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A Safety and Tolerability Study of INCAGN02390 in Select Advanced Malignancies

Primary Purpose

Cervical Cancer, Gastric Cancer, Stomach Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
INCAGN02390
Sponsored by
Incyte Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Cancer focused on measuring Advanced malignancies, immunoglobulin (Ig)G1k monoclonal antibody, T-cell immunoglobulin and mucin domain 3 (TIM-3)

Eligibility Criteria

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

Inclusion Criteria:

  • Participants with locally advanced or metastatic tumors who are not eligible for any available therapy likely to convey clinical benefit (locally advanced disease must not be amenable to resection with curative intent).
  • Participants who have disease progression after treatment with available therapies that are known to confer clinical benefit or who are intolerant to treatment.
  • Willingness and ability to safely undergo pretreatment and on-treatment tumor biopsies (core or excisional).
  • Eastern Cooperative Oncology Group performance status 0 or 1.
  • Willingness to avoid pregnancy or fathering children based on protocol-defined criteria.

Exclusion Criteria:

  • Laboratory values at screening outside the protocol-defined ranges.
  • Administration of colony-stimulating factors 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.

Note: Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, chicken pox/zoster, yellow fever, rabies, Bacillus Calmette-Guérin, and typhoid vaccine. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines are live-attenuated vaccines and are not allowed.

  • Active autoimmune disease that required systemic treatment in the past (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs).
  • Known active central nervous system 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 with the exception of cured basal cell or squamous cell carcinoma of the skin, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy, or cancers from which the participant has been disease-free for > 1 year, after treatment with curative intent.
  • Evidence of active, noninfectious pneumonitis or history of interstitial lung disease.
  • Active infection requiring systemic therapy.
  • Evidence of active HBV or HCV infection.
  • Known history of HIV (HIV 1/2 antibodies).
  • Known allergy or reaction to any component of study drug or formulation components.
  • Prior treatment with an anti-TIM-3 antibody for any indication.

Sites / Locations

  • The Angeles Clinical and Research Institute
  • University of Mississippi
  • Hackensack Medical Center
  • Carolina BioOncology

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

INCAGN02390

Arm Description

Outcomes

Primary Outcome Measures

Number of treatment-emergent adverse events
Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug.
Maximum tolerated dose or pharmacologically active dose (PAD) of INCAGN02390 (Part 1 only)
PAD defined as a dose that achieves a level of receptor occupancy considered to be biologically active.

Secondary Outcome Measures

Cmax of INCAGN02390
Maximum observed plasma or serum concentration.
Tmax of INCAGN02390
Time to maximum concentration.
Cmin of INCAGN02390
Minimum observed plasma or serum concentration over the dose interval.
AUC0-t of INCAGN02390
Area under the plasma or serum concentration-time curve from time = 0 to the last measurable concentration at time = t.
Objective response rate
Defined as the percentage of participants having complete response (CR) or partial response (PR) determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Duration of response
Defined as time from earliest date of disease response (CR or PR) until earliest date of disease progression (determined by investigator assessment of radiographic disease per RECIST v1.1) or death from any cause, if occurring sooner than progression.
Disease control rate
Defined as percentage of participants having CR, PR, or stable disease as best on-study response.
Progression-free survival
Defined as the time from date of first dose of study drug until the earliest date of disease progression (determined by investigator assessment of objective radiographic disease per RECIST v1.1) or death from any cause if occurring sooner than progression.
Level of binding of INCAGN02390 to TIM-3
Assessed from participant whole blood samples.
Immunogenicity of INCAGN02390
Defined as the occurrence of specific ADA to INCAGN02390.

Full Information

First Posted
August 28, 2018
Last Updated
November 12, 2021
Sponsor
Incyte Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03652077
Brief Title
A Safety and Tolerability Study of INCAGN02390 in Select Advanced Malignancies
Official Title
A Phase 1, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCAGN02390 in Participants With Select Advanced Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
September 24, 2018 (Actual)
Primary Completion Date
August 18, 2021 (Actual)
Study Completion Date
August 18, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Incyte Corporation

