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OpenTrials
Completed

NCT Number: NCT04977167

Clinical Trial of HG146 Administered to Subjects With Advanced Solid Tumors or Lymphoma

This is a Phase I, open-label, repeat-dose, non-randomized, multicenter study to evaluate the safety, tolerability, and preliminary clinical activity and establish a recommended dose of HG146 administered orally (PO) alone (Part 1) or co-administered (Part 2) with PD-(L)1 inhibitor in subjects with refractory/relapsed solid tumors or Lymphoma. Part 1 consists of a dose escalation phae,Part2 consists of a dose escalation phase and a cohort expansion phase. In Part 1, escalating doses of HG146 will be evaluated as guided by the "3+3" approach. In Part 2A, escalating doses of HG146 in combination with PD-(L)1 inhibitor will be evaluated as guided by the "3+3" approach. In Part 2B, subjects will receive a single dose level of HG146 as identified based on data from Part 2, in combination with PD-(L)1 inhibitor . A total of approximately 96 subjects will be enrolled in this study, approximately 36 for dose escalation cohorts, and approximately 60 in the expansion cohorts.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

National Cancer Center/Cancer Hospital

Beijing, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

1 Subject must be >=18 years of age at the time of signing the informed consent.

2- Ia/Ib dose escalation phase(Part1 and Part 2A):Subjects with advanced/Metastatic solid tumors or Lymphoma, who have progressed on, be intolerant of, or ineligible for, all available therapies for which clinical benefit has been established.

  • Ib dose expansion phase(Part 2):
  • Cohort 1,Subjects with advanced/Metastatic solid tumors or Lymphoma, who have progressed on, be intolerant of, or ineligible for, all available therapies for which clinical benefit has been established, have not been treated with PD-(L)1 antibody; 2)Cohort 2,Subjects with advanced/Metastatic solid tumors or Lymphoma, who have progressed on, be intolerant of, or ineligible for, all available therapies for which clinical benefit has been established, have progressed on PD-(L)1 antibody; 3 Measurable disease per RECIST version 1.1 or Lugano 2014(If applicable). 4 Has Eastern Cooperative Oncology Group (ECOG) Performance Status ≤1. 5 Has adequate organ function. 6 Signed informed consent form (ICF) and able to comply with study requirements.

Key Exclusion Criteria:

  • Received prior therapies targeting HDAC.
  • Symptomatic central nervous system (CNS) metastases that have required steroids within 4 weeks prior to first dose of study treatment.
  • History of intolerant of anti-PD-(L)1 toxicity(Ib).
  • A condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of enrollment.
  • Major surgery or major injury <=28 days before the first dose of study treatment,or anticipated major surgery during the study.
  • Received other anticaner therapies within 4 weeks prior to first dose of study treatment or 5 half life period of anticancer drug .
  • Active infection requiring systemic treatment.
  • Prior allogeneic bone marrow transplantation or other solid organ transplantation ( Ib)
  • Active autoimmune disease or disease of impaired immune system(Ib).
  • History of Adrenal insufficiency.(Ib)
  • History orConcurrent condition of other malignant tumors.
  • Recent (within the past 6 months) history of Unstable or serious diseases, such as pancreatitis, severe angina, prolonged QT interval, congestive heart failure, myocardial infarction, pulmonary hypertension, stroke, and severe seizures, etc.
  • History of severe lung disease.
  • Any illness or medical conditions that are unstable or could jeopardize the safety of the patient and his/her compliance in the study.

Treatment and study plan

HG146

Drug

HG146 is available as Capsule at a unit dose strength of 5 mg and 10 mg.

Other names: HG146 capsule

PD-(L)1 antibody

Drug

PD-(L)1 Antibody is available as solution for infusion or lyophilized powder for reconstitution to be administered Q3W. It will be administered as an IV infusion for 30 minutes.

Other names: PD-1 antibody

Primary outcomes

  1. Part I:Dose-Limiting Toxicities (DLTs)

    Time frame: Up to 26 Days in Cycle 0 and Cycle 1

    Number of participants experiencing Dose-Limiting Toxicities (DLTs) According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE V5.0)

  2. Part I:Serious Adverse Events (SAEs) and Adverse Events (AE)

    Time frame: Up to 2 years

    Number of participants experiencing Serious Adverse Events (SAEs) and Adverse Events (AE) According to Safety performance.

  3. Part I:Maximum tolerated dose or Recommended Phase Ib dose (RP2D) of HG146

    Time frame: Up to 2 years

    Maximum tolerated dose or Recommended Phase II dose of HG146 will be decided according to safety and effective results.

