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Acute Myeloid LeukemiaPhase 1/2NCT06218771

A Study of TQB3454 Tablets in Patients With Blood Tumors

A Phase 1/2 study testing TQB3454 Tablets in people with Acute Myeloid Leukemia and Myelodysplastic Syndromes, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 17 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this clinical trial is to evaluate the safety of TQB3454 tablets in patients with acute myeloid leukemia and myelodysplastic syndrome, and determine the phase II recommended dose. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TQB3454 Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
17 sitesChina
Study dates
10 Jul 2023to Dec 2025
Phase
Phase 1/2
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

  • Patients voluntarily joined the study and signed informed consent with good compliance.
  • Men and women; The expected survival is ≥3 months.
  • Negative serum/urine pregnancy test within 7 days prior to initial dose and must be non-lactating; Women of childbearing age agree to use contraception (such as an intrauterine device, birth control pill or condom) during the study and for six months after the study completion; Men agreed to use contraception during the study period and for six months after the end of the study.
  • The major organs are functioning well;
  • For Relapsing/refractory acute myeloid leukemia (AML):
  • According to the classification criteria for Hematopoietic and lymphoid tissue tumors revised by the World Health Organization (WHO) in 2016, AML confirmed by bone marrow cell morphology, excluding acute promyelocytic leukemia (APL).
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  • ≥18 years old; Eastern Cooperative Oncology Group (ECOG) score is 0~2.
  • Blood biochemical examination:
  • i: Total bilirubin (TBIL) ≤1.5× upper limit of normal value (ULN), liver infiltration ≤3×ULN in Gilbert syndrome patients or tumor diseases; ii: Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5×ULN; ALT and AST≤5×ULN if liver infiltration was associated.
  • For myelodysplastic syndrome (MDS) with higher risk:
  • MDS patients were confirmed by bone marrow cell morphology and cytogenetics and met the classification criteria of hematopoietic and lymphoid tissue tumors revised by WHO in 2016.
  • ≥18 years old; ECOG score is 0~2. c. Blood biochemical examination:
  • i: Total bilirubin (TBIL) ≤1.5× upper limit of normal value (ULN), liver infiltration ≤3×ULN in Gilbert syndrome patients or tumor diseases.
  • ii: Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5×ULN; ALT and AST≤5×ULN if concomitant with liver infiltration.

Who cannot join

  • Tumor diseases and history:
  • The tumor has or is suspected to involve the central nervous system, or primary Central nervous system leukemia.
  • Present or present with other malignant tumors within 3 years prior to the first dose. Except the following conditions: for other malignancies treated with a single operation, achieving a 5-year continuous disease-free survival (DFS); Cured cervical carcinoma in situ, non-melanoma skin cancer, and superficial bladder tumors [Ta (non-invasive tumor), Tis (carcinoma in situ), and T1 (tumor infiltrating basal membrane)].
  • Severe life-threatening complications of leukemia, such as uncontrolled bleeding, hypoxia or shock pneumonia, and disseminated intravascular coagulation.
  • Previous antitumor therapy:
  • Received National Medical Products Administration (NMPA) approved Chinese patent drugs with anticancer indications specified in the drug label within 2 weeks prior to initial administration.
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  • Toxicities associated with previous antineoplastic therapy did not return to CTCAE≤1, except for hair loss, fatigue and poor appetite.
  • 3. Associated diseases and history:
  • <!-- -->
  • Abnormal liver.
  • Renal abnormalities.
  • Gastrointestinal abnormalities.
  • Cardio-cerebrovascular abnormalities.
  • Immune-related history.
  • Lung disease.
  • Comorbidities that were severe or poorly controlled and, in the investigator's judgment, significantly compromised patient safety or hindered study completion.
  • Risk of bleeding.
  • History of drug abuse or drug abuse.
  • Participated in clinical trials of other drugs within the past 30 days;
  • It is estimated that the patient's compliance to participate in this clinical study is insufficient.

Trial locations and contacts

17 sites in 1 country.

