INCB106385 Alone or in Combination With Immunotherapy in Advanced Solid Tumors
Primary Purpose
Ovarian Cancer, Bladder Cancer, Non Small Cell Lung Cancer
Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
INCB106385
INCMGA00012
Sponsored by
About this trial
This is an interventional treatment trial for Ovarian Cancer focused on measuring INCB106385, Advanced Solid Tumors, PD-1
Eligibility Criteria
Inclusion Criteria:
- Ability to comprehend and willingness to sign an ICF.
- Willing and able to conform to and comply with all Protocol requirements.
- Histologically or cytologically confirmed advanced/metastatic SCCHN, NSCLC, ovarian cancer, TNBC, CRPC, bladder cancer, and specified GI malignancies (defined as CRC, gastric/GEJ cancer, HCC, PDAC, or SCAC) that progressed after treatment with available therapies (including anti PD-(L)1 therapy (if applicable).
- Willingness to undergo pre- and on-treatment tumor biopsy.
- Have CD8 T-cell-positive tumors.
- Presence of measurable disease according to RECIST v1.1.
- ECOG performance status 0 to 1.
- Life expectancy > 12 weeks.
- Willingness to avoid pregnancy or fathering children based.
- Acceptable laboratory parameters
Exclusion Criteria:
- Clinically significant cardiac disease.
- Known or active CNS metastases and/or carcinomatous meningitis.
- Active or inactive autoimmune disease or syndrome that required systemic treatment in the past 2 years or receiving systemic therapy for an autoimmune or inflammatory disease..
- Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (doses > 10 mg daily of prednisone or equivalent) or any other form of immunosuppressive therapy within 7 days before the first dose of study treatment.
- Known additional malignancy that is progressing or requires active treatment,or history of other malignancy within 2 years of the first dose of study treatment.
- Has not recovered to ≤ Grade 1 from toxic effects of prior therapy and/or complications from prior surgical intervention before starting study treatment.
- Evidence of interstitial lung disease, history of interstitial lung disease, or active, noninfectious pneumonitis.
- Immune-related toxicity during prior immune therapy for which permanent discontinuation of therapy is recommended, or any immune-related toxicity requiring intensive or prolonged immunosuppression to manage.
- Any prior chemotherapy, biological therapy, or targeted therapy to treat the participant's disease within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
- Any prior radiation therapy within 28 days before the first dose of study treatment.
- Undergoing treatment with another investigational medication or having been treated with an investigational medication within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
- Concomitant treatment with strong CYP3A4 inhibitors or inducers.
- Receipt of a live vaccine within 30 days of the first dose of study treatment.
- Infection requiring parenteral antibiotics, antivirals, or antifungals within 1 week of the first dose of study treatment.
- Evidence of HBV or HCV infection or risk of reactivation.
- Known history of HIV (HIV 1/2 antibodies).
- History of organ transplant, including allogeneic stem-cell transplantation.
- Known hypersensitivity or severe reaction to any component of study drug(s) or formulation components.
- Inability to swallow food or any condition of the upper gastrointestinal tract that precludes administration of oral medications.
- Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study.
- Any condition that would, in the investigator's judgment, interfere with full participation in the study,pose a significant risk to the participant; or interfere with interpretation of study data
Sites / Locations
- Cedars-Sinai Medical Center
- University of Maryland-Greenebaum Cancer Center
- Dana Farber Cancer Institute
- Roswell Park Cancer Institute
- Columbia University Medical Center
- University of Pittsburgh
- Md Anderson Cancer Center
- South Texas Accelerated Research Therapeutics
- Cliniques Universitaires Ucl Saint-Luc
- Universitaire Ziekenhuis Leuven - Gasthuisberg
- Institut Bergonie
- Universitaire Du Cancer de Toulouse Institut Claudius Regaud Iuct-Oncopole
- Institut Gustave Roussy
- A.O.U. Di Modena - Policlinico
- Istituto Nazionale Tumori Irccs Fondazione Pascale
- Irccs Istituto Clinico Humanitas
- Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma)
- Hospital General Universitario Vall D Hebron
- Fundacion Jimenez Diaz University Hospital
- Hospital Universitario 12 de Octubre
- Centro Integral Oncologico Clara Campal
- Clinica Universidad de Navarra (Cun)
- Cambridge University Hospitals Nhs Foundation Trust
- University of Glasgow
- Guys and St Thomas Nhs Foundation Trust
- Imperial College Healthcare Nhs Trust - Hammersmith Hospital
- The Christie Nhs Foundation Trust Uk
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Treatment Group A (TGA) - INCB106385
Treatment Group B (TGB) - INCB106385+INCMGA00012
Arm Description
In part 1 dose escalation, the dose levels will be escalated following a BOIN design. In part 2 dose expansion, participants will be assigned to different groups based on their tumor types and treated at the RDE.
