To Assess the Safety and Tolerability of INCB000928 in Participants With Myelodysplastic Syndromes or Multiple Myeloma (LIMBER)
Primary Purpose
Myelodysplastic Syndromes, Multiple Myeloma, Anemia
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
INCB000928
Sponsored by
About this trial
This is an interventional treatment trial for Myelodysplastic Syndromes focused on measuring Myelodysplastic Syndromes, Multiple Myeloma, Anemia, LIMBER
Eligibility Criteria
Inclusion Criteria:
- Agreement to avoid pregnancy or fathering children.
- Participants who are transfusion-dependent or present with symptomatic anemia
For MDS participants:
- Ineligible to receive or have not responded to available therapies for anemia such as ESAs or lenalidomide.
- Not requiring cytoreductive therapy other than hydroxyurea.
- BM and peripheral blood myeloblast count < 10%.
- Histologically confirmed diagnosis of the MDS, CMML and unclassifiable MDS/MPN overlap syndromes.
For MM participants:
- Histologically confirmed diagnosis of MM.
- After failure of available standard treatments such as alkylating agents, glucocorticoids, immunomodulatory drugs (lenalidomide,pomalidomide, or thalidomide), proteasome inhibitors (bortezomib or carfilzomib), and daratumumab.
Exclusion Criteria:
- Any prior allogeneic stem cell transplantation or a candidate for such transplantation.
- Any major surgery within 28 days before the first dose of study drug.
- Any prior chemotherapy, immunomodulatory drug therapy, immunosuppressive therapy, biological therapy, endocrine therapy, targeted therapy, or antibody or hypomethylating agent to treat the participant's disease within 5 half-lives or 28 days (whichever is shorter) before the first dose of study drug.
- Undergoing treatment with another investigational medication or having been treated with an investigational medication within 28 days before the first dose of study drug. -Undergoing treatment with ESAs, granulocyte colony-stimulating factor or granulocyte/macrophage colony-stimulating factor, romiplostin, or eltrombopag at any time within 28 days before the first dose of study drug.
- Undergoing treatment with a strong or potent inhibitor or inducer of CYP3A4/5 within 28 days or 5 half-lives (whichever is longer) before the first dose of study drug or expected to receive such treatment during the study.
- History of clinically significant or uncontrolled cardiac disease.
- History or presence of an abnormal ECG that, in the investigator's opinion, is clinically Meaningful.
- Presence of chronic or current active infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment.
- Diagnosis of chronic liver disease.
Sites / Locations
- Stanford Cancer CenterRecruiting
- University of MiamiRecruiting
- Florida Cancer SpecialistsRecruiting
- Tulane Comprehensive Cancer CenterRecruiting
- Barbara Ann Karmanos Cancer Hospital
- University of CincinnatiRecruiting
- Vanderbilt University Medical Center
- Md Anderson Cancer CenterRecruiting
- Centre Hospitalier Universitaire de Nantes (Chu de Nantes) - Hotel-DieuRecruiting
- Hospices Civils de Lyon Centre Hospitalier Lyon SudRecruiting
- Institut Gustave RoussyRecruiting
- L Azienda Ospedaliero-Universitaria Di Bologna Policlinico S. Orsola - MalpighiRecruiting
- Azienda Ospedaliero-Universitaria Careggi (Aouc)
- Comitato Di Bioetica Della Fondazione Irccs Policlinico San MatteoRecruiting
- Irccs Istituto Clinico HumanitasRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
INCB000928
Arm Description
INCB000928 will be administered in participants with MDS or MM who are transfusion-dependent or present with symptomatic anemia.
Outcomes
Primary Outcome Measures
Number of treatment-related adverse events
To determine the safety and tolerability of INCB000928 administered as monotherapy in participants with MDS or MM.
Secondary Outcome Measures
Proportion of participants with anemia response (for TI patients at baseline)
Defined as an Hgb increase.
Duration of anemia response
Defined as the interval from the first onset of anemia response to the earliest date of loss of anemia response.
