Lymphoma
Conditions
Keywords
CLL, SLL, FL, MZL, LPL, WM, MCL, PTCL, CBCL
Brief summary
An open-label, dose escalation and expansion clinical trial to evaluate the safety, tolerability and PK of HMPL-689 in patients with relapsed or refractory lymphomas
Detailed description
This is a Phase 1, open-label, multicenter study of HMPL-689 administered orally to patients with relapsed or refractory lymphoma. HMPL-689 is a selective and potent small molecule inhibitor targeting the isoform phosphoinositide 3'-kinase delta (PI3Kδ), a key component in the B-cell receptor signaling pathway This study will consist of a dose escalation stage (Stage 1) and a dose expansion stage (Stage 2). Dose Escalation Stage (Stage 1): This stage will end when any of the following criteria is met: * The dose level 1 demonstrates an excessive toxicity, ie, 3 dose limiting toxicities (DLTs) are observed out of the first 3 patients at dose level 1. * The maximum sample size is reached. * The MTD and/or RP2D is confirmed. Dose Expansion Stage (Stage 2): To further characterize the safety and explore the preliminary anti-tumor activity of HMPL-689 at RP2D, patients with B cell lymphoma will be enrolled in the dose expansion stage.
Interventions
HMPL-689 is a PI3Kδ inhibitor
Sponsors
Study design
Eligibility
Inclusion criteria
1. (ECOG) performance status of 0 or 1; 2. Histologically confirmed lymphoma (tumor types are restricted to CLL/SLL, FL (grade 1-3a), MCL, MZL, LPL/WM, PTCL or CBCL); 3. Patients with relapsed or refractory NHL for whom: * Standard of care treatment options no longer exist (Stage 1 only); * Standard of care treatment options no longer exist with the exception of PI3K-delta inhibitors (Stage 2 only); 4. Expected survival of more than 24 weeks.
Exclusion criteria
Patients who meet any of the following criteria will be excluded from study entry: 1. Primary central nervous system (CNS) lymphoma; 2. Any of the following laboratory abnormalities Absolute neutrophil count; \<1.0×10\^9/L, Hemoglobin \<80 g/L Platelets \<50 ×10\^9/L 3. Inadequate organ function, defined by the following: * Total bilirubin ≥1.5 times the upper limit of normal (× ULN); * AST or ALT \> 2.5 × ULN; * Estimated creatinine clearance (CrCl) per Cockcroft-Gault; * Dose Escalation stage of trial (Stage 1) - CrCl \< 40 mL/min; * Dose Expansion stage of trial (Stage 2) - CrCl \<30 mL/min; 4. International normalized ratio (INR) \> 1.5 × ULN, activated partial thromboplastin time (aPTT) \> 1.5 × ULN; 5. Serum amylase or lipase \> ULN at screening or known medical history of serum amylase or lipase \> ULN; 6. Patients with presence of second primary malignant tumors within the last 2 years; 7. Clinically significant history of liver disease; 8. Prior treatment with any PI3Kδ inhibitors; 9. Any prior use of the following: cancer therapy within 3 weeks of study treatment, GCSF within 7 days of screening, steroid therapy or targeted anti-neoplastic intent within 7 days of treatment, any use of strong CYP3A4 inducers within 2 weeks prior to initiation of study treatment, prior autologous transplant within 6 months of study treatment, prior allogenic stem cell transplant within 6 months of study treatment; 10. Clinically significant active infection or interstitial lung diseases (including drug induced pneumonitis); 11. Major surgical procedure within 4 weeks prior to initiation of study treatment; 12. Adverse events from prior anti-neoplastic therapy that have not resolved to Grade less than or equal to 1, except for alopecia; 13. New York Heart Association (NYHA) Class II or greater congestive heart failure; 14. Congenital long QT syndrome or QTc \>470 msec; 15. Currently use medication known to cause QT prolongation or torsades de pointes; 16. History of myocardial infarction or unstable angina within 6 months prior to initiation of study treatment; 17. History of stroke or transient ischemic attack within 6 months prior to initiation of study treatment; 18. Inability to take oral medication, prior surgical procedures affecting absorption, or active peptic ulcer disease; 19. History of inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis); 20. Patients with ongoing chronic gastrointestinal diseases; 21. Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding that, in the investigator's opinion, gives reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or renders the patient at high risk from treatment complications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs) | From the first dose of study drug (Day 1) up to Day 28 of Cycle 1 (each cycle is 28 days) | A DLT was defined as the occurrence of any of the following treatment-emergent adverse events (TEAEs) during the DLT assessment window, unless equivocally due to underlying malignancy or an extraneous cause. AEs were graded using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0: non-hematologic toxicity: all non-hematologic TEAEs of grade 3 or greater with the exception of grade 3 nausea or vomiting that could be controlled by supportive therapy; hematologic toxicity: grade 4 neutropenia \>5 days, grade 4 thrombocytopenia or grade 3 thrombocytopenia with bleeding event or requiring platelet transfusion, grade \>=3 febrile neutropenia (defined as absolute neutrophil count \[ANC\] \<1000/cubic millimeter {mm\^3} with a single temperature \>38.3 degree Celsius \[°C\] or a sustained temperature of \>=38°C for more than 1 hour), grade 4 anemia not explained by underlying disease; any TEAE that required a dose delay of \>=15 days; any case of Hy's Law. |
| Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | From the first dose of study drug (Day 1) up to 30 days after the last dose of study drug, approximately 34 months | An AE was any untoward medical occurrence in a clinical investigation patient administered a study drug, regardless of causal attribution. An SAE was an AE that resulted in any of the following: was fatal, was life threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect in a neonate/infant born to a female patient or female partner of a male patient exposed to the study drug, or was considered a significant medical event by the investigator. TEAEs were defined as AEs with onset date on or after the first dose of study drug and no later than 30 days after the date of last study drug administration or start of a new study drug of anti-neoplasm therapy, whichever was earlier. Treatment related AEs and SAEs were defined as AEs and SAEs collected later than 30 days after the last study drug date or start of a new study drug of anti-neoplasm therapy. |
| Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | From the first dose of study drug (Day 1) up to 30 days after the last dose of study drug, approximately 27 months | An AE was any untoward medical occurrence in a clinical investigation patient administered a study drug, regardless of causal attribution. TEAEs were defined as AEs with onset date on or after the first dose of study drug and no later than 30 days after the date of last study drug administration or start of a new study drug of anti-neoplasm therapy, whichever was earlier. Treatment related AEs were defined as AEs collected later than 30 days after the last study drug date or start of a new study drug of anti-neoplasm therapy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7 days) thereafter, up to a maximum of 58 months | CBR was defined as percentage of patients who had best overall response (BOR) with stable disease (SD) or better. BOR was defined as the best response recorded from the start of treatment until PD or new anti-cancer therapy, whichever came earlier. PD: \>=25% increase in serum IgM level from lowest nadir and/or progression in clinical features attributable to the disease. SD: detectable monoclonal IgM, \<25% reduction and \<25% increase in serum IgM level, no progression in extramedullary disease, no new signs/symptoms of active disease. |
| Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7 days) thereafter, up to a maximum of 58 months | PFS was defined as the time from the date of first study drug to the earliest date of PD or death of any cause, whichever occurred first. PD was defined as \>=25% increase in serum IgM level from lowest nadir and/or progression in clinical features attributable to the disease. |
| Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose on Days 1, 2, 15, 16, 28 of Cycle 1 and on Day 1 of Cycle 2; 0.5, 1, 2, 4 and 8 hours post-dose on Days 1, 15 and 28 of Cycle 1 (each cycle is 28 days) | Blood samples were collected to determine plasma concentration of HMPL-689. The pharmacokinetic (PK) parameters were determined by non-compartmental analysis. |
| Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7days) thereafter, up to a maximum of 58 months | ORR: percentage of patients with complete response (CR),CR with incomplete marrow recovery (CRi),nodular partial response (nPR),PR with lymphocytosis (PR-L) or PR for CLL patients; CR, very good PR (VGPR),PR or minor response (MR) for WM patients;CR or PR for patients with disease other than CLL and WM.CR: absence of serum (S) monoclonal immunoglobulin (Ig)M, normal S IgM, complete resolution of extramedullary disease,morphologically normal bone marrow aspirate and trephine biopsy. CRi:criteria fulfilled for CR but persistent cytopenia,anemia,thrombocytopenia or neutropenia. nPR:patients with residual CLL cells.PR-L:patients achieved PR with CLL-related signs/symptoms other than lymphocytosis and continued on therapy.PR, VGPR, MR: detectable monoclonal IgM,no new signs/symptoms of active disease and PR: ≥50% but \<90% reduction in S IgM,reduction in extramedullary disease,VGPR: \>=90% reduction in S IgM,complete resolution of extramedullary disease,MR: \>=25% but \<50% reduction in S IgM. |
| Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose on Day 1 of Cycles 1, 2, 3, 5, 7, 9, 11, 13 and on Day 15 of Cycle 1; 0 hour on Day 1 of Cycle 1; 1, 2, 3, 4 hours post-dose on Days 1 and 15 of Cycle 1 (each cycle is 28 days) | Blood samples were collected to determine plasma concentration of HMPL-689. The PK parameters were determined by non-compartmental analysis. |
| Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1 of Cycles 1, 2, 3, 5, 7, 9, 11, 13 and on Day 15 of Cycle 1 (each cycle is 28 days) | Blood samples were collected to determine Ctrough of HMPL-689. The PK parameters were determined by non-compartmental analysis. |
| Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 and 4 hours on Baseline (Day 1) of Cycle 1; 0, 2 and 4 hours on Day 15 of Cycle 1 (dose escalation phase); 1, 2, 3 and 4 hours on Baseline (Day 1) of Cycle 1; 0, 1, 2, 3, and 4 hours on Day 15 of Cycle 1 (dose expansion phase) (each cycle is 28 days) | 12-lead electrocardiogram was performed to evaluate the effect of HMPL-689 on cardiac repolarization by detecting the changes in QTcF intervals. Baseline was defined as the last assessment performed prior to or on first non-zero dose date with time point marked as pre-dose. |
| Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Days 1, 2, 15, 16, 28 of Cycle 1 and Day 1 of Cycle 2 (each cycle is 28 days) | Blood samples were collected to determine Ctrough of HMPL-689. The PK parameters were determined by non-compartmental analysis. |
| Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7days) thereafter, up to a maximum of 58 months | TTR was defined as the time from the first dose of study drug to the first occurrence of CR, CRi, PR, nPR, VGPR, PR-L, or MR. CR: absence of serum monoclonal IgM, normal serum IgM, complete resolution of extramedullary disease, morphologically normal bone marrow aspirate and trephine biopsy. CRi: criteria fulfilled for CR but persistent cytopenia, anemia, thrombocytopenia or neutropenia. PR: detectable monoclonal IgM, no new signs/symptoms of active disease, 50% but \<90% reduction in serum IgM, reduction in extramedullary disease. nPR: patients with residual CLL cells. VGPR: detectable monoclonal IgM, no new signs/symptoms of active disease,\>=90% reduction in serum IgM, complete resolution of extramedullary disease. PR-L: patients achieved PR with CLL-related signs/symptoms other than lymphocytosis and continued on therapy. MR: detectable monoclonal IgM, no new signs/symptoms of active disease, \>=25% but \<50% reduction in serum IgM. |
| Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7days) thereafter, up to a maximum of 58 months | DOR: time from when first response (CR, CRi, PR, nPR, VGPR, PR-L and MR) was achieved until earlier of first documentation of definitive PD or death from any cause, whichever was earlier. CR: absence of S monoclonal IgM, normal S IgM, complete resolution of extramedullary disease, morphologically normal bone marrow aspirate and trephine biopsy. CRi: criteria fulfilled for CR but persistent cytopenia, anemia, thrombocytopenia or neutropenia. nPR: patients with residual CLL cells. PR-L: patients achieved PR with CLL-related signs/symptoms other than lymphocytosis and continued on therapy. PR, VGPR, MR: detectable monoclonal IgM, no new signs/symptoms of active disease and PR: ≥50% but \<90% reduction in S IgM, reduction in extramedullary disease, VGPR: \>=90% reduction in S IgM, complete resolution of extramedullary disease, MR: \>=25% but \<50% reduction in S IgM. PD: \>=25% increase in S IgM level from lowest nadir and/or progression in clinical features attributable to the disease. |
Countries
Finland, France, Italy, Poland, Spain, United States
Participant flow
Recruitment details
This Phase 1, 2-part, open-label study was conducted in patients with relapsed, refractory, or resistant lymphoma.
Pre-assignment details
The study consisted of a dose escalation stage (stage 1) and a dose expansion stage (stage 2). A total of 23 patients in dose escalation stage and 30 patients in dose expansion stage were enrolled in this study. The study was terminated based on strategic evaluation of the clinical development of HMPL-689 in the United States, Europe, and Australia with no safety concerns.
