ClinicalTrials.gg
Status unknownNCT05058352Updated Sep 27, 2021

A Study of HS269 in Patients With Advanced Solid Tumors

A Phase 1 interventional study of HS269 in Advanced Solid Tumor, sponsored by Zhejiang Hisun Pharmaceutical Co. Ltd.. Status unknown at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-09-27.

Sponsored by Zhejiang Hisun Pharmaceutical Co. Ltd. · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2021), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase I, open-label, first in human study of HS269 tablet, a small molecule highly-selective RET Inhibitor. The dose-escalation study will assess the safety, tolerability, and pharmacokinetics of HS269 and determine the dose and schedule to be used in Phase II. Seventeen to thirty-six patients with advanced solid tumor may be enrolled in this study.

02

Conditions studied

  • Advanced Solid Tumor
03

In context

Lead sponsor

Zhejiang Hisun Pharmaceutical Co. Ltd. is the lead sponsor of 18 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 and older
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

  1. ≥18 years, no gender limit.
  2. Patients with advanced solid tumors confirmed by histology or cytology fail to receive standard treatment, or there is no standard treatment, or standard treatment is not applicable at this stage.
  3. At least one evaluable tumor lesion according to version 1.1.
  4. ≤ 1.
  5. The estimated survival time was more than 3 months.
  6. The function of all organs was good, the specific indexes were as follows:

    Blood system (no transfusion or hematopoietic stimulating factor treatment within 14 days) i. #NEUT ≥1.5×109/L ii. ≥90×109/L iii. HGB ≥85g/L Liver function i. ≤1.5× ii. ≤3×ULN; Patients with liver or liver cancer: ≤ 5 × ULN iii. AST ≤3×ULN; Patients with liver metastasis or liver cancer: ≤ 5 × ULN Renal function i. Ccr >50 ml/min(According to formula) Blood coagulation function i. ≤1.5×ULN ii. INR ≤1.5×ULN

  7. The subjects should be informed and agreed to the study before the start of the trial, and sign the written voluntarily.

Exclusion criteria

Exclusion Criteria:

  1. Received anti-tumor treatments within 14 days or less than 5 half-lives (whichever is longer) before the first use of the study drug
  2. Received blood transfusion, erythropoietin, recombinant human thrombopoietin or colony stimulating factor and other treatments within 7 days before receiving blood system examination during the screening period.
  3. Received other unmarketed clinical study drugs or treatments within 4 weeks before the first use of the study drug.
  4. Major organ surgery (excluding ) or significant trauma occurred within 4 weeks before the first use of the study drug;
  5. Systemic administration of (prednisone > 10 mg / day or equivalent dose of the same drug) or other within 14 days before the first use of the study drug; except for local, eye, intra articular, nasal and inhaled corticosteroids; short-term use of glucocorticoids for preventive treatment (e.g. prevention of contrast agent allergy);
  6. CYP1A2/P-gp potent inhibitors or potent inducers were used within 7 days before the first use of the study drug;
  7. Resistance to selective RET inhibitors;
  8. The adverse reactions of previous anti-tumor therapy have not yet recovered to 5.0 grade evaluation ≤ 1 (except for the toxicity without safety risk judged by researchers such as alopecia);
  9. Patients with central nervous system or meningeal metastasis with clinical symptoms, or other evidence indicating that the central nervous system metastasis or meningeal metastasis has not been controlled, which is not suitable for the study.
  10. Have active infection and need systemic anti infection therapy;
  11. Have a history of immunodeficiency, including antibody test positive;
  12. Active , allowing preventive antiviral treatment other than interferon; virus infection;
  13. Present or past interstitial lung disease (except radiation-induced pulmonary fibrosis without hormone therapy);
  14. Poorly controlled diabetic patients.
  15. Have a history of serious cardiovascular and cerebrovascular diseases, including but not limited to:

    1. Serious abnormal cardiac rhythm or conduction, such as ventricular arrhythmia, Ⅱ - Ⅲ degree atrioventricular block, etc;
    2. In the resting state, average ≥480ms in 12 lead -;
    3. Acute coronary syndrome, congestive heart failure, aortic dissection, stroke or other cardiovascular events of grade 3 or above occurred within 6 months before the first administration;
    4. ≥II or \<50%;
    5. Hypertension beyond clinical control;
  16. Could not take medication orally,or have severe gastrointestinal obstruction (such as gastrointestinal obstruction, gastrointestinal absorption);
  17. The third space effusion, which could not be controlled clinically, was not suitable for the study;
  18. Mental disorder or poor compliance;
  19. Eligible patients with fertility (male and female) do not agree to use reliable methods (abstinence, condom, intrauterine device or ligation) with their partner during the trial and for at least 3 months after the last medication.
  20. Female patients have a positive blood pregnancy test within 7 days before enrollment, or breastfeeding women;
  21. The subjects were not suitable for the clinical study because of other serious systemic diseases or other reasons according to the investigator 's judgment.
Terms in these criteria, in plain language(22)

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.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

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.

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.

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.

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.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    HS269

    Multiple doses of HS269 tablets

    Drug: HS269

Interventions

  • DrugHS269

    Oral tablets, once daily. Dose escalation from 50 mg QD, through 100 mg, 200mg, 300 mg, 400 mg, to 500mg.

06

What researchers measure

Primary outcomes

  1. Dose limiting toxicities (DLT)

    Incidence rate of dose limiting toxicities (DLT)

    Time frame: From date of initial dose until up to 33 days for treatment

  2. Adverse Event(s) and Serious Adverse Event(s)

    The occurrence and rate of AE and SAE

    Time frame: Through study completion or early study discontinuation(up to 12 months)

Secondary outcomes

  1. Peak Plasma Concentration (Cmax)

    Cmax of HS269

    Time frame: From date of initial dose until up to 33 days for treatment

  2. Area Under the Plasma Concentration versus Time Curve (AUC)

    AUC of HS269

    Time frame: From date of initial dose until up to 33 days for treatment

  3. Calcitonin in Peripheral Blood

    For Medullary Thyroid Cancer patients

    Time frame: Through study completion or early study discontinuation(up to 12 months)

  4. Thyroglobulin in Peripheral Blood

    For non-MTC thyroid cancer patients

    Time frame: Through study completion or early study discontinuation(up to 12 months)

  5. ORR

    Objective response rate (ORR)

    Time frame: Approximately 12 months

  6. DCR

    Disease control rate (DCR)

    Time frame: Approximately 12 months

  7. PFS

    Progression free survival (PFS)

    Time frame: Approximately 12 months

  8. Peripheral blood ctDNA

    Only for patients with positive RET gene mutation

    Time frame: Through study completion or early study discontinuation(up to 12 months)

07

Study locations

1 site
  • Shanghai Pulmonary Hospital
    Shanghai, China
    • Caicun Zhou · Contact
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Oct 2021; primary completion for Oct 2022, 12 months later.

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

Registered
Sep 2, 2021
First posted
Sep 27, 2021
StartEst.
Oct 2021
Primary completionEst.
Oct 2022
CompletionEst.
Apr 2023
Last update
Sep 27, 2021
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 Sep 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05058352
Lead sponsor
Zhejiang Hisun Pharmaceutical Co. Ltd.
Responsible party
Sponsor
First posted
Sep 27, 2021
Start date
Oct 2021 (estimated)
Primary completion
Oct 2022 (estimated)
Completion
Apr 2023 (estimated)
Last update
Sep 27, 2021

Study contacts

Caicun Zhou
Contact
caicunzhoudr@163.com
021-65115006
Wei Li
Contact
leewluck@gmail.com
021-65115006
Qiming Wang
principal investigator · Henan Provincial People's Hospital
Qi Dang
principal investigator · Shandong Cancer Hospital and Institute

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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