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Relapsed/Refractory LymphomaPhase 2NCT05713110

A Study of Tazemetostat in Combination With HMPL-689 in Patients With Relapsed/Refractory Lymphoma

A Phase 2 study testing tazemetostat and HMPL-689 in people with Relapsed/Refractory Lymphoma, run by Hutchmed at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A phase II clinical study of tazemetostat combined with HMPL-689 in patients with R/R lymphoma. The study includes 2 phases: dose escalation phase (phase IIa) and expansion phase (phase IIb). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Relapsed/Refractory Lymphoma
What is being tested?
tazemetostat and HMPL-689
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
61 participants
Where
1 siteChina
Study dates
13 Feb 2023to 31 Dec 2024
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Patients who have previously used EZH2 inhibitors and PI3K inhibitors, or previously could not tolerate EZH2 inhibitors or PI3K inhibitors
  • Patients with brain metastases or leptomeningeal invasion
  • Has thrombocytopenia, neutropenia, or anemia of Grade ≥3 (per CTCAE 5.0 criteria) and any prior history of myeloid malignancies, including myelodysplastic syndrome (MDS / AML/MPN)
  • Has abnormalities known to be associated with MDS (e.g. del 5q, chr 7 abn) and multiple primary neoplasms (MPN) (e.g. JAK2 V617F) observed in cytogenetic testing and DNA sequencing

Trial locations and contacts

1 site in 1 country.

China1 site
  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai

Other trials in China

About this study

Official title: A Phase II Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of Tazemetostat in Combination With HMPL-689 in Patients With Relapsed/Refractory Lymphoma

A phase II clinical study of tazemetostat combined with HMPL-689 in patients with R/R lymphoma. The study includes 2 phases: dose escalation phase (phase IIa) and expansion phase (phase IIb).

Read the detailed description

Dose Escalation Phase (Phase IIa ):Including 10-20 patients for dose escalation, the enrollment will continue until about 10 patients in the dose group with response, as to determine Recommended Phase II dose (RP2D).

Dose Expansion Phase (Phase IIb):Multiple expansion cohorts will be set up according to different tumor types, and about 15-20 patients will be enrolled in each cohort to further observe the anti-tumor effect of Tazemetostat combined with HMPL-689 in different pathological types of R/R lymphoma.

This study is expected to enroll 85-140 patients total in Phase IIa and phase IIb.

Being tested
tazemetostat, HMPL-689
Medical subject headings
Lymphoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • tazemetostatDrug

    Dose Escalation Phase (Phase IIa):

    Tazemetostat (800 mg BID orally) in a therapeutic cycle of 28 days;

    Dose Expansion Phase (Phase IIb):

    Tazemetostat (800 mg BID orally) in a therapeutic cycle of 28 days

  • HMPL-689Drug

    Dose Escalation Phase (Phase IIa):

    HMPL-689:20 mg and 30 mg, QD orally in a therapeutic cycle of 28 days.

    Dose Expansion Phase (Phase IIb):

    HMPL-689 (RP2D) in a therapeutic cycle of 28 days

Study groups in NCT05713110
Study groupRoleWhat they receive
tazemetostat combined with HMP689 open-label treatment armExperimentalDose Escalation Phase (Phase IIa): patients with relapsed or refractory lymphoma who have failed standard treatment and have no standard treatment options Dose Expansion Phase (Phase IIb): Cohort 1 (DLBCL, FL 3b): Histologically confirmed DLBCL, FL 3b (including primary mediastinal B-cell lymphoma) with relapsed/refractory disease ; Cohort 2 (FL) patients with histologically confirmed R/R FL (Grade 1, 2, 3a); Cohort 3 (MCL): Patients with R/R MCL who had prior therapies ; Cohort 4 (PTCL): Patients with histologically confirmed R/R PTCL who have failed or cannot tolerate standard therapy
Receives: Drug: tazemetostat; Drug: HMPL-689

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Escalation Phase (Phase IIa):To evaluate the safety, tolerability, and determine the maximum tolerated dose (MTD) and/or RP2D of Tazemetostat in combination with HMPL-689 in patients with R/R lymphoma

    Occurrence of Dose Limiting Toxicities (DLTs) During the DLT Observation Period

    Measured: from Cycle 1 Day 1 up to Cycle 1 Day 28 (each cycle is 28 days)

  2. Dose Expansion Phase (Phase IIb):To evaluate the ORR of Tazemetostat in combination with HMPL-689 in patients with lymphoma

    Percentage of patients with Complete Response(CR) or Partial Response(PR) as the best response evaluated in accordance with Lugano2014