Participants by arm
| Arm | Count |
|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD Patients received HMPL-689 5 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 3 |
| Dose Escalation Stage: HMPL-689 10 mg QD Patients received HMPL-689 10 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 3 |
| Dose Escalation Stage: HMPL-689 15 mg QD Patients received HMPL-689 15 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 5 |
| Dose Escalation Stage: HMPL-689 20 mg QD Patients received HMPL-689 20 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 3 |
| Dose Escalation Stage: HMPL-689 25 mg QD Patients received HMPL-689 25 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 6 |
| Dose Escalation Stage: HMPL-689 30 mg QD Patients received HMPL-689 30 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 3 |
| Dose Expansion Stage: CLL/SLL Patients with CLL/SLL received HMPL-689 at RP2D, that is, 30 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 3 |
| Dose Expansion Stage: FL Patients with FL received HMPL-689 at RP2D, that is, 30 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 13 |
| Dose Expansion Stage: MZL Patient with MZL received HMPL-689 at RP2D, that is, 30 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 6 |
| Dose Expansion Stage: LPL/WM Patients with LPL/WM received HMPL-689 at RP2D, that is, 30 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 3 |
| Dose Expansion Stage: MCL Patients with MCL received HMPL-689 at RP2D, that is, 30 mg QD orally for continuous 28-day treatment cycles until PD, death, intolerable toxicity, investigator's assessment of no benefit from the study treatment, withdrawal from the study, or the end of study, whichever occurred first. | 5 |
| Total | 53 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 | FG010 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 |
| Overall Study | Anti-neoplasm treatment | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 |
| Overall Study | Death | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 |
| Overall Study | Other | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 2 | 0 | 0 |
| Overall Study | Physician Decision | 0 | 1 | 0 | 1 | 2 | 0 | 0 | 2 | 1 | 1 | 0 |
| Overall Study | Progressive disease | 3 | 0 | 3 | 1 | 2 | 2 | 1 | 6 | 1 | 1 | 1 |
| Overall Study | Study terminated by Sponsor | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 4 | 0 | 0 | 0 |
| Overall Study | Withdrawal by Subject | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 |
Baseline characteristics
| Characteristic | Dose Expansion Stage: MCL | Total | Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: HMPL-689 30 mg QD | Dose Expansion Stage: CLL/SLL | Dose Expansion Stage: FL | Dose Expansion Stage: MZL | Dose Expansion Stage: LPL/WM |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 75.8 years STANDARD_DEVIATION 8.23 | 66.2 years STANDARD_DEVIATION 10.63 | 69.7 years STANDARD_DEVIATION 6.51 | 70.7 years STANDARD_DEVIATION 13.05 | 64.8 years STANDARD_DEVIATION 17.18 | 67.7 years STANDARD_DEVIATION 3.51 | 63.8 years STANDARD_DEVIATION 7.68 | 59.0 years STANDARD_DEVIATION 17.69 | 65.7 years STANDARD_DEVIATION 5.03 | 61.7 years STANDARD_DEVIATION 10.16 | 72.3 years STANDARD_DEVIATION 9.56 | 63.7 years STANDARD_DEVIATION 4.16 |
| Race/Ethnicity, Customized Hispanic or Latino | 2 Participants | 9 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 3 Participants | 1 Participants | 0 Participants |
| Race/Ethnicity, Customized Not Hispanic or Latino | 3 Participants | 43 Participants | 3 Participants | 1 Participants | 5 Participants | 3 Participants | 5 Participants | 3 Participants | 3 Participants | 10 Participants | 4 Participants | 3 Participants |
| Race/Ethnicity, Customized Not Reported | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized White | 5 Participants | 52 Participants | 3 Participants | 3 Participants | 5 Participants | 3 Participants | 5 Participants | 3 Participants | 3 Participants | 13 Participants | 6 Participants | 3 Participants |
| Sex: Female, Male Female | 1 Participants | 21 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 3 Participants | 1 Participants | 2 Participants | 9 Participants | 1 Participants | 1 Participants |
| Sex: Female, Male Male | 4 Participants | 32 Participants | 2 Participants | 1 Participants | 5 Participants | 3 Participants | 3 Participants | 2 Participants | 1 Participants | 4 Participants | 5 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 3 | 1 / 3 | 1 / 5 | 0 / 3 | 0 / 6 | 0 / 3 | 0 / 3 | 0 / 13 | 0 / 6 | 1 / 3 | 2 / 5 |
| other Total, other adverse events | 3 / 3 | 3 / 3 | 5 / 5 | 3 / 3 | 6 / 6 | 3 / 3 | 3 / 3 | 13 / 13 | 5 / 6 | 3 / 3 | 5 / 5 |
| serious Total, serious adverse events | 0 / 3 | 2 / 3 | 2 / 5 | 3 / 3 | 2 / 6 | 1 / 3 | 1 / 3 | 5 / 13 | 2 / 6 | 0 / 3 | 3 / 5 |
Outcome results
Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs)
A DLT was defined as the occurrence of any of the following treatment-emergent adverse events (TEAEs) during the DLT assessment window, unless equivocally due to underlying malignancy or an extraneous cause. AEs were graded using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0: non-hematologic toxicity: all non-hematologic TEAEs of grade 3 or greater with the exception of grade 3 nausea or vomiting that could be controlled by supportive therapy; hematologic toxicity: grade 4 neutropenia \>5 days, grade 4 thrombocytopenia or grade 3 thrombocytopenia with bleeding event or requiring platelet transfusion, grade \>=3 febrile neutropenia (defined as absolute neutrophil count \[ANC\] \<1000/cubic millimeter {mm\^3} with a single temperature \>38.3 degree Celsius \[°C\] or a sustained temperature of \>=38°C for more than 1 hour), grade 4 anemia not explained by underlying disease; any TEAE that required a dose delay of \>=15 days; any case of Hy's Law.
Time frame: From the first dose of study drug (Day 1) up to Day 28 of Cycle 1 (each cycle is 28 days)
Population: The DLT evaluable analysis set (DEAS) was defined as all patients enrolled in the dose escalation stage of the study who were evaluable for DLT assessment. A patient was DLT evaluable if: had received at least 75% of the assigned dose of study drug during the DLT assessment window or had not completed the DLT assessment period due to a DLT.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs) | 0 Participants |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs) | 0 Participants |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs) | 1 Participants |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs) | 0 Participants |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs) | 1 Participants |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Number of Patients With Dose-Limiting Toxicities (DLTs) | 0 Participants |
Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs)
An AE was any untoward medical occurrence in a clinical investigation patient administered a study drug, regardless of causal attribution. An SAE was an AE that resulted in any of the following: was fatal, was life threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect in a neonate/infant born to a female patient or female partner of a male patient exposed to the study drug, or was considered a significant medical event by the investigator. TEAEs were defined as AEs with onset date on or after the first dose of study drug and no later than 30 days after the date of last study drug administration or start of a new study drug of anti-neoplasm therapy, whichever was earlier. Treatment related AEs and SAEs were defined as AEs and SAEs collected later than 30 days after the last study drug date or start of a new study drug of anti-neoplasm therapy.
Time frame: From the first dose of study drug (Day 1) up to 30 days after the last dose of study drug, approximately 34 months
Population: The FAS included all patients who received at least 1 dose of HMPL-689.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRAE | 1 Participants |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRSAE | 0 Participants |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TESAE | 0 Participants |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TEAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRSAE | 0 Participants |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TESAE | 2 Participants |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TEAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRSAE | 1 Participants |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRAE | 4 Participants |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TESAE | 2 Participants |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TEAE | 5 Participants |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TESAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TEAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRSAE | 2 Participants |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRAE | 6 Participants |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRSAE | 2 Participants |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TESAE | 2 Participants |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TEAE | 6 Participants |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRSAE | 0 Participants |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TEAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TRAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Number of Patients With Treatment-Emergent Adverse Events (TEAEs), Treatment Related Treatment-Emergent Adverse Events (TRAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Related Serious Adverse Events (TRSAEs) | Any TESAE | 1 Participants |
Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events
An AE was any untoward medical occurrence in a clinical investigation patient administered a study drug, regardless of causal attribution. TEAEs were defined as AEs with onset date on or after the first dose of study drug and no later than 30 days after the date of last study drug administration or start of a new study drug of anti-neoplasm therapy, whichever was earlier. Treatment related AEs were defined as AEs collected later than 30 days after the last study drug date or start of a new study drug of anti-neoplasm therapy.
Time frame: From the first dose of study drug (Day 1) up to 30 days after the last dose of study drug, approximately 27 months
Population: The FAS included all patients who received at least 1 dose of HMPL-689.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TRAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TEAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TRAE | 12 Participants |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TEAE | 13 Participants |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TEAE | 5 Participants |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TRAE | 5 Participants |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TEAE | 3 Participants |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TRAE | 2 Participants |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TRAE | 4 Participants |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Number of Patients With Treatment-Emergent Adverse Events and Treatment Related Treatment-Emergent Adverse Events | Any TEAE | 5 Participants |
Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF)
12-lead electrocardiogram was performed to evaluate the effect of HMPL-689 on cardiac repolarization by detecting the changes in QTcF intervals. Baseline was defined as the last assessment performed prior to or on first non-zero dose date with time point marked as pre-dose.
