Evidence map›Paper›PMID 40016191›Full record

Trial reportSignal transduction and targeted therapy2025

Safety, pharmacokinetics and efficacy of HA121-28 in patients with advanced solid tumors and RET fusion-positive non-small-cell lung cancer: a multicenter, open-label, single-arm phase 1/2 trial.

Dan-Yun Ruan, Wen-Wen Huang, Yongsheng Li, Yanqiu Zhao, Yehui Shi, Yuming Jia, Shundong Cang, Wei Zhang, Jianhua Shi, Jun Chen and 34 more

2 registry-linked trialsAbstract readClinical Trial, Phase IMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Signal transduction and targeted therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03994484 phase1unknown statusnot on this map

Pharmacokinetics of Single and Multiple Doses of HA121-28 Tablets and Exploration of Maximum Tolerated Dose in Patients With Advanced Solid Tumor in PhaseⅠClinical Trial

TypeinterventionalSponsorCSPC ZhongQi Pharmaceutical Technology Co., Ltd.Ran2018 to 2022Enrolled44ConditionsAdvanced Solid TumorArmsHA121-28 tablets
NCT05117658 phase2unknown statusnot on this map

A Single-Arm, Multi-Centre, Open-Label Phase II Study of HA121-28 in Patients With RET Fusion-Positive Advanced Non-Small Cell Lung Cancer

TypeinterventionalSponsorCSPC ZhongQi Pharmaceutical Technology Co., Ltd.Ran2022 to 2023Enrolled83ConditionsNSCLCArmsHA121-28 tablet
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Dan-Yun Ruan *Department of Clinical Research, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University, Guangzhou, People's Republic of China.
Wen-Wen Huang *Department of Clinical Research, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University, Guangzhou, People's Republic of China.
Yongsheng LiDepartment of Phase 1 Ward, Chongqing University Cancer Hospital, Chongqing Cancer Hospital, Chongqing, People's Republic of China.ORCID 0000-0003-2175-9449
Yanqiu ZhaoDepartment of Respiratory Medicine, Henan Cancer Hospital, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Yehui ShiDepartment of Breast Oncology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China.
Yuming JiaDepartment of Oncology, The second people's hospital of Yibin, Yibin, Sichuan, People's Republic of China.
Shundong CangDepartment of Medical Oncology, Phase 1 Clinical Research Unit, Department of Medical Oncology, Henan Provincial People's Hospital, Zhengzhou, Hannan, People's Republic of China.
Wei ZhangDepartment of Medical Oncology, Phase 1 Clinical Research Unit, Department of Medical Oncology, Henan Provincial People's Hospital, Zhengzhou, Hannan, People's Republic of China.
Jianhua ShiDepartment of the Second General Medicine, Linyi Cancer Hospital, Linyi, Shandong, People's Republic of China.
Jun ChenDepartment of Pulmonary Oncology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Jie LinDepartment of Oncology, The Second Affiliated hospital of Kunming Medical University, Kunming, Yunnan, People's Republic of China.
Yunpeng LiuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Jianming XuDepartment of Medical Oncology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, People's Republic of China.ORCID 0000-0003-4467-6021
Weiwei OuyangThe Phase1 Clinical Center, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.
Jian FangDepartment of the Second Thoracic Oncology, Beijing Cancer Hospital, Beijing, People's Republic of China.
Wu ZhuangDepartment of Respiratory Oncology, Fujian Cancer Hospital, Fuzhou, Fujian, People's Republic of China.
Caigang LiuDepartment of Oncology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Qing BuDepartment of Medical Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Manxiang LiDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shanxi, People's Republic of China.
Xiangjiao MengDepartment of the Fourth Thoracic Radiotherapy Ward, Shandong Cancer Hospital & Institute, Jinan, Shandong, People's Republic of China.
Meili SunDepartment of Oncology, General Hospital Affiliated Shandong First Medical University, Jinan, Shandong, People's Republic of China.
Nong YangDepartment of Pulmonary and Gastrointestinal Medicine, Hunan Cancer Hospital, Changsha, Hunan, People's Republic of China.
Xiaorong DongDepartment of Cancer Center, Wuhan Union Hospital of China, Wuhan, Hubei, People's Republic of China.
Yueyin PanDepartment of Oncology Chemotherapy, The First Affiliated Hospital of USTC, Hefei, Anhui, People's Republic of China.
Xingya LiDepartment of the Second Oncology Ward, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Xiujuan QuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Tongmei ZhangGeneral Department, Beijing Chest Hospital, Beijing, People's Republic of China.
Xianglin YuanDepartment of Oncology, Tongji Hospital, Tongji Medical College of HUST, Wuhan, Hubei, People's Republic of China.
Sheng HuDepartment of Oncology, Hubei Cancer Hospital, Wuhan, Hubei, People's Republic of China.
Wei GuoRespiratory Department, Shanxi Cancer Hospital, Taiyuan, Shanxi, People's Republic of China.ORCID 0000-0002-1923-6975
Yalun LiDepartment of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.
Shengqing LiRespiratory Department, Huashan Hospital Fudan University, Shanghai, People's Republic of China.
Dongying LiuDepartment of Breast Oncology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China.
Feixue SongDepartment of Medical Oncology, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, Gansu, People's Republic of China.
Liping TanDepartment of Respiratory Oncology, Guangxi Medical University Cancer Hospital & Guangxi Cancer Institute, Nanning, Guangxi, People's Republic of China.
Yan YuDepartment of the Third Respiratory Medicine, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, People's Republic of China.ORCID 0000-0001-5598-763X
Xinmin YuDepartment of Thoracic Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, People's Republic of China.
Aimin ZangDepartment of Medical Oncology, Affiliated Hospital of Hebei University, Baoding, Hebei, People's Republic of China.
Chang SunCSPC ZhongQi Pharmaceutical Technology (Shijiazhuang) Co., Ltd., Shijiazhuang, Hebei, People's Republic of China.
Qian ZhangCSPC ZhongQi Pharmaceutical Technology (Shijiazhuang) Co., Ltd., Shijiazhuang, Hebei, People's Republic of China.
Kai ZouCSPC ZhongQi Pharmaceutical Technology (Shijiazhuang) Co., Ltd., Shijiazhuang, Hebei, People's Republic of China.
Mo DanCSPC ZhongQi Pharmaceutical Technology (Shijiazhuang) Co., Ltd., Shijiazhuang, Hebei, People's Republic of China.
Rui-Hua XuDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University, Guangzhou, People's Republic of China. xurh@sysucc.org.cn.ORCID 0000-0001-9771-8534
Hongyun ZhaoDepartment of Clinical Research, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University, Guangzhou, People's Republic of China. zhaohy@sysucc.org.cn.ORCID 0000-0002-1251-3888

