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NCT02834780

Phase 1 Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of H3B-6527 in Participants With Advanced Hepatocellular Carcinoma

Completed Phase 1 Results posted Last updated 13 November 2023
What this trial tests

Phase 1 trial testing H3B-6527 in Advanced Hepatocellular Carcinoma in 128 participants. Completed in 23 February 2022.

Timeline
28 December 2016
Primary endpoint
23 February 2022
23 February 2022

Quick facts

Lead sponsorH3 Biomedicine Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment128
Start date28 December 2016
Primary completion23 February 2022
Estimated completion23 February 2022
Sites44 locations across France, Italy, Russia, Belgium, Taiwan, United Kingdom, South Korea, Canada

Drugs / interventions tested

Conditions studied

Sponsor

H3 Biomedicine Inc.

Who can join

18 and older, any sex, with Advanced Hepatocellular Carcinoma or Hepatocellular Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part 1, Dose Escalation Phase: Number of Participants With Dose-limiting Toxicities (DLTs) Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03 Primary · Cycle 1 (Cycle length = 21 days)

DLTs were defined as any of the following toxicities: Hematology, gastrointestinal, renal, hepatic or nonhematologic toxicities occurring during Cycle 1 in Dose Escalation Phase only and judged by the investigator as related to study drug. This included any Grade 4: neutropenia that does not resolve to Grade less than or equal to (\<=) 2 within 7 days, thrombocytopenia, anemia of any duration, diarrhea and/or vomiting irrespective of prophylaxis or appropriate treatment; Grade 3: thrombocytopenia requiring transfusion, thrombocytopenia and clinically significant bleeding, anemia if transfused

GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed0
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed0
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Primary · From the first dose of study drug up to approximately 36.7 months

A TEAE was defined as an adverse event (AE) that emerges during treatment, having been absent at pretreatment (Baseline) or reemerges during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsens in severity during treatment relative to the pretreatment state, when the AE was continuous. An SAE was any untoward medical occurrence that at any dose: Resulted in death, was life-threatening (that is, the participant was at immediate risk of death from the AE as it occurred; this does not include an event that, had it occurred in a more severe form or was

Participants with TEAEs
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted3
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted3
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed4
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted10
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed3
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted7
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed4
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed7
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted3
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed9
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed5
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD28
Participants with SAEs
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed1
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted1
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed1
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted4
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed1
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed2
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted2
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed3
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed1
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD11
Area Under the Plasma Concentration-time Curve From Time 0 Through the Last Measurable Point (AUC0-t) of H3B-6527 Secondary · Part 1, Cycle 1 Day 1 and Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing); Part 2, Cycle 1 Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing) (Cycle 1 length = 21 days)
Cycle 1 Day 1
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted68.9± 57.5
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted173± 1891.9
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed1631± 271.8
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fasted850± 531.5
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fed1115± 909.7
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted400± 187.5
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed5671± 98.7
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed2748± 66.3
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted462± 137.0
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 500 mg BID Fed752± 204.3
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed576± 482.6
Cycle 1 Day 8
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted50.8± 47.5
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted636± 39.4
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed484± 3217.3
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fasted784± 431.8
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fed798± 337.8
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted1244± 827.7
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed5447± 74.9
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed1838± 179.3
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted1056± 36.9
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 500 mg BID Fed809± 237.3
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed622± 351.1
Maximum Observed Plasma Concentration (Cmax) of H3B-6527 Secondary · Part 1, Cycle 1 Day 1 and Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing); Part 2, Cycle 1 Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing) (Cycle 1 length = 21 days)
Cycle 1 Day 1
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted20.3± 64.1
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted74.5± 1389.4
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed395± 133.7
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fasted225± 470.2
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fed182± 494.6
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted136± 429.4
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed904± 34.2
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed540± 79.9
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted124± 159.1
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 500 mg BID Fed255± 251.6
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed163± 303.2
Cycle 1 Day 8
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted10.8± 90.6
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted194± 45.6
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed99.6± 5300.4
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fasted187± 339.1
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fed177± 370.3
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted362± 898.5
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed827± 40.6
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed502± 95.2
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted251± 46.5
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 500 mg BID Fed211± 237.2
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed167± 202.7
Time of Maximum Observed Plasma Concentration (Tmax) of H3B-6527 Secondary · Part 1, Cycle 1 Day 1 and Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing); Part 2, Cycle 1 Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing) (Cycle 1 length = 21 days)
Cycle 1 Day 1
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted2.002.00 – 4.00
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted1.000.50 – 2.00
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed4.001.00 – 4.07
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fasted2.021.00 – 8.12
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fed6.004.10 – 6.00
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted1.000.63 – 4.15
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed5.002.00 – 8.00
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed2.1001.00 – 4.92
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted2.122.00 – 4.57
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 500 mg BID Fed4.020.57 – 10.00
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed2.020.50 – 6.12
Cycle 1 Day 8
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted4.002.07 – 4.00
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0.520.50 – 2.00
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed4.520.53 – 6.00
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fasted2.000.33 – 10.00
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 1000 mg QD Fed2.001.00 – 4.33
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted2.101.00 – 4.13
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed5.862.00 – 6.22
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed4.001.00 – 8.42
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted4.002.10 – 4.17
Parts 1 and 2, Dose Escalation + Expansion Phase: H3B-6527 500 mg BID Fed4.000.00 – 10.00
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed4.120.50 – 10.00
Part 2, Dose Expansion Phase: Objective Response Rate (ORR) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 Secondary · From the first dose date until disease progression/recurrence or up to approximately 36.7 months

