Description:
The purpose of this study will be to evaluate the safety, tolerability, and pharmacological
activity of pemigatinib in subjects with advanced malignancies. This study will have three
parts, dose escalation (Part 1), dose expansion (Part 2) and combination therapy (Part 3).
Title
- Brief Title: Open-Label, Dose-Escalation Study of Pemigatinib in Subjects With Advanced Malignancies - (FIGHT-101)
- Official Title: A Phase 1/2, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCB054828 in Subjects With Advanced Malignancies (FIGHT-101)
Clinical Trial IDs
- ORG STUDY ID:
INCB 54828-101
- NCT ID:
NCT02393248
Conditions
- Lung Cancer
- Solid Tumor
- Gastric Cancer
- Urothelial Cancer
- Endometrial Cancer
- Multiple Myeloma
- Myeloproliferative Neoplasms
- Breast Cancer
- Cholangiocarcinoma
- UC
- MPN
Interventions
Drug | Synonyms | Arms |
---|
Pemigatinib | INCB054828 | Dose Escalation |
Gemcitabine + Cisplatin | | Dose Escalation |
Pembrolizumab | | Dose Escalation |
Docetaxel | | Dose Escalation |
Trastuzumab | | Dose Escalation |
INCMGA00012 | | Dose Escalation |
Purpose
The purpose of this study will be to evaluate the safety, tolerability, and pharmacological
activity of pemigatinib in subjects with advanced malignancies. This study will have three
parts, dose escalation (Part 1), dose expansion (Part 2) and combination therapy (Part 3).
Trial Arms
Name | Type | Description | Interventions |
---|
Dose Escalation | Experimental | Open-label dose escalation with an accelerated titration design based on observing each dose level for a period of 21 days.
Dose Expansion
Combination therapy:
Gemcitabine + Cisplatin + Pemigatinib
Pembrolizumab + Pemigatinib
Docetaxel + Pemigatinib
Trastuzumab + Pemigatinib
INCMGA00012 + Pemigatinib | - Pemigatinib
- Gemcitabine + Cisplatin
- Pembrolizumab
- Docetaxel
- Trastuzumab
- INCMGA00012
|
Eligibility Criteria
Inclusion Criteria:
1. Male or female subjects, age 18 years or older on day of signing consent
2. Part 1: Any advanced solid tumor malignancy; Part 2: Subjects with squamous non-small
cell lung cancer, cholangiocarcinoma/gastric cancer, urothelial cancer,
breast/endometrial cancer, multiple myeloma, or MPNs that have a tumor or malignancy
that has been evaluated and confirmed to harbor genetic alterations in FGF or FGFR
genes. A subject's fibroblast growth factor (FGF) or fibroblast growth factor receptor
(FGFR) alteration may be based on local or central laboratory results. Part 3: Dose
finding: subjects with solid tumor malignancies who qualify for combo therapy;
dose-expansion: FGF/FGFR+ subjects qualified to receive combo therapy
3. Has progressed after prior therapy and there is no further effective standard
anticancer therapy available (including subject refuses or is intolerant)
4. Life expectancy > 12 weeks
5. Eastern Cooperative Oncology Group (ECOG) performance status:
- Part 1: 0 or 1
- Part 2 and 3: 0, 1, or 2
Exclusion Criteria:
1. Treatment with other investigational study drug for any indication for any reason, or
receipt of anticancer medications within 21 days or 5 half-lives before first dose of
study drug
2. Prior receipt of a selective FGFR inhibitor
3. History of a calcium/phosphate homeostasis disorder
4. History and/or current evidence of ectopic mineralization/calcification
5. Current evidence of corneal disorder/keratopathy
6. Has a history or presence of inadequate liver, renal, hematopoietic and/or cardiac
function parameters outside protocol-defined range
7. Prior radiotherapy within 2 weeks of study treatment
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Determination of the maximum tolerated dose of Pemigatinib as a monotherapy and in combination as measured by the number of participants with adverse events |
Time Frame: | from baseline through 21 days |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Preliminary efficacy as assessed by Overall Response Rate (ORR) of Pemigatinib as monotherapy and in combination in subjects with measurable disease |
Time Frame: | Day 15 of every third cycle (± 2 days) while subjects are on study |
Safety Issue: | |
Description: | Tumor response rates in those subjects with measurable disease as determined by investigator assessment of response using RECIST (Response Evaluation Criteria in Solid Tumor) criteria |
Measure: | Maximum observed plasma concentration (Cmax) during the dosing interval and Cmin of Pemigatinib as monotherapy and in combination |
Time Frame: | Cycle 1 Day 1, Day 2, Day 8 and Day 15 |
Safety Issue: | |
Description: | The pharmacokinetic (PK) parameters of Cmax and Cmin will be calculated from the blood plasma concentrations of pemigatinib using standard noncompartmental PK methods. |
Measure: | Minimum observed plasma concentration (Cmin) during the dosing interval of Pemigatinib as monotherapy and in combination |
Time Frame: | Cycle 1 Day 1, Day 2, Day 8 and Day 15 |
Safety Issue: | |
Description: | The pharmacokinetic (PK) parameters of Cmax and Cmin will be calculated from the blood plasma concentrations of pemigatinib using standard noncompartmental PK methods. |
Measure: | Time to maximum plasma concentration (Tmax) of Pemigatinib as monotherapy and in combination |
Time Frame: | Cycle 1 Day 1, Day 2, Day 8 and Day 15 |
Safety Issue: | |
Description: | The PK parameter of Tmax will be calculated from the blood plasma concentrations of pemigatinib using standard noncompartmental PK methods. |
Measure: | Area under the single-dose plasma concentration-time curve (AUC0-t) of Pemigatinib as monotherapy and in combination |
Time Frame: | Cycle 1 Day 1, Day 2, Day 8 and Day 15 |
Safety Issue: | |
Description: | Area under the single-dose plasma concentration-time curve from Hour 0 to the last quantifiable measurable plasma concentration, calculated by the linear trapezoidal rule for increasing concentrations and the log trapezoidal rule for decreasing concentrations. |
Measure: | Oral dose clearance (Cl/F) of Pemigatinib as monotherapy and in combination |
Time Frame: | Cycle 1 Day 1, Day 2, Day 8 and Day 15 |
Safety Issue: | |
Description: | The PK parameter of Cl/F will be calculated from the blood plasma concentrations of pemigatinib using standard noncompartmental PK methods. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Incyte Corporation |
Trial Keywords
- alterations in FGF or FGFR
- squamous non-small cell lung cancer
- gastric cancer
- urothelial cancer
- endometrial cancer
- multiple myeloma
- MPN
Last Updated
July 2, 2021