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82073396
6 · The paper itself

Abstract

HA121-28, a promising multikinase inhibitor, mainly targets rearranged during transfection (RET) fusions and selectively targets vascular endothelial growth factor receptor-2, endothelial growth factor receptor, and fibroblast growth factor receptor 1-3. The safety, pharmacokinetics, and efficacy of HA121-28 were assessed in advanced solid tumors (phase 1, ClinicalTrials.gov NCT03994484) and advanced RET fusion-positive non-small-cell lung cancer (RET-TKI naive NSCLC, phase 2, ClinicalTrials.gov NCT05117658). HA121-28 was administered orally in doses range from 25 to 800 mg under the 21-day on/7-day off scheme for a 28-day cycle in phase 1 trial. The recommended dose identified in phase 1 (450 mg) was administered for patients during phase 2. The primary endpoints were the maximum tolerated dose (MTD) in phase 1 and the objective response rate (ORR) in phase 2. 162 patients were enrolled in phase 1 and 48 in phase 2. A total of 600 mg once daily was set as MTD. Across 100-800 mg, the exposure of HA121-28 increased in a dose-dependent manner. Consistent between both trials, diarrhea, rash, and prolonged QTc interval, were the most reported treatment-emergent adverse events. 40.0% (phase 1) and 62.5% (phase 2) patients experienced grade ≥3 treatment-related adverse events, respectively. The overall ORR was 26.8% and the median progression-free survival (PFS) was 5.5 months among 97 NSCLC patients with advanced RET fusion receiving a dose at ≥450 mg once daily. HA121-28 showed encouraging efficacy in advanced RET fusion NSCLC and its toxicity was tolerable in most patients. Nevertheless, cardiotoxicity is a notable concern that warrants careful attention.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsOncogene Proteins, FusionProtein Kinase InhibitorsProto-Oncogene Proteins c-retAdultAgedFemaleHumansMaleMaximum Tolerated DoseMiddle AgedOncogene Proteins, FusionProtein Kinase InhibitorsProto-Oncogene Proteins c-retRET protein, human

Identifiers

PMID40016191
PMCPMC11868595

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.