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NCT07228247PHASE1, PHASE2Recruiting

A Phase Ⅰ/Ⅱa Study of HMPL-A251 in Participants With Advanced or Metastatic HER2-expressing Solid Tumors

Hutchmed

Start Date

12/16/2025

Completion Date

12/31/2028

Summary

This is a first-in-human (FIH), phase Ⅰ/Ⅱa, open-label, multicenter clinical study of HMPL-A251 monotherapy in adult participants with unresectable, advanced or metastatic HER2-expressing solid tumors.

Detailed Description

* To evaluate the safety and tolerability and to determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDE) of HMPL-A251 in participants with previously treated HER2+ solid tumors * To characterize the safety and preliminary efficacy of HMPL-A251 at RDEs to determine recommended dose(s) for phase 2 (RP2D) or phase 3 (RP3D) in participants with selected HER2-expressing solid tumors

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: 1. Histologically confirmed unresectable advanced or metastatic disease. 2. Have at least one measurable lesion per RECIST v1.1; 3. Life expectancy ≥ 12 weeks; 4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1; 5. Weight ≥ 35 kg; Exclusion Criteria: 1. An established diagnosis of type I diabetes mellitus or uncontrolled type II diabetes mellitus. 2. Use of strong inhibitors of cytochrome P450 3A4 enzyme (CYP3A4), and inhibitors of P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP) within 5 elimination half-lives or 2 weeks (whichever is longer) before the first dose of study drug; 3. Toxicity from prior anti-tumor therapy has not recovered to Grade 1 or baseline prior to the first dose of study drug (except alopecia). Participants with chronic Grade 2 toxicities may be eligible after discussion between the investigator and Sponsor Medical Monitor (e.g., Grade 2 chemotherapy-induced neuropathy); 4. Baseline blood amylase or lipase exceeds the normal range and are judged by the investigators to be clinically significant; 5. Spinal cord compression, leptomeningeal disease, or clinically active central nervous system (CNS) metastases, defined as untreated or symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms; 6. Major surgery within 28 days prior to the first dose of study drug. Participants must have recovered adequately from the toxicity and/or complications from the intervention prior to the first dose of study drug(s);

Interventions

DRUG

HMPL-A251

DRUG

HMPL-A251

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Conditions

Solid Tumors, Adult

Locations

SCRI HealthONE

Denver, Colorado 80218

United States

BRCR Global

Plantation, Florida 33322

United States

Florida Clinical Trials Group LLC (Plantation)

Plantation, Florida 33322

United States

Florida Clinical Trials Group LLC (Tamarac)

Tamarac, Florida 33321

United States

START New Jersey

East Brunswick, New Jersey 08816

United States

Memorial Sloan Kettering Cancer Center

New York, New York 10065

United States

Cleveland Clinic Taussig Cancer Center

Cleveland, Ohio 44195

United States

Mays Cancer Center

San Antonio, Texas 78229

United States

Northwest Medical Specialties, PLLC

Tacoma, Washington 98405

United States

Peking University First Hospital

Beijing,

China

Hunan Cancer Hospital

Changsha,

China

Sun Yat-sen University Cancer Center

Guangzhou,

China

The First Affiliated Hospital of Anhui Medical University

Hefei,

China

Fudan University Shanghai Cancer Center

Shanghai,

China

The First Hospital of China Medical University

Shenyang,

China

Henan Cancer Hospital

Zhengzhou,

China