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RecruitingInterventionalPhase 2

A Phase 2, Open-Label, Single Arm, Non-Controlled, Single-Stage Study to Evaluate the Safety and Effects of HLX-1502 in Patients With Plexiform Neurofibroma and Neurofibromatosis Type 1

NCT ID: NCT06541847Sponsor: Healx LimitedLast updated: 2026-05-19

Summary

The trial will be an open label, single arm, phase 2 study to assess the tolerability and efficacy of HLX-1502 in participants with NF1 that are 16 years or older in age with progressive and/or symptomatic PN. This study will also investigate the safety and efficacy of HLX-1502 in a small cohort of 12 to 15 year olds.

Arms & interventions

  • DrugHLX-1502

    Participants will take an oral dose three times a day (with or without food) for up to 24 cycles (a cycle is defined as 28 days).

Outcome measures

Primary

  • PN response rate

    Response will be determined by a blinded centralized review of volumetric MRI. A partial response (PR) is defined as ≥ 20% decrease in the volume of target PN.

    Time frame: 12 months

Secondary

  • Duration of response (DOR) and Time to response (TOR)

    Time frame: 12 months

  • Safety and tolerability of HLX-1502

    Time frame: 12 months

  • PN response rate

    Time frame: 24 months

  • Pharmacokinetics of HLX-1502

    Time frame: 12 months

  • Confirmed PN response rate

    Time frame: 12 and 24 months

Eligibility criteria

Sex: AllAge: 12 Years and olderHealthy volunteers: No
Inclusion Criteria: 1. All participants must have a diagnosis of NF1 based on the 2021 revised consensus criteria. 2. Participants must have PN(s) that are progressive OR are causing significant morbidity, such as (but not limited to) head and neck lesions that are compromising the airway or great vessels, brachial or lumbar plexus lesions that are causing nerve compression and loss of function, lesions causing significant disfigurement (e.g., orbital lesions), lesions of the extremity that cause limb hypertrophy or loss of function, and painful lesions. Participants with paraspinal PN will be eligible for this trial. Histologic confirmation of tumor is not necessary but should be considered if there are clinical or radiographic findings concerning for malignant transformation of a PN. 3. Measurable Disease: Participants must have measurable PN(s) amenable to volumetric MRI analysis. For the purpose of this study, the target lesion must be seen on at least 3 consecutive MRI slices and the field of view must contain the entire tumor of interest. Tumors must be at least 3 mL in volume (most PN 3 cm in longest diameter will meet this criteria). If the tumor is \< 3 cm in longest diameter, the participant may still be eligible. Central review of the MRI of the target PN is required prior to enrollment to ensure that the tumor is measurable and amenable to volumetric analysis. 4. Age: Participants must be ≥ 12 years of age at the time of study entry. Note: Although prior MEKi therapy is not a requirement, patients should be counseled on the availability of FDA-approved MEKi therapies prior to enrollment. 5. Weight ≥ 42 kg. 6. Performance Level: Participants must have a Lansky (12-15 years of age) or Karnofsky (16+ years of age) score ≥ 50%. 7. Organ Function Requirements: Adequate Bone Marrow Function, Adequate Renal Function, Adequate Liver Function, Normal pancreatic function: amylase and lipase levels ≤ 1.5 x ULN. Blood pressure within upper limit of normal as defined below based on the average of the 2nd and 3rd of a total of 3 consecutive measurements, 5 minutes apart. Antihypertensives are permissible to achieve blood pressure within ULN, however must be on stable antihypertensive regimen with no adjustments within 14 days of enrollment. 8. Sexually active women of childbearing potential and fertile male participants and their partners must agree to use effective methods of contraception e.g., hormonal oral contraception, injectables, intrauterine device, surgical sterilization including vasectomy, or hormonal implant with barrier methods (male condom, female condom, or diaphragm with spermicidal gel) during the course of the study and for 4 months after the last dose of study treatment. Barrier methods alone are insufficient. True sexual abstinence or evidence of surgical sterility (e.g. vasectomized partner, post-hysterectomy, menopause with last menstrual period \>=12 months prior to screening visit) are acceptable method of birth control. Persons of childbearing potential will be given a pregnancy test within 14 days prior to first dose of study treatment and must have a negative urine or serum pregnancy test. 9. The participant is not planning to undergo surgery or other interventions/ treatments for the target lesion, except protocol specified therapy, for the duration of the study. 