Time frame: 2 and 4 hours on Baseline (Day 1) of Cycle 1; 0, 2 and 4 hours on Day 15 of Cycle 1 (dose escalation phase); 1, 2, 3 and 4 hours on Baseline (Day 1) of Cycle 1; 0, 1, 2, 3, and 4 hours on Day 15 of Cycle 1 (dose expansion phase) (each cycle is 28 days)
Population: The FAS included all patients who received at least 1 dose of HMPL-689. As pre-specified in the protocol, the results are presented by dose level and combined data for dose expansion stage is presented for all patients evaluable for this endpoint who received HMPL-689 at RP2D (30 mg QD) in dose expansion stage. Only patients with data collected at specified timepoints are reported.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 15 Cycle 1 | -13.1 millisecond (msec) | Standard Deviation 12.1 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 1 Cycle 1 | -6.89 millisecond (msec) | Standard Deviation 5.68 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 15 Cycle 1 | -10.6 millisecond (msec) | Standard Deviation 7.7 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 1 Cycle 1 | -8.33 millisecond (msec) | Standard Deviation 7 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 0 hour: Day 15 Cycle 1 | -11.3 millisecond (msec) | Standard Deviation 21.7 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 0 hour: Day 15 Cycle 1 | -0.333 millisecond (msec) | Standard Deviation 8.49 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 1 Cycle 1 | 17.3 millisecond (msec) | Standard Deviation 0.471 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 15 Cycle 1 | 6.67 millisecond (msec) | Standard Deviation 12.7 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 15 Cycle 1 | 1.50 millisecond (msec) | Standard Deviation 3.06 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 1 Cycle 1 | 9.67 millisecond (msec) | Standard Deviation 5.66 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 0 hour: Day 15 Cycle 1 | -2.17 millisecond (msec) | Standard Deviation 8.72 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 1 Cycle 1 | -10.4 millisecond (msec) | Standard Deviation 7.51 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 1 Cycle 1 | 2.27 millisecond (msec) | Standard Deviation 13.6 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 15 Cycle 1 | -0.583 millisecond (msec) | Standard Deviation 5.65 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 15 Cycle 1 | -2.17 millisecond (msec) | Standard Deviation 7.33 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 0 hour: Day 15 Cycle 1 | -9.83 millisecond (msec) | Standard Deviation 2.59 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 1 Cycle 1 | 6.11 millisecond (msec) | Standard Deviation 5.82 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 15 Cycle 1 | -9.11 millisecond (msec) | Standard Deviation 10.9 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 15 Cycle 1 | -7.22 millisecond (msec) | Standard Deviation 7.83 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 1 Cycle 1 | -11.5 millisecond (msec) | Standard Deviation 9.19 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 1 Cycle 1 | -9.33 millisecond (msec) | Standard Deviation 17.9 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 0 hour: Day 15 Cycle 1 | -4.33 millisecond (msec) | Standard Deviation 13.6 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 1 Cycle 1 | -13.3 millisecond (msec) | Standard Deviation 13.5 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 15 Cycle 1 | -4.27 millisecond (msec) | Standard Deviation 18.8 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 15 Cycle 1 | -10.0 millisecond (msec) | Standard Deviation 16.4 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 15 Cycle 1 | -11.0 millisecond (msec) | Standard Deviation 11.7 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 1 Cycle 1 | -18.5 millisecond (msec) | Standard Deviation 2.59 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 0 hour: Day 15 Cycle 1 | -3.50 millisecond (msec) | Standard Deviation 4.01 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 1 Cycle 1 | -10.7 millisecond (msec) | Standard Deviation 8.82 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 15 Cycle 1 | -14.8 millisecond (msec) | Standard Deviation 10.6 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 1 hour: Day 1 Cycle 1 | -5.14 millisecond (msec) | Standard Deviation 10.6 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 15 Cycle 1 | -0.964 millisecond (msec) | Standard Deviation 11.2 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 0 hour: Day 15 Cycle 1 | 0.231 millisecond (msec) | Standard Deviation 11.9 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 3 hours: Day 1 Cycle 1 | -2.21 millisecond (msec) | Standard Deviation 9.98 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 1 hour: Day 15 Cycle 1 | 2.11 millisecond (msec) | Standard Deviation 11.2 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 4 hours: Day 1 Cycle 1 | -2.46 millisecond (msec) | Standard Deviation 10.2 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 1 Cycle 1 | -1.43 millisecond (msec) | Standard Deviation 9.8 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 2 hours: Day 15 Cycle 1 | -0.524 millisecond (msec) | Standard Deviation 9.83 |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Change From Baseline in Corrected QT Interval (QTc) Using Fridericia Formula (QTcF) | 3 hours: Day 15 Cycle 1 | 0.614 millisecond (msec) | Standard Deviation 8.47 |
Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR)
CBR was defined as percentage of patients who had best overall response (BOR) with stable disease (SD) or better. BOR was defined as the best response recorded from the start of treatment until PD or new anti-cancer therapy, whichever came earlier. PD: \>=25% increase in serum IgM level from lowest nadir and/or progression in clinical features attributable to the disease. SD: detectable monoclonal IgM, \<25% reduction and \<25% increase in serum IgM level, no progression in extramedullary disease, no new signs/symptoms of active disease.
Time frame: Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7 days) thereafter, up to a maximum of 58 months
Population: The EAS included all patients who received at least 1 dose of HMPL-689 and had a baseline tumor assessment and at least 1 evaluable post-baseline assessment unless death occurred before the first post-baseline assessment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 100.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 100.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 80.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 100.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 80.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 66.7 percentage of patients |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 100.0 percentage of patients |
| Dose Expansion Stage: FL | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 84.6 percentage of patients |
| Dose Expansion Stage: MZL | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 83.3 percentage of patients |
| Dose Expansion Stage: LPL/WM | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 100.0 percentage of patients |
| Dose Expansion Stage: MCL | Dose Escalation and Dose Expansion Stages: Clinical Benefit Rate (CBR) | 100.0 percentage of patients |
Dose Escalation and Dose Expansion Stages: Duration of Response (DOR)
DOR: time from when first response (CR, CRi, PR, nPR, VGPR, PR-L and MR) was achieved until earlier of first documentation of definitive PD or death from any cause, whichever was earlier. CR: absence of S monoclonal IgM, normal S IgM, complete resolution of extramedullary disease, morphologically normal bone marrow aspirate and trephine biopsy. CRi: criteria fulfilled for CR but persistent cytopenia, anemia, thrombocytopenia or neutropenia. nPR: patients with residual CLL cells. PR-L: patients achieved PR with CLL-related signs/symptoms other than lymphocytosis and continued on therapy. PR, VGPR, MR: detectable monoclonal IgM, no new signs/symptoms of active disease and PR: ≥50% but \<90% reduction in S IgM, reduction in extramedullary disease, VGPR: \>=90% reduction in S IgM, complete resolution of extramedullary disease, MR: \>=25% but \<50% reduction in S IgM. PD: \>=25% increase in S IgM level from lowest nadir and/or progression in clinical features attributable to the disease.
Time frame: Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7days) thereafter, up to a maximum of 58 months
Population: The EAS included all patients who received at least 1 dose of HMPL-689 and had a baseline tumor assessment and at least 1 evaluable post-baseline assessment unless death occurred before the first post-baseline assessment. Only patients with CR, CRi, PR, nPR, VGPR, PR-L, or MR were included in the analysis.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | 1.9 months |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | 31.9 months |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | 13.7 months |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | NA months |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | NA months |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | NA months |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | NA months |
| Dose Expansion Stage: FL | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | NA months |
| Dose Expansion Stage: MZL | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | NA months |
| Dose Expansion Stage: LPL/WM | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | NA months |
| Dose Expansion Stage: MCL | Dose Escalation and Dose Expansion Stages: Duration of Response (DOR) | 9.1 months |
Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR)
ORR: percentage of patients with complete response (CR),CR with incomplete marrow recovery (CRi),nodular partial response (nPR),PR with lymphocytosis (PR-L) or PR for CLL patients; CR, very good PR (VGPR),PR or minor response (MR) for WM patients;CR or PR for patients with disease other than CLL and WM.CR: absence of serum (S) monoclonal immunoglobulin (Ig)M, normal S IgM, complete resolution of extramedullary disease,morphologically normal bone marrow aspirate and trephine biopsy. CRi:criteria fulfilled for CR but persistent cytopenia,anemia,thrombocytopenia or neutropenia. nPR:patients with residual CLL cells.PR-L:patients achieved PR with CLL-related signs/symptoms other than lymphocytosis and continued on therapy.PR, VGPR, MR: detectable monoclonal IgM,no new signs/symptoms of active disease and PR: ≥50% but \<90% reduction in S IgM,reduction in extramedullary disease,VGPR: \>=90% reduction in S IgM,complete resolution of extramedullary disease,MR: \>=25% but \<50% reduction in S IgM.