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 INCAGN02390 in participants with select advanced malignancies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer, Gastric Cancer, Stomach Cancer, Gastroesophageal Junction Cancer, Esophageal Cancer, Hepatocellular Carcinoma, Melanoma, Uveal Melanoma, Merkel Cell Carcinoma, Mesothelioma, MSI, Non-small Cell Lung Cancer, NSCLC, Ovarian Cancer, Squamous Cell Carcinoma of the Head and Neck, Small Cell Lung Cancer, Renal Cell Carcinoma, RCC, Triple-negative Breast Cancer, Urothelial Carcinoma, Mismatch Repair Deficiency
Keywords
Advanced malignancies, immunoglobulin (Ig)G1k monoclonal antibody, T-cell immunoglobulin and mucin domain 3 (TIM-3)

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
INCAGN02390
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
INCAGN02390
Intervention Description
Part 1: INCAGN02390 at the protocol-defined starting dose administered every 2 weeks (Q2W), with dose escalation in 7 total cohorts to determine the maximum tolerated dose or PAD.
Primary Outcome Measure Information:
Title
Number of treatment-emergent adverse events
Description
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
Title
Maximum tolerated dose or pharmacologically active dose (PAD) of INCAGN02390 (Part 1 only)
Description
PAD defined as a dose that achieves a level of receptor occupancy considered to be biologically active.
Time Frame
Up to approximately 1 month
Secondary Outcome Measure Information:
Title
Cmax of INCAGN02390
Description
Maximum observed plasma or serum concentration.
Time Frame
Up to 12 months
Title
Tmax of INCAGN02390
Description
Time to maximum concentration.
Time Frame
Up to 12 months
Title
Cmin of INCAGN02390
Description
Minimum observed plasma or serum concentration over the dose interval.
Time Frame
Up to 12 months
Title
AUC0-t of INCAGN02390
Description
Area under the plasma or serum concentration-time curve from time = 0 to the last measurable concentration at time = t.
Time Frame
Up to 12 months
Title
Objective response rate
Description
Defined as the percentage of participants having complete response (CR) or partial response (PR) determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Time Frame
Up to 12 months
Title
Duration of response
Description
Defined as time from earliest date of disease response (CR or PR) until earliest date of disease progression (determined by investigator assessment of radiographic disease per RECIST v1.1) or death from any cause, if occurring sooner than progression.
Time Frame
Up to 12 months
Title
Disease control rate
Description
Defined as percentage of participants having CR, PR, or stable disease as best on-study response.
Time Frame
Up to 12 months
Title
Progression-free survival
Description
Defined as the time from date of first dose of study drug until the earliest date of disease progression (determined by investigator assessment of objective radiographic disease per RECIST v1.1) or death from any cause if occurring sooner than progression.
Time Frame
Up to 12 months
Title
Level of binding of INCAGN02390 to TIM-3
Description
Assessed from participant whole blood samples.
Time Frame
Up to approximately 3 months
Title
Immunogenicity of INCAGN02390
Description
Defined as the occurrence of specific ADA to INCAGN02390.
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: Participants with locally advanced or metastatic tumors who are not eligible for any available therapy likely to convey clinical benefit (locally advanced disease must not be amenable to resection with curative intent). Participants who have disease progression after treatment with available therapies that are known to confer clinical benefit or who are intolerant to treatment. Willingness and ability to safely undergo pretreatment and on-treatment tumor biopsies (core or excisional). Eastern Cooperative Oncology Group performance status 0 or 1. Willingness to avoid pregnancy or fathering children based on protocol-defined criteria. Exclusion Criteria: Laboratory values at screening outside the protocol-defined ranges. Administration of colony-stimulating factors 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. Note: Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, chicken pox/zoster, yellow fever, rabies, Bacillus Calmette-Guérin, and typhoid vaccine. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines are live-attenuated vaccines and are not allowed. Active autoimmune disease that required systemic treatment in the past (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Known active central nervous system 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 with the exception of cured basal cell or squamous cell carcinoma of the skin, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy, or cancers from which the participant has been disease-free for > 1 year, after treatment with curative intent. Evidence of active, noninfectious pneumonitis or history of interstitial lung disease. Active infection requiring systemic therapy. Evidence of active HBV or HCV infection. Known history of HIV (HIV 1/2 antibodies). Known allergy or reaction to any component of study drug or formulation components. Prior treatment with an anti-TIM-3 antibody for any indication.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nawel Bourayou, MD
Organizational Affiliation
Incyte Corporation
Official's Role
Study Director
Facility Information:
Facility Name
The Angeles Clinical and Research Institute
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Facility Name
University of Mississippi
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39216
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
City
Huntsville
State/Province
North Carolina
ZIP/Postal Code
28078
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Safety and Tolerability Study of INCAGN02390 in Select Advanced Malignancies

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