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HMPL-453

Phase 3

Advanced Intrahepatic Cholangiocarcinoma | Small molecule | Oncology |HUTCHMED (China) Limited|Trials Updated: Jul 13, 2026

HMPL-453 development status

Highest phase Phase 3
Registered trials 7 across 2 sponsors since Nov 2016

HMPL-453 target and mechanism

Molecular targetFGFR1, FGFR2, FGFR3
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDBiomarker
Total Trials4
Total Enrollment489

FDA Designations

No designations recorded

HMPL-453 clinical trials

HMPL-453 · 4 trials · 5 indications

Phase 2/3 1Phase 1 3
NCT04353375HMPL-453 Tartrate in Advanced Intrahepatic CholangiocarcinomaAdvanced Intrahepatic Cholangiocarcinoma
RECRUITING235 Analytics
PHASE2/PHASE3RECRUITING
HMPL-453 Tartrate in Advanced Intrahepatic Cholangiocarcinoma
Advanced Intrahepatic CholangiocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

AUC 0-t
25Days

Area under the plasma concentration - time curve from time 0 to time of last measurable concentration

AUC 0- ∞
25Days

Area under the plasma concentration - time curve from time 0 extrapolated to infinity

C max
25Days

Peak concentration

Safety and tolerability(Incidence and severity of adverse events (AEs))
6 months after the last patient enrolled

DLT, TEAEs and SAEs

Preliminary efficacy/Objective response rate (ORR)
up to 2 years

Objective response rate (ORR) in patients with the selected tumors along with certain FGFR gene alterations

Secondary Endpoints

T max, t 1/2
25Days
AE rate
through study completion, an average of 33days
Efficacy/Progression-free survival (PFS)
up to 2 years
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Study Design & Arms

Treatment Arms

ArmTypeDescription
Part A:HMPL-453 with ItraconazoleOTHER -
Part B:HMPL-453 with RifampinOTHER -
dose escalation phase of HMPL-453 monotherapy or combination therapyEXPERIMENTALHMPL-453 monotherapy or combination therapy
indication specific dose expansion phase of HMPL-453 monotherapy or combination therapyEXPERIMENTALHMPL-453 monotherapy or combination chemotherapy, in patients with IHCC, G/GEJ, UC, and solid tumors harboring specific FGFR gene alterations

Interventions

NameTypeDescription
HMPL-453DRUGCohort\_1:HMPL-453 150mg QD continuously in 21-day cycles; Cohort\_2, Cohort\_3 and Cohort\_4:HMPL-453 tartrate 300 mg QD orally (for 14 consecutive days \[Day 1 to 14\], followed by 7 days off \[Day 15 to 21\], 21 days as a treatment cycle)
RabeprazoleDRUG20 mg of rabeprazole will be administered by mouth once daily.
HMPL-453 with ItraconazoleDRUGHMPL-453: 100mg, D1、D14; Itraconazole: 400mg, D10;200mg,D11-D22
HMPL-453 with RifampinDRUGHMPL-453: 300mg, D1、D16; Rifampin: 600mg, D10-D24
gemcitabine and cisplatinDRUGGemcitabine and Cisplatin administered intravenously.
toripalimabDRUGToripalimab administered intravenously.
DocetaxelDRUGDocetaxel administered intravenously.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL

Inclusion Criteria: 1. Has fully understood and voluntarily signed the ICF for this study. 2. Male or female 18 years of age or older. 3. Body mass index (BMI) at screening: 18 \< BMI ≤ 29.9 kg/m 2 and weight ≥ 50 kg for men and ≥ 45 kg for women. 4. Female subjects of childbearing potential use hi...

Countries:China
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Recent Changes (Last 90 Days)

MEDIUMAug 13, 2026NCT07697157TRIAL_REMOVED: changed
MEDIUMAug 13, 2026NCT07697157TRIAL_REMOVED: changed
MEDIUMAug 13, 2026NCT07697157TRIAL_REMOVED: changed

Frequently asked questions about HMPL-453

What is HMPL-453 used for?

HMPL-453 is an investigational small molecule being studied for advanced intrahepatic cholangiocarcinoma and other advanced solid tumors. It is also being evaluated in healthy volunteer studies examining drug interactions and food effects. The main clinical program focuses on patients with advanced intrahepatic cholangiocarcinoma, a form of bile duct cancer.

What does HMPL-453 target?

HMPL-453 is a small molecule inhibitor targeting FGFR1, FGFR2, and FGFR3, three fibroblast growth factor receptors. By inhibiting these receptor kinases, the drug is designed to interfere with FGFR-driven signaling in tumors. The clinical program is biomarker-selected, meaning patients are screened for relevant FGFR alterations before enrollment.

Who is developing HMPL-453?

HMPL-453 is being developed by HUTCHMED (China) Limited, which trades under the ticker HCM. The company is running the clinical development program, including a Phase 2/Phase 3 study in advanced intrahepatic cholangiocarcinoma and earlier-phase studies in solid tumors and healthy volunteers.

What phase is HMPL-453 in?

HMPL-453 is in Phase 3 development. The lead trial, NCT04353375, is a Phase 2/Phase 3 study in advanced intrahepatic cholangiocarcinoma that is currently recruiting, with a planned enrollment of 235 participants. HMPL-453 is investigational and has not been approved for any indication.

What clinical trials is HMPL-453 in?

HMPL-453 has been studied in several trials. NCT04353375 is a recruiting Phase 2/Phase 3 study in advanced intrahepatic cholangiocarcinoma. Completed studies include NCT05173142, a Phase 1b/2 trial in advanced solid tumors, NCT05930119, a food effect and PPI study, and NCT07697157, which examined interactions with itraconazole and rifampin in healthy volunteers.