INCB000928 Administered as a Monotherapy or in Combination With Ruxolitinib in Participants With Anemia Due to Myeloproliferative Disorders (LIMBER)
Primary Purpose
Anemia, Post-essential Thrombocythemia Myelofibrosis, Post-polycythemia Vera Myelofibrosis
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
INCB000928
ruxolitinib
Sponsored by
About this trial
This is an interventional treatment trial for Anemia focused on measuring LIMBER
Eligibility Criteria
Inclusion Criteria:
Participants with MF who are transfusion-dependent or present with symptomatic anemia, defined as follows:
- Anemia: An Hgb value < 10 g/dL demonstrated during screening recorded on 3 separate occasions with at least 7 days between measurements (Note: RBC transfusion must be at least 2 weeks before the Hgb measurement during screening).
- Transfusion-dependent: Participant has received at least 4 units of RBC transfusions during the 28 days immediately preceding Cycle 1 Day 1 OR has received an average of at least 4 units of RBC transfusions in the 8 weeks immediately preceding Cycle 1 Day 1, for an Hgb level of < 8.5 g/dL, in the absence of bleeding or treatment-induced anemia. In addition, the most recent transfusion episode must have occurred in the 28 days before Cycle 1 Day 1.
ECOG performance status score of the following:
- 0 or 1 for the dose-escalation stages.
- 0, 1, or 2 for the dose-expansion stage.
- Life expectancy is greater than 6 months
- Agreement to avoid pregnancy or fathering children.
- Ineligible to receive or have not responded to available therapies for anemia such as ESAs.
- For TGA:
- Participants previously treated with JAK inhibitors for at least 12 weeks.
- Participants with intermediate-2 or high DIPSS MF according to IWG-MRT criteria.
- For TGB:
- Participants must have been on a therapeutic and stable regimen of ruxolitinib for at least 12 consecutive weeks immediately preceding the first dose of study treatment.
- Participants with intermediate-1, intermediate-2, or high DIPSS MF according to IWG-MRT criteria.
Exclusion Criteria:
- Undergone any prior allogenic or autologous stem cell transplantation or a candidate for such transplantation.
- Any prior chemotherapy, immunomodulatory drug therapy, immunosuppressive therapy, biological therapy, endocrine therapy, targeted therapy, antibody or hypomethylating agent to treat the participant's disease, with the exception of ruxolitinib for TGB only, within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
- Laboratory Values outside of protocol defined range at screening.
Sites / Locations
- City of Hope National Medical CenterRecruiting
- City of Hope Orange CountyRecruiting
- Usc Norris Comprehensive Cancer Center
- Stanford Cancer CenterRecruiting
- Emory University - Winship Cancer InstituteRecruiting
- Emory University-Winship Cancer InstituteRecruiting
- Start MidwestRecruiting
- Washington University School of MedicineRecruiting
- Weill Cornell Medical CentersRecruiting
- Duke University Medical Center, Department of Hematologic Malignancies and Cellular Therapy
- Vanderbilt University Medical CenterRecruiting
- Md Anderson Cancer CenterRecruiting
- Princess Margaret Cancer Center
- Centre Hospitalier D'AngersRecruiting
- Institut Paoli CalmettesRecruiting
- Hospital Saint LouisRecruiting
- Azienda Ospedaliera Papa Giovanni XxiiiRecruiting
- S Orsolas University Hospital Seragnoli Institute of HematologyRecruiting
- Azienda Ospedaliero-Universitaria Careggi (Aouc)Recruiting
- Azienda Ospedaliera Universitaria San Luigi Gonzaga Orbassano
- Comitato Di Bioetica Della Fondazione Irccs Policlinico San Matteo
- Ospedale Santa Maria Della Misericordia Perugia
- Tokyo Medical and Dental University HospitalRecruiting
- Chiba Cancer CenterRecruiting
- Gifu Municipal HospitalRecruiting
- Kansai Medical University HospitalRecruiting
- Kumamoto Shinto General HospitalRecruiting
- Osaka International Cancer InstituteRecruiting
- United Lincolnshire Hospitals
- University Hospital of Wales
- Royal Cornwall Hospital Truro Sunrise Centre
- Genesiscare Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Treatment Group A (TGA)
Treatment Group B (TGB)
Arm Description
INCB000928 will be administered once daily( QD).