Yu Hu, Doctor contact

027-85726685

dr.huyu@126.com

17 sites in 1 country

China17 sites, 17 recruiting
  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui, 233000

    Junfeng Zhu, Master, 15215526662, zhujunfeng517@163.com

    Recruiting
  • Affiliated Hospital of Binzhou Medical College

    Binzhou, Shandong, 264008

    Wenzheng Yu, Doctor, 13082727089, bzywz2009@163.com

    Recruiting
  • Cangzhou people's Hospital

    Cangzhou, Hebei, 061000

    Hongmei Ma, Bachelor, 18031798229, mhm-sspc@163.com

    Recruiting
  • The Affiliated Hospital of Chengde Medical College

    Chengde, Hebei, 067000

    Zhihua Zhang, Doctor, 15633142905, zzhangzhihua@163.com

    Recruiting
  • West China Hospital, Sichuan University

    Chengdu, Sichuan, 610041

    Yong Guo, Doctor, 13551321632, 1597949593@qq.com

    Recruiting
  • Shanghai Tongren Hospital

    Shanghai, Shanghai Municipality, 200000

    Ligen Liu, Master, 18017337037, Liuligen@medmail.com.cn

    Recruiting
  • Huashan Hospital affiliated to Fudan University

    Shanghai, Shanghai Municipality, 200040

    Xiaoqing Wang, Doctor, 13621851543, wangxiaoqin@shmu.edu.cn

    Recruiting
  • Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai Municipality, 200092

    Siguo Hao, Doctor, 15301655537, hosghj88@hotmail.com

    Recruiting
  • Shanghai Sixth People's Hospital

    Shanghai, Shanghai Municipality, 200233

    Chunkang Chang, Master, 13764643870, changchunkang7010@aliyun.com

    Recruiting
  • Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine

    Shanghai, Shanghai Municipality, 200437

    Wenwei Zhu, Doctor, 18930565525, wwz3006@163.com

    Recruiting
  • The First Affiliated Hospital of Soochow University

    Suzhou, Jiangsu, 215000

    Suning Chen, Doctor, 13814881746, chensuning@sina.com

    Recruiting
  • Hospital of Hematology, Chinese Academy of Medical Sciences

    Tianjin, Tianjin Municipality, 300020

    Tiejun Qin, Master, 13332095356, qintiejun@ihcams.ac.cn

    Recruiting
  • Union Hospital Tongji Medical College of Huazhong University of Science and Technology

    Wuhan, Hubei, 430022

    Yu Hu, Doctor, 027-85726685, dr.huyu@126.com

    Recruiting
  • Wuxi People's Hospital

    Wuxi, Jiangsu, 214023

    Xin Zhou, Bachelor, 0510-85350202, zx89232@126.com

    Recruiting
  • Yantai Mountain Hospital

    Yantai, Shandong, 264008

    Dongmei Zhou, Bachelor, 0535-6863845, zhoudongmei68@163.com

    Recruiting
  • Yantai Yuhuangding Hospital

    Yantai, Shandong, 264008

    Xiaoxia Chu, Master, 18660515179, lucychu66@163.com

    Recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan, 450000

    Xundong Wei, Doctor, 13837169301, weixudong63@126.com

    Recruiting

Other trials in China

About this study

Official title: A Phase Ib Clinical Trial of TQB3454 Tablets in Patients With Blood Tumors

The purpose of this clinical trial is to evaluate the safety of TQB3454 tablets in patients with acute myeloid leukemia and myelodysplastic syndrome, and determine the phase II recommended dose.