ORR was defined as the percentage of participants achieving a best overall confirmed response of partial response (PR) or complete response (CR) (PR + CR), from the first dose date until disease progression/recurrence. Responses (PR or CR) were confirmed no less than 4 weeks after the initial response. CR was defined as the disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in the short axis to less than 10 millimeter (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking a

GroupValue95% CI
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD5.60.1 – 27.3
Part 2, Dose Expansion Phase: H3B-6527 500 mg BID Fed0.00.0 – 10.9
Part 2, Dose Expansion Phase: Duration of Response (DOR) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 Secondary · From the date of first documented CR or PR up to approximately 36.7 months

DOR was defined as the time from the date of first documented CR or PR based on modified RECIST v1.1 until the first documentation of disease progression (PD) as determined by the investigator or death, whichever comes first. CR was defined as the disappearance of all target lesions and non-target lesions. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. PD was defined as at least a 20% increase in the sum of long diameter (LD) of target and non-target lesions as compared with the smallest sum of LD and the

GroupValue95% CI
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QDNANA – NA
Part 2, Dose Expansion Phase: Progression-free Survival (PFS) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 Secondary · From the first dose date to the date of the first documentation of PD as determined by the investigator or death (whichever occurs first) up to approximately 36.7 months

PFS was defined as the time from the first dose date to the date of the first documentation of PD as determined by the investigator or death (whichever occurs first). PD was defined as at least a 20% increase in the sum of LD of target and non-target lesions as compared with the smallest sum of LD and the increase of LD was at least 5 mm (including new lesions).

GroupValue95% CI
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD2.61.3 – 5.5
Part 2, Dose Expansion Phase: H3B-6527 500 mg BID Fed3.01.5 – 4.1
Part 2, Dose Expansion Phase: Overall Survival (OS) Secondary · From the date of first dose of study drug until date of death from any cause (up to approximately 36.7 months)

OS was defined as the time from the first dose date to the date of death. OS was assessed using Kaplan-Meier method. The time of death was censored for participants who were without death information at the time of OS analysis.

GroupValue95% CI
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD9.52.3 – 24.4
Part 2, Dose Expansion Phase: H3B-6527 500 mg BID Fed7.74.7 – 11.3
Part 2, Dose Expansion Phase: Time to Response (TTR) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 Secondary · From date of first dose of study drug until CR or PR (up to approximately 36.7 months)

TTR was defined as the time from the first dose date to the date of first documented CR/PR. CR was defined as the disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in the short axis to less than 10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

GroupValue95% CI
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QDNANA – NA
Number of Participants With Clinically Significant Change From Baseline in Laboratory Parameters Primary · From baseline up to approximately 36.7 months

Laboratory assessment included hematology, coagulation, clinical chemistry, and urinalysis parameters.

Hematology
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed0
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed0
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD0
Clinical Chemistry
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed0
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed0
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD0
Urinalysis
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed0
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed0
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD0
Coagulation
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed0
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed0
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD0
Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Parameters Primary · From baseline up to approximately 36.7 months
GroupValue95% CI
Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted0
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted0
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed0
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed0
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD0

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose of study drug up to approximately 36.7 months. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1, Dose Escalation Phase: H3B-6527 300 mg QD Fasted
Serious: 0/3 (0%)
Deaths: 1/3
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fasted
Serious: 0/3 (0%)
Deaths: 3/3
Part 1, Dose Escalation Phase: H3B-6527 600 mg QD Fed
Serious: 1/4 (25%)
Deaths: 2/4
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fasted
Serious: 1/10 (10%)
Deaths: 6/10
Part 1, Dose Escalation Phase: H3B-6527 1000 mg QD Fed
Serious: 1/3 (33%)
Deaths: 2/3
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fasted
Serious: 4/7 (57%)
Deaths: 7/7
Part 1, Dose Escalation Phase: H3B-6527 1400 mg QD Fed
Serious: 1/4 (25%)
Deaths: 3/4
Part 1, Dose Escalation Phase: H3B-6527 2000 mg QD Fed
Serious: 2/7 (29%)
Deaths: 1/7
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fasted
Serious: 2/3 (67%)
Deaths: 3/3
Part 1, Dose Escalation Phase: H3B-6527 500 mg BID Fed
Serious: 3/10 (30%)
Deaths: 6/10
Part 1, Dose Escalation Phase: H3B-6527 700 mg BID Fed
Serious: 1/5 (20%)
Deaths: 4/5
Part 2, Dose Expansion Phase: H3B-6527 1000 mg QD
Serious: 11/29 (38%)
Deaths: 19/29
Part 2, Dose Expansion Phase: H3B-6527 500 mg BID Fed
Serious: 17/40 (43%)
Deaths: 31/40