10. The participant or the participant's legal authorized representative is able to understand the informed consent form describing the risks of the study and voluntarily signs the informed consent document. 11. In the opinion of the investigator, the participant is willing and able to attend study visits, comply with the study procedures as specified in the protocol, and comply with the administration of the study drug. Exclusion Criteria: 1. Prior treatment with HLX-1502 for a PN. 2. The participant has used any of the following systemic medications/ therapies within the specified period prior to enrollment: MEK-inhibitors, other drugs in the TKI class, HLX-1502, Participants may have received treatment for a PN or other tumor/malignancy but must have fully recovered to baseline or CTCAE ≤ Grade 1 from acute toxicities from prior therapies except alopecia, Myelosuppressive chemotherapy, Hematopoietic growth factors, Biologic (anti-neoplastic agent), Investigational Drugs, Any other systemically administered anti-neoplastic agent and Radiation therapy. 3. Evidence of an NF1-related tumor such as optic pathway or other low-grade glioma, high-grade glioma, malignant peripheral nerve sheath tumor, or other cancer/tumor requiring treatment with chemotherapy, biologic therapy, surgery or radiation therapy. 4. Participants with high-grade glioma, malignant peripheral nerve sheath tumor, or other malignancy who received treatment in the last 12 months. Exceptions include basal cell carcinoma of the skin and squamous cell carcinoma of the skin that have undergone potentially curative therapy. If the investigator has any clinical concerns for ANNUBP/Atypical Neurofibroma or MPNST, a biopsy sample must be taken prior to study confirming eligibility. 5. Dental braces or prosthesis that interfere with volumetric analysis of the neurofibroma(s). 6. Surgery: Any major surgery within 12 weeks before starting the Treatment Period or foreseen during participation in the trial, any minor surgeries within 1 month before first dose of study treatment and Participants must have complete wound healing from major surgery or minor surgery before the first dose of study treatment. Participants with clinically relevant ongoing complications from prior surgery are not eligible. 7. Cataracts noted on ophthalmologic exam. 8. Cardiovascular disorders. 9. Other clinically significant disorders that would preclude safe study participation, including active infection, a known history of HIV seropositivity or known immunodeficiency or Known history of Hepatitis B or Hepatitis C. 10. Participants who require treatment with a drug that is a substrate of CYP1A2, CYP2C8, UGT1A1, UGT1A3 with a narrow therapeutic index during protocol therapy. 11. Known severe sensitivity to HLX-1502 or any excipient of HLX-1502 or history of allergic reactions attributed to compounds of similar chemical or biologic composition to HLX-1502. 12. Known severe sensitivity to FD\&C Yellow No. 5. 13. Participants receiving therapeutic anticoagulation with vitamin K antagonist. 14. Participants presently with iron deficiency and/or actively receiving iron replacement or requiring treatment with copper or zinc for any indication at study baseline. 15. Pregnant or breast-feeding women. 16. Unable or unwilling to swallow tablets. 17. Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter ingestion and/or the absorption of HLX-1502. 18. Participants who have other medical, social or concurrent challenges that are likely to negatively impact their ability to meet all of the trial obligations and therefore may increase the risk of safe participation in the study.

Study locations (14)

University of Alabama at Birmingham

Birmingham, Alabama, 35294

Recruiting
Brian Roberts · Contact
Girish Dhall · Principal Investigator
Laura Katherine Metrock · Sub Investigator

Children's Hospital Los Angeles

Los Angeles, California, 90027

Recruiting
Sandy Gutierrez · Contact
Tena Rosser · Principal Investigator
Nathan Robison · Sub Investigator
Ashley Margol · Sub Investigator
Tom Davidson · Sub Investigator
Katrina O'Halloran · Sub Investigator
Sara-Jane Oneyeama · Sub Investigator
Anat Erdreich-Epstein · Sub Investigator
Kaaren Waters · Sub Investigator
Vless Trinidad · Sub Investigator
Kasey Rangan · Sub Investigator

Stanford University

Palo Alto, California, 94304

Recruiting
Jenika Maala · Contact
Cynthia Campen · Principal Investigator
Sonia Partap · Sub Investigator
Paul Fisher · Sub Investigator
Katherine Ryan · Sub Investigator

Children's Hospital Colorado

Aurora, Colorado, 80045

Recruiting
Sarah Dickens · Contact
Nicholas Foreman · Principal Investigator
Holly Lindsay · Sub Investigator
Shelby Winzent-Oonk · Sub Investigator
Molly Hemenway · Sub Investigator