Time frame: Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7days) thereafter, up to a maximum of 58 months
Population: The efficacy analysis set (EAS) included all patients who received at least 1 dose of HMPL-689 and had a baseline tumor assessment and at least 1 evaluable post-baseline assessment unless death occurred before the first post-baseline assessment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 33.3 percentage of patients |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 66.7 percentage of patients |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 80.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 100.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 60.0 percentage of patients |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 66.7 percentage of patients |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 66.7 percentage of patients |
| Dose Expansion Stage: FL | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 84.6 percentage of patients |
| Dose Expansion Stage: MZL | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 50.0 percentage of patients |
| Dose Expansion Stage: LPL/WM | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 100.0 percentage of patients |
| Dose Expansion Stage: MCL | Dose Escalation and Dose Expansion Stages: Objective Response Rate (ORR) | 100.0 percentage of patients |
Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS)
PFS was defined as the time from the date of first study drug to the earliest date of PD or death of any cause, whichever occurred first. PD was defined as \>=25% increase in serum IgM level from lowest nadir and/or progression in clinical features attributable to the disease.
Time frame: Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7 days) thereafter, up to a maximum of 58 months
Population: The FAS included all patients who received at least 1 dose of HMPL-689.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 5.3 months |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 33.6 months |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 16.6 months |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | NA months |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 13.6 months |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 3.7 months |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | NA months |
| Dose Expansion Stage: FL | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 11.9 months |
| Dose Expansion Stage: MZL | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 5.6 months |
| Dose Expansion Stage: LPL/WM | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | NA months |
| Dose Expansion Stage: MCL | Dose Escalation and Dose Expansion Stages: Progression-Free Survival (PFS) | 10.8 months |
Dose Escalation and Dose Expansion Stages: Time to Response (TTR)
TTR was defined as the time from the first dose of study drug to the first occurrence of CR, CRi, PR, nPR, VGPR, PR-L, or MR. CR: absence of serum monoclonal IgM, normal serum IgM, complete resolution of extramedullary disease, morphologically normal bone marrow aspirate and trephine biopsy. CRi: criteria fulfilled for CR but persistent cytopenia, anemia, thrombocytopenia or neutropenia. PR: detectable monoclonal IgM, no new signs/symptoms of active disease, 50% but \<90% reduction in serum IgM, reduction in extramedullary disease. nPR: patients with residual CLL cells. VGPR: detectable monoclonal IgM, no new signs/symptoms of active disease,\>=90% reduction in serum IgM, complete resolution of extramedullary disease. PR-L: patients achieved PR with CLL-related signs/symptoms other than lymphocytosis and continued on therapy. MR: detectable monoclonal IgM, no new signs/symptoms of active disease, \>=25% but \<50% reduction in serum IgM.
Time frame: Tumor assessments performed every 8 weeks (+/-7 days) for the first 24 weeks and every 12 weeks (+/-7days) thereafter, up to a maximum of 58 months
Population: The EAS included all patients who received at least 1 dose of HMPL-689 and had a baseline tumor assessment and at least 1 evaluable post-baseline assessment unless death occurred before the first post-baseline assessment. Only patients with CR, CRi, PR, nPR, VGPR, PR-L, or MR were included in the analysis.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 1.87 months |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 1.72 months |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 8.80 months |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 1.77 months |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 2.27 months |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 1.84 months |
| Dose Expansion Stage: CLL/SLL | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 2.81 months |
| Dose Expansion Stage: FL | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 1.74 months |
| Dose Expansion Stage: MZL | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 2.53 months |
| Dose Expansion Stage: LPL/WM | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 3.73 months |
| Dose Expansion Stage: MCL | Dose Escalation and Dose Expansion Stages: Time to Response (TTR) | 1.76 months |
Dose Escalation Stage: Plasma Concentration of HMPL-689
Blood samples were collected to determine plasma concentration of HMPL-689. The pharmacokinetic (PK) parameters were determined by non-compartmental analysis.
Time frame: Pre-dose on Days 1, 2, 15, 16, 28 of Cycle 1 and on Day 1 of Cycle 2; 0.5, 1, 2, 4 and 8 hours post-dose on Days 1, 15 and 28 of Cycle 1 (each cycle is 28 days)
Population: The pharmacokinetic analysis set (PKAS) included all patients who received at least 1 dose of HMPL-689 and had at least 1 PK sample obtained and analyzed. Only patients with data collected at specified timepoints are reported.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 8.593 nanograms per milliliter (ng/mL) | Standard Deviation 4.588 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 22.200 nanograms per milliliter (ng/mL) | Standard Deviation 4.629 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 15 Cycle 1 | 15.933 nanograms per milliliter (ng/mL) | Standard Deviation 2.307 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 28 Cycle 1 | 16.700 nanograms per milliliter (ng/mL) | Standard Deviation 3.341 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 2 Cycle 1 | 4.490 nanograms per milliliter (ng/mL) | Standard Deviation 1.36 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 nanograms per milliliter (ng/mL) | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 1 Cycle 1 | 15.100 nanograms per milliliter (ng/mL) | Standard Deviation 4.19 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 19.267 nanograms per milliliter (ng/mL) | Standard Deviation 4.186 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 20.323 nanograms per milliliter (ng/mL) | Standard Deviation 11.02 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 1 Cycle 1 | 1.153 nanograms per milliliter (ng/mL) | Standard Deviation 1.22 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 28 Cycle 1 | 25.767 nanograms per milliliter (ng/mL) | Standard Deviation 2.05 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 28 Cycle 1 | 21.803 nanograms per milliliter (ng/mL) | Standard Deviation 15.134 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 28 Cycle 1 | 24.473 nanograms per milliliter (ng/mL) | Standard Deviation 29.361 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 16 Cycle 1 | 5.567 nanograms per milliliter (ng/mL) | Standard Deviation 0.958 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 28 Cycle 1 | 5.837 nanograms per milliliter (ng/mL) | Standard Deviation 1.257 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 31.123 nanograms per milliliter (ng/mL) | Standard Deviation 24.388 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 14.457 nanograms per milliliter (ng/mL) | Standard Deviation 14.965 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 28 Cycle 1 | 17.383 nanograms per milliliter (ng/mL) | Standard Deviation 22.271 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 19.300 nanograms per milliliter (ng/mL) | Standard Deviation 26.414 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 15 Cycle 1 | 5.443 nanograms per milliliter (ng/mL) | Standard Deviation 2.145 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 4.580 nanograms per milliliter (ng/mL) | Standard Deviation 0.521 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 79.867 nanograms per milliliter (ng/mL) | Standard Deviation 23.5 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 