Description:
This study is an open-label Phase 1/Phase 2 evaluation of INCB001158 as a single agent and in combination with immune checkpoint therapy in patients with advanced/metastatic solid tumors.
This study is an open-label Phase 1/Phase 2 evaluation of INCB001158 as a single agent and in combination with immune checkpoint therapy in patients with advanced/metastatic solid tumors.
Active, not recruiting
Phase 1/Phase 2
Drug | Synonyms | Arms |
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INCB001158 | CB-1158 | INCB001158 & anti-PD-1 w/ moderately impaired renal function |
Pembrolizumab | Keytruda | INCB001158 & anti-PD-1 w/ moderately impaired renal function |
This study is an open-label Phase 1 evaluation of INCB001158 as a single agent and in combination with immune checkpoint therapy in patients with advanced/metastatic solid tumors. Single Agent INCB001158: Patients with advanced/metastatic solid tumors will be enrolled into escalating monotherapy dose cohorts to determine the Recommended Phase 2 Dose (RP2D) of INCB001158. Additional patients with NSCLC, Colorectal Cancer (CRC), and other tumors including SCCHN, RCC, Gastric, Bladder and Melanoma will be enrolled at the single agent RP2D. Combination Treatment: Patients with advanced/metastatic NSCLC, Melanoma, Urothelial, Microsatellite Instability (MSI)/ Microsatellite Stable (MSS) CRC, Gastric, SCCHN and Mesothelioma will be enrolled into separate cohorts of combination therapy (INCB001158 and Pembrolizumab) to determine the RP2D. In the dose expansion phase, additional patients with NSCLC, Melanoma, Urothelial, MSI/MSS CRC, Gastric, SCCHN and Mesothelioma will be treated with the combination of INCB001158 and Pembrolizumab at the RP2D. All patients will be assessed for safety, pharmacokinetics, biomarkers and tumor response.
Name | Type | Description | Interventions |
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Monotherapy Dose Escalation Solid Tumors | Experimental | Monotherapy Part 1a: INCB001158 administered orally in patients with advanced/metastatic solid tumors. Escalating doses will be explored to determine the recommended phase 2 dose (RP2D). |
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INCB001158 as Monotherapy in NSCLC | Experimental | Monotherapy Part 2a: INCB001158 administered orally at the RP2D in patients with advanced/metastatic NSCLC (EGFR and Anaplastic Lymphoma Kinase (ALK) negative) previously treated with Standard of Care (SOC). |
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INCB001158 as Monotherapy in CRC | Experimental | Monotherapy Part 2b: INCB001158 administered orally at the RP2D in patients with advanced/metastatic CRC previously treated with SOC. |
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INCB001158 as Monotherapy in Solid Tumors | Experimental | Monotherapy Part 2c: INCB001158 administered orally at the RP2D in patients with Bladder Cancer, Gastric or Gastroesophageal Junction (GEJ) Cancer, Renal Cell Cancer (RCC), Squamous Cell Carcinoma of the Head and Neck (SCCHN), Urothelial Cell Cancer (UCC), or Melanoma, previously treated with SOC. |
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INCB001158 as Monotherapy - Capsule-Tablet Crossover PK study | Experimental | Monotherapy Part 2d: INCB001158 administered orally at the RP2D in patients with any tumor types in Parts 2a, 2b, or 2c. |
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INCB001158 and anti-PD-1 in Combination Dose Escalation | Experimental | Combination Part 1b: INCB001158 and Pembrolizumab administered in patients with advanced/metastatic NSCLC, Melanoma, Urothelial Cell Cancer, MSI CRC, MSS CRC, Gastric or Gastroesophageal Junction (GEJ) Cancer, SCCHN and Mesothelioma. Multiple dose levels will be explored to determine the recommended phase 2 dose (RP2D). |
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INCB001158 and anti-PD-1 in NSCLC | Experimental | Part 3a: INCB001158 and Pembrolizumab the combination RP2D in patients with advanced/metastatic NSCLC (EGFR and ALK negative) with disease progression on anti-PD-1 therapy or prolonged stable disease on Pembrolizumab in the immediate prior line of therapy. |
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INCB001158 and anti-PD-1 in Melanoma | Experimental | Part 3b: INCB001158 and Pembrolizumab at the combination RP2D administered in patients with advanced/metastatic Melanoma with disease progression on anti-PD-1 therapy or prolonged stable disease on Pembrolizumab in the immediate prior line of therapy. |
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INCB001158 and anti-PD-1 in Urothelial Carcinoma | Experimental | Part 3c: INCB001158 and Pembrolizumab at the combination RP2D administered in patients with advanced/metastatic Urothelial Carcinoma with disease progression on anti-PD-1 therapy or prolonged stable disease on Pembrolizumab in the immediate prior line of therapy. |
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INCB001158 and anti-PD-1 in MSI CRC | Experimental | Part 3d: INCB001158 and Pembrolizumab at the combination RP2D administered in patients with advanced/metastatic MSI CRC with disease progression on anti-PD-1 therapy or prolonged stable disease on Pembrolizumab in the immediate prior line of therapy. |
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INCB001158 and anti-PD-1 in MSS CRC | Experimental | Part 3e: INCB001158 and Pembrolizumab at the combination RP2D administered in patients with advanced/metastatic MSS CRC that have received at least 1 prior 5-FU containing therapy and must not have had any prior checkpoint inhibitor therapy. |
