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NCT Number: NCT06656494

ICP-248 in Combination With Azacitidine for the Treatment in Patients With Myeloid Malignancies

Evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ICP-248 in combination with azacitidine in patients with acute myelogenous leukemia and Myelodysplastic Syndromes.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

St Vincent's Hospital, Sydney, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Eligible subjects must meet all of the following criteria:

  • Subject must have confirmation of diagnosis of AML (except for acute promyelocytic leukemia [APL]) or MDS per 2016 World Health Organization (WHO) criteria.
  • For AML (except for APL) cohort:
  • Previously treated relapsed/refractory AML subjects
  • Treatment-naïve AML subjects should be: ≥60 years of age OR ≥18 years and <60 years will be eligible if the subject has at least one of the following co-morbidities, which make the subject unfit for intensive chemotherapy
  • For MDS cohort: Adult TN MDS and R/R MDS: revised International Prognostic Scoring System (IPSS-R) score > 3 and bone marrow blasts ≥ 5%.
  • Subject must have a projected life expectancy of at least 12 weeks.
  • Subject must have adequate renal function as demonstrated by a creatinine clearance ≥ 30 mL/min; determined via urine collection for 24-hour creatinine clearance or by the Cockcroft-Gault formula.
  • Subject must have adequate liver function

Exclusion criteria

  • R/R AML or R/R MDS with no response or intolerance to post azacitidine or BCL-2i.
  • Subject has acute promyelocytic leukemia (French-American-British Class M3 AML) .
  • Subject has known central nervous system (CNS) leukemia.
  • Suggest patients with active hepatitis B or C virus infection
  • History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test.
  • Subjects have another active malignancy within the past 2 years before study entry, except for curatively treated.

Treatment and study plan

ICP-248

Drug

Eligible patients will receive ICP-248 orally as per the protocol,once daily for every 28 days as one treatment cycle

Azacitidine

Drug

Eligible patients will receive azacitidine subcutaneously or intravenously as per the protocol,once daily on days 1-7 of each 28-day cycle.

Primary outcomes

  1. Incidence, type, and severity of dose-limiting toxicity (DLT).

    Time frame: 2.5 years

  2. Recommended phase II dose (RP2D) and/or maximum tolerated dose (MTD).

    Time frame: 2.5 years

  3. The incidence, nature, and severity of adverse events (AEs) as assessed per National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE v5.0) criteria.

    Time frame: 2.5 years

  4. AML cohort:Composite complete remission rate by Investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  5. AML cohort:Composite complete remission rate by completion of cycle 2 by Investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  6. MDS cohort:mOR rate, including CR, mCR, and PR, assessed by Investigator at any time point during the study per revised IWG 2006 MDS Criteria.

    Time frame: 2.5 years

Secondary outcomes

  1. AML cohort:Composite complete remission rate: The proportion of subjects with complete remission (CR) and CR with incomplete hematologic recovery (CRi) by Investigator per European Leukemia Net (ELN) 2017 criteria.

    Time frame: 2.5 years

  2. AML cohort:Composite complete remission rate by completion of cycle 2 by Investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  3. The incidence, nature, and severity of adverse events (AEs) as assessed per NCI-CTCAE v5.0 criteria.

    Time frame: 2.5 years

  4. Maximum concentration (Cmax)of ICP-248.

    Time frame: 2.5 years

  5. Area under the curve (AUC) of ICP-248.

    Time frame: 2.5 years

  6. Time of maximum observed plasma(Tmax)of ICP-248.

    Time frame: 2.5 years

  7. Trough concentration(Ctrough) of ICP-248.

    Time frame: 2.5 years

  8. Apparent clearance (CL/F) of ICP-248.

    Time frame: 2.5 years

  9. AML cohort:Partial Response (PR) by investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  10. AML cohort:Overall survival (OS) by investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  11. AML cohort:Duration of Response (DOR) by investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  12. AML cohort:Event-free Survival (EFS) by investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  13. AML cohort:Relapse-free Survival (RFS) by investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  14. AML cohort:Morphologic leukemia-free state (MLFS) by investigator per ELN 2017 criteria.

    Time frame: 2.5 years

  15. MDS cohort:Modified overall response (mOR) rate, including CR, marrow complete response (mCR), and PR, assessed by Investigator at any time point during the study per revised International Working Group (IWG) 2006 MDS Criteria

    Time frame: 2.5 years

  16. MDS cohort:Complete remission(CR) rate by Investigator per revised IWG 2006 MDS Criteria

    Time frame: 2.5 years

  17. MDS cohort:Event-free survival (EFS) by Investigator per revised IWG 2006 MDS Criteria

    Time frame: 2.5 years

  18. MDS cohort:Duration of modified overall response (DmOR) by Investigator per revised IWG 2006 MDS Criteria

    Time frame: 2.5 years

  19. MDS cohort:Overall survival(OS) by Investigator per revised IWG 2006 MDS Criteria

    Time frame: 2.5 years

  20. MDS cohort:Marrow complete response (mCR) rate by Investigator per revised IWG 2006 MDS Criteria

    Time frame: 2.5 years

Study contacts

Contact information is provided by the study sponsor or research team.

Alexia Lu

CONTACT

[email protected]

010-66609745

Sponsors and collaborators

Lead sponsor

Beijing InnoCare Pharma Tech Co., Ltd.

Industry

Registry information

Official study title

A Phase 1 Study of ICP-248 in Combination With Azacitidine for the Treatment in Patients With Myeloid Malignancies.

Important dates

Study start
2024
Primary completion
2027
Study completion
2028
First posted
Oct 24, 2024
Registry last updated
Apr 13, 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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