28 Cycle 1 | 10.885 nanograms per milliliter (ng/mL) | Standard Deviation 1.86 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 28 Cycle 1 | 61.550 nanograms per milliliter (ng/mL) | Standard Deviation 14.779 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 28 Cycle 1 | 101.100 nanograms per milliliter (ng/mL) | Standard Deviation 56.427 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 17.500 nanograms per milliliter (ng/mL) | Standard Deviation 7.292 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 28 Cycle 1 | 110.300 nanograms per milliliter (ng/mL) | Standard Deviation 46.245 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 71.346 nanograms per milliliter (ng/mL) | Standard Deviation 63.493 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 50.887 nanograms per milliliter (ng/mL) | Standard Deviation 41.833 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 44.467 nanograms per milliliter (ng/mL) | Standard Deviation 22.299 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 nanograms per milliliter (ng/mL) | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 1 Cycle 1 | 35.867 nanograms per milliliter (ng/mL) | Standard Deviation 9.063 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 28 Cycle 1 | 32.700 nanograms per milliliter (ng/mL) | Standard Deviation 4.667 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 2 Cycle 1 | 11.527 nanograms per milliliter (ng/mL) | Standard Deviation 6.411 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 35.613 nanograms per milliliter (ng/mL) | Standard Deviation 39.872 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 15 Cycle 1 | 118.433 nanograms per milliliter (ng/mL) | Standard Deviation 82.709 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 115.400 nanograms per milliliter (ng/mL) | Standard Deviation 69.73 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 28 Cycle 1 | 55.750 nanograms per milliliter (ng/mL) | Standard Deviation 22.698 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 56.200 nanograms per milliliter (ng/mL) | Standard Deviation 22.311 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 1 Cycle 1 | 65.133 nanograms per milliliter (ng/mL) | Standard Deviation 72.976 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 15 Cycle 1 | 37.533 nanograms per milliliter (ng/mL) | Standard Deviation 16.861 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 16 Cycle 1 | 61.367 nanograms per milliliter (ng/mL) | Standard Deviation 87.227 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 2 Cycle 1 | 12.442 nanograms per milliliter (ng/mL) | Standard Deviation 5.112 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 98.260 nanograms per milliliter (ng/mL) | Standard Deviation 16.955 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 15 Cycle 1 | 73.233 nanograms per milliliter (ng/mL) | Standard Deviation 14.758 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 12.450 nanograms per milliliter (ng/mL) | Standard Deviation 9.931 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 15 Cycle 1 | 44.295 nanograms per milliliter (ng/mL) | Standard Deviation 40.717 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 17.880 nanograms per milliliter (ng/mL) | Standard Deviation 7.265 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 28 Cycle 1 | 111.950 nanograms per milliliter (ng/mL) | Standard Deviation 33.596 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 66.740 nanograms per milliliter (ng/mL) | Standard Deviation 41.46 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 1 Cycle 1 | 19.322 nanograms per milliliter (ng/mL) | Standard Deviation 18.574 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 66.900 nanograms per milliliter (ng/mL) | Standard Deviation 50.101 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 28 Cycle 1 | 56.150 nanograms per milliliter (ng/mL) | Standard Deviation 51.474 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 86.425 nanograms per milliliter (ng/mL) | Standard Deviation 42.718 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 28 Cycle 1 | 39.950 nanograms per milliliter (ng/mL) | Standard Deviation 37.487 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 28 Cycle 1 | 19.575 nanograms per milliliter (ng/mL) | Standard Deviation 9.215 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 91.625 nanograms per milliliter (ng/mL) | Standard Deviation 31.814 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 95.260 nanograms per milliliter (ng/mL) | Standard Deviation 33.323 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 28 Cycle 1 | 108.175 nanograms per milliliter (ng/mL) | Standard Deviation 39.401 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 28 Cycle 1 | 62.750 nanograms per milliliter (ng/mL) | Standard Deviation 21.418 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 16 Cycle 1 | 17.825 nanograms per milliliter (ng/mL) | Standard Deviation 4.234 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 1 Cycle 1 | 48.440 nanograms per milliliter (ng/mL) | Standard Deviation 18.373 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 nanograms per milliliter (ng/mL) | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 67.367 nanograms per milliliter (ng/mL) | Standard Deviation 30.596 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 2 Cycle 1 | 8.887 nanograms per milliliter (ng/mL) | Standard Deviation 4.148 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 nanograms per milliliter (ng/mL) | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 1 Cycle 1 | 36.700 nanograms per milliliter (ng/mL) | Standard Deviation 13.981 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 16 Cycle 1 | 15.100 nanograms per milliliter (ng/mL) | Standard Deviation 1.556 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 102.900 nanograms per milliliter (ng/mL) | Standard Deviation 22.999 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 28 Cycle 1 | 67.000 nanograms per milliliter (ng/mL) | Standard Deviation 66.731 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 11.100 nanograms per milliliter (ng/mL) | Standard Deviation 10.026 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 19.200 nanograms per milliliter (ng/mL) | Standard Deviation 2.121 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 28 Cycle 1 | 115.000 nanograms per milliliter (ng/mL) | Standard Deviation 22.068 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 125.100 nanograms per milliliter (ng/mL) | Standard Deviation 78.083 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 15 Cycle 1 | 58.450 nanograms per milliliter (ng/mL) | Standard Deviation 9.122 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 28 Cycle 1 | 126.500 nanograms per milliliter (ng/mL) | Standard Deviation 78.665 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 15 Cycle 1 | 59.667 nanograms per milliliter (ng/mL) | Standard Deviation 52.905 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 1 Cycle 1 | 87.733 nanograms per milliliter (ng/mL) | Standard Deviation 68.441 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 28 Cycle 1 | 66.867 nanograms per milliliter (ng/mL) | Standard Deviation 14.23 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 28 Cycle 1 | 25.133 nanograms per milliliter (ng/mL) | Standard Deviation 7.251 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 97.667 nanograms per milliliter (ng/mL) | Standard Deviation 14.468 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 108.067 nanograms per milliliter (ng/mL) | Standard Deviation 27.749 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 100.667 nanograms per milliliter (ng/mL) | Standard Deviation 63.801 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 28 Cycle 1 | 113.333 nanograms per milliliter (ng/mL) | Standard Deviation 85.096 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 94.420 nanograms per milliliter (ng/mL) | Standard Deviation 72.734 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 nanograms per milliliter (ng/mL) | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 1 Cycle 1 | 47.424 nanograms per milliliter (ng/mL) | Standard Deviation 78.327 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 110.780 nanograms per milliliter (ng/mL) | Standard Deviation 70.347 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 141.600 nanograms per milliliter (ng/mL) | Standard Deviation 82.032 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 103.700 nanograms per milliliter (ng/mL) | Standard Deviation 33.787 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 