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INCB001158 and anti-PD-1 in Gastric/GE Junction | Experimental | Part 3f: INCB001158 and Pembrolizumab at the combination RP2D administered in patients with advanced/metastatic Gastric/GE Junction that have never received prior checkpoint inhibitor therapy. |
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INCB001158 and anti-PD-1 in SCCHN | Experimental | Part 3g: INCB001158 and Pembrolizumab at the combination RP2D administered in patients with advanced/metastatic SCCHN that have never received prior checkpoint inhibitor therapy. |
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INCB001158 and anti-PD-1 in Mesothelioma | Experimental | Part 3h: INCB001158 and Pembrolizumab at the combination RP2D administered in patients with advanced/metastatic mesothelioma that have received or were unable to receive standard front line standard therapy and have never received prior checkpoint inhibitor therapy. |
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INCB001158 & anti-PD-1 w/ moderately impaired renal function | Experimental | Combination Part 1c: INCB001158 and Pembrolizumab administered in patients with advanced/metastatic NSCLC, Melanoma, Urothelial Cell Cancer, MSI CRC, MSS CRC, Gastric or Gastroesophageal Junction (GEJ) Cancer, SCCHN and Mesothelioma with Moderately impaired renal function (defined as CrCl 30-49 mL/min calculated by the Cockcroft-Gault formula) |
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*Additional cohort specific criteria may apply Inclusion Criteria: - Must be age 18 or older - Ability to provide written informed consent in accordance with federal, local, and institutional guidelines - Histological or cytological diagnosis of metastatic cancer or locally advanced cancer that is not amenable to local therapy - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1 - Life Expectancy of at least 3 months - Adequate hepatic, renal (moderately impaired renal function in cohort 1c only), cardiac, and hematologic function - Measurable disease by RECISTv1.1 criteria - Resolution of treatment-related toxicities - Willingness to avoid pregnancy or fathering children - Prior anti-PD-1 treatment for combination dose expansion cohorts 1c, 3a - 3d Exclusion Criteria: - Currently pregnant or lactating - Unable to receive oral medications - Unable to receive oral or IV hydration - Intolerance to prior anti-PD-1/PD-L1 therapy - Prior anti-PD-1 treatment for combination dose expansion cohorts 1c, 3e - 3h - Prior severe hypersensitivity reaction to another monoclonal antibody (mAb) - Any other current or previous malignancy within 3 years except protocol allowed malignancies - Chemotherapy, Tyrosine Kinase Inhibitor therapy, radiation therapy or hormonal therapy within 2 weeks - Immunotherapy or biological therapy, or investigational agent within 3 weeks (Note: some cohort exceptions allow anti-PD-1 therapy) - Active known or suspected exclusionary autoimmune disease - Any condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other systemic immunosuppressive medications within 2 weeks - Concomitant therapy with valproic acid/valproate-containing therapies - Concomitant therapy with allopurinol and other xanthine oxidase inhibitors - History of known risks factors for bowel perforation - Symptomatic ascites or pleural effusion - Major surgery within 28 days before Cycle 1 Day 1 - Active infection requiring within 2 weeks prior to first dose of study drug - Patients who have HIV, Hepatitis B or C - Conditions that could interfere with treatment or protocol-related procedures - Active, non-stable brain metastases or CNS disease - Known deficiencies or suspected defect in the urea cycle - Received live-virus vaccination within 30 days (seasonal flu vaccine allowed if non-live virus) - NSCLC with EGFR or ALK mutation
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Measure: | Safety and Tolerability of INCB001158 as a single agent and in combination with Pembrolizumab: Incidence of Adverse Events |
Time Frame: | Every 28 days (single agent INCB001158) or 21 days (INCB001158 in combination with Pembrolizumab) from study start until disease progression or unacceptable toxicity, assessed for an expected average of 6 months |
Safety Issue: | |
Description: | Evaluation of adverse events (AEs) and changes in laboratory values, vital signs, and physical examinations. |
Measure: | Recommended Phase 2 Dose (RP2D) of INCB001158 |
Time Frame: | 12 Weeks |
Safety Issue: | |
Description: | Up to 42 patients with advanced/metastatic solid tumors will be enrolled in Dose Escalation to determine the RP2D of INCB001158 as monotherapy. |
Measure: | RP2D of INCB001158 with Pembrolizumab |
Time Frame: | 12 Weeks |
Safety Issue: | |
Description: | Up to 42 patients with advanced/metastatic solid tumors will be enrolled in Dose Escalation to determine the RP2D of INCB001158 with Pembrolizumab. |
Measure: | Plasma pharmacokinetic (PK) profile of INCB001158 alone and in combination with Pembrolizumab |
Time Frame: | 12 Weeks |
Safety Issue: | |
Description: | Non-compartmental method of analysis will be used to analyze the plasma concentrations of INCB001158. |
Measure: | Anti-tumor Activity of INCB001158 as Monotherapy and in Combination with Pembrolizumab for patients with advanced/metastatic solid tumors |
Time Frame: | Until disease progression/study discontinuation up to 24 months |
Safety Issue: | |
Description: | Assessment of anti-tumor activity per RECIST Criteria (v1.1) and immune-related RECIST (irRECIST) criteria. |
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Incyte Corporation |
March 23, 2021