Experimental IDH drug trial halted early – what we know so far
NCT ID NCT04764474
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-stage study tested an experimental drug called HMPL-306 in 46 adults with advanced blood cancers (like leukemia) that have a specific genetic change called an IDH mutation. The goal was to find a safe dose and check for side effects. The study was stopped early, so results are limited, but it may help guide future research.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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46 people
The number who actually took part.
- Started
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Apr 2021
- Finished
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Jan 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: Subjects may be enrolled in this study only if they satisfy all the following criteria (NOTE: This is not an exhaustive list): * Subjects aged ≥18 years. * ECOG performance status ≤ 2 * Subjects with advanced relapsed, refractory, or resistant hematological malignancies, as defined below: Part 1: * Subjects with documented IDH mutation per local or institutional next generation sequence (NGS). * Subjects must be refractory to or intolerant of established therapies. * Subjects who have received prior IDH inhibitor treatment may be enrolled in the escalation phase. Part 2: * Subjects with documented IDH mutation of any of these subsets: IDH1 (R132C), IDH1 (R132H), IDH (R140Q), and IDH2 (R172K), including co-mutations and any combination thereof per local and institutional NGS. * Patients must have received at least 1 prior line of therapy with an IDH inhibitor. An established standard of care with proven benefit for which the patient is eligible, must not be available at the time of enrollment. * Patients with AML must not have standard therapeutic options available (including IDH inhibitors where approved) and have the following: * i. Relapsed AML unsuitable for intensive chemotherapy or venetoclax-based regimen or target agents; * ii. Primary refractory AML unsuitable for intensive chemotherapy or venetoclax-based regimen or target agents. * iii. Relapsed/refractory AML that has progressed on prior IDH treatment Key Exclusion Criteria: Subjects are not eligible for enrollment into this study if they meet any of the following criteria (NOTE: This is not an exhaustive list): * Subjects who received an investigational agent \<14 days prior to their first day of study drug administration. * Subjects who are pregnant or breastfeeding. * Subjects with an active severe infection, some treated infections and with an expected or with an unexplained fever \>38.3°C during screening visits or on their first day of study drug administration. * Subjects with some current or prior heart conditions. * Subjects taking medications that are known to prolong the QT interval may not be eligible. * Subjects with immediately life-threatening, severe complications of leukemia such as uncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminated intravascular coagulation. * Some subjects with some current or prior gastrointestinal or liver diseases. * Subjects with inadequate organ function as defined by the protocol. * Subjects with a medical condition, physical examination finding, or clinical laboratory finding that, in the Investigators opinion, contraindicates the use of an investigational drug or that may affect the interpretation of the results or renders the subject at high risk from treatment complications. * Subjects with a known hypersensitivity to HMPL-306 or to any of its excipients. * Subjects with presence of second primary malignant tumors within the last 2 years, with the exception of the following, if medically controlled: basal cell carcinoma of the skin, squamous cell carcinoma of the skin, carcinoma in situ of the cervix, and carcinoma in situ of the breast. * Part 2 Only: The time since the last dose of prior IDH inhibitor treatment is within 30 days prior to the first day of study drug administration
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Clinica Universidad de Navarra
Pamplona, Navarre, 31008, Spain
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Froedtert-Medical College of WI
Milwaukee, Wisconsin, 53226, United States
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Hospital Clinico Universitario de Valencia
Valencia, Valencia, 46010, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario La Fe
Valencia, Valencia, 46026, Spain
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Hospital Universitario Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario de Salamanca
Salamanca, 58-182, Spain
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Institut Catala d'Oncologia de l'Hospitalet de Llobregat - Hospital Duran i Reynals
Barcelona, 08908, Spain
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Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901, United States
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START Madrid - Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040, Spain
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The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
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The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of California Irvine Medical Center (UCIMC) - Chao Family Comprehensive Cancer Center
Orange, California, 92868, United States
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University of Massachusetts Medical School
Worcester, Massachusetts, 01655, United States
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Winship Cancer Institute - Emory University
Atlanta, Georgia, 30322, United States
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