Description:
This Phase 1/2, open-label, dose-finding study is intended to evaluate the safety and
tolerability, PK, PD, and efficacy of INCB000928 administered as monotherapy in participants
with MDS or MM who are transfusion-dependent or present with symptomatic anemia.
Title
- Brief Title: To Assess the Safety and Tolerability of INCB000928 in Participants With Myelodysplastic Syndromes or Multiple Myeloma.
- Official Title: A Phase 1/2, Open-Label, Multicenter Study of INCB000928 Administered as a Monotherapy in Participants With Anemia Due to Myelodysplastic Syndromes or Multiple Myeloma
Clinical Trial IDs
- ORG STUDY ID:
INCB 00928-105
- NCT ID:
NCT04582539
Conditions
- Myelodysplastic Syndromes
- Multiple Myeloma
- Anemia
Interventions
Drug | Synonyms | Arms |
---|
INCB000928 | | INCB000928 |
Purpose
This Phase 1/2, open-label, dose-finding study is intended to evaluate the safety and
tolerability, PK, PD, and efficacy of INCB000928 administered as monotherapy in participants
with MDS or MM who are transfusion-dependent or present with symptomatic anemia.
Trial Arms
Name | Type | Description | Interventions |
---|
INCB000928 | Experimental | INCB000928 will be administered in participants with MDS or MM who are transfusion-dependent or present with symptomatic anemia. | |
Eligibility Criteria
Inclusion Criteria:
- Agreement to avoid pregnancy or fathering children.
- Participants who are transfusion-dependent or present with symptomatic anemia
For MDS participants:
- Ineligible to receive or have not responded to available therapies for anemia such as
ESAs or lenalidomide.
- Not requiring cytoreductive therapy other than hydroxyurea.
- BM and peripheral blood myeloblast count < 10%.
- Histologically confirmed diagnosis of the MDS, CMML and unclassifiable MDS/MPN overlap
syndromes.
For MM participants:
- Histologically confirmed diagnosis of MM.
- After failure of available standard treatments such as alkylating agents,
glucocorticoids, immunomodulatory drugs (lenalidomide,pomalidomide, or thalidomide),
proteasome inhibitors (bortezomib or carfilzomib), and daratumumab.
Exclusion Criteria:
- Any prior allogeneic stem cell transplantation or a candidate for such
transplantation.
- Any major surgery within 28 days before the first dose of study drug.
- Any prior chemotherapy, immunomodulatory drug therapy, immunosuppressive therapy,
biological therapy, endocrine therapy, targeted therapy, or antibody or
hypomethylating agent to treat the participant's disease within 5 half-lives or 28
days (whichever is shorter) before the first dose of study drug.
- Undergoing treatment with another investigational medication or having been treated
with an investigational medication within 28 days before the first dose of study drug.
-Undergoing treatment with ESAs, granulocyte colony-stimulating factor or
granulocyte/macrophage colony-stimulating factor, romiplostin, or eltrombopag at any
time within 28 days before the first dose of study drug.
- Undergoing treatment with a strong or potent inhibitor or inducer of CYP3A4/5 within
28 days or 5 half-lives (whichever is longer) before the first dose of study drug or
expected to receive such treatment during the study.
- History of clinically significant or uncontrolled cardiac disease.
- History or presence of an abnormal ECG that, in the investigator's opinion, is
clinically Meaningful.
- Presence of chronic or current active infectious disease requiring systemic
antibiotic, antifungal, or antiviral treatment.
- Diagnosis of chronic liver disease.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of treatment-related adverse events |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | To determine the safety and tolerability of INCB000928 administered as monotherapy in participants with MDS or MM. |
Secondary Outcome Measures
Measure: | Proportion of participants with anemia response (for TI patients at baseline) |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as an Hgb increase. |
Measure: | Duration of anemia response |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the interval from the first onset of anemia response to the earliest date of loss of anemia response. |
Measure: | Proportion of participants with RBC-TI (for TD at baseline) |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the absence of any RBC transfusion |
Measure: | Duration of RBC-TI period |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as duration of time for which participants are transfusion independent |
Measure: | Rate of RBC transfusion |
Time Frame: | Through weeks 12 and 24 |
Safety Issue: | |
Description: | Defined as the average number of RBC units |
Measure: | Increase in mean Hgb |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the increase from baseline in the mean Hgb |
Measure: | MDS Participants only : Overall Response Rate |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the proportion of participants with CR or PR |
Measure: | MDS Participants only : Progression Free Survival |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the interval from the first dose of study drug until the first documented progression or death |
Measure: | MDS Participants only : Leukemia Free Survival |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the interval from the first dose of study drug until the first documented leukemia transformation or death from any cause. |
Measure: | MM participants only : Overall Response Rate |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the proportion of participants with stringent CR, CR, very good PR, and PR |
Measure: | MM Participants only : Progression Free Survival |
Time Frame: | Approximately up to 7 months |
Safety Issue: | |
Description: | Defined as the interval from the first dose of study drug until the first documented progression or death. |
Measure: | Cmax |
Time Frame: | C1D1 and C1D15 |
Safety Issue: | |
Description: | Maximum plasma concentration of INCB000928 |
Measure: | Tmax |
Time Frame: | C1D1 and C1D15 |
Safety Issue: | |
Description: | Time to reach maximum (peak) plasma concentration of INCB000928 |
Measure: | AUC0-t |
Time Frame: | C1D1 and C1D15 |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t. |
Measure: | Hepcidin levels |
Time Frame: | Approximately upto 7 months |
Safety Issue: | |
Description: | Effect of INCB000928 on hepcidin levels |
Measure: | Iron Homeostasis |
Time Frame: | Approximately upto 7 months |
Safety Issue: | |
Description: | Effect of INCB000928 on iron homeostasis. |
Measure: | Erythropoiesis |
Time Frame: | Approximately upto 7 months |
Safety Issue: | |
Description: | Effect of INCB000928 on erythropoiesis. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Incyte Corporation |
Trial Keywords
- Myelodysplastic Syndromes
- Multiple Myeloma
- Anemia
Last Updated
August 24, 2021