cropped color_logo_with_background.png

Open-Label Safety and Tolerability Study of INCB057643 in Subjects With Advanced Malignancies

Study Purpose

The purpose of the Study is to select a dose and assess the safety and tolerability of INCB057643 as a monotherapy (Part 1 and Part 2) and in combination with standard-of-care (SOC) agents (Part 3 and Part 4) for subjects with advanced malignancies. Part 1 will determine the maximum tolerated dose of INCB057643 and/or a tolerated dose that demonstrates sufficient pharmacologic activity. Part 2 will further evaluate the safety, preliminary efficacy, PK, and PD of the dose(s) selected in Part 1 in select tumor types including solid tumors, lymphomas and other hematologic malignancies. Part 3 will determine the tolerated dose of INCB057643 in combination with select SOC agents; and assess the safety and tolerability of the combination therapy in select advanced solid tumors and hematologic malignancies. Part 4 will further evaluate the safety, preliminary efficacy, PK, and PD of the selected dose combination from Part 3 in 4 specific advanced solid tumor and hematologic malignancies.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Histologically or cytologically confirmed diagnosis of relapsed or refractory advanced or metastatic malignancies: - Part 1: solid tumors or lymphomas, or hematologic malignancies.
  • - Part 2: histologically confirmed disease in specific tumor types.
  • - Part 3: advanced solid tumor or hematologic malignancy.
  • - Part 4: select advanced solid tumor or hematologic malignancy.
  • - For Part 1 and 2, subjects must have progressed following at least 1 line of prior therapy and there is no further established therapy that is known to provide clinical benefit (including subjects who are intolerant to the established therapy) - For Parts 3 and 4, subjects must have progressed following at least 1 line of prior therapy, and the treatment with the select SOC agent is relevant for the specific disease cohort.
  • - Life expectancy > 12 weeks, for MF subjects in Parts 3 and 4, life expectancy > 24 weeks.
  • - Eastern Cooperative Oncology Group (ECOG) performance status.
  • - Parts 1 and 3: 0 or 1.
  • - Parts 2 and 4: 0, 1, or 2.
  • - Willingness to avoid pregnancy or fathering children.

Exclusion Criteria:

  • - Inadequate bone marrow function per protocol-specified hemoglobin, platelet count, and absolute neutrophil count.
  • - Inadequate organ function per protocol-specified total bilirubin, AST and ALT, creatinine clearance and alkaline phosphatase.
  • - Receipt of anticancer medications or investigational drugs within protocol-specified intervals.
  • - Unless approved by the medical monitor, may not have received an allogeneic hematopoietic stem cell transplant within 6 months before treatment, or have active graft-versus-host-disease following allogeneic transplant.
  • - Unless approved by the medical monitor, may not have received autologous hematopoietic stem cell transplant within 3 months before treatment.
  • - Any unresolved toxicity ≥ Grade 2 (except stable Grade 2 peripheral neuropathy or alopecia) from previous anticancer therapy.
  • - Radiotherapy within the 2 weeks before initiation of treatment.
Palliative radiation treatment to nonindex or bone lesions performed less than 2 weeks before treatment initiation may be considered with medical monitor approval.
  • - Currently active and uncontrolled infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment.
  • - Untreated brain or central nervous system (CNS) metastases or brain/CNS metastases that have progressed.
  • - History or presence of abnormal electrocardiogram (ECG) that, in the investigator's opinion, is clinically meaningful.
  • - Type 1 diabetes or uncontrolled Type 2 diabetes.
  • - HbA1c of ≥ 8% (all subjects will have HbA1c test at screening) - Any sign of clinically significant bleeding.
- Coagulation panel within protocol-specified parameters

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT02711137
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1/Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Incyte Corporation
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Fred Zheng, MD, PhD
Principal Investigator Affiliation Incyte Corporation
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Terminated
Countries Belgium, France, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Solid Tumors
Arms & Interventions

Arms

Experimental: Part1/Treatment Group A : 8mg QD INCB057643

Initial cohort dose of INCB057643 monotherapy at the protocol specified starting dose in the TGA. Treatment Group A included solid tumors and lymphoma

Experimental: Part1/Treatment Group A : 12mg QD INCB057643

Initial cohort dose of INCB057643 monotherapy at the protocol specified starting dose in the TGA. Treatment Group A included solid tumors and lymphoma

Experimental: Part1/Treatment Group A : 16mg QD INCB057643

Initial cohort dose of INCB057643 monotherapy at the protocol specified starting dose in the TGA. Treatment Group A included solid tumors and lymphoma

Experimental: Part1/Treatment Group B : 8mg QD INCB057643

Initial cohort dose of INCB054763 monotherapy at the protocol-specified cohort escalation treatment group B (TGB), based on protocol-specific criteria. Treatment Group B included any acute leukemia, HRMDS, MDS/MPN, or MF

Experimental: Part1/Treatment Group B : 12mg QD INCB057643

Initial cohort dose of INCB054763 monotherapy at the protocol-specified cohort escalation treatment group B (TGB), based on protocol-specific criteria. Treatment Group B included any acute leukemia, HRMDS, MDS/MPN, or MF.