Serious adverse events (49 terms)

ReactionSystemPart 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 2, Dose Expansion Pha…Part 2, Dose Expansion Pha…
Tumour haemorrhageNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DiarrhoeaGastrointestinal disorders
AstheniaGeneral disorders
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PneumoniaInfections and infestations
Pathological fractureMusculoskeletal and connective tissue disorders
Cardio-respiratory arrestCardiac disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Oesophageal varices haemorrhageGastrointestinal disorders
Hepatic haemorrhageHepatobiliary disorders
Anaphylactic reactionImmune system disorders
Abdominal sepsisInfections and infestations
Post procedural complicationInjury, poisoning and procedural complications
Electrocardiogram QT prolongedInvestigations
HyponatraemiaMetabolism and nutrition disorders
Hepatic encephalopathyNervous system disorders
Acute kidney injuryRenal and urinary disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Peripheral embolismVascular disorders
ConstipationGastrointestinal disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Tumour ruptureNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (153 terms — click to expand)

ReactionSystemPart 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 1, Dose Escalation Ph…Part 2, Dose Expansion Pha…Part 2, Dose Expansion Pha…
DiarrhoeaGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
Abdominal painGastrointestinal disorders
FatigueGeneral disorders
Blood bilirubin increasedInvestigations
NauseaGastrointestinal disorders
AstheniaGeneral disorders
Hepatocellular injuryHepatobiliary disorders
VomitingGastrointestinal disorders
Oedema peripheralGeneral disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
PyrexiaGeneral disorders
Platelet count decreasedInvestigations
HypoalbuminaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
Back painMusculoskeletal and connective tissue disorders
LymphopeniaBlood and lymphatic system disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Blood alkaline phosphatase increasedInvestigations
Transaminases increasedInvestigations
Weight decreasedInvestigations
Pain in extremityMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
HypercalcaemiaMetabolism and nutrition disorders
Procedural painInjury, poisoning and procedural complications
HypertensionVascular disorders
LeukopeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Dry mouthGastrointestinal disorders
FallInjury, poisoning and procedural complications
Gamma-glutamyltransferase increasedInvestigations
DehydrationMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HyperkalaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders

Most-reported serious reactions: Tumour haemorrhage, Diarrhoea, Asthenia, Malignant neoplasm progression, Pneumonia, Pathological fracture, Cardio-respiratory arrest, Abdominal pain.

Data from ClinicalTrials.gov NCT02834780 adverse events section.

Sponsor's own description

The purpose of this study is to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of H3B-6527, and to assess the safety, tolerability and pharmacokinetics of H3B-6527.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Molecular therapies and precision medicine for hepatocellular carcinoma.
    Llovet JM, Montal R, Sia D, Finn RS. · · 2018 · cited 1481× · PMID 30061739 · DOI 10.1038/s41571-018-0073-4
  2. Fibroblast Growth Factor Receptors (FGFRs): Structures and Small Molecule Inhibitors.
    Dai S, Zhou Z, Chen Z, Xu G, et al · · 2019 · cited 216× · PMID 31216761 · DOI 10.3390/cells8060614
  3. Cancer-associated fibroblasts and resistance to anticancer therapies: status, mechanisms, and countermeasures.
    Feng B, Wu J, Shen B, Jiang F, et al · · 2022 · cited 150× · PMID 35488263 · DOI 10.1186/s12935-022-02599-7
  4. Recent advances in systemic therapy for hepatocellular carcinoma.
    Zhang H, Zhang W, Jiang L, Chen Y. · · 2022 · cited 150× · PMID 35000616 · DOI 10.1186/s40364-021-00350-4
  5. Advances in drug development for hepatocellular carcinoma: clinical trials and potential therapeutic targets.
    Luo XY, Wu KM, He XX. · · 2021 · cited 144× · PMID 34006331 · DOI 10.1186/s13046-021-01968-w
  6. Small molecule inhibitors targeting the cancers.
    Liu GH, Chen T, Zhang X, Ma XL, et al · · 2022 · cited 127× · PMID 36254250 · DOI 10.1002/mco2.181
  7. FGF19-<i>FGFR4</i> Signaling in Hepatocellular Carcinoma.
    Raja A, Park I, Haq F, Ahn SM. · · 2019 · cited 111× · PMID 31167419 · DOI 10.3390/cells8060536
  8. FGFR-TKI resistance in cancer: current status and perspectives.
    Yue S, Li Y, Chen X, Wang J, et al · · 2021 · cited 98× · PMID 33568192 · DOI 10.1186/s13045-021-01040-2

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02834780.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing