Olverembatinib After Failure of Tyrosine Kinase Inhibitors, Including Ponatinib or Asciminib: A Phase 1b Randomized Clinical Trial.
Elias Jabbour, Vivian G Oehler, Paul B Koller...
https://pubmed.ncbi.nlm.nih.gov/39570620/Actively Recruiting
Led by Ascentage Pharma Group Inc. · Updated on 2025-11-05
242
Participants Needed
9
Research Sites
13 weeks
Total Duration
Researchers are studying the drug HQP1351 in people with chronic myeloid leukemia CML in various stages and Philadelphia chromosome-positive acute lymphoblastic leukemia Ph ALL who have not responded well or cannot tolerate at least two other similar treatments called tyrosine kinase inhibitors TKIs. This phase Ib study aims to understand how HQP1351 behaves in the body and to find the best dose for future studies. It also includes patients with specific genetic mutations and forms of leukemia who have limited treatment options. Participants will be randomly assigned to one of three groups receiving different doses of HQP1351 taken by mouth every other day for 28 days in a cycle. Another group will receive HQP1351 combined with blinatumomab, an intravenous drug given in repeated 42-day cycles, to evaluate this combination in certain leukemia types. The study monitors dose-limiting toxicities in the first cycle to decide if a dose should continue. Blood samples will be collected to analyze drug levels and effects. During the trial, patients will undergo regular safety and efficacy assessments including blood tests and heart function checks. The main outcomes measured are the maximum concentration of HQP1351 in the blood and the overall exposure over 28 days. Patients must be able to follow the study procedures and will be monitored closely throughout treatment. The trial will continue until March 2030, offering ongoing evaluation of HQP1351s safety and pharmacokinetics in this patient population.
CONDITIONS
Study of HQP1351 in Subjects With Refractory CML and Ph+ ALL
B
Bill Garrett
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Ascentage Pharma Group Inc.
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Lower-Dose HQP1351 (Oral) | Intermediate-Dose HQP1351 (Oral) | Higher-Dose HQP1351 (Oral) | HQP1351 + Blinatumomab |
|---|---|---|---|---|
| What it is | Lower-dose experimental HQP1351 (Olverembatinib), a third-generation oral tyrosine kinase inhibitor targeting BCR-ABL1 mutations, including T315I. | Intermediate-dose experimental HQP1351 (Olverembatinib), given as an oral TKI for CML and Ph+ ALL not responding to prior TKIs. | Higher-dose experimental HQP1351 (Olverembatinib), an oral agent evaluated in advanced TKI-refractory CML or Ph+ ALL. | HQP1351 (Olverembatinib) combined with Blinatumomab, an antibody-based immunotherapy, in patients with advanced TKI-refractory Ph+ ALL or CML lymphoid blast phase. |
| Role in trial | Participants are randomly assigned to receive a lower dose of HQP1351 to assess tolerability and antileukemic activity. | Participants receive an intermediate oral dose of HQP1351 to evaluate dose-related efficacy and safety. | Participants receive the highest tested oral dose of HQP1351 to determine maximum tolerated dose and preliminary response. | Participants with advanced TKI-refractory Ph+ ALL or CML lymphoid blast phase are randomized to receive HQP1351 together with Blinatumomab for assessment of combination activity. |
| Primary use | To evaluate safety, tolerability, pharmacokinetics, and antileukemic activity of lower-dose HQP1351 in patients previously resistant or intolerant to 2 or more TKIs. | To assess safety, drug exposure, and response rates of an intermediate oral HQP1351 dose in highly TKI-refractory CML and Ph+ ALL. | To determine the maximum tolerated dose, pharmacokinetics, and preliminary antileukemic effects of high-dose HQP1351. | To explore safety and potential efficacy of the HQP1351 and Blinatumomab combination in advanced TKI-refractory Ph+ ALL or CML lymphoid blast phase, where standard therapies have failed. |
| How it is given or performed | HQP1351 is taken orally every other day at a lower trial-specific dose. | HQP1351 is taken orally every other day at an intermediate, fixed dose decided by trial assignment. | HQP1351 is taken orally every other day at the highest trial-tested dose. | HQP1351 is taken orally every other day, together with continuous intravenous Blinatumomab infusion. |
| Evidence status | Evidence is limited to ongoing clinical trials; peer-reviewed results for randomized dose cohorts in highly refractory patients are not yet published. | No published efficacy results for this specific randomized dose cohort in this trial population. Only early-phase, single-arm data are available in similar settings. | Clinical evidence is limited; no public randomized dose-response data are yet available for this higher-dose cohort. Earlier studies support activity of HQP1351 in T315I-mutant CML. | No published efficacy results for the HQP1351 plus Blinatumomab combination in TKI-refractory Ph+ ALL or CML lymphoid blast phase. The combination is at the investigational stage. |
| Important limitations | Long-term benefits and risks are not established; sample sizes are small, and experience outside specialized centers is limited. | No head-to-head comparison with standard TKI therapies is possible; limited baseline data in this highly refractory group. | Risks and benefits outside early referral centers are unknown; broad clinical applicability cannot be determined yet. | No prior clinical experience for the HQP1351/Blinatumomab combination; safety, efficacy, and dosing remain undetermined in this setting. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 28 days for HQP1351 monotherapy cohorts; repeated 42-day cycles for combination cohort
Participants receive HQP1351 orally every other day, with some participants also receiving blinatumomab as a continuous IV infusion depending on cohort assignment.
Repeated visits depending on cycle length and cohort assignment
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
4
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Elias Jabbour, Vivian G Oehler, Paul B Koller...
https://pubmed.ncbi.nlm.nih.gov/39570620/Qian Jiang, Zongru Li, Yazhen Qin...
https://pubmed.ncbi.nlm.nih.gov/35982483/Ascentage Pharma Group Inc.
Lead Sponsor