociclib for 21 days. |
|
| Stage II: 24 week clinical benefit rate (CBR) | According to RECIST 1.1 criteria, the proportion of subjects who achieve confirmed CR (complete response) and/or confirmed PR (partial response) within 24 weeks plus at least 24 weeks of SD (stable disease). | Until all patients have completed 24 weeks administration |
According to RECIST 1.1 criteria, the proportion of subjects who achieve confirmed complete response (CR) and/or confirmed partial response (PR) within 24 weeks plus at least 24 weeks of stable disease (SD). |
| Until all patients have completed 24 weeks administration |
| Stage I-III: Disease Control Rate (DCR) | The proportion of subjects who achieve response and disease stability (i.e. CR+PR+SD) after treatment. | Until all patients have completed study(approximately 2 years) |
| Stage I-III: Progression free survival (PFS) | from the start of treatment until tumor progression or death from any cause, which comes first. | Until all patients have completed study(approximately 2 years) |
| Stage I-III: Duration of response(DOR) | the time from the first onset of response (CR or PR) to disease progression | Until all patients have completed study(approximately 2 years) |
| Stage I-III: Time to Response (TTR) | The time from the start of treatment to the first recorded achievement of response (CR or PR). | Until all patients have completed study(approximately 2 years) |
| Stage I-II:Assessment of pharmacokinetic parameter area under the concentration-time curve (AUC) | Concentration-time curve (AUC) for single and multiple dose of HP568 will be assessed after a single dose and after multiple doses. | on the first day of cycle 1 and cycle 2(each cycle is 28 days) |
| Stage I-II:Assessment of pharmacokinetic parameter maximum concentration (Cmax) | Maximum concentration (Cmax) for single and multiple dose of HP568 will be assessed after a single dose and after multiple doses. | on the first day of cycle 1 and cycle 2(each cycle is 28 days) |
| Stage I-II: Assessment of pharmacokinetic parameter minimum concentration (Cmin). | minimum concentration (Cmin) for single and multiple dose of HP568 will be assessed after a single dose and after multiple doses. | on the first day of cycle 1 and cycle 2 (each cycle is 28 days) |
| Stage I-II:Assessment of pharmacokinetic parameter time to maximum concentration (Tmax) | Time to maximum concentration (Tmax) for HP568 will be assessed after a single dose and after multiple doses. | on the first day of cycle 1 and cycle 2 (each cycle is 28 days) |
| Stage III:Assessment of pharmacokinetic parameter area under the concentration-time curve (AUC) | Concentration-time curve (AUC) of HP568 and palbociclib will be assessed after single and multiple doses. | on the Day 1 and Day 21 of cycle 1 (each cycle is 28 days) |
| Stage III: Assessment of pharmacokinetic parameter maximum concentration (Cmax) | maximum concentration (Cmax) of HP568 and palbociclib will be assessed after a single dose and after multiple doses | on the Day 1 and Day 21 of cycle 1 (each cycle is 28 days) |
| Stage III: Assessment of pharmacokinetic parameter minimum concentration (Cmin) | Minimum concentration (Cmin) of HP568 and palbociclib will be assessed after a single dose and after multiple doses. | on the Day 1 and Day 21 of cycle 1 (each cycle is 28 days) |
| Stage III: Assessment of pharmacokinetic parameter time to maximum concentration (Tmax) | Time to maximum concentration (Tmax) of HP568 and palbociclib will be assessed after a single dose and after multiple doses. | on the Day 1 and Day 21 of cycle 1 (each cycle is 28 days) |
| D017437 |
| Skin and Connective Tissue Diseases |