ClinicalTrials.gg
TerminatedNCT03710915Updated Oct 10, 2024

A Study of HG146 Capsule in Chinese Subjects with Relapsed and Refractory Multiple Myeloma

A Phase 1 interventional study of HG146 in Multiple Myeloma and Relapsed and Refractory Multiple Myeloma, sponsored by HitGen Inc.. Terminated at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-10-10.

Sponsored by HitGen Inc. · Phase 1, Interventional, and Treatment

Why this study was terminated
Company decision
Phase
Phase 1
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is designed to evaluate the tolerability and safety of HG146 capsule in patients with multiple myeloma.

Read the detailed description

This study is mainly designed to evaluate the tolerability and safety of HG146 capsule in patients with multiple myeloma. Secondly, to get pharmacokinetic data and preliminary efficacy of HG146 capsule in human.

This study adopts the traditional design of "3 + 3" dose escalation. The starting dose is 5 mg and subsequent dose group is respectively for 10, 15 and 20 mg. For each dosing group, subjects are administered orally HG146 every other day for two weeks, followed by one week of rest with 21-day as one treatment cycle. Patients will be treated for 4 cycles or disease progression or unacceptable toxicities, whichever comes first.

02

Conditions studied

  • Multiple Myeloma
  • Relapsed and Refractory Multiple Myeloma

Keywords

  • HDAC inhibitor
  • Dose escalation
  • HG146
03

In context

Multiple Myeloma

3,760 studies on the registry are indexed under Multiple Myeloma; 769 are open to participants now.

This study's enrollment of 3 is below the median of 41 across 3,005 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

HitGen Inc. is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of multiple myeloma requiring systemic therapy (International Myeloma Working Group [IMWG]) and 2 cycles of treatment including proteasome inhibitors and/or immunomodulators.
  • Serum M protein≥ 10.0g / L, or urine M protein ≥ 200mg / 24h.
  • Not suitable for bone marrow transplantation or refuse autologous bone marrow transplantation or relapse after autologous bone marrow transplantation.
  • (ECOG) performance status of 0 or 1 or 2.
  • Expected survival of ≥3 months.
  • ≥ 80 g/L, ≥75×10\^9/L, ≧1.0×109/L (1000 cells/mm3), (PT) and activated partial thromboplastin time ≤ 2 x (ULN).
  • in serum\<1.5*ULN (2.0mg/dL/20mg/L/34.2μmol/L); glutamic-pyruvic transaminase () and/or Aspartate Aminotransferase (AST)≤3*ULN (upper limit of normal).
  • Normal , echocardiography and myocardial enzyme spectrumCalibration of blood calcium concentration≤ULN.
  • Men and women, Non-pregnant women who did not consider giving birth during the trial or five years after the end of the trial.
  • The patient is able to swallow the capsule.
  • Patients must provide written consent.

Exclusion criteria

Exclusion Criteria:

  • Severe allergies to the study drug or any of its .
  • The possibility of gene toxicity, mutagenesis and teratogenicity.
  • Men and women who did not have sperm or egg cells stored in vitro before the trial and who planned to have children again within five years.
  • Pregnant or lactating women.
  • Perform bone marrow transplantation 3 months before admission.
  • Receive allogeneic bone marrow transplantation.
  • Use HDAC inhibitors before.
  • Two weeks prior to admission, received radiotherapy or bone marrow suppressive chemotherapy or biological treatment.
  • Patients with history of other malignant tumors, except the tumor is in remission and has not been treated for at least 5 years.
  • Patients with dysphagia or oral absorption disorder.
  • The investigators determine the conditions not suitable for the study.
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    HG146 capsule treat multiple myeloma

    Experimental: 5/10/15/20 mg HG146 capsule 5 mg starting dose taken orally on Day 1, 3, 5, 7, 9, 11, 13 of each cycle, and off drug for 8 days (3 weeks). Intervention: Drug: HG146 capsule

    Drug: HG146

Interventions

  • DrugHG146

    HG146 will be administered every other day for 14 days, followed by 1 week off the drug with each treatment cycle of 21-days.

    Also known as: HG280146, HG0146, HG280146, HG280146-P1

06

What researchers measure

Primary outcomes

  1. Maximum tolerated dose of HG146

    To determine the maximum tolerated dose of HG146 in relapsed and refractory multiple myeloma patients.

    Time frame: Up to 3 months

Secondary outcomes

  1. Peak Plasma Concentration (Cmax)

    To determine the Peak Plasma Concentration of HG146.

    Time frame: In cycle 1 (each cycle is 21 days)

  2. Area under the plasma concentration versus time curve (AUC)

    To determine the Area under the plasma concentration versus time curve of HG146.

    Time frame: In the middle of cycle 1 (each cycle is 21 days)

  3. Time of Peak Concentration (Tmax)

    To determine the time of peak concentration of HG146.