1 Cycle 1 | 68.120 nanograms per milliliter (ng/mL) | Standard Deviation 27.164 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 2 Cycle 1 | 20.017 nanograms per milliliter (ng/mL) | Standard Deviation 8.614 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 29.250 nanograms per milliliter (ng/mL) | Standard Deviation 14.562 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 15 Cycle 1 | 45.180 nanograms per milliliter (ng/mL) | Standard Deviation 29.456 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 122.220 nanograms per milliliter (ng/mL) | Standard Deviation 86.832 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 153.400 nanograms per milliliter (ng/mL) | Standard Deviation 30.345 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 15 Cycle 1 | 87.620 nanograms per milliliter (ng/mL) | Standard Deviation 26.685 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 16 Cycle 1 | 31.320 nanograms per milliliter (ng/mL) | Standard Deviation 13.989 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 28 Cycle 1 | 32.380 nanograms per milliliter (ng/mL) | Standard Deviation 17.181 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 28 Cycle 1 | 42.940 nanograms per milliliter (ng/mL) | Standard Deviation 18.447 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 28 Cycle 1 | 101.740 nanograms per milliliter (ng/mL) | Standard Deviation 64.018 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 28 Cycle 1 | 149.460 nanograms per milliliter (ng/mL) | Standard Deviation 74.134 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 28 Cycle 1 | 145.720 nanograms per milliliter (ng/mL) | Standard Deviation 57.106 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 28 Cycle 1 | 97.560 nanograms per milliliter (ng/mL) | Standard Deviation 29.737 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 30.400 nanograms per milliliter (ng/mL) | Standard Deviation 13.557 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 15 Cycle 1 | 77.367 nanograms per milliliter (ng/mL) | Standard Deviation 25.143 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 nanograms per milliliter (ng/mL) | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 28 Cycle 1 | 219.250 nanograms per milliliter (ng/mL) | Standard Deviation 186.323 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 158.833 nanograms per milliliter (ng/mL) | Standard Deviation 63.135 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 187.333 nanograms per milliliter (ng/mL) | Standard Deviation 88.636 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 15 Cycle 1 | 21.733 nanograms per milliliter (ng/mL) | Standard Deviation 9.166 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 22.900 nanograms per milliliter (ng/mL) | Standard Deviation 11.077 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 116.667 nanograms per milliliter (ng/mL) | Standard Deviation 16.773 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 28 Cycle 1 | 133.333 nanograms per milliliter (ng/mL) | Standard Deviation 17.559 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 2 Cycle 1 | 13.433 nanograms per milliliter (ng/mL) | Standard Deviation 1.501 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 1 Cycle 1 | 72.600 nanograms per milliliter (ng/mL) | Standard Deviation 19.128 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 111.533 nanograms per milliliter (ng/mL) | Standard Deviation 49.843 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 167.033 nanograms per milliliter (ng/mL) | Standard Deviation 75.883 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 16.833 nanograms per milliliter (ng/mL) | Standard Deviation 5.341 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 8 hours post-dose: Day 28 Cycle 1 | 81.533 nanograms per milliliter (ng/mL) | Standard Deviation 12.052 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 184.000 nanograms per milliliter (ng/mL) | Standard Deviation 176.952 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 1 Cycle 1 | 36.907 nanograms per milliliter (ng/mL) | Standard Deviation 32.999 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 28 Cycle 1 | 140.533 nanograms per milliliter (ng/mL) | Standard Deviation 137.107 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | 0.5 hour post-dose: Day 28 Cycle 1 | 24.367 nanograms per milliliter (ng/mL) | Standard Deviation 16.404 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 28 Cycle 1 | 21.200 nanograms per milliliter (ng/mL) | Standard Deviation 10.121 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 16 Cycle 1 | 20.267 nanograms per milliliter (ng/mL) | Standard Deviation 9.393 |
Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689
Blood samples were collected to determine Ctrough of HMPL-689. The PK parameters were determined by non-compartmental analysis.
Time frame: Days 1, 2, 15, 16, 28 of Cycle 1 and Day 1 of Cycle 2 (each cycle is 28 days)
Population: The PKAS included all patients who received at least 1 dose of HMPL-689 and had at least 1 PK sample obtained and analyzed. Only patients with data collected at specified timepoints are reported.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 15: Cycle 1 | 4.580 ng/mL | Standard Deviation 0.521 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 2: Cycle 1 | 4.490 ng/mL | Standard Deviation 1.36 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 28: Cycle 1 | 5.837 ng/mL | Standard Deviation 1.257 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 16: Cycle 1 | 5.567 ng/mL | Standard Deviation 0.958 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 1: Cycle 2 | 6.140 ng/mL | Standard Deviation 2.447 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 2: Cycle 1 | 8.290 ng/mL | Standard Deviation 4.398 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 1: Cycle 2 | 17.500 ng/mL | Standard Deviation 7.292 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 15: Cycle 1 | 35.613 ng/mL | Standard Deviation 39.872 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 16: Cycle 1 | 11.050 ng/mL | Standard Deviation 5.162 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 28: Cycle 1 | 10.885 ng/mL | Standard Deviation 1.86 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 15: Cycle 1 | 16.600 ng/mL | Standard Deviation 6.678 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 16: Cycle 1 | 17.825 ng/mL | Standard Deviation 4.234 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 2: Cycle 1 | 12.442 ng/mL | Standard Deviation 5.112 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 1: Cycle 2 | 17.880 ng/mL | Standard Deviation 7.265 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 28: Cycle 1 | 19.575 ng/mL | Standard Deviation 9.215 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 15: Cycle 1 | 16.650 ng/mL | Standard Deviation 4.031 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 28: Cycle 1 | 25.133 ng/mL | Standard Deviation 7.251 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 2: Cycle 1 | 8.887 ng/mL | Standard Deviation 4.148 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 1: Cycle 2 | 19.200 ng/mL | Standard Deviation 2.121 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 28: Cycle 1 | 32.380 ng/mL | Standard Deviation 17.181 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 15: Cycle 1 | 31.160 ng/mL | Standard Deviation 15.418 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 16: Cycle 1 | 31.320 ng/mL | Standard Deviation 13.989 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 2: Cycle 1 | 20.017 ng/mL | Standard Deviation 8.614 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 1: Cycle 2 | 30.400 ng/mL | Standard Deviation 13.557 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 1: Cycle 2 | 16.833 ng/mL | Standard Deviation 5.341 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 2: Cycle 1 | 13.433 ng/mL | Standard Deviation 1.501 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 15: Cycle 1 | 22.900 ng/mL | Standard Deviation 11.077 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 16: Cycle 1 | 20.267 ng/mL | Standard Deviation 9.393 |
| Dose Escalation Stage: HMPL-689 30 mg QD | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 28: Cycle 1 | 21.200 ng/mL | Standard Deviation 10.121 |
| Unknown | Dose Escalation Stage: Plasma Trough Concentration (Ctrough) of HMPL-689 | Day 1: Cycle 1 | — ng/mL | — |
Dose Expansion Stage: Plasma Concentration of HMPL-689
Blood samples were collected to determine plasma concentration of HMPL-689. The PK parameters were determined by non-compartmental analysis.
