Description:
This is a multicenter, open-label, dose-escalation/dose-expansion Phase 1 clinical study to
investigate the safety, tolerability, PK profile, pharmacodynamics, and preliminary clinical
efficacy of INCB106385 when given as monotherapy or in combination with INCMGA00012 in
participants with selected CD8 T-cell-positive advanced solid tumors including SCCHN, NSCLC,
ovarian cancer, CRPC, TNBC, or bladder cancer
Title
- Brief Title: INCB106385 Alone or in Combination With Immunotherapy in Advanced Solid Tumors
- Official Title: A Phase 1, Open-Label, Multicenter Study of INCB106385 as Monotherapy or in Combination With Immunotherapy in Participants With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
INCB 106385-102
- NCT ID:
NCT04580485
Conditions
- Ovarian Cancer
- Bladder Cancer
- Non Small Cell Lung Cancer
- Squamous Cell Carcinoma of Head and Neck
- Triple Negative Breast Cancer
- Castration Resistant Prostate Cancer
Interventions
Drug | Synonyms | Arms |
---|
INCB106385 | | Treatment Group A (TGA) - INCB106385 |
INCMGA00012 | | Treatment Group B (TGB) - INCB106385+INCMGA00012 |
Purpose
This is a multicenter, open-label, dose-escalation/dose-expansion Phase 1 clinical study to
investigate the safety, tolerability, PK profile, pharmacodynamics, and preliminary clinical
efficacy of INCB106385 when given as monotherapy or in combination with INCMGA00012 in
participants with selected CD8 T-cell-positive advanced solid tumors including SCCHN, NSCLC,
ovarian cancer, CRPC, TNBC, or bladder cancer
Trial Arms
Name | Type | Description | Interventions |
---|
Treatment Group A (TGA) - INCB106385 | Experimental | In part 1 dose escalation, the dose levels will be escalated following a BOIN design.
In part 2 dose expansion, participants will be assigned to different groups based on their tumor types and treated at the RDE. | |
Treatment Group B (TGB) - INCB106385+INCMGA00012 | Experimental | In part 1 dose escalation, the dose levels will be escalated following a BOIN design.
In part 2 dose expansion, participants will be assigned to different groups based on their tumor types and treated at the RDE. | |
Eligibility Criteria
Inclusion Criteria:
- Ability to comprehend and willingness to sign an ICF.
- Willing and able to conform to and comply with all Protocol requirements.
- Histologically or cytologically confirmed advanced/metastatic SCCHN, NSCLC, ovarian
cancer, TNBC, CRPC or bladder cancer that progressed after treatment with available
therapies (including anti PD-(L)1 therapy (if applicable).
- Willingness to undergo pre- and on-treatment tumor biopsy.
- Have CD8 T-cell-positive tumors.
- Presence of measurable disease according to RECIST v1.1.
- ECOG performance status 0 to 1.
- Life expectancy > 12 weeks.
- Willingness to avoid pregnancy or fathering children based.
- Acceptable laboratory parameters
Exclusion Criteria:
- Clinically significant cardiac disease.
- Known or active CNS metastases and/or carcinomatous meningitis.
- Active or inactive autoimmune disease or syndrome that required systemic treatment in
the past 2 years or receiving systemic therapy for an autoimmune or inflammatory
disease..
- Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (doses
> 10 mg daily of prednisone or equivalent) or any other form of immunosuppressive
therapy within 7 days before the first dose of study treatment.
- Known additional malignancy that is progressing or requires active treatment,or
history of other malignancy within 2 years of the first dose of study treatment.
- Has not recovered to ≤ Grade 1 from toxic effects of prior therapy and/or
complications from prior surgical intervention before starting study treatment.
- Evidence of interstitial lung disease, history of interstitial lung disease, or
active, noninfectious pneumonitis.
- Immune-related toxicity during prior immune therapy for which permanent
discontinuation of therapy is recommended, or any immune-related toxicity requiring
intensive or prolonged immunosuppression to manage.
- Any prior chemotherapy, biological therapy, or targeted therapy to treat the
participant's disease within 5 half-lives or 28 days (whichever is shorter) before the
first dose of study treatment.
- Any prior radiation therapy within 28 days before the first dose of study treatment.
- Undergoing treatment with another investigational medication or having been treated
with an investigational medication within 5 half-lives or 28 days (whichever is
shorter) before the first dose of study treatment.
- Concomitant treatment with strong CYP3A4 inhibitors or inducers.
- Receipt of a live vaccine within 30 days of the first dose of study treatment.
- Infection requiring parenteral antibiotics, antivirals, or antifungals within 1 week
of the first dose of study treatment.
- Evidence of HBV or HCV infection or risk of reactivation.
- Known history of HIV (HIV 1/2 antibodies).
- History of organ transplant, including allogeneic stem-cell transplantation.
- Known hypersensitivity or severe reaction to any component of study drug(s) or
formulation components.
- Inability to swallow food or any condition of the upper gastrointestinal tract that
precludes administration of oral medications.
- Is pregnant or breastfeeding or expecting to conceive or father children within the
projected duration of the study.
- Any condition that would, in the investigator's judgment, interfere with full
participation in the study,pose a significant risk to the participant; or interfere
with interpretation of study data
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of treatment-emergent adverse events (TEAE) |
Time Frame: | Up to Approximately 28 months |
Safety Issue: | |
Description: | Defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study drug up to 90 days after last dose of study drug. |
Secondary Outcome Measures
Measure: | Cmax of INCB106385 as a single agent or in combination with INCMGA00012 |
Time Frame: | Up to 6 months |
Safety Issue: | |
Description: | Maximum observed plasma concentration. |
Measure: | Tmax of INCB106385 as a single agent or in combination with INCMGA00012 |
Time Frame: | Up to 6 months |
Safety Issue: | |
Description: | Time to maximum plasma concentration |
Measure: | Cmin of INCB106385 as a single agent or in combination with INCMGA00012 |
Time Frame: | Up to 6 months |
Safety Issue: | |
Description: | Minimum observed plasma concentration over the dose interval |
Measure: | AUC of INCB106385 as a single agent or in combination with INCMGA00012 |
Time Frame: | Up to 6 months |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve |
Measure: | CL/F of INCB106385 as a single agent or in combination with INCMGA00012 |
Time Frame: | Up to 6 months |
Safety Issue: | |
Description: | Apparent oral dose clearance |
Measure: | Objective Response Rate (ORR) |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | Defined as the percentage of participants with a best overall response of CR or PR, as determined by investigator radiographic disease assessment according to RECIST v1.1. |
Measure: | Disease Control Rate |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | Defined as the percentage of participants with a best overall response of CR, PR, or SD, as determined by investigator radiographic disease assessment according to RECIST v1.1. |
Measure: | Duration Of Response (DOR) |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | Defined as the time from the earliest date of CR or PR until the earliest date of disease progression, as determined by investigator radiographic disease assessment according to RECIST v1.1, or death due to any cause if occurring sooner than progression. |
Measure: | Change in tumoral gene expression |
Time Frame: | Predose and Week 5-6 |
Safety Issue: | |
Description: | Defined as the percent of patients with change in tumoral targeted gene expression compared to baseline |
Measure: | Change in immune cell activation in tumors |
Time Frame: | Predose and Week 5-6 |
Safety Issue: | |
Description: | Defined as the percent of patients demonstrating change in immune cell activation in tumors compared to baseline |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Incyte Corporation |
Trial Keywords
- INCB106385
- Advanced Solid Tumors
- PD-1
Last Updated
August 4, 2021