A Study of Tyrosine Kinase Inhibitor Orelabrutinib (ICP-022) in Patients With r/r B-Cell Malignancies

Sponsor: Beijing InnoCare Pharma Tech Co., Ltd.

Sponsor score: 0

ClinicalTrials ID:NCT04014205

This Phase I/II study assesses Orelabrutinib's safety, efficacy, and pharmacokinetics in adults with relapsed/refractory B-cell malignancies. It includes dose escalation and expansion phases. Eligible participants must have confirmed B-cell malignancies, a life expectancy of ≥4 months, ECOG 0-1, adequate organ function, and negative HBV/HCV tests. The intervention is a white, round tablet.

Patient Parameters

Program Overview

This is a Phase I/II, multicenter, open-label study to evaluate the safety, efficacy, tolerability, and pharmacokinetics of a novel BTK inhibitor, Orelabrutinib (ICP-022) in Patients with B-cell malignancies. The study contains two parts, Part 1 (dose escalation) and Part 2 (dose expansion).

Eligibility Criteria

Inclusion Criteria

  1. Signed Informed Consent.

  2. Age ≥ 18 years.

  3. Part 1: Patients with histologically confirmed relapsed or refractory B-cell malignancies, including Grades 1-3a FL, MZL, MCL, and CLL/SLL.

    Part 2: Patients with histologically confirmed B-cell malignancies including r/r FL, r/r MZL and CLL/SLL with/without prior treatment.

  4. Life expectancy (in the opinion of the investigator) of ≥ 4 months.

  5. ECOG performance status of 0 ~1.

  6. Must have adequate organ function.

  7. Negative test results for HBV ([HBsAg (-)] and non-active HBV or HCV infection

Exclusion Criteria

  1. Pregnant or breast-feeding or intending to become pregnant during the study.
  2. Prior treatment with systemic immunotherapeutic agents.
  3. Known allergies to Orelabrutinib (ICP-022) or its excipients or infection with HIV.
  4. Treatment with any chemotherapeutic agent, or any other investigational therapies within 4 weeks prior to first dose of the study drug.
  5. History of allogeneic stem-cell (or other organ) transplantation or confirmed progressive PML.
  6. Any external beam radiation therapy within 6 weeks prior to the first dose of the study drug.
  7. Concurrent use of warfarin or other vitamin K antagonists or anticoagulation therapies or strong CYP3A inhibitor.
  8. Active uncontrolled infections.
  9. Recent infection requiring IV anti-infective treatment that was completed ≤ 14 days before the first dose of study drug.
  10. Unresolved toxicities from prior anti-cancer therapy.
  11. Medically apparent CNS lymphoma or leptomeningeal disease.
  12. Current or previous history of CNS disease.
  13. Major surgery or significant traumatic injury < 28 days prior to the first dose of the study drug.
  14. Patients with another invasive malignancy in the last 2 years.
  15. Significant cardiovascular disease or active pulmonary disease.
  16. Received systemic immunosuppressive medications.

Locations

FACILITYZIPCITYSTATE
Mayo Clinic-Mayo Clinic Hospital-Phoenix85054-4502PhoenixArizona
Pacific Cancer Medical Center92801-1824AnaheimCalifornia
Los Angeles Cancer Network - Good Samaritan Hospital Location90017Los AngelesCalifornia
Desert Hematology Oncology Medical Group, Inc.92270Rancho MirageCalifornia
The Oncology Institute of Hope & Innovation90603WhittierCalifornia
Florida Cancer Specialists (FCS) South33901Fort MyersFlorida
Asclepes Research Centers - Weeki Wachee34607Weeki WacheeFlorida
Northwest Neurology - Rolling Meadows Office60007Elk Grove VillageIllinois
Orchard Healthcare Research Inc.60077SkokieIllinois
Goshen Center for Cancer Care46526GoshenIndiana

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