Recruiting
Phase 1

ICP-248 & Azacitidine

Sponsor:

Beijing InnoCare Pharma Tech Co., Ltd.

Code:

NCT06656494

Conditions

Acute Myelogenous Leukemia

Myelodysplastic Syndromes (MDS)

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

ICP-248

Azacitidine

Study Details

Brief summary:

Evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ICP-248 in combination with azacitidine in patients with acute myelogenous leukemia and Myelodysplastic Syndromes.

Conditions

Acute Myelogenous Leukemia

Myelodysplastic Syndromes (MDS)

Study ID

NCT06656494

Start date

Dec 18, 2024

Status verified date

Feb, 2026

Completion date

Jan, 2028

Anticipated

Primary completion date

Jun, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

Eligible subjects must meet all of the following criteria:

1. Subject must have confirmation of diagnosis of AML (except for acute promyelocytic leukemia \[APL\]) or MDS per 2016 World Health Organization (WHO) criteria.
2. For AML (except for APL) cohort:

1. Previously treated relapsed/refractory AML subjects
2. Treatment-naïve AML subjects should be: ≥60 years of age OR ≥18 years and <60 years will be eligible if the subject has at least one of the following co-morbidities, which make the subject unfit for intensive chemotherapy
3. For MDS cohort: Adult TN MDS and R/R MDS: revised International Prognostic Scoring System (IPSS-R) score > 3 and bone marrow blasts ≥ 5%.
4. Subject must have a projected life expectancy of at least 12 weeks.
5. Subject must have adequate renal function as demonstrated by a creatinine clearance ≥ 30 mL/min; determined via urine collection for 24-hour creatinine clearance or by the Cockcroft-Gault formula.
6. Subject must have adequate liver function

Exclusion Criteria:

1. R/R AML or R/R MDS with no response or intolerance to post azacitidine or BCL-2i.
2. Subject has acute promyelocytic leukemia (French-American-British Class M3 AML) .
3. Subject has known central nervous system (CNS) leukemia.
4. Suggest patients with active hepatitis B or C virus infection
5. History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test.
6. Subjects have another active malignancy within the past 2 years before study entry, except for curatively treated.

Study Design

Enrollment

266 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: ICP-248 in combination with azacitidine

Interventions

ICP-248

Eligible patients will receive ICP-248 orally as per the protocol,once daily for every 28 days as one treatment cycle

Azacitidine

Eligible patients will receive azacitidine subcutaneously or intravenously as per the protocol,once daily on days 1-7 of each 28-day cycle.

Primary outcome measure

  • Incidence, type, and severity of dose-limiting toxicity (DLT). [ Time Frame: 2.5 years ]
  • Recommended phase II dose (RP2D) and/or maximum tolerated dose (MTD). [ Time Frame: 2.5 years ]
  • The incidence, nature, and severity of adverse events (AEs) as assessed per National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE v5.0) criteria. [ Time Frame: 2.5 years ]
  • AML cohort:Composite complete remission rate by Investigator per ELN 2017 criteria. [ Time Frame: 2.5 years ]
  • AML cohort:Composite complete remission rate by completion of cycle 2 by Investigator per ELN 2017 criteria. [ Time Frame: 2.5 years ]
  • MDS cohort:mOR rate, including CR, mCR, and PR, assessed by Investigator at any time point during the study per revised IWG 2006 MDS Criteria. [ Time Frame: 2.5 years ]

Central Contacts and Locations

Locations

Chao Family Comprehensive Cancer Center, University of California, Irvine

Recruiting

Orange, California, United States, 92868-3201

Contacts

Chao Family Comprehensive Cancer Center University of California, Irvine

1-877-827-8839ucstudy@uci.edu

Yale University, Yale Cancer Center

Recruiting

New Haven, Connecticut, United States, 06520

Contacts

H Lee Moffitt Cancer Center & Research Institute

Recruiting

Tampa, Florida, United States, 33612

Contacts

NYU Langone Health

Recruiting

New York, New York, United States, 10016

Contacts

University of North Carolina at Chapel Hill

Recruiting

Chapel Hill, North Carolina, United States, 27599-7305

Contacts

Medical College of Wisconsin

Recruiting

Milwaukee, Wisconsin, United States, 53226

Contacts

Medical College of Wisconsin Clinical Trials Office

866-680-0505cccto@mcw.edu

More Information

Sponsor

Beijing InnoCare Pharma Tech Co., Ltd.

Last update posted

Aug 18, 2026

Last verified

Feb, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Beijing InnoCare Pharma Tech Co., Ltd. on 2026-08-18.