In part 1 dose escalation, the dose levels will be escalated following a BOIN design. In part 2 dose expansion, participants will be assigned to different groups based on their tumor types and treated at the RDE.
Outcomes
Primary Outcome Measures
Number of treatment-emergent adverse events (TEAE)
Defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study drug up to 90 days after last dose of study drug.
Secondary Outcome Measures
Cmax of INCB106385 as a single agent or in combination with INCMGA00012
Maximum observed plasma concentration.
Tmax of INCB106385 as a single agent or in combination with INCMGA00012
Time to maximum plasma concentration
Cmin of INCB106385 as a single agent or in combination with INCMGA00012
Minimum observed plasma concentration over the dose interval
AUC of INCB106385 as a single agent or in combination with INCMGA00012
Area under the plasma concentration-time curve
CL/F of INCB106385 as a single agent or in combination with INCMGA00012
Apparent oral dose clearance
Objective Response Rate (ORR)
Defined as the percentage of participants with a best overall response of CR or PR, as determined by investigator radiographic disease assessment according to RECIST v1.1.
Disease Control Rate
Defined as the percentage of participants with a best overall response of CR, PR, or SD, as determined by investigator radiographic disease assessment according to RECIST v1.1.
Duration Of Response (DOR)
Defined as the time from the earliest date of CR or PR until the earliest date of disease progression, as determined by investigator radiographic disease assessment according to RECIST v1.1, or death due to any cause if occurring sooner than progression.
Change in tumoral gene expression
Defined as the percent of patients with change in tumoral targeted gene expression compared to baseline
Change in immune cell activation in tumors
Defined as the percent of patients demonstrating change in immune cell activation in tumors compared to baseline
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04580485
Brief Title
INCB106385 Alone or in Combination With Immunotherapy in Advanced Solid Tumors
Official Title
A Phase 1, Open-Label, Multicenter Study of INCB106385 as Monotherapy or in Combination With Immunotherapy in Participants With Advanced Solid Tumors
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 3, 2021 (Actual)
Primary Completion Date
January 30, 2024 (Anticipated)
Study Completion Date
January 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
5. Study Description
Brief Summary
This is a multicenter, open-label, dose-escalation/dose-expansion Phase 1 clinical study to investigate the safety, tolerability, PK profile, pharmacodynamics, and preliminary clinical efficacy of INCB106385 when given as monotherapy or in combination with INCMGA00012 in participants with selected CD8 T-cell-positive advanced solid tumors including SCCHN, NSCLC, ovarian cancer, CRPC, TNBC, bladder cancer, and specified GI malignancies (defined as CRC, gastric/GEJ cancer, HCC, PDAC, or SCAC)
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer, Bladder Cancer, Non Small Cell Lung Cancer, Squamous Cell Carcinoma of Head and Neck, Triple Negative Breast Cancer, Castration Resistant Prostate Cancer, Colorectal Cancer, Gastric/ Gastroesophageal Junction, Hepatocellular Carcinoma, Pancreatic Ductal Adenocarcinoma, Squamous Carcinoma of the Anal Canal
Keywords
INCB106385, Advanced Solid Tumors, PD-1
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Masking Description
Open Label
Allocation
Non-Randomized
Enrollment
54 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment Group A (TGA) - INCB106385
Arm Type
Experimental
Arm Description
In part 1 dose escalation, the dose levels will be escalated following a BOIN design.
