Acute Myelogenous LeukemiaPhase 1NCT06656494
ICP-248 in Combination With Azacitidine for the Treatment in Patients With Myeloid Malignancies
A Phase 1 study testing ICP-248 and Azacitidine in people with Acute Myelogenous Leukemia and Myelodysplastic Syndromes (MDS), run by Beijing InnoCare Pharma Tech Co., Ltd. at 22 sites in 3 countries.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Myelogenous Leukemia, Myelodysplastic Syndromes (MDS)
- What is being tested?
- ICP-248 and Azacitidine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 266 participants
- Where
- 22 sitesin 3 countries
- Study dates
- 18 Dec 2024to Jan 2028
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Eligible subjects must meet all of the following criteria:
- Subject must have confirmation of diagnosis of AML (except for acute promyelocytic leukemia [APL]) or MDS per 2016 World Health Organization (WHO) criteria.
- For AML (except for APL) cohort:
- Previously treated relapsed/refractory AML subjects
- 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
- For MDS cohort: Adult TN MDS and R/R MDS: revised International Prognostic Scoring System (IPSS-R) score > 3 and bone marrow blasts ≥ 5%.
Show all 9Show fewer
- Subject must have a projected life expectancy of at least 12 weeks.
- 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.
- Subject must have adequate liver function
Who cannot join
- R/R AML or R/R MDS with no response or intolerance to post azacitidine or BCL-2i.
- Subject has acute promyelocytic leukemia (French-American-British Class M3 AML) .
- Subject has known central nervous system (CNS) leukemia.
- Suggest patients with active hepatitis B or C virus infection
- History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test.
- Subjects have another active malignancy within the past 2 years before study entry, except for curatively treated.
Trial locations and contacts
22 sites in 3 countries. Contact the study team or a site near you to ask about taking part.
22 sites in 3 countries
China14 sites, 14 recruiting
- Recruiting
Peking University People's Hospital
Beijing, Beijing Municipality, 100044
Qian Jiang, 010-88326850, jiangqian@medmail.com.cn
- Recruiting
The First Hospital of Jilin University
Changchun, Jilin, 130000
Sujun Gao, sujung1963@163.com
- Recruiting
Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610072
xiaobing Huang, huangxiaobing@med.uestc.edu.cn
- Recruiting
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400042
Li Wang, liwangls@yahoo.com
- Recruiting
Guangdong Provincial People's Hospital
Guangzhou, Guangdong, 510030
Jianyu Weng, wengjianyu1969@163.com
- Recruiting
Nanfang Hospital Southern Medical University
Guangzhou, Guangdong, 510515
Yunyun Pan, huiyun1227@163.com
- Recruiting
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310012
Jie Jin, 0571-87236898, jiej0503@163.com
- Recruiting
Anhui Provincial Hospita
Hefei, Anhui, 230001
Xiaoyu Zhu, xiaoyuz@ustc.edu.cn
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Fei Li, 0791-88692743, lifeigcp2022@163.com
- Recruiting
Shengjing Hospital of China Medical University
Shengyang, Liaoning, 110004
Aijun Liao, liaoaijun@sina.com
- Recruiting
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
Suning Chen, 0512-67781137, chensuning@suda.edu.cn
- Recruiting
Tianjin People's Hospital
Tianjin, Tianjin Municipality, 300192
Xingli Zhao, 022-27557959, insectzhao@163.com
- Recruiting
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430000
Zhichao Chen, chenzhichao@hust.edu.cn
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450000
Xudong Wei, 0371-65587038, weixudong63@126.com
United States6 sites, 6 recruiting
- Recruiting
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599-7305
Study Coordinator, +1 919-966-4432, cancerclinicaltrials@med.unc.edu
- Recruiting
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Medical College of Wisconsin Clinical Trials Office, 866-680-0505 ext. 8900, cccto@mcw.edu
- Recruiting
Yale University, Yale Cancer Center
New Haven, Connecticut, 06520
Farah Fasihuddin, (203) 494-4610, farah.fasihuddin@yale.edu
- Recruiting
NYU Langone Health
New York, New York, 10016
Antoine Mesidor, 212-263-4403, antoine.mesidor@nyulangone.org
- Recruiting
Chao Family Comprehensive Cancer Center, University of California, Irvine
Orange, California, 92868-3201
Chao Family Comprehensive Cancer Center University of California, Irvine, 1-877-827-8839, ucstudy@uci.edu
- Recruiting
H Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, 33612
Fernando Bustamante, 813-745-5358, fernando.bustamante@moffitt.org
Australia2 sites, 2 recruiting
- Recruiting
Royal Perth Hospital
Perth, Western Australia, 6000
Hun Chuah, 0892242405, HunSheng.Chuah@health.wa.gov.au
- Recruiting
St Vincent's Hospital
Sydney, New South Wales, 2010
Keith Fay, 0478267680, keith.fay@svha.org.au
About this study
Official title: A Phase 1 Study of ICP-248 in Combination With Azacitidine for the Treatment in Patients With Myeloid Malignancies.
Evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ICP-248 in combination with azacitidine in patients with acute myelogenous leukemia and Myelodysplastic Syndromes.
- Being tested
- ICP-248, Azacitidine
- Medical subject headings
- Leukemia, Myeloid, Acute, Myelodysplastic Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ICP-248Drug
Eligible patients will receive ICP-248 orally as per the protocol,once daily for every 28 days as one treatment cycle
AzacitidineDrug
Eligible patients will receive azacitidine subcutaneously or intravenously as per the protocol,once daily on days 1-7 of each 28-day cycle.
| Study group | Role | What they receive |
|---|---|---|
| ICP-248 in combination with azacitidine | Experimental | Not described Receives: Drug: ICP-248; Drug: Azacitidine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence, type, and severity of dose-limiting toxicity (DLT).
Measured: 2.5 years
Recommended phase II dose (RP2D) and/or maximum tolerated dose (MTD).
Measured: 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.
Measured: 2.5 years
AML cohort:Composite complete remission rate by Investigator per ELN 2017 criteria.
Measured: 2.5 years
AML cohort:Composite complete remission rate by completion of cycle 2 by Investigator per ELN 2017 criteria.
Measured: 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.
Measured: 2.5 years
Secondary outcomes (20)
AML cohort:Composite complete remission rate: The proportion of subjects with complete remission (CR) and CR with incomplete hematologic recovery (CRi) by Investigator per European Leukemia Net (ELN) 2017 criteria.
Measured: 2.5 years
AML cohort:Composite complete remission rate by completion of cycle 2 by Investigator per ELN 2017 criteria.
Measured: 2.5 years
The incidence, nature, and severity of adverse events (AEs) as assessed per NCI-CTCAE v5.0 criteria.
Measured: 2.5 years
Maximum concentration (Cmax)of ICP-248.
Measured: 2.5 years
Area under the curve (AUC) of ICP-248.
Measured: 2.5 years
Time of maximum observed plasma(Tmax)of ICP-248.
Measured: 2.5 years
Trough concentration(Ctrough) of ICP-248.
Measured: 2.5 years
Apparent clearance (CL/F) of ICP-248.
Measured: 2.5 years
AML cohort:Partial Response (PR) by investigator per ELN 2017 criteria.
Measured: 2.5 years
AML cohort:Overall survival (OS) by investigator per ELN 2017 criteria.
Measured: 2.5 years
AML cohort:Duration of Response (DOR) by investigator per ELN 2017 criteria.
Measured: 2.5 years
AML cohort:Event-free Survival (EFS) by investigator per ELN 2017 criteria.
Measured: 2.5 years
AML cohort:Relapse-free Survival (RFS) by investigator per ELN 2017 criteria.
Measured: 2.5 years
AML cohort:Morphologic leukemia-free state (MLFS) by investigator per ELN 2017 criteria.
Measured: 2.5 years
MDS cohort:Modified overall response (mOR) rate, including CR, marrow complete response (mCR), and PR, assessed by Investigator at any time point during the study per revised International Working Group (IWG) 2006 MDS Criteria
Measured: 2.5 years
MDS cohort:Complete remission(CR) rate by Investigator per revised IWG 2006 MDS Criteria
Measured: 2.5 years
MDS cohort:Event-free survival (EFS) by Investigator per revised IWG 2006 MDS Criteria
Measured: 2.5 years
MDS cohort:Duration of modified overall response (DmOR) by Investigator per revised IWG 2006 MDS Criteria
Measured: 2.5 years
MDS cohort:Overall survival(OS) by Investigator per revised IWG 2006 MDS Criteria
Measured: 2.5 years
MDS cohort:Marrow complete response (mCR) rate by Investigator per revised IWG 2006 MDS Criteria
Measured: 2.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Oct 2024
- Study start18 Dec 2024
- Primary completionJun 2027 (estimated)
- Study completionJan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acute Myelogenous LeukemiaStudies of the same condition, open and under way.
- More trials run by Beijing InnoCare Pharma Tech Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 266 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Beijing InnoCare Pharma Tech Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06656494
- Sponsor's protocol ID
- ICP-CL-01205
- Status last verified
- Feb 2026
- First submitted
- 21 Oct 2024
- Last updated
- 18 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study of ICP-248 in Combination With Azacitidine for the Treatment in Patients With Myeloid Malignancies.