  4. Part 2A: Dose-Limiting Toxicities (DLTs) According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v.5.0)

    Time frame: Up to 21 Days in Cycle 1

    Number of participants experiencing Dose-Limiting Toxicities (DLTs) According to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE V5.0)

  5. Part 2A: Serious Adverse Events (SAEs) and Adverse Events (AE)

    Time frame: Up to 2 years

    Number of participants experiencing Serious Adverse Events (SAEs) and Adverse Events (AE) According to Safety performance.

  6. Part 2A:Maximum tolerated dose or Recommended Phase II dose (RP2D) of HG146 in combination with PD-(L)1 antibody

    Time frame: Up to 2 years

    Maximum tolerated dose or Recommended Phase II dose of HG146 will be decided according to safety and effective results.

Secondary outcomes

  1. Part 1:Area under the concentration versus time curve (AUC) of HG146

    Time frame: At the end of Cycle 0 Day 5 (Cycle 0 is 5 days);At the end of Cycle 1 Day15 (Except for cycle 0, each cycle is 21 days)

    Plasma concentration of HG146 will be measured following single dose and multiple dose administration

  2. Part 1:Peak plasma concentration (Cmax) of HG146

    Time frame: At the end of Cycle 0 Day 5 (Cycle 0 is 5 days);At the end of Cycle 1 Day15 (Except for cycle 0, each cycle is 21 days)

    Plasma concentration of HG146 will be measured following single dose and multiple dose administration

  3. Part 1:Time of Cmax (Tmax) of HG146

    Time frame: At the end of Cycle 0 Day 5 (Cycle 0 is 5 days);At the end of Cycle 1 Day15(Except for cycle 0, each cycle is 21 days)

    Plasma concentration of HG146 will be measured following single dose and multiple dose administration

  4. Part 1:Apparent terminal half-life (T1/2) of HG146

    Time frame: At the end of Cycle 0 Day 5 (Cycle 0 is 5 days);At the end of Cycle 1 Day15 (Except for cycle 0, each cycle is 21 days)

    Plasma concentration of HG146 will be measured following single dose and multiple dose administration

  5. Part1: objective response rate (ORR)

    Time frame: Up to 2 years

    ORR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  6. Part1: Best overall response (BOR)

    Time frame: Up to 2 years

    BOR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  7. Part1: Duration of response (DOR)

    Time frame: Up to 2 years

    DOR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  8. Part 1:Time-to-response (TTR)

    Time frame: Up to 2 years

    TTR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  9. Part 1:Progression-Free Survival (PFS)

    Time frame: Up to 2 years

    PFS will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  10. Part 2:Area under the concentration versus time curve (AUC) of HG146

    Time frame: At the end of Cycle 1 Day 15 (each cycle is 21 days)

    Plasma concentration of HG146 will be measured following multiple dose administration in combination with PD-(L)1 antibody

  11. Part 2:maximum observed plasma concentration (Cmax) of HG146

    Time frame: At the end of Cycle 1 Day 15 (each cycle is 21 days)

    Plasma concentration of HG146 will be measured following multiple dose administration in combination with PD-(L)1 antibody

  12. Part 2:time of maximum observed plasma concentration (Tmax) of HG146

    Time frame: At the end of Cycle 1 Day 15 (each cycle is 21 days)

    Plasma concentration of HG146 will be measured following multiple dose administration in combination with PD-(L)1 antibody

  13. Part 2:apparent terminal half-life (T1/2) of HG146

    Time frame: At the end of Cycle 1 Day 15 (each cycle is 21 days)

    Plasma concentration of HG146 will be measured following multiple dose administration in combination with PD-(L)1 antibody

  14. Part2: objective response rate (ORR)

    Time frame: Up to 2 years

    ORR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  15. Part2: Best overall response (BOR)

    Time frame: Up to 2 years

    BOR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  16. Part2: Duration of response (DOR)

    Time frame: Up to 2 years

    DOR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  17. Part 2:Time-to-response (TTR)

    Time frame: Up to 2 years

    TTR will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  18. Part 2:Progression-Free Survival (PFS)

    Time frame: Up to 2 years

    PFS will be assessed by the Investigators using RECIST v. 1.1 or Lugano 2014( If applicable)

  19. Overall survival (OS)

    Time frame: Up to 2 years

    OS will be assessed by the investigators

Sponsors and collaborators

Lead sponsor

HitGen Inc.

Industry

Registry information

Official study title

A Phase I Open Label Study of HG146 Alone /in Combination With PD-(L)1 Inhibitor Administered With and Without Anticancer Agents in Participants With Advanced Solid Tumors or Lymphoma

Important dates

Study start
2021
Primary completion
2024
Study completion
2024
First posted
Jul 26, 2021
Registry last updated
Sep 21, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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