Children's National Hospital

Washington D.C., District of Columbia, 20010

Recruiting
Grace Birmingham · Contact
Benjamin Siegel · Principal Investigator
Roger Packer · Sub Investigator
Lindsay Kilburn · Sub Investigator
AeRang Kim · Sub Investigator
Amy Hont · Sub Investigator
Liny John · Sub Investigator
Brian Rood · Sub Investigator
Eugene Hwang · Sub Investigator
Holly Meany · Sub Investigator

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, 60611

Recruiting
Kelly Bruno · Contact
Miriam Bornhorst · Principal Investigator
Angela Waanders · Sub Investigator
Ashley Plant · Sub Investigator
Alicia Lenzen · Sub Investigator
Maggie Seblani · Sub Investigator

University of Chicago

Chicago, Illinois, 60637

Recruiting
Cynthia MacKenzie · Contact
James Tonsgard · Principal Investigator
Shawn Damodharan · Sub Investigator

Indiana University

Indianapolis, Indiana, 46202

Recruiting
Sara Quetant · Contact
Steven Rhodes · Principal Investigator
Scott Coven · Sub Investigator
Jayne Vonbergen · Sub Investigator
Brian Weiss · Sub Investigator
Kathryn Nevel · Sub Investigator

Johns Hopkins Hospital

Baltimore, Maryland, 21287

Recruiting
Joshua Roberts · Contact
Jaishri Blakeley · Principal Investigator
Shannon Langmead · Sub Investigator
Carlos Romo · Sub Investigator
Kelly Wypych · Sub Investigator

Washington University School of Medicine

St Louis, Missouri, 63110

Recruiting
Audrey Merz · Contact
Amy Armstrong · Principal Investigator
Angela Hirbe · Sub Investigator
Brian Van Tine · Sub Investigator
Mia Weiss · Sub Investigator
Mohamed Abdelbaki · Sub Investigator
Nicole Brossier · Sub Investigator
Andrew Cluster · Sub Investigator
Frederick Huang · Sub Investigator
Allison King · Sub Investigator
Bryan Sisk · Sub Investigator
Daniel Willis · Sub Investigator
David Wilson · Sub Investigator
Sanita Burgic · Sub Investigator
Linda Goldenberg · Sub Investigator
Loren Abernathy · Sub Investigator
Christina Carey · Sub Investigator
Leslie Glover · Sub Investigator
Ashley Meyer · Sub Investigator
Andrea Ogle · Sub Investigator
Camille Skaer · Sub Investigator
Molly Warner · Sub Investigator

New York University Langone Health

New York, New York, 10016

Recruiting
Anna Yaffe · Contact
Kaleb Yohay · Principal Investigator
Jessica Clymer · Sub Investigator
Devorah Segal · Sub Investigator
Jordie Blum · Sub Investigator

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229

Recruiting
Lori Backus · Contact
Peter De Blank · Principal Investigator
Erin Breese · Sub Investigator
Karen Burns · Sub Investigator
Ellen Chang · Sub Investigator
Richard Graham · Sub Investigator
Trent Hummel · Sub Investigator
LaQuita Jones · Sub Investigator
Lynn Lee · Sub Investigator
Benjamin Mizukawa · Sub Investigator
Aaron Mochizuki · Sub Investigator
Robin Norris · Sub Investigator
John Perentesis · Sub Investigator
Christine Phillips · Sub Investigator
Natasha Pillay-Smiley · Sub Investigator
Jonathan Bender · Sub Investigator
Thomas Galletta · Sub Investigator
Joseph Pressey · Sub Investigator
Lauren Pommert · Sub Investigator

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104

Recruiting
Ratnakar Patti · Contact
Michael Fisher · Principal Investigator
Jean Belasco · Sub Investigator
Stephanie Brosius · Sub Investigator
Kristina Cole · Sub Investigator
Jessica Foster · Sub Investigator
Cassie Kline · Sub Investigator
Chelsea Kotch · Sub Investigator
Jane Minturn · Sub Investigator
Amish Shah · Sub Investigator

University of Texas Southwestern Medical Center

Dallas, Texas, 75390

Recruiting
Omar Raslan · Contact
Laura Klesse · Principal Investigator
Justin Jordan · Sub Investigator
Michael Youssef · Sub Investigator
Evan Noch · Sub Investigator
Elizabeth Maher · Sub Investigator
Daniel Bowers · Sub Investigator
Jonathan Wickiser · Sub Investigator
Alexis Kennedy · Sub Investigator
Devon Knotts · Sub Investigator