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A Safety and Tolerability Study of INCAGN02385 in Select Advanced Malignancies

Primary Purpose

Cervical Cancer, Microsatellite Instability (MSI)-High Endometrial Cancer, Gastric Cancer (Including Stomach and Gastroesophageal Junction [GEJ])

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
INCAGN02385
Sponsored by
Incyte Biosciences International Sàrl
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Cancer focused on measuring lymphocyte activation gene (LAG), LAG-3, advanced solid tumor, metastatic solid tumor, relapsed/refractory DLCBL

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Locally advanced or metastatic disease; locally advanced disease must not be amenable to resection with curative intent.
  • Disease progression after treatment with available therapies that are known to confer clinical benefit, or intolerant to treatment, or refuse noncurative standard treatment. There is no limit to the number of prior treatment regimens.
  • Participants with advanced or metastatic cervical cancer, MSI-high endometrial cancer, gastric cancer (including stomach and GEJ), esophageal cancer, hepatocellular carcinoma, melanoma (uveal melanoma excluded), Merkel cell carcinoma, mesothelioma, MSI-high colorectal cancer, NSCLC, ovarian cancer, SCCHN, SCLC, RCC, triple-negative breast cancer, and urothelial carcinoma, or alternative immunogenic tumor types with medical monitor approval. Participants with DLBCL may participate in Part 2 of the study.
  • Presence of measureable disease based on RECIST v1.1 for solid tumors or the Lugano classification for DLBCL.
  • Willingness and ability to safely undergo pretreatment and on-treatment tumor biopsies.
  • Eastern Cooperative Oncology Group performance status 0 or 1.

Exclusion Criteria:

  • Laboratory and medical history parameters outside the protocol-defined range.
  • Transfusion of blood products (including platelets or red blood cells) or administration of colony-stimulating factors (including granulocyte colony-stimulating factor, granulocyte macrophage colony-stimulating factor, or recombinant erythropoietin) within 14 days before study Day 1.
  • Receipt of anticancer medications or investigational drugs within protocol-defined intervals before the first administration of study drug.
  • Receipt of a live vaccine within 30 days of planned start of study drug.
  • Active autoimmune disease that required systemic treatment in the past.
  • Known active CNS metastases and/or carcinomatous meningitis.
  • Known additional malignancy that is progressing or requires active treatment, or history of other malignancy within 2 years of study entry. See protocol-defined exceptions.
  • Evidence of active, noninfectious pneumonitis or history of interstitial lung disease.
  • Active infection requiring systemic therapy.
  • Evidence of hepatitis B virus or hepatitis C virus infection or risk of reactivation.
  • Known history of HIV (HIV 1/2 antibodies).
  • Prior treatment with an anti-LAG-3 antibody for any indication.

Sites / Locations

  • The Angeles Clinic and Research Center
  • Hackensack Medical Center
  • Carolina BioOncology Institute
  • Vanderbilt University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

INCAGN02385

Arm Description

Part 1: INCAGN02385 at the protocol-defined starting dose administered every 2 weeks (Q2W), with dose escalation to determine the maximum tolerated dose or pharmacologically active dose. Part 2: INCAGN02385 administered Q2W or Q4W at the recommended dose(s) from Part 1.

Outcomes

Primary Outcome Measures

Number of treatment-emergent adverse events (TEAEs)
TEAE defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug.