    Measured: from Cycle 1 Day 1 to PFS (each cycle is 28 days)

  3. Dose Expansion Phase (Phase IIb):To evaluate the DCR of Tazemetostat in combination with HMPL-689 in patients with lymphoma

    the proportion of patients with CR or PR or stable disease (SD) as the best response with Lugano2014

    Measured: from Cycle 1 Day 1 to PFS (each cycle is 28 days)

  4. Dose Expansion Phase (Phase IIb):To evaluate the DOR of Tazemetostat in combination with HMPL-689 in patients with lymphoma

    as the time from the first appearance of CR or PR to PD or death for any reason (whichever comes first), in the patients with objective response with Lugano2014)

    Measured: from Cycle 1 Day 1 to PFS (each cycle is 28 days)

  5. Dose Expansion Phase (Phase IIb):To evaluate the PFS of Tazemetostat in combination with HMPL-689 in patients with lymphoma

    the proportion of patients with CR or PR or stable disease (SD) as the best response with Lugano2014

    Measured: from Cycle 1 Day 1 to PFS (each cycle is 28 days)

Secondary outcomes (18)
  1. Dose Escalation Phase (Phase IIa):Objective Response Rate (ORR)

    Percentage of patients with Complete Response (CR) or Partial Response (PR) as the best response evaluated in accordance with Lugano 2014

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  2. Dose Escalation Phase (Phase IIa)-Complete Response Rate (CR rate)

    Percentage of patients with Complete Response (CR) as the best response evaluated in accordance with Lugano 2014

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  3. Dose Escalation Phase (Phase IIa)-Disease control rate (DCR)

    the proportion of patients with CR or PR or stable disease (SD) as the best response

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  4. Dose Escalation Phase (Phase IIa)-Duration of response (DoR)

    as the time from the first appearance of CR or PR to PD or death for any reason (whichever comes first), in the patients with objective response

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  5. Dose Escalation Phase (Phase IIa)-Time to response (TTR)

    the time from the first dose of Tazemetostat in combination with HMPL-689 to the first objective response

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  6. Dose Escalation Phase (Phase IIa)-Progression-free survival (PFS)

    time from the first dose of study treatment to PD or death for any reason, whichever comes first

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  7. Dose Escalation Phase (Phase IIa)-Overall survival (OS)

    time from the first dose of study treatment to death for any reason

    time from the first dose of study treatment to death for any reason

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  8. Dose Expansion Phase (Phase IIb)-Evaluation of Tazemetostat safety and tolerability in Combination with HMPL-689 in Patients with R/R Lymphoma

    Incidence, severity, and causality to study drug of treatment-emergent adverse events (TEAEs) as determined by the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE 5.0)

    Measured: From baseline to final assessment at end of safety follow-up visit(through study completion, an average of 2 years)

  9. Geomean maximum concentration (Cmax) of tazemetostat and its metabolite EPZ-6930 in blood

    Cmax is defined as the maximum observed concentration that a drug achieves in a test area of the body after the drug has been administered. Plasma concentration-time profiles of tazemetostat and EPZ-6930 will be plotted using non-compartmental analysis and will be analyzed to determine Cmax. Cmax will be summarized as the geomean and geomean CV% for all participants.

    Measured: Cycle (C) 1, Day (D) 1: predose of first administration (PoFA); 0.5, 1, 2, 4, 6, 8, and 12 hours postdose. C1D15: PoFA; 0.5, 1, 2, 4, 6, 8, and 12 hours postdose. C1D2, C1D16, C2D1, C3D1 and C4D1: PoFA

  10. Median time to reach maximum concentration (Tmax) of tazemetostat and its metabolite EPZ-6930 in blood

    Tmax is defined as the time from dosing to reach the maximum observed concentration a drug achieves in a specified compartment or test area of the body after the drug has been administered. Plasma concentration-time profiles of tazemetostat and EPZ-6930 will be plotted using non-compartmental analysis and will be analyzed to determine Tmax. Tmax will be summarized as the median (min, max) for all participants.

    Measured: Cycle (C) 1, Day (D) 1: predose of first administration (PoFA); 0.5, 1, 2, 4, 6, 8, and 12 hours postdose. C1D15: PoFA; 0.5, 1, 2, 4, 6, 8, and 12 hours postdose. C1D2, C1D16, C2D1, C3D1 and C4D1: PoFA

  11. Geomean area under the drug concentration-time curve (AUC) of tazemetostat and its metabolite EPZ-6930 after administration of tazemetostat

    AUC represents the total drug exposure over a defined period of time. AUC will be calculated using the linear trapezoidal rule. Plasma concentrations of tazemetostat and EPZ-6930 will be analyzed using a non-compartmental analysis approach to determine individual participant estimates of AUC. AUC will be summarized as the geomean and geomean CV% for all participants

    Measured: Cycle (C) 1, Day (D) 1: PoFA; 0.5, 1, 2, 4, 6, 8, and 12 hours postdose. C1D15: PoFA; 0.5, 1, 2, 4, 6, 8, and 12 hours postdose.