INCB000928 will be administered in combination with ruxolitinib.
Outcomes
Primary Outcome Measures
Number of treatment-related adverse events
To determine the safety and tolerability of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB).
Secondary Outcome Measures
Anemia Response
Defined as an increase in hemoglobin.
Duration of Anemia Response
Duration of anemia response at baseline.
Mean Change of Hemoglobin
Mean change in hemoglobin levels from baseline
Rate of RBC transfusion
Defined as the average number of RBC units
TGB only -Splenic Volume
Defined as the proportion of participants achieving a targeted reduction in spleen volume
TGB Only - Splenic Length
Defined as the proportion of participants achieving a targeted reduction in spleen length
TGB only - Objective Response Rate
defined as the proportion of participants with Complete Response or Partial Response
TGB only - Progression Free Survival
Defined as the interval from the first dose of study treatment until the first documented progression or death
TGB only - Leukemia Free Survival
defined as the interval from the first dose of study treatment until the first documented leukemia transformation or death from any cause
AUC
Area Under the Plasma Concentration versus Time curve of INCB 00928-104
Tmax
Time to reach maximum (peak) plasma concentration of INCB 00928-104
AUC0-t
Area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.
Hepcidin levels
Effect of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB) on hepcidin levels
Iron Homeostasis
Effect of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB) on iron homeostasis parameters such as TSI, ferritin, transferrin, TSAT, TIBC, UIBC, and serum NTBI.
Erythropoesis
Effect of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB) on erythropoiesis parameters such as RC, NRBC, MCV, MCH, Hgb, Hct, RBC count, MCHC, and RDW.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04455841
Brief Title
INCB000928 Administered as a Monotherapy or in Combination With Ruxolitinib in Participants With Anemia Due to Myeloproliferative Disorders
Acronym
LIMBER
Official Title
A Phase 1/2 Open-Label, Multicenter Study of INCB000928 Administered as a Monotherapy or in Combination With Ruxolitinib in Participants With Anemia Due to Myeloproliferative Disorders
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 19, 2021 (Actual)
Primary Completion Date
April 30, 2024 (Anticipated)
Study Completion Date
April 30, 2024 (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
This Phase 1/2, open-label, dose-finding study is intended to evaluate the safety and tolerability, PK, PD, and efficacy of INCB000928 administered as monotherapy or in combination with ruxolitinib in participants with MF who are transfusion-dependent or presenting with symptomatic anemia. This study will consist of 2 parts: dose escalation and expansion.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anemia, Post-essential Thrombocythemia Myelofibrosis, Post-polycythemia Vera Myelofibrosis
Keywords
LIMBER
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
100 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Treatment Group A (TGA)
Arm Type
Experimental
Arm Description
INCB000928 will be administered once daily( QD).
Arm Title
Treatment Group B (TGB)
Arm Type
Experimental
Arm Description
INCB000928 will be administered in combination with ruxolitinib.
Intervention Type
Drug
Intervention Name(s)
INCB000928
Intervention Description
INCB000928 Dose Escalation
Intervention Type
Drug
Intervention Name(s)
ruxolitinib
Intervention Description
INCB000928 +ruxolitinib Dose Expansion
Primary Outcome Measure Information:
Title
Number of treatment-related adverse events
Description
To determine the safety and tolerability of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB).
Time Frame
Approximately up to 13 months
Secondary Outcome Measure Information:
Title
Anemia Response
Description
Defined as an increase in hemoglobin.
Time Frame
Approximately up to 13 months
Title
Duration of Anemia Response
Description
Duration of anemia response at baseline.
Time Frame
Approximately up to 13 months
Title
Mean Change of Hemoglobin
Description
Mean change in hemoglobin levels from baseline
Time Frame
Approximately up to 13 months
Title
Rate of RBC transfusion
Description
Defined as the average number of RBC units
Time Frame
Approximately up to 13 months
Title
TGB only -Splenic Volume
Description
Defined as the proportion of participants achieving a targeted reduction in spleen volume
Time Frame
Approximately up to 13 months
Title
TGB Only - Splenic Length
Description
Defined as the proportion of participants achieving a targeted reduction in spleen length
Time Frame
Approximately Up to 13 months
Title
TGB only - Objective Response Rate
Description
defined as the proportion of participants with Complete Response or Partial Response
Time Frame
Approximately up to 13 months
Title
TGB only - Progression Free Survival
Description
Defined as the interval from the first dose of study treatment until the first documented progression or death
Time Frame
Approximately up to 13 months
Title
TGB only - Leukemia Free Survival
Description
defined as the interval from the first dose of study treatment until the first documented leukemia transformation or death from any cause
Time Frame
Approximately upto 13 months
Title
AUC
Description
Area Under the Plasma Concentration versus Time curve of INCB 00928-104
Time Frame
Approximately up to 13 months
Title
Tmax
Description
Time to reach maximum (peak) plasma concentration of INCB 00928-104
Time Frame
Approximately up to 13 months
Title
AUC0-t
Description
Area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.