Being tested
TQB3454 Tablets
Medical subject headings
Leukemia, Myeloid, Acute, Myelodysplastic Syndromes

What participants receive

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

  • TQB3454 TabletsDrug

    TQB3454 Tablets is a selective isocitrate dehydrogenase 1 (IDH1) mutation inhibitor

Study groups in NCT06218771
Study groupRoleWhat they receive
TQB3454 TabletsExperimentalTQB3454 Tablets, orally administered, 28 days as a treatment cycle.
Receives: Drug: TQB3454 Tablets

What is being measured

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

  1. The rate of all adverse events (AEs), serious adverse events (SAEs)

    Proportion of patients with adverse events/serious adverse events, as defined by Common Terminology Criteria for Adverse Events (CTCAE5.0)

    Measured: Up to 80 weeks

  2. The severity of all adverse events (AEs), serious adverse events (SAEs)

    The severity of adverse events/serious adverse events, as defined by Common Terminology Criteria for Adverse Events (CTCAE5.0)

    Measured: Up to 80 weeks

  3. Incidence of abnormal laboratory values

    The proportion of patients with abnormal laboratory examination indicators mainly included blood routine, blood routine, blood biochemistry, coagulation function, thyroid function, myocardial enzyme profile, urine routine, stool routine and 12-lead electrocardiogram.

    Measured: Up to 80 weeks

Secondary outcomes (20)
  1. Peak time (Tmax)

    The time required to reach peak concentration after administration.

    Measured: Cohort 1: pre-dose on Day 1, 14, 28 of Cycle 1, Day 14, 28 of Cycle 2. 2, 3, 4, 10, 24 hours after dose on Cycle1 Day28. Cohort 2: pre-dose, 2, 3, 4, 10, 24 hours after dose on Day 1, 28 of Cycle 1. Pre-dose on Day 14, 28 of Cycle2. 28 days as a cycle.

  2. Peak concentration (Cmax)

    the maximum plasma concentration of the drug after administration.

    Measured: Cohort 1: pre-dose on Day 1, 14, 28 of Cycle 1, Day 14, 28 of Cycle 2. 2, 3, 4, 10, 24 hours after dose on Cycle1 Day28. Cohort 2: pre-dose, 2, 3, 4, 10, 24 hours after dose on Day 1, 28 of Cycle 1. Pre-dose on Day 14, 28 of Cycle2. 28 days as a cycle.

  3. Area under blood concentration-time curve (AUC 0-24h)

    The area surrounded by the blood concentration curve to the time axis.

    Measured: Cohort 1: pre-dose on Day 1, 14, 28 of Cycle 1, Day 14, 28 of Cycle 2. 2, 3, 4, 10, 24 hours after dose on Cycle1 Day28. Cohort 2: pre-dose, 2, 3, 4, 10, 24 hours after dose on Day 1, 28 of Cycle 1. Pre-dose on Day 14, 28 of Cycle2. 28 days as a cycle.

  4. Steady-state apparent volume of distribution (Vz/F)

    The volume of distribution at steady-state concentration.

    Measured: Cohort 1: pre-dose on Day 1, 14, 28 of Cycle 1, Day 14, 28 of Cycle 2. 2, 3, 4, 10, 24 hours after dose on Cycle1 Day28. Cohort 2: pre-dose, 2, 3, 4, 10, 24 hours after dose on Day 1, 28 of Cycle 1. Pre-dose on Day 14, 28 of Cycle2. 28 days as a cycle.

  5. Steady-state blood trough concentration (Cmin,ss)

    the lowest concentration during dosing and is usually obtained from the initial moment after dosing to the lowest concentration before the next dosing when multiple dosing reaches steady-state.

    Measured: Cohort 1: pre-dose on Day 1, 14, 28 of Cycle 1, Day 14, 28 of Cycle 2. 2, 3, 4, 10, 24 hours after dose on Cycle1 Day28. Cohort 2: pre-dose, 2, 3, 4, 10, 24 hours after dose on Day 1, 28 of Cycle 1. Pre-dose on Day 14, 28 of Cycle2. 28 days as a cycle.

  6. Complete response (CR) rate

    The proportion of patients with an optimal response of CR.

    Measured: Up to 80 weeks

  7. Complete response (CR) + Complete response with partial hematological recovery (CRh)

    Proportion of patients with optimal response of CR and CRh

    Measured: Up to 80 weeks

  8. Transfusion-independent improvement

    Proportion of transfusion-dependent patients at baseline who were removed from red blood cell (RBC) or platelet transfusion dependence after randomization.