  12. Geomean minimum observed concentration at steady-state (Cmin) of tazemetostat and its metabolite EPZ-6930 in blood

    Cmin is defined as the minimum observed concentration at steady-state during one dosing interval. Cmin will be summarized as the geomean and geomean CV% for all participants.

    Measured: C1D15, C1D16, C2D1, C3D1 and C4D1: PoFA

  13. Geomean maximum concentration (Cmax) of HMPL-689 in blood

    Cmax is defined as the maximum observed concentration that a drug achieves in a test area of the body after the drug has been administered. Plasma concentration-time profiles of HMPL-689 will be plotted using non-compartmental analysis and will be analyzed to determine Cmax. Cmax will be summarized as the geomean and geomean CV% for all participants.

    Measured: Cycle (C) 1, Day (D) 1: predose of first administration (PoFA); 0.5, 1, 2, 4, 6, 8, 12 and 24 (C1D2, PoFA) hours postdose. C1D15: PoFA; 0.5, 1, 2, 4, 6, 8, 12 and 24 (C1D16, PoFA) hours postdose. C2D1, C3D1 and C4D1: PoFA

  14. Median time to reach maximum concentration (Tmax) of HMPL-689 in blood

    Tmax is defined as the time from dosing to reach the maximum observed concentration a drug achieves in a specified compartment or test area of the body after the drug has been administered. Plasma concentration-time profiles of HMPL-689 will be plotted using non-compartmental analysis and will be analyzed to determine Tmax. Tmax will be summarized as the median (min, max) for all participants

    Measured: Cycle (C) 1, Day (D) 1: predose of first administration (PoFA); 0.5, 1, 2, 4, 6, 8, 12 and 24 (C1D2, PoFA) hours postdose. C1D15: PoFA; 0.5, 1, 2, 4, 6, 8, 12 and 24 (C1D16, PoFA) hours postdose. C2D1, C3D1 and C4D1: PoFA

  15. Geomean area under the drug concentration-time curve (AUC) of HMPL-689 after administration of HMPL-689

    AUC represents the total drug exposure over a defined period of time. AUC will be calculated using the linear trapezoidal rule. Plasma concentrations of HMPL-689 will be analyzed using a non-compartmental analysis approach to determine individual participant estimates of AUC. AUC will be summarized as the geomean and geomean CV% for all participants.

    Measured: Cycle (C) 1, Day (D) 1: predose of first administration (PoFA); 0.5, 1, 2, 4, 6, 8, 12 and 24 (C1D2, PoFA) hours postdose. C1D15: PoFA; 0.5, 1, 2, 4, 6, 8, 12 and 24 (C1D16, PoFA) hours postdose

  16. Geomean minimum observed concentration at steady-state (Cmin) of HMPL-689 in blood

    Cmin is defined as the minimum observed concentration at steady-state during one dosing interval. Cmin will be summarized as the geomean and geomean CV% for all participants

    Measured: C1D15, C1D16, C2D1, C3D1 and C4D1: PoFA

  17. To investigate the preliminary efficacy and PK correlation

    The efficacy of participants as assessed by Lugano2014 from different dose groups, to assess the correlation of efficacy and PK of tazemetostat and HMPL-689

    Measured: through study completion, an average of 2 years

  18. To investigate the preliminary tolerability and PK relationship

    Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 from different dose groups, to assess the correlation of safety and PK of tazemetostat and HMPL-689

    Measured: through study completion, an average of 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2023
  2. Study start13 Feb 2023
  3. Primary completion31 Dec 2024
  4. Study completion31 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05713110
Sponsor's protocol ID
2021-TAZ-00CH2
Status last verified
Jan 2025
First submitted
13 Dec 2022
Last updated
22 Jan 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing tazemetostat and HMPL-689 in people with Relapsed/Refractory Lymphoma, run by Hutchmed at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose Escalation Phase (Phase IIa):To evaluate the safety, tolerability, and determine the maximum tolerated dose (MTD) and/or RP2D of Tazemetostat in combination with HMPL-689 in patients with R/R lymphoma (time frame: from Cycle 1 Day 1 up to Cycle 1 Day 28 (each cycle is 28 days)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jan 2025.

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