    Time frame: In the middle of cycle 1 (each cycle is 21 days)

  4. Half life (T1/2)

    To determine the half-life of HG146.

    Time frame: In the middle of cycle 1 (each cycle is 21 days)

  5. Incidence of adverse events related to treatments

    To evaluate the incidence of adverse events that are related to treatments in relapsed and refractory myeloma patients.

    Time frame: Up to 21 days after last dose

  6. Incidence of laboratory abnormalities related to treatments

    To evaluate the incidence of laboratory abnormalities that are related to treatments in relapsed and refractory myeloma patients.

    Time frame: Up to 1 month after last dose

07

Study locations

1 site
  • HitGen Inc
    Chengdu, Sichuan 610200, China
08

References and documents

Publications

  • Huang B, Lu J, Wang X, Xiao Y, Zhao Y, Huang H, Liu J, Chen M, Gu J, Yuan S, Zheng D, Li Y, Huang X, Li J. Prognostic value of lactate dehydrogenase in Chinese patients with newly diagnosed transplant eligible multiple myeloma. Leuk Lymphoma. 2017 Jul;58(7):1740-1742. doi: 10.1080/10428194.2016.1252975. Epub 2016 Nov 23. No abstract available. PubMed 27881052 ↗
  • Lu J, Lu J, Chen W, Huo Y, Huang X, Hou J; Chinese Medical Doctor Association Hematology Branch. Clinical features and treatment outcome in newly diagnosed Chinese patients with multiple myeloma: results of a multicenter analysis. Blood Cancer J. 2014 Aug 15;4(8):e239. doi: 10.1038/bcj.2014.55. PubMed 25127393 ↗
  • Rajkumar SV, Dimopoulos MA, Palumbo A, Blade J, Merlini G, Mateos MV, Kumar S, Hillengass J, Kastritis E, Richardson P, Landgren O, Paiva B, Dispenzieri A, Weiss B, LeLeu X, Zweegman S, Lonial S, Rosinol L, Zamagni E, Jagannath S, Sezer O, Kristinsson SY, Caers J, Usmani SZ, Lahuerta JJ, Johnsen HE, Beksac M, Cavo M, Goldschmidt H, Terpos E, Kyle RA, Anderson KC, Durie BG, Miguel JF. International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet Oncol. 2014 Nov;15(12):e538-48. doi: 10.1016/S1470-2045(14)70442-5. Epub 2014 Oct 26. PubMed 25439696 ↗
  • Durie BG, Salmon SE. A clinical staging system for multiple myeloma. Correlation of measured myeloma cell mass with presenting clinical features, response to treatment, and survival. Cancer. 1975 Sep;36(3):842-54. doi: 10.1002/1097-0142(197509)36:33.0.co;2-u. PubMed 1182674 ↗
  • Palumbo A, Avet-Loiseau H, Oliva S, Lokhorst HM, Goldschmidt H, Rosinol L, Richardson P, Caltagirone S, Lahuerta JJ, Facon T, Bringhen S, Gay F, Attal M, Passera R, Spencer A, Offidani M, Kumar S, Musto P, Lonial S, Petrucci MT, Orlowski RZ, Zamagni E, Morgan G, Dimopoulos MA, Durie BG, Anderson KC, Sonneveld P, San Miguel J, Cavo M, Rajkumar SV, Moreau P. Revised International Staging System for Multiple Myeloma: A Report From International Myeloma Working Group. J Clin Oncol. 2015 Sep 10;33(26):2863-9. doi: 10.1200/JCO.2015.61.2267. Epub 2015 Aug 3. PubMed 26240224 ↗
  • Lu J, Lee JH, Huang SY, Qiu L, Lee JJ, Liu T, Yoon SS, Kim K, Shen ZX, Eom HS, Chen WM, Min CK, Kim HJ, Lee JO, Kwak JY, Yiu W, Chen G, Ervin-Haynes A, Hulin C, Facon T. Continuous treatment with lenalidomide and low-dose dexamethasone in transplant-ineligible patients with newly diagnosed multiple myeloma in Asia: subanalysis of the FIRST trial. Br J Haematol. 2017 Mar;176(5):743-749. doi: 10.1111/bjh.14465. Epub 2017 Jan 20. PubMed 28106903 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2019 to primary completion in Sep 2022, 44 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 29, 2018
First posted
Oct 18, 2018
StartActual
Jan 12, 2019
Primary completionActual
Sep 28, 2022
CompletionActual
Jun 28, 2023
Last update
Oct 10, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03710915
Lead sponsor
HitGen Inc.
Responsible party
Sponsor
First posted
Oct 18, 2018
Start date
Jan 12, 2019
Primary completion
Sep 28, 2022
Completion
Jun 28, 2023
Last update
Oct 10, 2024

Study contacts

Ting Liu, M.D.
principal investigator · The West China Hospital of Sichuan University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: HDAC Class I/IIb Inhibitor HG146

Start the discussion