Experimental: Part1/Treatment Group C : 8mg QD INCB057643

Initial cohort dose of INCB054763 monotherapy at the protocol-specified cohort escalation treatment group C (TGC), based on protocol-specific criteria. Treatment Group C includes subjects with MM

Experimental: Part2/Treatment Group A : 12 mg INCB057643 Expansion Cohort

Initial cohort dose of INCB054763 monotherapy at the specified RP2D dose selected in Part 1 cohort escalation treatment group A (TGA), based on protocol-specific criteria. Part 2 Treatment Group A expansion included pancreatic adenocarcinoma, castration-resistant prostrate cancer, breast cancer, high grade serious ovarian cancer, glioblastoma multiform, non-hodgkin's lymphoma, ewing's sarcoma, and solid tumor or lymphoma.

Experimental: Part2/Treatment Group B : 12 mg INCB057643 Expansion Cohort

Initial cohort dose of INCB057463 monotherapy at the specified RP2D dose selected in Part 1 cohort escalation treatment group B (TGB), based on protocol-specific criteria. Part 2 Treatment Group B expansion included pancreatic adenocarcinoma, castration-resistant prostrate cancer, breast cancer, high grade serious ovarian cancer, glioblastoma multiform, non-hodgkin's lymphoma, ewing's sarcoma, and solid tumor or lymphoma.

Experimental: Part3/Treatment Group A : 8 mg INCB057643 + Gemcitabine 1000mg

Initial cohort dose of INCB057643 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Gemcitabine) in relapsed or refractory advanced or metastatic solid tumors and hematologic malignancies where Gemcitabine is relevant

Experimental: Part3/Treatment Group B : 8 mg INCB057643 + Paclitaxel 80mg

Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Paclitaxel) in relapsed or refractory advanced or metastatic solid tumors and hematologic malignancies.

Experimental: Part3/Treatment Group C : 8 mg INCB057643 + Rucaparib 600mg

Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Rucaparib) in relapsed or refractory advanced or metastatic solid tumors and hematologic malignancies.

Experimental: Part3/Treatment Group D : 8 mg INCB057643 + Abir +Predni

Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Abiraterone + Prednisone) in Castration Resistant Prostrate Cancer

Experimental: Part3/Treatment Group E : 8 mg INCB057643 + Ruxolitinib 20mg

Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Ruxolitinib) in Myelofibrosis.

Experimental: Part3/Treatment Group F : 8 mg INCB057643 + Azacitidine 75mg

Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Azacitidine) in Acute Myeloid Leukemia and Myelodysplastic Syndrome

Interventions

Drug: - INCB057643

Initial cohort dose of INCB057643 at the protocol-specified starting dose (Part 1), with subsequent dose escalations based on protocol-specific criteria. The recommended treatment group-specific dose(s) will be taken forward into expansion cohorts (Part 2).

Drug: - Gemcitabine

Standard of Care (SOC) agents

Drug: - Paclitaxel

Standard of Care (SOC) agents

Drug: - Rucaparib

Standard of Care (SOC) agents

Drug: - Abiraterone

Standard of Care (SOC) agents

Drug: - Ruxolitinib

Standard of Care (SOC) agents

Drug: - Azacitidine

Standard of Care (SOC) agents

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

University of Alabama, Birmingham, Alabama

Status

Address

University of Alabama

Birmingham, Alabama, 35294-3300

University of California, La Jolla, California

Status

Address

University of California

La Jolla, California, 92093

Denver, Colorado

Status

Address

Sarah Cannon Research Institute at Health One

Denver, Colorado, 80218

Yale University, New Haven, Connecticut

Status

Address

Yale University

New Haven, Connecticut, 06510

Sylvester Comprehensive Cancer Center, Miami, Florida

Status

Address

Sylvester Comprehensive Cancer Center

Miami, Florida, 33136

Port Saint Lucie, Florida

Status

Address

Hematology - Oncology Associates of Treasure Coast

Port Saint Lucie, Florida, 34952

University of Michigan, Ann Arbor, Michigan

Status

Address

University of Michigan

Ann Arbor, Michigan, 48109

University of Minnesota, Minneapolis, Minnesota

Status

Address

University of Minnesota

Minneapolis, Minnesota, 55455

Washington University, Saint Louis, Missouri

Status

Address

Washington University

Saint Louis, Missouri, 63110

Rochester, New York

Status

Address

University of Rochester, Wilmot Cancer Center

Rochester, New York, 14642

Chapel Hill, North Carolina

Status

Address

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599

Wake Forest Baptist Health, Winston-Salem, North Carolina

Status

Address

Wake Forest Baptist Health

Winston-Salem, North Carolina, 27157

Oncology Consultants, P.A., Houston, Texas

Status

Address

Oncology Consultants, P.A.

Houston, Texas, 77030

The Methodist Hospital, Houston, Texas

Status

Address

The Methodist Hospital

Houston, Texas, 77030

Huntsman Cancer Institute, Salt Lake City, Utah

Status

Address

Huntsman Cancer Institute

Salt Lake City, Utah, 84112

Tacoma, Washington

Status

Address

MultiCare Institute for Research and Innovation

Tacoma, Washington, 98405

International Sites

Brussels, Belgium

Status

Address

Institut Jules Bordet, Clinical Trial Conduct Unit

Brussels, , B-1000

Paris, France

Status

Address

HÔPITAL SAINT-LOUIS, Service Hématologie Adultes

Paris, , 75010