Time Frame
Approximately up to 13 months
Title
Hepcidin levels
Description
Effect of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB) on hepcidin levels
Time Frame
Approximately up to 13 months
Title
Iron Homeostasis
Description
Effect of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB) on iron homeostasis parameters such as TSI, ferritin, transferrin, TSAT, TIBC, UIBC, and serum NTBI.
Time Frame
Approximately up to 13 months
Title
Erythropoesis
Description
Effect of INCB000928 administered as monotherapy (TGA) or in combination with ruxolitinib (TGB) on erythropoiesis parameters such as RC, NRBC, MCV, MCH, Hgb, Hct, RBC count, MCHC, and RDW.
Time Frame
Approximately up to 13 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants with MF who are transfusion-dependent or present with symptomatic anemia, defined as follows:
Anemia: An Hgb value < 10 g/dL demonstrated during screening recorded on 3 separate occasions with at least 7 days between measurements (Note: RBC transfusion must be at least 2 weeks before the Hgb measurement during screening).
Transfusion-dependent: Participant has received at least 4 units of RBC transfusions during the 28 days immediately preceding Cycle 1 Day 1 OR has received an average of at least 4 units of RBC transfusions in the 8 weeks immediately preceding Cycle 1 Day 1, for an Hgb level of < 8.5 g/dL, in the absence of bleeding or treatment-induced anemia. In addition, the most recent transfusion episode must have occurred in the 28 days before Cycle 1 Day 1.
ECOG performance status score of the following:
0 or 1 for the dose-escalation stages.
0, 1, or 2 for the dose-expansion stage.
Life expectancy is greater than 6 months
Agreement to avoid pregnancy or fathering children.
Ineligible to receive or have not responded to available therapies for anemia such as ESAs.
For TGA:
Participants previously treated with JAK inhibitors for at least 12 weeks.
Participants with intermediate-2 or high DIPSS MF according to IWG-MRT criteria.
For TGB:
Participants must have been on a therapeutic and stable regimen of ruxolitinib for at least 12 consecutive weeks immediately preceding the first dose of study treatment.
Participants with intermediate-1, intermediate-2, or high DIPSS MF according to IWG-MRT criteria.
Exclusion Criteria:
Undergone any prior allogenic or autologous stem cell transplantation or a candidate for such transplantation.
Any prior chemotherapy, immunomodulatory drug therapy, immunosuppressive therapy, biological therapy, endocrine therapy, targeted therapy, antibody or hypomethylating agent to treat the participant's disease, with the exception of ruxolitinib for TGB only, within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
Laboratory Values outside of protocol defined range at screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Incyte Corporation Call Center (US)
Phone
1.855.463.3463
Email
medinfo@incyte.com
First Name & Middle Initial & Last Name or Official Title & Degree
Incyte Corporation Call Center (ex-US)
Phone
1.855.463.3463
Email
globalmedinfo@incyte.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ekatarine Asantiani, MD
Organizational Affiliation
Incyte Corporation
Official's Role
Study Director
Facility Information:
Facility Name
City of Hope National Medical Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Individual Site Status
Recruiting
Facility Name
City of Hope Orange County
City
Irvine
State/Province
California
ZIP/Postal Code
92618
Country
United States
Individual Site Status
Recruiting
Facility Name
Usc Norris Comprehensive Cancer Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90089
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Stanford Cancer Center
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Individual Site Status
Recruiting
Facility Name
Emory University - Winship Cancer Institute
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Recruiting
Facility Name
Emory University-Winship Cancer Institute
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Recruiting
Facility Name
Start Midwest
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49546
Country
United States
Individual Site Status
Recruiting
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Individual Site Status
Recruiting
Facility Name
Weill Cornell Medical Centers
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Name
Duke University Medical Center, Department of Hematologic Malignancies and Cellular Therapy
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Individual Site Status
Recruiting
Facility Name
Md Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Princess Margaret Cancer Center
City
Toronto
State/Province
Ontario
ZIP/Postal Code
MG5 2R2
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Centre Hospitalier D'Angers
City
Angers Cedex 01
ZIP/Postal Code
49033
Country
France
Individual Site Status
Recruiting
Facility Name
Institut Paoli Calmettes
City
Marseille Cedex 9
ZIP/Postal Code
13273
Country
France
Individual Site Status
Recruiting
Facility Name
Hospital Saint Louis
City
Paris
ZIP/Postal Code
75010
Country
France
Individual Site Status
Recruiting
Facility Name
Azienda Ospedaliera Papa Giovanni Xxiii
City
Bergamo
ZIP/Postal Code
24127
Country
Italy
Individual Site Status
Recruiting
Facility Name
S Orsolas University Hospital Seragnoli Institute of Hematology
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Individual Site Status
Recruiting
Facility Name
Azienda Ospedaliero-Universitaria Careggi (Aouc)
City
Firenze
ZIP/Postal Code
50134
Country
Italy
Individual Site Status
Recruiting
Facility Name
Azienda Ospedaliera Universitaria San Luigi Gonzaga Orbassano
City
Orbassano
ZIP/Postal Code
10043
Country
Italy
Individual Site Status
Not yet recruiting
Facility Name
Comitato Di Bioetica Della Fondazione Irccs Policlinico San Matteo
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Individual Site Status
Completed
Facility Name
Ospedale Santa Maria Della Misericordia Perugia
City
Perugia
ZIP/Postal Code
06124
Country
Italy
Individual Site Status
Not yet recruiting
Facility Name
Tokyo Medical and Dental University Hospital
City
Bunkyo-ku
ZIP/Postal Code
113-8519
Country
Japan
Individual Site Status
Recruiting
Facility Name
Chiba Cancer Center
City
Chiba
ZIP/Postal Code
260-8717
Country
Japan
Individual Site Status
Recruiting
Facility Name
Gifu Municipal Hospital
City
Gifu
ZIP/Postal Code
500-8513
Country
Japan
Individual Site Status
Recruiting
Facility Name
Kansai Medical University Hospital
City
Hirakata
ZIP/Postal Code
573-1191
Country
Japan
Individual Site Status
Recruiting
Facility Name
Kumamoto Shinto General Hospital
City
Kumamoto
ZIP/Postal Code
862-8655
Country
Japan
Individual Site Status
Recruiting
Facility Name
Osaka International Cancer Institute
City
Osaka-shi
ZIP/Postal Code
541-8567
Country
Japan
Individual Site Status
Recruiting
Facility Name
United Lincolnshire Hospitals
City
Boston
ZIP/Postal Code
PE21 9QS
Country
United Kingdom
Individual Site Status
Not yet recruiting
Facility Name
University Hospital of Wales
City
Cardiff
ZIP/Postal Code
CF14 4XW
Country
United Kingdom
Individual Site Status
Not yet recruiting
Facility Name
Royal Cornwall Hospital Truro Sunrise Centre
City
Truro
ZIP/Postal Code
TR1 3LQ
Country
United Kingdom
Individual Site Status
Not yet recruiting
Facility Name
Genesiscare Center
City
Windsor
ZIP/Postal Code
SL4 3HD
Country
United Kingdom
Individual Site Status
Not yet recruiting
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
IPD Sharing Time Frame
Data will be shared after the primary publication or 2 years after the study has ended for market authorized products and indications.
IPD Sharing Access Criteria
Data from eligible studies will be shared with qualified researchers according to the criteria and process described in the Data Sharing section of the www.incyteclinicaltrials.com website. For approved requests, the researchers will be granted access to anonymized data under the terms of a data sharing agreement.
IPD Sharing URL
https://www.incyte.com/our-company/compliance-and-transparency
Links:
URL
https://www.incyteclinicaltrials.com/limber/
Description
Related Info
Learn more about this trial
INCB000928 Administered as a Monotherapy or in Combination With Ruxolitinib in Participants With Anemia Due to Myeloproliferative Disorders
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