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INCMGA00012 in Combination With Chemoradiation in Participants With Stage III Non-Small Cell Lung Cancer (POD1UM-301)

Primary Purpose

Non-small Cell Lung Cancer

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Retifanlimab
Placebo
Pemetrexed
Cisplatin
Carboplatin
Paclitaxel
Etoposide
Radiotherapy
Sponsored by
Incyte Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-small Cell Lung Cancer focused on measuring Non-small cell lung cancer, unresectable, Stage III, PD-1, PD-L1

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically or cytologically confirmed NSCLC that is locally advanced and unresectable.
  • Adequate tumor sample from fresh biopsy or archival tissue block must be available.
  • Evaluable disease per RECIST v1.1.
  • Eastern Cooperative Oncology Group performance status 0 to 1.
  • Willingness to avoid pregnancy or fathering children.

Exclusion Criteria:

  • Receipt of cancer treatment for this malignancy, including but not limited to radiation therapy, investigational agents, chemotherapy, and immunotherapy for disease under consideration.
  • Recent major surgery within 4 weeks before entry into the study.
  • Any medical contraindication to platinum-based doublet chemotherapy.
  • Active autoimmune disease requiring systemic immunosuppression in excess of physiologic consolidation doses of corticosteroids (> 10 mg/day of prednisone or equivalent).
  • Known hypersensitivity to another monoclonal antibody that cannot be controlled with standard measures (eg, antihistamines and corticosteroids).
  • Mixed small cell and NSCLC histology.
  • Evidence of interstitial lung disease or active noninfectious pneumonitis.
  • Participants who are HIV-positive.
  • History of organ transplant, including allogeneic stem cell transplantation.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Chemoradiation therapy + INCMGA00012

    Chemoradiation therapy + Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Progression-free survival (PFS)
    Defined as the time from randomization until disease progression, per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as determined by blinded independent central review (BICR), or death due to any cause.

    Secondary Outcome Measures

    Overall survival (OS)
    Defined as the time from randomization until death due to any cause.
    Objective response rate (ORR)
    Defined as the percentage of participants having a complete response or partial response per RECIST v1.1 based on BICR.
    Duration of response (DOR)
    Defined as the time from the first documented response (complete response or partial response) according to RECIST v1.1 until disease progression or death due to any cause.
    Number of treatment-emergent adverse events
    Defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study treatment.
    Cmax of INCMGA00012.
    Maximum observed plasma or serum concentration.
    tmax of INCMGA00012.
    Time to maximum concentration.
    Cmin of INCMGA00012.
    Minimum observed plasma or serum concentration over the dose interval.
    AUC0-t of INCMGA00012.
    Area under the plasma or serum concentration curve.

    Full Information

    First Posted
    December 17, 2019
    Last Updated
    June 5, 2020
    Sponsor
    Incyte Corporation
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04203511
    Brief Title
    INCMGA00012 in Combination With Chemoradiation in Participants With Stage III Non-Small Cell Lung Cancer (POD1UM-301)
    Official Title
    A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of INCMGA00012, an Anti-PD-1 Antibody, in Combination With Chemoradiation in Participants With Unresectable, Stage III Non-Small Cell Lung Cancer (POD1UM-301)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2020
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor Strategic/Business Decision
    Study Start Date
    July 31, 2020 (Anticipated)
    Primary Completion Date
    November 30, 2023 (Anticipated)
    Study Completion Date
    January 31, 2025 (Anticipated)

    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
    Yes

    5. Study Description

    Brief Summary
    The purpose of this study is to assess the efficacy and safety of INCMGA00012 in combination with chemoradiation therapy (CRT) in participants with unresectable, Stage III non-small cell lung cancer (NSCLC). The study will randomize approximately 360 participants in a 2:1 ratio into the INCMGA00012 in combination with CRT followed by consolidation therapy with INCMGA00012 treatment group and placebo in combination with CRT followed by consolidation therapy with placebo treatment group.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non-small Cell Lung Cancer
    Keywords
    Non-small cell lung cancer, unresectable, Stage III, PD-1, PD-L1