- ClinicalTrials.gov ID
- NCT06656494
- Acronym / sponsor ID
- ICP-CL-01205
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 266 participants (estimated)
- Lead sponsor
- Beijing InnoCare Pharma Tech Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 18 Dec 2024 (actual)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Jan 2028 (estimated)
- First posted
- 24 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ICP-248 in combination with azacitidine in patients with acute myelogenous leukemia and Myelodysplastic Syndromes.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ICP-248 in combination with azacitidine | Experimental | Drug: ICP-248, Drug: Azacitidine |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Subject must have confirmation of diagnosis of AML (except for acute promyelocytic leukemia [APL]) or MDS per 2016 World Health Organization (WHO) criteria.
- For AML (except for APL) cohort:
- For MDS cohort: Adult TN MDS and R/R MDS: revised International Prognostic Scoring System (IPSS-R) score > 3 and bone marrow blasts ≥ 5%.
- Subject must have a projected life expectancy of at least 12 weeks.
- 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.
Key exclusion criteria (6 listed)
- R/R AML or R/R MDS with no response or intolerance to post azacitidine or BCL-2i.
- Subject has acute promyelocytic leukemia (French-American-British Class M3 AML) .
- Subject has known central nervous system (CNS) leukemia.
- Suggest patients with active hepatitis B or C virus infection
- History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ICP-248Eligible patients will receive ICP-248 orally as per the protocol,once daily for every 28 days as one treatment cycle | Drug | ICP-248 in combination with azacitidine |
| AzacitidineEligible patients will receive azacitidine subcutaneously or intravenously as per the protocol,once daily on days 1-7 of each 28-day cycle. | Drug | ICP-248 in combination with azacitidine |
Primary outcome
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
20 secondary outcomes
AML cohort:Composite complete remission rate: The proportion of subjects with complete remission (CR) and CR with incomplete hematologic recovery (CRi) by Investigator per European Leukemia Net (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
The incidence, nature, and severity of adverse events (AEs) as assessed per NCI-CTCAE v5.0 criteria.
Time frame: 2.5 years
Maximum concentration (Cmax)of ICP-248.
Time frame: 2.5 years
Area under the curve (AUC) of ICP-248.
Time frame: 2.5 years
Time of maximum observed plasma(Tmax)of ICP-248.
Time frame: 2.5 years
Trough concentration(Ctrough) of ICP-248.
Time frame: 2.5 years
Apparent clearance (CL/F) of ICP-248.
Time frame: 2.5 years
AML cohort:Partial Response (PR) by investigator per ELN 2017 criteria.
Time frame: 2.5 years
AML cohort:Overall survival (OS) by investigator per ELN 2017 criteria.
Time frame: 2.5 years
AML cohort:Duration of Response (DOR) by investigator per ELN 2017 criteria.
Time frame: 2.5 years
AML cohort:Event-free Survival (EFS) by investigator per ELN 2017 criteria.
Time frame: 2.5 years
AML cohort:Relapse-free Survival (RFS) by investigator per ELN 2017 criteria.
Time frame: 2.5 years
AML cohort:Morphologic leukemia-free state (MLFS) by investigator per ELN 2017 criteria.
Time frame: 2.5 years
MDS cohort:Modified overall response (mOR) rate, including CR, marrow complete response (mCR), and PR, assessed by Investigator at any time point during the study per revised International Working Group (IWG) 2006 MDS Criteria
Time frame: 2.5 years
MDS cohort:Complete remission(CR) rate by Investigator per revised IWG 2006 MDS Criteria
Time frame: 2.5 years
MDS cohort:Event-free survival (EFS) by Investigator per revised IWG 2006 MDS Criteria
Time frame: 2.5 years
MDS cohort:Duration of modified overall response (DmOR) by Investigator per revised IWG 2006 MDS Criteria
Time frame: 2.5 years
MDS cohort:Overall survival(OS) by Investigator per revised IWG 2006 MDS Criteria
Time frame: 2.5 years
MDS cohort:Marrow complete response (mCR) rate by Investigator per revised IWG 2006 MDS Criteria
Time frame: 2.5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Aug 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
22 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing ICP-248 and Azacitidine in people with Acute Myelogenous Leukemia and Myelodysplastic Syndromes (MDS), run by Beijing InnoCare Pharma Tech Co., Ltd. at 22 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 18 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 22 sites in China, United States, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Alexia Lu (010-66609745, CO_HGRAC@innocarepharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence, type, and severity of dose-limiting toxicity (DLT). (time frame: 2.5 years). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2026.