Time frame: Pre-dose on Day 1 of Cycles 1, 2, 3, 5, 7, 9, 11, 13 and on Day 15 of Cycle 1; 0 hour on Day 1 of Cycle 1; 1, 2, 3, 4 hours post-dose on Days 1 and 15 of Cycle 1 (each cycle is 28 days)
Population: The PKAS included all patients who received at least 1 dose of HMPL-689 and had at least 1 PK sample obtained and analyzed. Only patients with data collected at specified timepoints are reported.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 9 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 11 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 104.233 ng/mL | Standard Deviation 117.306 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 233.667 ng/mL | Standard Deviation 2.082 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 111.833 ng/mL | Standard Deviation 22.661 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 3 | 32.633 ng/mL | Standard Deviation 15.667 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 15 Cycle 1 | 179.000 ng/mL | Standard Deviation 30.447 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 1 Cycle 1 | 101.967 ng/mL | Standard Deviation 70.324 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 142.967 ng/mL | Standard Deviation 119.865 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 22.933 ng/mL | Standard Deviation 8.804 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 5 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 7 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 140.667 ng/mL | Standard Deviation 48.003 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 54.743 ng/mL | Standard Deviation 85.161 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 ng/mL | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 146.358 ng/mL | Standard Deviation 92.001 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 61.493 ng/mL | Standard Deviation 69.318 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 5 | 82.100 ng/mL | Standard Deviation 55.917 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 0 hour post-dose: Day 1 Cycle 1 | 48.400 ng/mL | Standard Deviation 61.06 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 11 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 108.857 ng/mL | Standard Deviation 74.766 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 150.523 ng/mL | Standard Deviation 51.261 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 13 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 1 Cycle 1 | 130.742 ng/mL | Standard Deviation 54.78 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 9 | 49.400 ng/mL | Standard Deviation 46.088 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 117.708 ng/mL | Standard Deviation 62.408 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 148.333 ng/mL | Standard Deviation 44.252 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 37.056 ng/mL | Standard Deviation 22.923 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 3 | 39.367 ng/mL | Standard Deviation 36.625 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 193.417 ng/mL | Standard Deviation 92.573 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 15 Cycle 1 | 166.550 ng/mL | Standard Deviation 65.746 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 1.685 ng/mL | Standard Deviation 6.074 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 7 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 13 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 31.363 ng/mL | Standard Deviation 25.923 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 123.483 ng/mL | Standard Deviation 48.346 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 3 | 41.815 ng/mL | Standard Deviation 34.757 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 ng/mL | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 125.917 ng/mL | Standard Deviation 52.229 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 30.666 ng/mL | Standard Deviation 23.182 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 7 | 23.983 ng/mL | Standard Deviation 35.772 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 1 Cycle 1 | 131.600 ng/mL | Standard Deviation 33.368 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 9 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 5 | 40.412 ng/mL | Standard Deviation 40.658 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 171.000 ng/mL | Standard Deviation 71.632 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 15 Cycle 1 | 140.867 ng/mL | Standard Deviation 56.317 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 108.833 ng/mL | Standard Deviation 30.521 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 167.433 ng/mL | Standard Deviation 71.148 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 145.600 ng/mL | Standard Deviation 131.539 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 11 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 ng/mL | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 86.950 ng/mL | Standard Deviation 93.589 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 136.333 ng/mL | Standard Deviation 114.031 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 1 Cycle 1 | 98.267 ng/mL | Standard Deviation 70.926 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 72.933 ng/mL | Standard Deviation 37.302 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 16.667 ng/mL | Standard Deviation 16.22 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 95.467 ng/mL | Standard Deviation 66.718 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 128.000 ng/mL | Standard Deviation 88.705 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 15 Cycle 1 | 95.333 ng/mL | Standard Deviation 38.783 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 85.167 ng/mL | Standard Deviation 35.335 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 15.237 ng/mL | Standard Deviation 5.614 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 3 | 12.890 ng/mL | Standard Deviation 8.707 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 5 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 7 | 19.733 ng/mL | Standard Deviation 11.057 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 9 | 18.533 ng/mL | Standard Deviation 10.883 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 11 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 13 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 15 Cycle 1 | 165.000 ng/mL | Standard Deviation 75.024 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 15 Cycle 1 | 180.800 ng/mL | Standard Deviation 87.697 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 15 Cycle 1 | 115.880 ng/mL | Standard Deviation 147.709 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 7 | 75.967 ng/mL | Standard Deviation 54.444 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 1 Cycle 1 | 119.720 ng/mL | Standard Deviation 36.898 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 3 hours post-dose: Day 1 Cycle 1 | 116.667 ng/mL | Standard Deviation 11.93 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 1 Cycle 1 | 132.460 ng/mL | Standard Deviation 27.338 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 2 hours post-dose: Day 15 Cycle 1 | 190.400 ng/mL | Standard Deviation 53.003 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 9 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 1 hour post-dose: Day 1 Cycle 1 | 75.750 ng/mL | Standard Deviation 33.441 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 0 hour post-dose: Day 1 Cycle 1 | NA ng/mL | — |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 3 | 43.800 ng/mL | Standard Deviation 13.444 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 2 | 37.060 ng/mL | Standard Deviation 25.195 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 1 | 0.000 ng/mL | Standard Deviation 0 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | Pre-dose: Day 1 Cycle 5 | 25.167 ng/mL | Standard Deviation 25.877 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Concentration of HMPL-689 | 4 hours post-dose: Day 15 Cycle 1 | 153.520 ng/mL | Standard Deviation 46.202 |
Dose Expansion Stage: Plasma Trough Concentration of HMPL-689
Blood samples were collected to determine Ctrough of HMPL-689. The PK parameters were determined by non-compartmental analysis.
Time frame: Day 1 of Cycles 1, 2, 3, 5, 7, 9, 11, 13 and on Day 15 of Cycle 1 (each cycle is 28 days)
Population: The PKAS included all patients who received at least 1 dose of HMPL-689 and had at least 1 PK sample obtained and analyzed. Only patients with data collected at specified timepoints are reported.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 11 | 28.100 ng/mL | — |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 2 | 24.550 ng/mL | Standard Deviation 2.758 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 7 | 34.050 ng/mL | Standard Deviation 6.293 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 9 | 37.400 ng/mL | — |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 15: Cycle 1 | 22.933 ng/mL | Standard Deviation 8.804 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 3 | 23.750 ng/mL | Standard Deviation 4.172 |
| Dose Escalation Stage: HMPL-689 5 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 5 | 36.450 ng/mL | Standard Deviation 15.627 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 3 | 46.214 ng/mL | Standard Deviation 38.254 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 13 | 29.600 ng/mL | — |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 15: Cycle 1 | 37.056 ng/mL | Standard Deviation 22.923 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 2 | 41.013 ng/mL | Standard Deviation 36.989 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 11 | 24.100 ng/mL | — |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 5 | 63.625 ng/mL | Standard Deviation 43.513 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 7 | 27.950 ng/mL | Standard Deviation 9.829 |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 1 | 21.900 ng/mL | — |
| Dose Escalation Stage: HMPL-689 10 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 9 | 59.050 ng/mL | Standard Deviation 60.74 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 3 | 33.587 ng/mL | Standard Deviation 37.495 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 7 | 32.550 ng/mL | Standard Deviation 46.033 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 11 | 65.200 ng/mL | — |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 5 | 49.225 ng/mL | Standard Deviation 41.065 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 2 | 30.666 ng/mL | Standard Deviation 23.182 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 9 | 61.600 ng/mL | — |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 15: Cycle 1 | 31.363 ng/mL | Standard Deviation 25.923 |
| Dose Escalation Stage: HMPL-689 15 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 13 | 18.800 ng/mL | — |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 13 | 17.300 ng/mL | — |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 3 | 14.390 ng/mL | Standard Deviation 11.752 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 11 | 35.050 ng/mL | Standard Deviation 30.193 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 5 | 18.150 ng/mL | Standard Deviation 11.102 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 9 | 18.533 ng/mL | Standard Deviation 10.883 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 15: Cycle 1 | 16.667 ng/mL | Standard Deviation 16.22 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 7 | 22.850 ng/mL | Standard Deviation 13.647 |
| Dose Escalation Stage: HMPL-689 20 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 2 | 15.237 ng/mL | Standard Deviation 5.614 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 3 | 43.800 ng/mL | Standard Deviation 13.444 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 15: Cycle 1 | 132.125 ng/mL | Standard Deviation 165.321 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 2 | 46.325 ng/mL | Standard Deviation 16.555 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 5 | 25.167 ng/mL | Standard Deviation 25.877 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 7 | 75.967 ng/mL | Standard Deviation 54.444 |
| Dose Escalation Stage: HMPL-689 25 mg QD | Dose Expansion Stage: Plasma Trough Concentration of HMPL-689 | Day 1: Cycle 9 | 28.950 ng/mL | Standard Deviation 4.596 |