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RecruitingNCT06781567HG146Updated Sep 21, 2026

Clinical Trial of HG146 Administered to Participants With Adenoid Cystic Carcinoma

A Phase 2 interventional study of HG146 in Adenoid Cystic Carcinoma and Head and Neck Cancer, sponsored by HitGen Inc.. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by HitGen Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 10 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
140
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase II, open-label, non-randomized, multicenter study to evaluate the clinical efficacy and safety of HG146 in participants with recurrent or metastatic adenoid cystic carcinoma. This study is divided into two stages. 40 participants will be enrolled in the first stage. The efficacy and safty data will apply to make go or no go decision. Then the second stage will continue to enroll 100 Particapants.

02

Conditions studied

  • Adenoid Cystic Carcinoma
  • Head and Neck Cancer

Keywords

  • HG146
  • HG146CN201
03

In context

Carcinoma, Adenoid Cystic

86 studies on the registry are indexed under Carcinoma, Adenoid Cystic; 26 are open to participants now.

This study's planned enrollment of 140 is above the median of 37 across 76 interventional studies indexed under Carcinoma, Adenoid Cystic.

Browse Carcinoma, Adenoid Cystic 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 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

  • Signed form (ICF) and able to comply with study.
  • Age ≥18 years, gender unlimited.
  • Recurrent or adenoid cystic carcinoma with evidence of disease progression (imaging progression or clinical evidence of progression) within one year of histological or cytological diagnosis.
  • Estimated survival >12 weeks, as determined by the investigator.
  • The United States Eastern Cancer Consortium () physical status score 0-1.
  • Has adequate organ function.
  • At least 1 measurable tumor lesion according to RECISTv1.1 criteria.

Exclusion criteria

Exclusion Criteria:

  • Symptomatic central nervous system (CNS) that have required within 4 weeks prior to first dose of study treatment.
  • Received prior therapies targeting HDAC.
  • Chemotherapy was received within 21 days before the first administration of the study treatment, and anti-tumor therapy such as radiotherapy, biotherapy, targeted therapy, and immunotherapy was received within 28 days before the first administration of the study treatment [small molecule targeted drugs, Chinese medicines with anti-tumor indications, and local palliative radiotherapy were 14 times before the first administration of the study drug.
  • Used strong inhibitors or inducers within 7 days before the first use of the drug.
  • Major surgery or major injury \<=28 days before the first dose of study treatment,or anticipated major surgery during the study.
  • Prior bone marrow transplantation or other solid organ transplantation
  • Active infection requiring systemic treatment.
  • Current or past presence of other (other than adequately treated basal cell or squamous cell carcinoma of the skin and carcinoma in situ of the cervix), unless radical treatment has been performed and there is no evidence of recurrence and metastasis in the last 5 years.
  • A person is known to be allergic to any active ingredient or of the investigational drug.
  • Pregnant or lactating women.
  • patients with drug abuse or chronic alcohol abuse that may affect the evaluation of the test results.
Terms in these criteria, in plain language(9)

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.

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.

Metastases

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

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.

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.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Excipients

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

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    Clinical Trial of HG146 Administered to participants with Adenoid cystic carcinoma

    Experimental: HG146 Monotherapy Arm Description: Participants will receive HG146 per os at every two days intervals (qod) for 14 consecutive days,7 days off, 21 days/ cycle.

    Drug: HG146

Interventions

  • DrugHG146

    HG146 is available as Capsule at a unit dose strength of 5 mg and 10 mg.

    Also known as: HG146 Capsule

06

What researchers measure

Primary outcomes

  1. objective response rate (ORR)

    ORR will be assessed by the investigators using RECIST v1.1

    Time frame: From enrollment to the end of treatment at 4 weeks

  2. 6 Months Progression-Free Survival (PFS)

    PFS will be assessed by the investigators using RECIST v. 1.1

    Time frame: From enrollment to treatment at 6 months.

Secondary outcomes

  1. Progression-Free Survival (PFS)

    PFS will be assessed by the investigators using RECIST v1.1

    Time frame: From enrollment to treatment at 12 months

  2. Duration of response (DoR)

    DOR will be assessed by the investigators using RECIST v1.1

    Time frame: From enrollment to the end of treatment at 4 weeks

  3. Disease control rate (DCR)

    DCR will be assessed by the investigators using RECIST v1.1

    Time frame: From enrollment to the end of treatment at 4 weeks

  4. Overall survival (OS)

    OS will be assessed by the investigators

    Time frame: From enrollment to the end of treatment at 4 weeks

  5. Time-to-response (TTR)

    TTR will be assessed by the investigators using RECIST v1.1

    Time frame: From enrollment to the end of treatment at 4 weeks

  6. Population pharmacokinetics (PopPK)

    PopPK will be detected to predict exposure level of HG146 in human body.

    Time frame: From Cycle1 Day7 to Day13, 21 days per cycle

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Started Dec 2024 (actual). Primary completion is estimated for Dec 2028, 48 months after the start.

Of 28 phase 2 interventional studies under Carcinoma, Adenoid Cystic, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 67. This study's planned 48 months is above that.

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

Registered
Jan 6, 2025
First posted
Jan 17, 2025
StartActual
Dec 13, 2024
Primary completionEst.
Dec 31, 2028
CompletionEst.
Jun 30, 2029
Last update
Sep 21, 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 Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06781567
Lead sponsor
HitGen Inc.
Responsible party
Sponsor
First posted
Jan 17, 2025
Start date
Dec 13, 2024
Primary completion
Dec 31, 2028 (estimated)
Completion
Jun 30, 2029 (estimated)
Last update
Sep 21, 2026

Study contacts

Jie Shen
Contact
jie.shen@hitgen.com
8268-85197385 ext. 8211
Ye Guo
principal investigator · Shanghai Oriental Hospital

Oversight

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

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

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