Description:
This is an open-label, dose-escalation study of the proviral integration site of Moloney
murine leukemia virus (PIM) kinase inhibitor INCB053914 in subjects with advanced
malignancies. The study will be conducted in 4 parts. Part 1 (monotherapy dose escalation)
will evaluate safety and determine the maximum tolerated dose of INCB053914 monotherapy and
the recommended phase 2 dose(s) (a tolerated pharmacologically active dose that will be taken
forward into the remaining parts of the study). Part 2 (monotherapy dose expansion) will
further evaluate the safety, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of
the recommended Phase 2 dose(s). Part 3 (combination dose finding) will evaluate safety of
INCB053914 in combination with select standard of care (SOC) agents and will identify the
optimal INCB053914 dose in combination with conventional SOC regimens to take forward into
Part 4. Part 4 (combination dose expansion) will further evaluate the safety, efficacy and
pharmacokinetics of the recommended Phase 2 dose combination(s).
Title
- Brief Title: Study of INCB053914 in Subjects With Advanced Malignancies
- Official Title: A Phase 1/2 Study of INCB053914 in Subjects With Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
INCB 53914-101
- NCT ID:
NCT02587598
Conditions
Interventions
Drug | Synonyms | Arms |
---|
INCB053914 | | INCB053914 |
INCB053914 | | INCB053914 + Azacitidine |
I-DAC (Intermediate dose cytarabine) | | INCB053914 + I-DAC |
Azacitidine | Vidaza® | INCB053914 + Azacitidine |
Ruxolitinib | | INCB053914 + Ruxolitinib |
Purpose
This is an open-label, dose-escalation study of the proviral integration site of Moloney
murine leukemia virus (PIM) kinase inhibitor INCB053914 in subjects with advanced
malignancies. The study will be conducted in 4 parts. Part 1 (monotherapy dose escalation)
will evaluate safety and determine the maximum tolerated dose of INCB053914 monotherapy and
the recommended phase 2 dose(s) (a tolerated pharmacologically active dose that will be taken
forward into the remaining parts of the study). Part 2 (monotherapy dose expansion) will
further evaluate the safety, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of
the recommended Phase 2 dose(s). Part 3 (combination dose finding) will evaluate safety of
INCB053914 in combination with select standard of care (SOC) agents and will identify the
optimal INCB053914 dose in combination with conventional SOC regimens to take forward into
Part 4. Part 4 (combination dose expansion) will further evaluate the safety, efficacy and
pharmacokinetics of the recommended Phase 2 dose combination(s).
Trial Arms
Name | Type | Description | Interventions |
---|
INCB053914 | Experimental | Monotherapy | |
INCB053914 + Azacitidine | Experimental | | |
INCB053914 + I-DAC | Experimental | | - INCB053914
- I-DAC (Intermediate dose cytarabine)
|
INCB053914 + Ruxolitinib | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Aged 18 years or older
- Confirmed diagnosis of select advanced malignancy
- Parts 1 and 2:
- Unresponsive to currently available therapy and there is no standard-of-care
therapy available in the judgment of the investigator.
- Not currently a candidate for curative treatment
- Parts 3 and 4:
- Subjects with relapsed/refractory AML must have received either induction
chemotherapy for AML or hypomethylating agents for hematologic disease before
AML.
- Elderly subjects (≥ 65 years) with newly diagnosed AML must be treatment naive
and unfit for intensive chemotherapy.
- Myelofibrosis subjects must have been treated with ruxolitinib for ≥ 6 months
with a stable dose for ≥ 8 weeks (acceptable doses are 5 mg twice daily [BID] to
25 mg BID).
- Willingness to undergo a pretreatment bone marrow biopsy and/or aspirate, or archival
sample obtained since completion of most recent therapy (as appropriate to subjects
with existing bone marrow disease or for whom bone marrow examination is a component
of disease status assessment)
- Eastern Cooperative Oncology Group (ECOG) performance status
- Part 1: 0 or 1
- Parts 2, 3 and 4: 0, 1, or 2
- Life expectancy > 12 weeks or ≥ 24 weeks for Part 3 and Part 4 MF subjects.
Exclusion Criteria:
- Inadequate bone marrow or organ function
- Received an investigational agent within 5 half-lives or 14 days, whichever is longer,
prior to receiving the first dose of study drug
- Received non-biologic anticancer medication within 5 half-lives prior to receiving the
first dose of study drug (within 6 weeks for mitomycin-C or nitrosoureas), within 28
days for any antibodies or biological therapies
- Prior receipt of a PIM inhibitor
- Any history of disease involving the central nervous system (Part 1). Known active
disease involving the central nervous system (Part 2).
- Screening corrected QT interval (QTc) interval > 470 milliseconds
- Radiotherapy within the 2 weeks prior to initiation of treatment
- Chronic or current active infection requiring systemic antibiotic, antifungal, or
antiviral treatment
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Determination of the safety and tolerability of INCB053914 as measured by the number of participants with adverse events |
Time Frame: | Approximately 7 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Plasma concentrations oF INCB053914 will be determined by the use of validated assays |
Time Frame: | approximately 1 month |
Safety Issue: | |
Description: | |
Measure: | Pharmacodynamic profile of INCB053914 determined by phosphorylation of Bcl-2-associated death promoter protein |
Time Frame: | approximately 1 month |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Incyte Corporation |
Trial Keywords
- leukemia
- myelodysplastic syndrome (MDS)
- myelodysplastic/myeloproliferative neoplasms (MDS/MPN)
- myelofibrosis (MF)
- lymphoproliferative disorders
- acute myeloid leukemia (AML)
- lymphomas
- multiple myeloma (MM)
- PIM kinases
Last Updated
April 8, 2021