Proportion of participants with RBC-TI (for TD at baseline)
Defined as the absence of any RBC transfusion
Duration of RBC-TI period
Defined as duration of time for which participants are transfusion independent
Rate of RBC transfusion
Defined as the average number of RBC units
Increase in mean Hgb
Defined as the increase from baseline in the mean Hgb
MDS Participants only : Overall Response Rate
Defined as the proportion of participants with CR or PR
MDS Participants only : Progression Free Survival
Defined as the interval from the first dose of study drug until the first documented progression or death
MDS Participants only : Leukemia Free Survival
Defined as the interval from the first dose of study drug until the first documented leukemia transformation or death from any cause.
MM participants only : Overall Response Rate
Defined as the proportion of participants with stringent CR, CR, very good PR, and PR
MM Participants only : Progression Free Survival
Defined as the interval from the first dose of study drug until the first documented progression or death.
Cmax
Maximum plasma concentration of INCB000928
Tmax
Time to reach maximum (peak) plasma concentration of INCB000928
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 on hepcidin levels
Iron Homeostasis
Effect of INCB000928 on iron homeostasis.
Erythropoiesis
Effect of INCB000928 on erythropoiesis.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04582539
Brief Title
To Assess the Safety and Tolerability of INCB000928 in Participants With Myelodysplastic Syndromes or Multiple Myeloma
Acronym
LIMBER
Official Title
A Phase 1/2, Open-Label, Multicenter Study of INCB000928 Administered as a Monotherapy in Participants With Anemia Due to Myelodysplastic Syndromes or Multiple Myeloma
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 19, 2021 (Actual)
Primary Completion Date
September 21, 2024 (Anticipated)
Study Completion Date
September 21, 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
No
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 in participants with MDS or MM who are transfusion-dependent or present with symptomatic anemia.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myelodysplastic Syndromes, Multiple Myeloma, Anemia
Keywords
Myelodysplastic Syndromes, Multiple Myeloma, Anemia, LIMBER
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
80 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
INCB000928
Arm Type
Experimental
Arm Description
INCB000928 will be administered in participants with MDS or MM who are transfusion-dependent or present with symptomatic anemia.
Intervention Type
Drug
Intervention Name(s)
INCB000928
Intervention Description
INCB000928 will be administered once daily.
Primary Outcome Measure Information:
Title
Number of treatment-related adverse events
Description
To determine the safety and tolerability of INCB000928 administered as monotherapy in participants with MDS or MM.
Time Frame
Approximately up to 7 months
Secondary Outcome Measure Information:
Title
Proportion of participants with anemia response (for TI patients at baseline)
Description
Defined as an Hgb increase.
Time Frame
Approximately up to 7 months
Title
Duration of anemia response
Description
Defined as the interval from the first onset of anemia response to the earliest date of loss of anemia response.
Time Frame
Approximately up to 7 months
Title
Proportion of participants with RBC-TI (for TD at baseline)
Description
Defined as the absence of any RBC transfusion
Time Frame
Approximately up to 7 months
Title
Duration of RBC-TI period
Description
Defined as duration of time for which participants are transfusion independent
Time Frame
Approximately up to 7 months
Title
Rate of RBC transfusion
Description
Defined as the average number of RBC units
Time Frame
Through weeks 12 and 24
Title
Increase in mean Hgb
Description
Defined as the increase from baseline in the mean Hgb
Time Frame
Approximately up to 7 months
Title
MDS Participants only : Overall Response Rate
Description
Defined as the proportion of participants with CR or PR
Time Frame
Approximately up to 7 months
Title
MDS Participants only : Progression Free Survival
Description
Defined as the interval from the first dose of study drug until the first documented progression or death
Time Frame
Approximately up to 7 months
Title
MDS Participants only : Leukemia Free Survival
Description
Defined as the interval from the first dose of study drug until the first documented leukemia transformation or death from any cause.
Time Frame
Approximately up to 7 months
Title
MM participants only : Overall Response Rate
Description
Defined as the proportion of participants with stringent CR, CR, very good PR, and PR
Time Frame
Approximately up to 7 months
Title
MM Participants only : Progression Free Survival
Description
Defined as the interval from the first dose of study drug until the first documented progression or death.
Time Frame
Approximately up to 7 months
Title
Cmax
Description
Maximum plasma concentration of INCB000928
Time Frame
C1D1 and C1D15
Title
Tmax
Description
Time to reach maximum (peak) plasma concentration of INCB000928
Time Frame
C1D1 and C1D15
Title
AUC0-t
Description
Area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.