Secondary Outcome Measures

Cmax of INCAGN02385
Maximum observed plasma concentration.
Tmax of INCAGN02385
Time to maximum plasma concentration.
Cmin of INCAGN02385
Minimum observed plasma concentration during the dosing interval.
AUC0-t of INCAGN02385
Area under the single-dose plasma concentration-time curve from Hour 0 to the last quantifiable measurable plasma concentration.
Objective response rate (ORR) in participants with advanced or metastatic solid tumors
Defined as the percentage of participants having complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Disease control rate (DCR) in participants with advanced or metastatic solid tumors
Defined as percentage of participants having CR, PR, or stable disease (SD) as best on-study response.
Duration of response (DOR) in participants with advanced or metastatic solid tumors
Defined as the time from earliest date of disease response (CR or PR) until earliest date of disease progression per RECIST v1.1 or death from any cause, if occurring sooner than progression.
Progression-free survival (PFS) in participants with advanced or metastatic solid tumors
Defined as the time from date of first dose of study drug until the earliest date of disease progression per RECIST v1.1 or death from any cause if occurring sooner than progression.
ORR in participants with diffuse large B-cell lymphoma (DLBCL)
Defined as the percentage of participants with a CR/complete metabolic response (CMR) or PR/partial metabolic response (PMR) per the Lugano Classification.
DOR in participants with DLBCL
Defined as the time from first documented evidence of CR/CMR or PR/PMR until disease progression per radiographic disease assessment or death from any cause among participants who achieve an objective response.
PFS in participants with DLBCL
Defined as the time from the date of the first dose of study drug until the earliest date of disease progression per radiographic disease assessment or death from any cause if occurring sooner than progression.

Full Information

First Posted
May 15, 2018
Last Updated
October 28, 2020
Sponsor
Incyte Biosciences International Sàrl
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1. Study Identification

Unique Protocol Identification Number
NCT03538028
Brief Title
A Safety and Tolerability Study of INCAGN02385 in Select Advanced Malignancies
Official Title
A Phase 1 Open-Label, Dose-Escalation, Safety and Tolerability Study of INCAGN02385 in Participants With Select Advanced Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Completed
Study Start Date
June 18, 2018 (Actual)
Primary Completion Date
October 7, 2020 (Actual)
Study Completion Date
October 7, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Incyte Biosciences International Sàrl

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the safety, tolerability, and preliminary efficacy of INCAGN02385 in participants with advanced malignancies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer, Microsatellite Instability (MSI)-High Endometrial Cancer, Gastric Cancer (Including Stomach and Gastroesophageal Junction [GEJ]), Esophageal Cancer, Hepatocellular Carcinoma, Melanoma (Uveal Melanoma Excluded), Merkel Cell Carcinoma, Mesothelioma, MSI-high Colorectal Cancer, Non-small Cell Lung Cancer (NSCLC), Ovarian Cancer, Squamous Cell Carcinoma of the Head and Neck (SCCHN), Small Cell Lung Cancer (SCLC), Renal Cell Carcinoma (RCC), Triple-negative Breast Cancer, Urothelial Carcinoma, Diffuse Large B-cell Lymphoma
Keywords
lymphocyte activation gene (LAG), LAG-3, advanced solid tumor, metastatic solid tumor, relapsed/refractory DLCBL

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
22 (Actual)