In part 2 dose expansion, participants will be assigned to different groups based on their tumor types and treated at the RDE.
Arm Title
Treatment Group B (TGB) - INCB106385+INCMGA00012
Arm Type
Experimental
Arm Description
In part 1 dose escalation, the dose levels will be escalated following a BOIN design.
In part 2 dose expansion, participants will be assigned to different groups based on their tumor types and treated at the RDE.
Intervention Type
Drug
Intervention Name(s)
INCB106385
Intervention Description
INCB106385 will be administered orally QD
Intervention Type
Drug
Intervention Name(s)
INCMGA00012
Intervention Description
INCMGA0012 will be administered IV once every 4 weeks (Q4W)
Primary Outcome Measure Information:
Title
Number of treatment-emergent adverse events (TEAE)
Description
Defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study drug up to 90 days after last dose of study drug.
Time Frame
Up to Approximately 28 months
Secondary Outcome Measure Information:
Title
Cmax of INCB106385 as a single agent or in combination with INCMGA00012
Description
Maximum observed plasma concentration.
Time Frame
Up to 6 months
Title
Tmax of INCB106385 as a single agent or in combination with INCMGA00012
Description
Time to maximum plasma concentration
Time Frame
Up to 6 months
Title
Cmin of INCB106385 as a single agent or in combination with INCMGA00012
Description
Minimum observed plasma concentration over the dose interval
Time Frame
Up to 6 months
Title
AUC of INCB106385 as a single agent or in combination with INCMGA00012
Description
Area under the plasma concentration-time curve
Time Frame
Up to 6 months
Title
CL/F of INCB106385 as a single agent or in combination with INCMGA00012
Description
Apparent oral dose clearance
Time Frame
Up to 6 months
Title
Objective Response Rate (ORR)
Description
Defined as the percentage of participants with a best overall response of CR or PR, as determined by investigator radiographic disease assessment according to RECIST v1.1.
Time Frame
Up to approximately 24 months
Title
Disease Control Rate
Description
Defined as the percentage of participants with a best overall response of CR, PR, or SD, as determined by investigator radiographic disease assessment according to RECIST v1.1.
Time Frame
Up to approximately 24 months
Title
Duration Of Response (DOR)
Description
Defined as the time from the earliest date of CR or PR until the earliest date of disease progression, as determined by investigator radiographic disease assessment according to RECIST v1.1, or death due to any cause if occurring sooner than progression.
Time Frame
Up to approximately 24 months
Title
Change in tumoral gene expression
Description
Defined as the percent of patients with change in tumoral targeted gene expression compared to baseline
Time Frame
Predose and Week 5-6
Title
Change in immune cell activation in tumors
Description
Defined as the percent of patients demonstrating change in immune cell activation in tumors compared to baseline
Time Frame
Predose and Week 5-6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Ability to comprehend and willingness to sign an ICF.
Willing and able to conform to and comply with all Protocol requirements.
Histologically or cytologically confirmed advanced/metastatic SCCHN, NSCLC, ovarian cancer, TNBC, CRPC, bladder cancer, and specified GI malignancies (defined as CRC, gastric/GEJ cancer, HCC, PDAC, or SCAC) that progressed after treatment with available therapies (including anti PD-(L)1 therapy (if applicable).
Willingness to undergo pre- and on-treatment tumor biopsy.
Have CD8 T-cell-positive tumors.
Presence of measurable disease according to RECIST v1.1.
ECOG performance status 0 to 1.
Life expectancy > 12 weeks.
Willingness to avoid pregnancy or fathering children based.
Acceptable laboratory parameters
Exclusion Criteria:
Clinically significant cardiac disease.
Known or active CNS metastases and/or carcinomatous meningitis.
Active or inactive autoimmune disease or syndrome that required systemic treatment in the past 2 years or receiving systemic therapy for an autoimmune or inflammatory disease..
Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (doses > 10 mg daily of prednisone or equivalent) or any other form of immunosuppressive therapy within 7 days before the first dose of study treatment.
