Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 and up

HMPL-306 treatment for gliomas with IDH1 or IDH2 mutations.

Official title: A Multicenter, Randomized Controlled Phase I Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of HMPL-306 in Patients With Gliomas Harboring IDH1 and/or IDH2 Mutations

Run by Hutchmed · NCT07025018 · Data updated 2026-11-12

This study will test whether HMPL-306, a drug that blocks mutant IDH1 and IDH2, is safe and shows early benefit in adults with IDH‑mutant gliomas.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment52 (estimated)
SponsorHutchmed
Industry-sponsored
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedJuly 15, 2025
Main results expectedDecember 2026
Study endsDecember 2027
Registry record updatedAugust 1, 2025
Trial IDNCT07025018 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with measurable gliomas harboring documented or suspected IDH1 and/or IDH2 mutations, KPS ≥80, adequate organ and marrow function, and life expectancy ≥12 weeks.

Probably not a fit

Patients without IDH1/2 mutations, those previously treated with IDH inhibitors, with uncontrolled comorbidities, or recent other malignancies may not benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

HMPL-306 is a dual IDH1/2 inhibitor being tested in a multicenter, randomized, controlled Phase I protocol for adults with IDH1- or IDH2‑mutant gliomas. The study has two parts: Part 1 is a safety lead‑in to determine dose‑limiting toxicities and tolerability, and Part 2 is a perioperative randomized comparison of pre‑surgical HMPL‑306 versus no pre‑surgical treatment. Key outcomes include safety, tolerability, pharmacokinetics, pharmacodynamics in tumor tissue, and preliminary signals of antitumor activity. Eligible patients are adults with measurable IDH‑mutant gliomas, adequate organ function, and KPS ≥80 who can attend participating sites (one listed: Huashan Hospital, Fudan University, Shanghai).

Why it matters

Potential benefit: If successful, HMPL‑306 could offer a targeted treatment that slows tumor growth and improves outcomes for patients with IDH‑mutant gliomas.

How similar studies have gone: Other IDH inhibitors have shown tolerability and early signs of activity in IDH‑mutant tumors including gliomas, but clinical benefit in brain tumors remains preliminary.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Fully informed about the study and voluntarily sign the informed consent form (ICF).
2. Age ≥ 18 years.
3. Safety Lead-In Phase: Patients with gliomas of a documented IDH1 and/or IDH2 mutation. Perioperative Study Phase: Patients with gliomas of definitive or suspected IDH1 and/or IDH2 mutations scheduled for surgery.
4. All patients must have at least one measurable lesion.
5. Karnofsky Performance Status (KPS) score ≥ 80% .
6. In the investigator's judgment, a life expectancy of ≥ 12 weeks.
7. Sufficient bone marrow and organ function.

Exclusion Criteria:

1. Previous treatment with IDH inhibitors.
2. Unresolved toxicity from previous antitumor treatments not reverted to ≤ Grade 1 (except for alopecia, skin pigmentation changes, and ≤ Grade 2 peripheral neuropathy).
3. Patients assessed by researchers to have high-risk or unstable conditions.
4. Having other malignancies or a history of other malignancies within 5 years prior to screening.
5. History of clinically significant liver disease, including active infection with viral hepatitis, or other active hepatitis, alcoholic liver disease, cirrhosis, etc.
6. Patients with HIV infection.
7. Pregnancy (positive pregnancy test before dosing) or currently breastfeeding women.
8. Presence of diseases or conditions affecting drug absorption.
9. Any other conditions, in the investigator's judgment, unsuitable for the study drug, will result in exclusion.

Where it's running

  • Huashan Hospital affiliated to Fudan University
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.