Description:
The study will determine Recommended Phase 2 Dose for all study drugs, based on the safety
and tolerability of the following combinations: INCAGN02385 + INCAGN02390 and INCAGN02385 +
INCAGN02390 + INCMGA00012.
Title
- Brief Title: Study of Combination Therapy With INCMGA00012 (Anti-PD-1), INCAGN02385 (Anti-LAG-3), and INCAGN02390 (Anti-TIM-3) in Participants With Select Advanced Malignancies
- Official Title: A Phase 1-2 Study of Combination Therapy With INCMGA00012 (Anti-PD-1), INCAGN02385 (Anti-LAG-3), and INCAGN02390 (Anti-TIM-3) in Participants With Select Advanced Malignancies
Clinical Trial IDs
- ORG STUDY ID:
INCAGN 2385-201
- NCT ID:
NCT04370704
Conditions
Interventions
Drug | Synonyms | Arms |
---|
INCAGN02385 | | Phase 1 Part 1 |
INCAGN02390 | | Phase 1 Part 1 |
INCMGA00012. | | Phase 1 Part 2 |
Purpose
The study will determine Recommended Phase 2 Dose for all study drugs, based on the safety
and tolerability of the following combinations: INCAGN02385 + INCAGN02390 and INCAGN02385 +
INCAGN02390 + INCMGA00012.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 1 Part 1 | Experimental | Part 1 will confirm the safety of INCAGN02385 and INCAGN02390 when used in combination. INCAGN02385 will be administered first intravenously followed by INCAGN02390. | |
Phase 1 Part 2 | Experimental | Part 2 will confirm the safety of the triple combination of INCAGN02385 + INCAGN02390 + INCMGA00012, following confirmation of the safety of the doublet in Part 1. INCAGN02385 will be administered first intravenously followed by INCAGN02390 and INCMGA00012. | - INCAGN02385
- INCAGN02390
- INCMGA00012.
|
Phase 2 | Experimental | Phase 2 will determine preliminary efficacy and proof of concept for the combination of INCAGN02385 + INCAGN02390 + INCMGA00012. INCAGN02385 will be administered first intravenously followed by INCAGN02390 and INCMGA00012 | - INCAGN02385
- INCAGN02390
- INCMGA00012.
|
Eligibility Criteria
Inclusion Criteria:
- Men and women, aged 18 or older.
- Willingness to provide written informed consent for the study.
- Phase 1: Participants with locally advanced or metastatic solid tumors for which a
PD-1 inhibitor is indicated (locally advanced disease must not be amenable to
resection with curative intent) that have failed a PD-1/PD-L1 inhibitor therapy.
a. PD should be based on imaging done at least 4 weeks apart.
- Phase 2: Participants with histologically confirmed recurrent Stage III and Stage IV
melanoma who relapsed during therapy with anti-PD-1 given as adjuvant therapy.
1. Participants should have no more than one prior therapy given as adjuvant
treatment.
2. Participants in Stage 1 (n = 13) and Stage 2 (n = 21) of Phase 2 should have
documented LAG-3 positive expression (≥ 5%) by IHC.
3. Participants should be documented BRAF mutation negative.
- Participants must have fresh biopsy available after completing adjuvant therapy or be
willing and able to safely undergo pretreatment tumor biopsies (core or excisional).
- ECOG performance status 0 or 1.
- Willingness to avoid pregnancy or fathering children
Exclusion Criteria:
- Laboratory and medical history parameters outside the protocol-defined range.
- Known hypersensitivity or severe reaction to any component of the study drugs or
formulation components ) within 14 days before study Day 1.
- Administration of colony-stimulating factors within 14 days before study Day 1.
- Receipt of a live vaccine within 30 days of planned start of study treatment.
- Receipt of anticancer medications or investigational drugs within the following
intervals before the first administration of study treatment
- Phase 1:
1. ≤ 14 days for chemotherapy, targeted small molecule therapy, or radiation
therapy. Participants must also not require chronic use of corticosteroids and
must not have had radiation pneumonitis as a result of treatment. A 1-week
washout is permitted for palliative radiation to non-CNS disease with medical
monitor approval.
2. ≤ 14 days and resolution of all associated toxicities for prior immunotherapy or
persistence of active cellular therapy c. < 14 days for prior PD-1
pathway-targeted agents (for Phase 1 and Phase 2).
d. ≤ 28 days for a prior mAb used for anticancer therapy with the exception of PD-1
pathway-targeted agents and denosumab.
e. ≤ 7 days for immune-suppressive-based treatment for any reason. f. ≤ 28 days or 5
half-lives (whichever is longer) before the first dose for all other investigational
agents or devices. For investigational agents with long half-lives (eg, > 5 days),
enrollment before the fifth half-life requires medical monitor approval.
g. Has not recovered to ≤ Grade 1 from toxic effects of prior therapy (including prior
immunotherapy) and/or complications from prior surgical intervention before starting
therapy.
- Phase 2:
1. Receipt of any anticancer medication other than adjuvant anti-PD-1 therapy.
2. Receipt of PD-1 pathway-targeted inhibitors within 14 days before the first
administration of study treatment.
3. Unknown LAG-3 status or LAG-3 positive > 0% but < 5%
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase 1 and 2 : Participants with treatment-emergent adverse events (TEAE) |
Time Frame: | 28 days after end of study approximately 24 months |
Safety Issue: | |
Description: | TEAE is defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study drug |
Secondary Outcome Measures
Measure: | Phase 1 : Objective Response Rate |
Time Frame: | Every 8 weeks for first 12 months, and every 12 weeks until disease progression; aprroximately 24 months |
Safety Issue: | |
Description: | Defined as the percentage of participants having a Complete Response or Partial Response, will be determined by investigator assessment of radiographic disease assessments per RECIST v1.1. |
Measure: | Phase 1 : Progression Free Survival |
Time Frame: | Every 8 weeks for first 12 months, and every 12 weeks until disease progression; aprroximately 24 months |
Safety Issue: | |
Description: | Defined as the time from date of first dose of study treatment until the earliest date of disease progression, as determined by investigator assessment of objective radiographic disease per RECIST v1.1. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Incyte Corporation |
Trial Keywords
- PD-1 Inhibitors
- INCAGN02385
- INCAGN02390
- INCMGA00012
Last Updated
August 11, 2021