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Chemoradiation therapy + INCMGA00012
    Arm Type
    Experimental
    Arm Title
    Chemoradiation therapy + Placebo
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Retifanlimab
    Other Intervention Name(s)
    INCMGA00012
    Intervention Description
    INCMGA00012 administered intravenously every 3 weeks on Day 1 of each 21-day cycle for 4 cycles, followed by a consolidation part of INCMGA00012 administered intravenously on Day 1 of each 28-day cycle for up to12 cycles.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo administered intravenously every 3 weeks on Day 1 of each 21-day cycle for 4 cycles, followed by a consolidation part of placebo administered intravenously on Day 1 of each 28-day cycle for up to 12 cycles.
    Intervention Type
    Drug
    Intervention Name(s)
    Pemetrexed
    Intervention Description
    Pemetrexed administered intravenously every 3 weeks on Day 1 of each cycle with either carboplatin or cisplatin (nonsquamous NSCLC only) for 2 cycles (if radiation therapy is started on Cycle 1 Day 1) or 3 cycles (if radiation therapy is started after Cycle 1).
    Intervention Type
    Drug
    Intervention Name(s)
    Cisplatin
    Intervention Description
    Cisplatin administered intravenously every 3 weeks on Day 1 of each cycle with either etoposide or pemetrexed (nonsquamous NSCLC only) for 2 cycles (if radiation therapy is started on Cycle 1 Day 1) or 3 cycles (if radiation therapy is started after Cycle 1).
    Intervention Type
    Drug
    Intervention Name(s)
    Carboplatin
    Intervention Description
    Carboplatin administered intravenously every 3 weeks on Day 1 of each cycle with either pemetrexed (nonsquamous NSCLC only) or paclitaxel for 2 cycles (if radiation therapy is started on Cycle 1 Day 1) or 3 cycles (if radiation therapy is started after Cycle 1).
    Intervention Type
    Drug
    Intervention Name(s)
    Paclitaxel
    Intervention Description
    Paclitaxel administered intravenously every 3 weeks on Days 1, 8, and 15 of each cycle with carboplatin for 2 cycles (if radiation therapy is started on Cycle 1 Day 1) or 3 cycles (if radiation therapy is started after Cycle 1).
    Intervention Type
    Drug
    Intervention Name(s)
    Etoposide
    Intervention Description
    Etoposide administered intravenously every 3 weeks on Days 1-3 of each cycle with cisplatin for 2 cycles (if radiation therapy is started on Cycle 1 Day 1) or 3 cycles (if radiation therapy is started after Cycle 1).
    Intervention Type
    Radiation
    Intervention Name(s)
    Radiotherapy
    Intervention Description
    Total dose of 60 Gy ± 10% (54 to 66 Gy) in 2 Gy daily fractions.
    Primary Outcome Measure Information:
    Title
    Progression-free survival (PFS)
    Description
    Defined as the time from randomization until disease progression, per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as determined by blinded independent central review (BICR), or death due to any cause.
    Time Frame
    Up to approximately 3 years.
    Secondary Outcome Measure Information:
    Title
    Overall survival (OS)
    Description
    Defined as the time from randomization until death due to any cause.
    Time Frame
    Up to approximately 3 years.
    Title
    Objective response rate (ORR)
    Description
    Defined as the percentage of participants having a complete response or partial response per RECIST v1.1 based on BICR.
    Time Frame
    Up to approximately 3 years.
    Title
    Duration of response (DOR)
    Description
    Defined as the time from the first documented response (complete response or partial response) according to RECIST v1.1 until disease progression or death due to any cause.
    Time Frame
    Up to approximately 3 years.
    Title
    Number of treatment-emergent adverse events
    Description
    Defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study treatment.
    Time Frame
    Up to approximately 3 years.
    Title
    Cmax of INCMGA00012.
    Description
    Maximum observed plasma or serum concentration.
    Time Frame
    Cycle 1 Day 1, Cycle 2 Day 1 and Consolidation Cycle 1 Day 1, Cycle 4 Day 1, Cycle 8 Day 1, and Cycle 12 Day 1, up to approximately 18 months.
    Title
    tmax of INCMGA00012.
    Description
    Time to maximum concentration.
    Time Frame
    Cycle 1 Day 1, Cycle 2 Day 1 and Consolidation Cycle 1 Day 1, Cycle 4 Day 1, Cycle 8 Day 1, and Cycle 12 Day 1, up to approximately 18 months.
    Title
    Cmin of INCMGA00012.
    Description
    Minimum observed plasma or serum concentration over the dose interval.
    Time Frame
    Cycle 1 Day 1, Cycle 2 Day 1 and Consolidation Cycle 1 Day 1, Cycle 4 Day 1, Cycle 8 Day 1, and Cycle 12 Day 1, up to approximately 18 months.
    Title
    AUC0-t of INCMGA00012.
    Description
    Area under the plasma or serum concentration curve.
    Time Frame
    Cycle 1 Day 1, Cycle 2 Day 1 and Consolidation Cycle 1 Day 1, Cycle 4 Day 1, Cycle 8 Day 1, and Cycle 12 Day 1, up to approximately 18 months.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Histologically or cytologically confirmed NSCLC that is locally advanced and unresectable. Adequate tumor sample from fresh biopsy or archival tissue block must be available. Evaluable disease per RECIST v1.1. Eastern Cooperative Oncology Group performance status 0 to 1. Willingness to avoid pregnancy or fathering children. Exclusion Criteria: Receipt of cancer treatment for this malignancy, including but not limited to radiation therapy, investigational agents, chemotherapy, and immunotherapy for disease under consideration. Recent major surgery within 4 weeks before entry into the study. Any medical contraindication to platinum-based doublet chemotherapy. Active autoimmune disease requiring systemic immunosuppression in excess of physiologic consolidation doses of corticosteroids (> 10 mg/day of prednisone or equivalent). Known hypersensitivity to another monoclonal antibody that cannot be controlled with standard measures (eg, antihistamines and corticosteroids). Mixed small cell and NSCLC histology. Evidence of interstitial lung disease or active noninfectious pneumonitis. Participants who are HIV-positive. History of organ transplant, including allogeneic stem cell transplantation.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Incyte Medical Monitor
    Organizational Affiliation
    Incyte Corporation
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    INCMGA00012 in Combination With Chemoradiation in Participants With Stage III Non-Small Cell Lung Cancer (POD1UM-301)

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