    Measured: Up to 80 weeks

  9. CR+CRh duration

    In all patients with an optimal response of CR or CRh, the time from the date when CR or CRh was first achieved to the date of first clearly documented disease progression / relapse / treatment failure or death, whichever occurs first.

    Measured: Up to 80 weeks

  10. CR duration

    For all patients with an optimal response of CR, the time from the date when CR was first achieved to the first clearly documented date of disease progression/relapse/treatment failure or death, whichever occurs first.

    Measured: Up to 80 weeks

  11. Duration of response (DOR)

    The time from the date of first remission to the date of first clearly documented disease progression/relapse/treatment failure or date of death in all patients with optimal response of CR, CR with incomplete blood count recovery(CRi), CR with incomplete platelet recovery (CRp), Morphologic Leukemia-free state (MLFS), or Partial Remission (PR), whichever occurs first.

    Measured: Up to 80 weeks

  12. Time to CR+CRh

    Time from the date of first TQB3454 dose to the date of first CR or CRh in all patients with optimal response to CR or CRh.

    Measured: Up to 80 weeks

  13. Event-free survival (EFS)

    The time from the date of the first dose TQB3454 tablet to the first clearly documented date of relapse after disease remission, disease progression/treatment failure, or death, whichever occurs first.

    Measured: Up to 80 weeks

  14. Overall survival (OS)

    Time from the date of first dose of TQB3454 tablet to the date of death from any cause.

    Measured: Up to 80 weeks

  15. Functional Assessment of Chronic Illness (FACIT) fatigue Scale

    Proportion of patients with a confirmed improvement of at least 3 points from baseline in FACit-Fatigue scale scores.

    Measured: Up to 80 weeks

  16. Quality of life score

    Proportion of patients with a confirmed improvement of at least 10 points from baseline in their overall health as assessed by European organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30).

    Measured: Up to 80 weeks

  17. Overall response rate (ORR)

    Proportion of patients with an optimal response of CR, marrow CR (mCR), PR, or Hematology improvement (HI).

    Measured: Up to 80 weeks

  18. Progression-free survival (PFS)

    from the date of first dose of TQB3454 tablet to the time of first recorded disease progression assessed by the investigator or relapse after CR or death from any cause. Disease progression includes acute leukaemia transformation.

    Measured: Up to 80 weeks

  19. Leukemia-free survival

    from the date of first dose of TQB3454 tablet to the time of >20% original cells in bone marrow/peripheral blood, or diagnosis of acute extramedullary leukemia, or death from any cause.

    Measured: Up to 80 weeks

  20. Correlation between 2-hydroxyglutaric acid (2-HG) and efficacy

    Liquid chromatography-mass spectrometry (LC-MS/MS) was used to determine 2-HG in plasma and to analyze its correlation with efficacy.

    Measured: Pre-dose (baseline). Pre-dose on Cycle 1 Day 14, Cycle 1 Day 28, Cycle 2 Day 28, Cycle 3 Day 28, Cycle 4 Day 28, Cycle 5 Day 28, Cycle 6 Day 28, 28 days as a cycle

Timeline

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

  1. First posted23 Jan 2024
  2. Study start10 Jul 2023
  3. Primary completionJun 2025 (estimated)
  4. Study completionDec 2025 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06218771
Sponsor's protocol ID
TQB3454-Ib-01
Status last verified
Jan 2024
First submitted
12 Jan 2024
Last updated
23 Jan 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing TQB3454 Tablets in people with Acute Myeloid Leukemia and Myelodysplastic Syndromes, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 17 sites 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 14 inclusion and 20 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: status not confirmed, as of the sponsor's last update on 23 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Results are not available in the source record.

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

Contact Yu Hu, Doctor (027-85726685, dr.huyu@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The rate of all adverse events (AEs), serious adverse events (SAEs) (time frame: Up to 80 weeks). The study lists 3 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 23 Jan 2024.

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