RecruitingPhase 1Phase 2NCT07228247

A Phase Ⅰ/Ⅱa Study of HMPL-A251 in Participants With Advanced or Metastatic HER2-expressing Solid Tumors

A Phase Ⅰ/Ⅱa Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity and Preliminary Efficacy of HMPL-A251 in Participants With Advanced or Metastatic HER2-Expressing Solid Tumors


Sponsor

Hutchmed

Enrollment

147 participants

Start Date

Dec 16, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a first-in-human (FIH), phase Ⅰ/Ⅱa, open-label, multicenter clinical study of HMPL-A251 monotherapy in adult participants with unresectable, advanced or metastatic HER2-expressing solid tumors.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Histologically confirmed unresectable advanced or metastatic disease.
  • Have at least one measurable lesion per RECIST v1.1;
  • Life expectancy ≥ 12 weeks;
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1;
  • Weight ≥ 35 kg;

Exclusion Criteria6

  • An established diagnosis of type I diabetes mellitus or uncontrolled type II diabetes mellitus.
  • Use of strong inhibitors of cytochrome P450 3A4 enzyme (CYP3A4), and inhibitors of P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP) within 5 elimination half-lives or 2 weeks (whichever is longer) before the first dose of study drug;
  • Toxicity from prior anti-tumor therapy has not recovered to Grade 1 or baseline prior to the first dose of study drug (except alopecia). Participants with chronic Grade 2 toxicities may be eligible after discussion between the investigator and Sponsor Medical Monitor (e.g., Grade 2 chemotherapy-induced neuropathy);
  • Baseline blood amylase or lipase exceeds the normal range and are judged by the investigators to be clinically significant;
  • Spinal cord compression, leptomeningeal disease, or clinically active central nervous system (CNS) metastases, defined as untreated or symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms;
  • Major surgery within 28 days prior to the first dose of study drug. Participants must have recovered adequately from the toxicity and/or complications from the intervention prior to the first dose of study drug(s);

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DRUGHMPL-A251

Six dose cohorts are planned for the Dose Escalation phase; at least three participants with solid tumors will be enrolled in each dose cohort. Bayesian optimal interval design with backfill (BF-BOIN, Zhao, 2023) will be used to guide dose escalation and determine the MTD and/or RDE of HMPL-A251. All study participants will receive HMPL-A251 as IV infusion until PD, intolerable toxicity, or other protocol-specified criteria for ending study treatment, whichever occurs first.

DRUGHMPL-A251

Participants will be randomized in a 1:1 ratio to receive treatment in two RDEs levels (approximately 15 participants per dose level) for each cohort. All study participants will receive HMPL-A251 as IV infusion until PD, intolerable toxicity, or other protocol-specified criteria for ending study treatment, whichever occurs first.


Locations(11)

SCRI HealthONE

Denver, Colorado, United States

BRCR Global

Plantation, Florida, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Cleveland Clinic Taussig Cancer Center

Cleveland, Ohio, United States

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Peking University First Hospital

Beijing, China

Hunan Cancer Hospital

Changsha, China

Fujian Cancer Hospital

Fujian, China

Sun Yat-sen University Cancer Center

Guangzhou, China

The First Affiliated Hospital of Anhui Medical University

Hefei, China

Henan Cancer Hospital

Zhengzhou, China

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT07228247


Related Trials