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HMPL-523

Phase 3

Primary Immune Thrombocytopenia (ITP) | Small molecule | Hematology |HUTCHMED (China) Limited|Trials Updated: May 4, 2026

HMPL-523 development status

Highest phase Phase 3
Registered trials 13 across 2 sponsors since Apr 2014

HMPL-523 target and mechanism

Molecular targetSyk
Target classKinase
ModalitySmall molecule

Also known as HMPL-523 Acetate Tablets (Test Formulation), HMPL-523 tablets, Sovleplenib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials8
Total Enrollment739

FDA Designations

No designations recorded

HMPL-523 clinical trials

HMPL-523 · 8 trials · 7 indications

Phase 3 1Phase 2 1Phase 1 6
NCT05029635Phase III Study on HMPL-523 for Treatment of ITPPrimary Immune Thrombocytopenia (ITP)
COMPLETED272 Analytics
PHASE3COMPLETED
Phase III Study on HMPL-523 for Treatment of ITP
Primary Immune Thrombocytopenia (ITP)Unlock trial analytics

Study Endpoints

Primary Endpoints

the durable response rate in the primary study
treatment period Week14-Week24

Platelet count ≥50×10\^9 /L on at least 4 of 6 scheduled visits of Week14-Week24 in the primary study

Phase II: overall Hb response rate
24Weeks

Phase II: Overall Hb response rate: the proportion of patients with overall Hb response by Week 24

Number of Participants with any Adverse Event
From first dose to within 28 days after the last dose

Adverse Events evaluated by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0

Dose limited toxicities evaluated with NCI CTCAE v4.03
within 28 days after the first dose

Incidence of dose limited toxicities and associated dose of HMPL-523

To assess number of participants with adverse events as a measure of safety and tolerability during dose escalating
6 months

Secondary Endpoints

the overall response rate in the primary study
treatment period Week1-Week24 in the primary study
Incidence of treatment emergent adverse events
treatment period Week1-Week24 in the primary study
Plasma concentration at steady state 2 hours post dose (C2h,ss)
treatment period Week1-Week24 in the primary study
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Drug: HMPL-523ACTIVE_COMPARATORPrimacy study (Randomized, Double-Blind Phase): Eligible subjects receive 300 mg HMPL-523 treatment once daily for 24 weeks. Sub study (Open-label Phase): Eligible subjects receive 300 mg HMPL-523 treatment once daily for 76 weeks after the enrollment of the last patient enrolled in open-label phase.
Drug: placeboPLACEBO_COMPARATORPrimacy study (Randomized, Double-Blind Phase): Eligible subjects will receive 300 mg HMPL-523 matched placebo treatment once daily for 24 weeks.
HMPL-523EXPERIMENTALPhase II: Eligible subjects will receive 300 mg HMPL-523 treatment once daily for 8 weeks and at least 16 weeks open-label treatment. Phase III: Eligible subjects will receive 300 mg HMPL-523 treatment once daily for 24 weeks and enter open-label phase in the opinion of the Investigator.
PlaceboPLACEBO_COMPARATORPhase II: Eligible subjects will receive 300 mg HMPL-523 treatment once daily for 8 weeks and at least 16 weeks open-label treatment. Phase III: Eligible subjects will receive 300 mg HMPL-523 treatment once daily for 24 weeks and enter open-label phase in the opinion of the Investigator.
treatment armACTIVE_COMPARATOREligible subjects will be treated with planned dose of 100 mg, 200 mg and 300 mg HMPL-523 once daily for 8 weeks and 16 weeks open-label treatment.
placebo armPLACEBO_COMPARATOREligible subjects will be treated with HMPL-523 matching placebo once daily for 8 weeks and 16 weeks open-label treatment.

Interventions

NameTypeDescription
HMPL-523DRUGHMPL-523(300mg PO QD)
PlaceboDRUGPlacebo(300mg PO QD)
HMPL-523(300mg PO QD)DRUGHMPL-523(300mg PO QD)
150 µCi [14C]HMPL-523DRUGD8: \[14C\] HMPL-523 Suspension 300 mg/150 μCi Single dose
ItraconazoleDRUGItraconazole is an FDA approved synthetic triazole antifungal agent
RifampinDRUGRifampin is an FDA approved semisynthetic antiobiotic derivative indicated in the treatment of both tuberculosis and meningococcal carrier state
RabeprazoleDRUG40 mg of rabeprazole will be administered by mouth once daily in the morning from Day 20 to Day 26
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria for double-blind phase: 1. Voluntary signature of written informed consent form; 2. Male or female aged 18\~75 years; 3. Performance Status score \[Eastern Cooperative Oncology Group (ECOG) score\] 0\~1; 4. Having been diagnosed as ITP prior to randomization, and duration of dise...

Countries:ChinaAustralia
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Frequently asked questions about HMPL-523

What is HMPL-523 used for?

HMPL-523 is an investigational small molecule being studied in immune thrombocytopenia (ITP), warm antibody autoimmune hemolytic anemia, mature B-cell neoplasms, relapsed or refractory lymphoma, and rheumatoid arthritis. It is in clinical development and has not been approved for any indication.

What does HMPL-523 target?

HMPL-523 targets spleen tyrosine kinase (Syk), a kinase involved in immune cell signaling. By inhibiting Syk, HMPL-523 is designed to modulate immune responses, which is relevant to autoimmune and hematologic conditions.

Who is developing HMPL-523?

HMPL-523 is being developed by HUTCHMED (China) Limited, a biopharmaceutical company listed on the Nasdaq under the ticker HCM.

What phase is HMPL-523 in?

HMPL-523 is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA or any regulatory authority for any indication.

What clinical trials is HMPL-523 in?

HMPL-523 has been studied in several clinical trials, including NCT05781906, a human mass balance study; NCT05720767, a drug interaction study; NCT05571787, a food effect and proton pump inhibitor study; and NCT05535933, a Phase 2 trial in warm antibody autoimmune hemolytic anemia.

Is HMPL-523 the same as sovleplenib?

Yes, HMPL-523 is also known as sovleplenib. Other names used in study protocols include HMPL-523 300 mg PO QD and HMPL-523 Acetate Tablets (Test Formulation).