8. Arms, Groups, and Interventions

Arm Title
INCAGN02385
Arm Type
Experimental
Arm Description
Part 1: INCAGN02385 at the protocol-defined starting dose administered every 2 weeks (Q2W), with dose escalation to determine the maximum tolerated dose or pharmacologically active dose. Part 2: INCAGN02385 administered Q2W or Q4W at the recommended dose(s) from Part 1.
Intervention Type
Biological
Intervention Name(s)
INCAGN02385
Intervention Description
INCAGN02385 administered as an intravenous infusion over 30 minutes.
Primary Outcome Measure Information:
Title
Number of treatment-emergent adverse events (TEAEs)
Description
TEAE defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug.
Time Frame
Up to 12 months
Secondary Outcome Measure Information:
Title
Cmax of INCAGN02385
Description
Maximum observed plasma concentration.
Time Frame
Up to 12 months
Title
Tmax of INCAGN02385
Description
Time to maximum plasma concentration.
Time Frame
Up to 12 months
Title
Cmin of INCAGN02385
Description
Minimum observed plasma concentration during the dosing interval.
Time Frame
Up to 12 months
Title
AUC0-t of INCAGN02385
Description
Area under the single-dose plasma concentration-time curve from Hour 0 to the last quantifiable measurable plasma concentration.
Time Frame
Up to 12 months
Title
Objective response rate (ORR) in participants with advanced or metastatic solid tumors
Description
Defined as the percentage of participants having complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Time Frame
Up to 12 months
Title
Disease control rate (DCR) in participants with advanced or metastatic solid tumors
Description
Defined as percentage of participants having CR, PR, or stable disease (SD) as best on-study response.
Time Frame
Up to 12 months
Title
Duration of response (DOR) in participants with advanced or metastatic solid tumors
Description
Defined as the time from earliest date of disease response (CR or PR) until earliest date of disease progression per RECIST v1.1 or death from any cause, if occurring sooner than progression.
Time Frame
Up to 12 months
Title
Progression-free survival (PFS) in participants with advanced or metastatic solid tumors
Description
Defined as the time from date of first dose of study drug until the earliest date of disease progression per RECIST v1.1 or death from any cause if occurring sooner than progression.
Time Frame
Up to 12 months
Title
ORR in participants with diffuse large B-cell lymphoma (DLBCL)
Description
Defined as the percentage of participants with a CR/complete metabolic response (CMR) or PR/partial metabolic response (PMR) per the Lugano Classification.
Time Frame
Up to 12 months
Title
DOR in participants with DLBCL
Description
Defined as the time from first documented evidence of CR/CMR or PR/PMR until disease progression per radiographic disease assessment or death from any cause among participants who achieve an objective response.
Time Frame
Up to 12 months
Title
PFS in participants with DLBCL
Description
Defined as the time from the date of the first dose of study drug until the earliest date of disease progression per radiographic disease assessment or death from any cause if occurring sooner than progression.
Time Frame
Up to 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Locally advanced or metastatic disease; locally advanced disease must not be amenable to resection with curative intent. Disease progression after treatment with available therapies that are known to confer clinical benefit, or intolerant to treatment, or refuse noncurative standard treatment. There is no limit to the number of prior treatment regimens. Participants with advanced or metastatic cervical cancer, MSI-high endometrial cancer, gastric cancer (including stomach and GEJ), esophageal cancer, hepatocellular carcinoma, melanoma (uveal melanoma excluded), Merkel cell carcinoma, mesothelioma, MSI-high colorectal cancer, NSCLC, ovarian cancer, SCCHN, SCLC, RCC, triple-negative breast cancer, and urothelial carcinoma, or alternative immunogenic tumor types with medical monitor approval. Participants with DLBCL may participate in Part 2 of the study. Presence of measureable disease based on RECIST v1.1 for solid tumors or the Lugano classification for DLBCL. Willingness and ability to safely undergo pretreatment and on-treatment tumor biopsies. Eastern Cooperative Oncology Group performance status 0 or 1. Exclusion Criteria: Laboratory and medical history parameters outside the protocol-defined range. Transfusion of blood products (including platelets or red blood cells) or administration of colony-stimulating factors (including granulocyte colony-stimulating factor, granulocyte macrophage colony-stimulating factor, or recombinant erythropoietin) within 14 days before study Day 1. Receipt of anticancer medications or investigational drugs within protocol-defined intervals before the first administration of study drug. Receipt of a live vaccine within 30 days of planned start of study drug. Active autoimmune disease that required systemic treatment in the past. Known active CNS metastases and/or carcinomatous meningitis. Known additional malignancy that is progressing or requires active treatment, or history of other malignancy within 2 years of study entry. See protocol-defined exceptions. Evidence of active, noninfectious pneumonitis or history of interstitial lung disease. Active infection requiring systemic therapy. Evidence of hepatitis B virus or hepatitis C virus infection or risk of reactivation. Known history of HIV (HIV 1/2 antibodies). Prior treatment with an anti-LAG-3 antibody for any indication.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Janik, MD
Organizational Affiliation
Incyte Corporation
Official's Role
Study Director
Facility Information:
Facility Name
The Angeles Clinic and Research Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Facility Name
Hackensack Medical Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Carolina BioOncology Institute
City
Huntersville
State/Province
North Carolina
ZIP/Postal Code
28078
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Safety and Tolerability Study of INCAGN02385 in Select Advanced Malignancies

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