NCT06781567

Brief 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.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
140

participants targeted

Target at P75+ for phase_2

Timeline
38mo left

Started Dec 2024

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress31%
Dec 2024Jun 2029

Study Start

First participant enrolled

December 13, 2024

Completed
24 days until next milestone

First Submitted

Initial submission to the registry

January 6, 2025

Completed
11 days until next milestone

First Posted

Study publicly available on registry

January 17, 2025

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2028

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2029

Last Updated

March 14, 2025

Status Verified

January 1, 2025

Enrollment Period

4.1 years

First QC Date

January 6, 2025

Last Update Submit

March 11, 2025

Conditions

Keywords

HG146HG146CN201

Outcome Measures

Primary Outcomes (2)

  • objective response rate (ORR)

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

    From enrollment to the end of treatment at 4 weeks

  • 6 Months Progression-Free Survival (PFS)

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

    From enrollment to treatment at 6 months.

Secondary Outcomes (6)

  • Progression-Free Survival (PFS)

    From enrollment to treatment at 12 months

  • Duration of response (DoR)

    From enrollment to the end of treatment at 4 weeks

  • Disease control rate (DCR)

    From enrollment to the end of treatment at 4 weeks

  • Overall survival (OS)

    From enrollment to the end of treatment at 4 weeks

  • Time-to-response (TTR)

    From enrollment to the end of treatment at 4 weeks

  • +1 more secondary outcomes

Study Arms (1)

Clinical Trial of HG146 Administered to participants with Adenoid cystic carcinoma

EXPERIMENTAL

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

HG146DRUG

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

Also known as: HG146 Capsule
Clinical Trial of HG146 Administered to participants with Adenoid cystic carcinoma

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Signed informed consent form (ICF) and able to comply with study.
  • Age ≥18 years, gender unlimited.
  • Recurrent or metastatic 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 (ECOG) physical status score 0-1.
  • Has adequate organ function.
  • At least 1 measurable tumor lesion according to RECISTv1.1 criteria.

You may not qualify if:

  • Symptomatic central nervous system (CNS) metastases that have required steroids 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 CYP3A4 inhibitors or inducers within 7 days before the first use of the investigational drug.
  • Major surgery or major injury \<=28 days before the first dose of study treatment,or anticipated major surgery during the study.
  • Prior allogeneic bone marrow transplantation or other solid organ transplantation
  • Active infection requiring systemic treatment.
  • Current or past presence of other malignancies (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 excipient 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.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Shanghai Oriental Hospital

Shanghai, Shanghai Municipality, 200000, China

RECRUITING

MeSH Terms

Conditions

Carcinoma, Adenoid CysticHead and Neck Neoplasms

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms by Site

Study Officials

  • Ye Guo

    Shanghai Oriental Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 6, 2025

First Posted

January 17, 2025

Study Start

December 13, 2024

Primary Completion (Estimated)

December 31, 2028

Study Completion (Estimated)

June 30, 2029

Last Updated

March 14, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share

Locations