ClinicalTrials.gg
CompletedNCT05173142Updated May 15, 2026

A Phase Ib/II Clinical Study Evaluating HMPL-453 Tartrate as Monotherapy and in Combination With Chemotherapy or Toripalimab in Advanced Solid Tumors

A Phase 1/2 interventional study of HMPL-453 and gemcitabine and cisplatin in Solid Tumor, sponsored by Hutchison Medipharma Limited. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-05-15.

Sponsored by Hutchison Medipharma Limited (part of HUTCHMED) · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
190
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 12 studies testing toripalimab in Stomach Neoplasms — 4 open to participants now, 6 under way, none of them phase 3. toripalimab · Stomach Neoplasms.

Enrollment
Largest of 12
190 · median 53
Started
2022
the only one that year
Phase 1/2
Only one
of the 12
Registered
8th of 12
by date
Lead sponsor
1 of 12
Hutchison Medipharma Limited

Among the 12 studies testing toripalimab in Stomach Neoplasms, this one has the largest enrollment, is the only one that started in 2022, is the only one in phase 1/2, and was the 8th registered.

Stomach Neoplasms

3,401 studies on the registry are indexed under Stomach Neoplasms; 993 are open to participants now.

Browse Stomach Neoplasms studies →

Open to participants now

4 of the 12 studies testing toripalimab in Stomach Neoplasms are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

Where they have run

About toripalimab

toripalimab: first FDA approval 2023 (LOQTORZI), first EMA approval 2024. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 704 Stomach Neoplasms studies recruiting now, 376 (53%) set no upper age limit and 194 (28%) stop at 75 or younger; 28 take children under 18; 69 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies testing toripalimab in Stomach Neoplasms, or all of them as a file.
02

Study summary

A Phase Ib/II Clinical Study Evaluating HMPL-453 Tartrate as Monotherapy and in Combination with Chemotherapy or Toripalimab in Advanced Solid Tumors

Read the detailed description

The study includes a dose escalation phase and a dose-expansion phase.

Patients with advanced solid tumor will be enrolled in the dose escalation phase to assess the tolerability, safety, and PK profile of HMPL-453 monotherapy or combination therapy.

Patients with specific types of advanced or metastatic tumors harboring certain FGFR gene alterations will be enrolled in the dose expansion phase to assess the preliminary efficacy of HMPL-453 monotherapy or combination therapy.

03

Conditions studied

  • Solid Tumor

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Keywords

  • HMPL-453, FGFR, PD-1,IHCC, ICC, gastric cancer
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

  • Dose escalation phase: patients with or cytologically confirmed locally advanced or solid tumor who progressed on or are intolerant of standard therapy;
  • Dose expansion phase: patients with UC, GC/GEJ, or IHCC harboring specific FGFR gene alterations;
  • Age 18 to 75 years;
  • Those who are able to give written , and able to comply with protocol-specified visits and related procedures;
  • Ability to swallow study drug;
  • PS of 0 or 1;
  • according to v1.1, refer to the protocol;
  • Adequate organ and bone marrow function;
  • ≥ 12 weeks;
  • Female patients or male patients with partners of must take effective measures per the protocol.

Exclusion criteria

Exclusion Criteria

  • Patients who previously received selective FGFR targeting therapy;
  • Concurrent participation in another interventional clinical study, excluding those in the follow-up period and have not recently received intervention;
  • Current or previous history of central nervous system (CNS) ;
  • Current or previous history of retinal detachment;
  • Known history of primary immunodeficiency;
  • Female patients who are pregnant or lactating;
  • Patients who in the opinion of the investigator may be unsuitable for participating in the study;
  • Patients with acute or chronic active or C infection;
  • Known (HIV) infection and syphilis infection;
  • cardiovascular disease such as congestive heart failure or arrhythmia;
  • Uncontrolled hypertension despite optimal medical management;
  • Received within 30 days before the first dose of study drug(s);
  • Those who have undergone major surgical procedures (craniotomy, thoracotomy or laparotomy) within 4 weeks prior to the first study treatment or who are expected to be in need of major surgery; those with unhealed wounds, ulcers or fractures.
Terms in these criteria, in plain language(14)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

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.

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.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
190 participants (actual)

Study arms

  • Experimental
    dose escalation phase of HMPL-453 monotherapy or combination therapy

    HMPL-453 monotherapy or combination therapy

    Drug: HMPL-453 · Drug: gemcitabine and cisplatin · Drug: toripalimab

  • Experimental
    indication specific dose expansion phase of HMPL-453 monotherapy or combination therapy

    HMPL-453 monotherapy or combination chemotherapy, in patients with IHCC, G/GEJ, UC, and solid tumors harboring specific FGFR gene alterations

    Drug: HMPL-453 · Drug: gemcitabine and cisplatin · Drug: toripalimab · Drug: Docetaxel

Interventions

  • HMPL-453 administered orally.

  • Druggemcitabine and cisplatin

    Drug pages: Gemcitabine · Cisplatin

    Gemcitabine and Cisplatin administered intravenously.

  • Toripalimab administered intravenously.

  • Docetaxel administered intravenously.

06

What researchers measure

Primary outcomes

  1. Safety and tolerability(Incidence and severity of adverse events (AEs))

    DLT, TEAEs and SAEs

    Time frame: 6 months after the last patient enrolled

  2. Preliminary efficacy/Objective response rate (ORR)

    Objective response rate (ORR) in patients with the selected tumors along with certain FGFR gene alterations

    Time frame: up to 2 years

Secondary outcomes

  1. Efficacy/Progression-free survival (PFS)

    the duration between the enrollment date and the first disease progression (PD) or death (whichever comes first).

    Time frame: up to 2 years

  2. disease control rate (DCR)

    The incidence of complete response, partial response and stable disease

    Time frame: up to 2 years

  3. time to response (TTR)

    The period from the date of enrollment to the date when the criteria for complete response or partial response was first measured (first record shall prevail).

    Time frame: up to 2 years

  4. duration of response (DoR)

    The duration between the date the criteria for complete response or partial response was first measured (first record shall prevail) and the date of disease recurrence or progression as objectively recorded

    Time frame: up to 2 years

  5. overall survival (OS)

    The period from date of enrollment to date of death

    Time frame: up to 2 years

07

Study locations

1 site
  • Chinese PLA General Hospital
    Beijing, China
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2022 to primary completion in Jul 2025, 41 months.

Of 89 industry-sponsored phase 1/2 interventional studies under Stomach Neoplasms, half reached primary completion within 60 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 109. This study's 41 months is below that.

Counting every sponsor, half of 156 studies reached it within 60 months; a quarter within 41 and three quarters within 109.

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

Registered
Oct 31, 2021
First posted
Dec 29, 2021
StartActual
Jan 22, 2022
Primary completionActual
Jul 17, 2025
CompletionActual
Jan 17, 2026
Last update
May 15, 2026
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 May 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05173142
Responsible party
Sponsor
First posted
Dec 29, 2021
Start date
Jan 22, 2022
Primary completion
Jul 17, 2025
Completion
Jan 17, 2026
Last update
May 15, 2026

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 completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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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.

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Studies of the drugs tested here: Fanregratinib · Toripalimab

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