Time Frame
C1D1 and C1D15
Title
Hepcidin levels
Description
Effect of INCB000928 on hepcidin levels
Time Frame
Approximately upto 7 months
Title
Iron Homeostasis
Description
Effect of INCB000928 on iron homeostasis.
Time Frame
Approximately upto 7 months
Title
Erythropoiesis
Description
Effect of INCB000928 on erythropoiesis.
Time Frame
Approximately upto 7 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Agreement to avoid pregnancy or fathering children.
Participants who are transfusion-dependent or present with symptomatic anemia
For MDS participants:
Ineligible to receive or have not responded to available therapies for anemia such as ESAs or lenalidomide.
Not requiring cytoreductive therapy other than hydroxyurea.
BM and peripheral blood myeloblast count < 10%.
Histologically confirmed diagnosis of the MDS, CMML and unclassifiable MDS/MPN overlap syndromes.
For MM participants:
Histologically confirmed diagnosis of MM.
After failure of available standard treatments such as alkylating agents, glucocorticoids, immunomodulatory drugs (lenalidomide,pomalidomide, or thalidomide), proteasome inhibitors (bortezomib or carfilzomib), and daratumumab.
Exclusion Criteria:
Any prior allogeneic stem cell transplantation or a candidate for such transplantation.
Any major surgery within 28 days before the first dose of study drug.
Any prior chemotherapy, immunomodulatory drug therapy, immunosuppressive therapy, biological therapy, endocrine therapy, targeted therapy, or antibody or hypomethylating agent to treat the participant's disease within 5 half-lives or 28 days (whichever is shorter) before the first dose of study drug.
Undergoing treatment with another investigational medication or having been treated with an investigational medication within 28 days before the first dose of study drug. -Undergoing treatment with ESAs, granulocyte colony-stimulating factor or granulocyte/macrophage colony-stimulating factor, romiplostin, or eltrombopag at any time within 28 days before the first dose of study drug.
Undergoing treatment with a strong or potent inhibitor or inducer of CYP3A4/5 within 28 days or 5 half-lives (whichever is longer) before the first dose of study drug or expected to receive such treatment during the study.
History of clinically significant or uncontrolled cardiac disease.
History or presence of an abnormal ECG that, in the investigator's opinion, is clinically Meaningful.
Presence of chronic or current active infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment.
Diagnosis of chronic liver disease.
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)
Email
globalmedinfo@incyte.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ekatarine Asatiani, MD
Organizational Affiliation
Incyte Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Stanford Cancer Center
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Individual Site Status
Recruiting
Facility Name
Florida Cancer Specialists
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34232
Country
United States
Individual Site Status
Recruiting
Facility Name
Tulane Comprehensive Cancer Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Individual Site Status
Recruiting
Facility Name
Barbara Ann Karmanos Cancer Hospital
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Individual Site Status
Completed
Facility Name
University of Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Individual Site Status
Recruiting
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Individual Site Status
Completed
Facility Name
Md Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Centre Hospitalier Universitaire de Nantes (Chu de Nantes) - Hotel-Dieu
City
Nantes
ZIP/Postal Code
44093
Country
France
Individual Site Status
Recruiting
Facility Name
Hospices Civils de Lyon Centre Hospitalier Lyon Sud
City
Pierre Benite
ZIP/Postal Code
69310
Country
France
Individual Site Status
Recruiting
Facility Name
Institut Gustave Roussy
City
Villejuif
ZIP/Postal Code
94800
Country
France
Individual Site Status
Recruiting
Facility Name
L Azienda Ospedaliero-Universitaria Di Bologna Policlinico S. Orsola - Malpighi
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
Completed
Facility Name
Comitato Di Bioetica Della Fondazione Irccs Policlinico San Matteo
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Individual Site Status
Recruiting
Facility Name
Irccs Istituto Clinico Humanitas
City
Rozzano
ZIP/Postal Code
20089
Country
Italy
Individual Site Status
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.
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
To Assess the Safety and Tolerability of INCB000928 in Participants With Myelodysplastic Syndromes or Multiple Myeloma
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