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NCT Number: NCT06601504

Study of HMPL-760 Plus R-GemOx Versus Placebo Plus R-GemOx in Relapsed/Refractory DLBCL

The goal of this study is to evaluate the efficacy of HMPL-760 in combination with R-GemOx versus placebo in combination with R-GemOx in patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (R/R DLBCL).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Fujian Medical University Union Hospital, Fuzhou, Fujian, China

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About this study

A Phase II Randomized, Controlled Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of HMPL-760 in Combination with R-GemOx versus Placebo in Combination with R-GemOx in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (R/R DLBCL). The study phases include screening period, treatment period, safety observation period, PFS follow-up period, and OS follow-up period.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Sign the Informed consent form(ICF) and be able to follow the requirements of study protocol;
  • Age ≥18 years;
  • Eastern Cooperative Oncology Group (ECOG) performance status between 0 and 2;
  • Histopathologically confirmed diagnosis of DLBCL;
  • The investigator judges that the patient's current condition requires further treatment;
  • Patients should have at least one bi-dimensionally measurable lesion;
  • Expected survival is more than 12 weeks;

Exclusion criteria

  • Patients with known primary or secondary central nervous system lymphoma (CNSL) or the presence of clinical symptoms suggestive of CNSL;
  • Women who are pregnant (positive pregnancy test during the screening period) or breastfeeding;
  • Organ insufficiency;
  • Currently known history of liver disease, including cirrhosis, alcoholic liver, known active infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV):
  • History of significant organ bleeding, including gastrointestinal bleeding, hematencephalon, haemoptysis, etc., within 8 weeks prior to the first dose of study drug;
  • Known risk of bleeding, such as coagulation factor deficiency, vascular hemophilia; or the patient is receiving vitamin K antagonist (warfarin);
  • Toxicities from prior anticancer therapy not resolved to Grade ≤ 1 (except for alopecia and decreased appetite);
  • Clinically significant active infection;

Treatment and study plan

HMPL-760 planned dose 1

Drug

HMPL-760 planned dose 1 daily (QD) orally

R-GemOx

Drug

R-GemOx regimen includes Rituximab Injection, Gemcitabine Hydrochloride for Injection, Gemcitabine Hydrochloride for Injection. R-GemOx regimen in 21-day cycle for a total of 6 cycles. Rituximab 375 mg/m^2 ivgtt is given on day 1 of each cycle, and gemcitabine 1000 mg/m^2 ivgtt is given, followed by oxaliplatin 100 mg/m^2 ivgtt on day 2 of each cycle.

Other names: Rituximab Injection, Gemcitabine Hydrochloride for Injection, Gemcitabine Hydrochloride for Injection

HMPL-760 placebo planned dose 1

Drug

HMPL-760 placebo planned dose 1 daily (QD) orally

HMPL-760 planned dose 2

Drug

HMPL-760 planned dose 2 daily (QD) orally

HMPL-760 placebo planned dose 2

Drug

HMPL-760 placebo planned dose 2 daily (QD) orally

Primary outcomes

  1. Progression-free survival (PFS)

    Time frame: Up to approximately 2 years

    Progression-free survival (PFS): Efficacy is evaluated using the Lugano Efficacy Evaluation Criteria for Malignant Lymphoma (Cheson 2014).

Secondary outcomes

  1. Objective Response Rate (ORR)

    Time frame: Up to approximately 2 years

    Objective Response Rate (ORR) is defined as the ratio of patients who reached complete response (CR) or partial response (PR), as assessed by investigator.

  2. Complete response (CR) rate

    Time frame: Up to approximately 2 years

    Complete response (CR) rate is defined as the ratio of patients with who reached complete response (CR), as assessed by investigator.

  3. Duration of response (DoR)

    Time frame: Up to approximately 2 years

    For patients who reached complete response (CR) or partial response (PR), Duration of Response (DoR) is defined as the time from the first CR or PR until disease progression or death due to any cause, whichever occurs first, as assessed by investigator.

  4. Clinical benefit rate (CBR)

    Time frame: Up to approximately 2 years

    Defined as the ratio of patients with complete response (CR), partial response (PR), or stable disease (SD).

  5. Time to response (TTR)

    Time frame: Up to approximately 2 years

    Time To Response (TTR) is defined as the time from the start of treatment to the first objective response rate (ORR), as assessed by investigator.

  6. Overall survival (OS)

    Time frame: Up to approximately 2 years

    Overall Survival (OS) is defined as the time from randomization to death due to any cause.

  7. Safety Endpoints of adverse events

    Time frame: Up to approximately 2 years

    Incidence and severity of treatment-emergent adverse events (TEAEs), incidence of serious adverse events (SAEs), incidence of TEAEs leading to permanent discontinuation, dose interruption, and dose reduction, and their correlation to study drug. The severity is determined according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE 5.0).

  8. Pharmacokinetic(PK) profile of HMPL-760 in combination with R-GemOx

    Time frame: At the end of Cycle 7 (each cycle is 21 days)

    Trough plasma concentration (Ctrough) of drug

  9. Pharmacokinetic(PK) profile of HMPL-760 in combination with R-GemOx

    Time frame: At the end of Cycle 7 (each cycle is 21 days)

    Maximum observed concentration, occurring at time Tmax at steady-state (Cmax,ss) of drug

  10. Pharmacokinetic(PK) profile of HMPL-760 in combination with R-GemOx

    Time frame: At the end of Cycle 7 (each cycle is 21 days)

    Time of maximum observed concentration at steady-state(Tmax,ss) of drug

  11. Pharmacokinetic(PK) profile of HMPL-760 in combination with R-GemOx

    Time frame: At the end of Cycle 7 (each cycle is 21 days)

    The partial area from dosing time to dosing time plus Tau at steady-state (AUCss) of drug

  12. Pharmacokinetic(PK) profile of HMPL-760 in combination with R-GemOx

    Time frame: At the end of Cycle 7 (each cycle is 21 days)

    Apparent clearance at steady-state (CLss/F) of drug (if applicable)

  13. Pharmacokinetic(PK) profile of HMPL-760 in combination with R-GemOx

    Time frame: At the end of Cycle 7 (each cycle is 21 days)

    Apparent volume of distribution at steady-state (Vz,ss/F) of drug (if applicable)

Other outcomes

  1. Biomarker assessment

    Time frame: Up to approximately 2 years

    To evaluate the correlation between potential biomarkers and the prognosis of patients treated with this regimen. Tumor tissue or blood samples will be examined to detect the gene expression of MYD88.

  2. Metabolite analysis of HMPL-760 in combination with R-GemOx

    Time frame: At the end of Cycle 7 (each cycle is 21 days)

    Analysis metabolite of HMPL-760 in combination with R-GemOx

Sponsors and collaborators

Lead sponsor

Hutchmed

Industry

Registry information

Official study title

A Phase II Randomized, Controlled Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of HMPL-760 Plus R-GemOx Versus Placebo Plus R-GemOx in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma(R/R DLBCL)

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Sep 19, 2024
Registry last updated
Jun 6, 2025

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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