About this trial
This is a prospective, single-arm, exploratory Phase II clinical study evaluating the efficacy and safety of HP-001 capsules in combination with dexamethasone in patients with relapsed or refractory multiple myeloma (RRMM) with extramedullary disease (EMD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years at the time of signing informed consent; male or female.
ECOG performance status of 0-2.
Diagnosis of multiple myeloma according to IMWG criteria, with relapsed/refractory disease after at least 1 prior systemic treatment regimen; disease progression or failure to achieve a response after the most recent line of therapy; and extramedullary disease confirmed by imaging, defined as at least 1 soft-tissue extramedullary lesion ≥2 cm, at least 1 paramedullary lesion ≥5 cm, or >2 lesions.
With or without measurable hematologic disease at screening. Measurable disease, if present, is defined as serum M-protein ≥1.0 g/dL, urine M-protein ≥200 mg/24 hours, or serum free light chain ≥10 mg/dL with an abnormal free light chain ratio.
Disqualifiers
Smoldering multiple myeloma, monoclonal gammopathy of undetermined significance, Waldenström macroglobulinemia, POEMS syndrome, amyloidosis, or primary/secondary plasma cell leukemia.
Central nervous system involvement or clinical evidence of meningeal involvement.
Severe or uncontrolled cardiovascular disease, including unstable angina, symptomatic congestive heart failure, myocardial infarction within 6 months before enrollment, severe uncontrolled arrhythmia, or other cardiovascular/cerebrovascular conditions considered unsuitable by the investigator.
Major surgery within 4 weeks before the first dose or planned major surgery during the study.
Trial design
Single group
Treatments tested in this trial
HP-001
DrugHP-001 capsules will be administered orally at a dose of 0.6 mg once daily on Days 1-10 of each 28-day treatment cycle.
Dexamethasone
DrugDexamethasone will be administered at a dose of 40 mg orally or intravenously on Days 1, 8, 15, and 22 of each 28-day treatment cycle.
Treatment groups
Trial outcomes
Primary outcomes
Overall Response Rate (ORR)
Secondary outcomes
Extramedullary Disease Objective Response Rate (EMD-ORR)
Very Good Partial Response or Better Rate (≥VGPR Rate)
Complete Response or Stringent Complete Response Rate (CR/sCR Rate)
Time to Response (TTR)
Sponsors and contacts
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