Known additional malignancy that is progressing or requires active treatment,or history of other malignancy within 2 years of the first dose of study treatment.
Has not recovered to ≤ Grade 1 from toxic effects of prior therapy and/or complications from prior surgical intervention before starting study treatment.
Evidence of interstitial lung disease, history of interstitial lung disease, or active, noninfectious pneumonitis.
Immune-related toxicity during prior immune therapy for which permanent discontinuation of therapy is recommended, or any immune-related toxicity requiring intensive or prolonged immunosuppression to manage.
Any prior chemotherapy, biological therapy, or targeted therapy to treat the participant's disease within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
Any prior radiation therapy within 28 days before the first dose of study treatment.
Undergoing treatment with another investigational medication or having been treated with an investigational medication within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
Concomitant treatment with strong CYP3A4 inhibitors or inducers.
Receipt of a live vaccine within 30 days of the first dose of study treatment.
Infection requiring parenteral antibiotics, antivirals, or antifungals within 1 week of the first dose of study treatment.
Evidence of HBV or HCV infection or risk of reactivation.
Known history of HIV (HIV 1/2 antibodies).
History of organ transplant, including allogeneic stem-cell transplantation.
Known hypersensitivity or severe reaction to any component of study drug(s) or formulation components.
Presence of a gastrointestinal condition that may affect drug absorption.
Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study.
Any condition that would, in the investigator's judgment, interfere with full participation in the study,pose a significant risk to the participant; or interfere with interpretation of study data
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ilona Rybicka, M.D
Organizational Affiliation
Incyte Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Cedars-Sinai Medical Center
City
West Hollywood
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
University of Maryland-Greenebaum Cancer Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States
Facility Name
Dana Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
Roswell Park Cancer Institute
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Md Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
South Texas Accelerated Research Therapeutics
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Cliniques Universitaires Ucl Saint-Luc
City
Brussels
ZIP/Postal Code
01200
Country
Belgium
Facility Name
Universitaire Ziekenhuis Leuven - Gasthuisberg
City
Leuven
ZIP/Postal Code
03000
Country
Belgium
Facility Name
Institut Bergonie
City
Bordeaux
ZIP/Postal Code
33000
Country
France
Facility Name
Universitaire Du Cancer de Toulouse Institut Claudius Regaud Iuct-Oncopole
City
Toulouse
ZIP/Postal Code
31059
Country
France
Facility Name
Institut Gustave Roussy
City
Villejuif
ZIP/Postal Code
94800
Country
France
Facility Name
A.O.U. Di Modena - Policlinico
City
Modena
ZIP/Postal Code
41124
Country
Italy
Facility Name
Istituto Nazionale Tumori Irccs Fondazione Pascale
City
Naples
ZIP/Postal Code
80131
Country
Italy
Facility Name
Irccs Istituto Clinico Humanitas
City
Rozzano
ZIP/Postal Code
20089
Country
Italy
Facility Name
Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma)
City
Verona
ZIP/Postal Code
37134
Country
Italy
Facility Name
Hospital General Universitario Vall D Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Fundacion Jimenez Diaz University Hospital
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
Centro Integral Oncologico Clara Campal
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Clinica Universidad de Navarra (Cun)
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
Facility Name
Cambridge University Hospitals Nhs Foundation Trust
City
Cambridge
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
Facility Name
University of Glasgow
City
Glasgow
ZIP/Postal Code
G12 0YN
Country
United Kingdom
Facility Name
Guys and St Thomas Nhs Foundation Trust
City
London
ZIP/Postal Code
SE1 9RT
Country
United Kingdom
Facility Name
Imperial College Healthcare Nhs Trust - Hammersmith Hospital
City
London
ZIP/Postal Code
W12 0HS
Country
United Kingdom
Facility Name
The Christie Nhs Foundation Trust Uk
City
Manchester
ZIP/Postal Code
M20 4BV
Country
United Kingdom
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
Learn more about this trial
INCB106385 Alone or in Combination With Immunotherapy in Advanced Solid Tumors
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