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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03126110
Other study ID # INCAGN 1876-201
Secondary ID
Status Completed
Phase Phase 1/Phase 2
First received
Last updated
Start date April 25, 2017
Est. completion date November 9, 2021

Study information

Verified date December 2022
Source Incyte Corporation
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the safety, tolerability, and efficacy of INCAGN01876 when given in combination with immune therapies in subjects with advanced or metastatic malignancies.


Recruitment information / eligibility

Status Completed
Enrollment 145
Est. completion date November 9, 2021
Est. primary completion date November 9, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Locally advanced or metastatic disease; locally advanced disease must not be amenable to resection with curative intent. - Phase 1: Subjects with advanced or metastatic solid tumors. - Phase 1: Subjects who have disease progression after treatment with available therapies. - Phase 2: Subjects with advanced or metastatic cervical cancer, gastric cancer (including stomach, esophageal, and GEJ), SCCHN, PD-1 refractory SCCHN and PD-1/PD-L1 relapsed melanoma. - Presence of measurable disease based on RECIST v1.1. - Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1. Exclusion Criteria: - Laboratory and medical history parameters not within the Protocol-defined range - Prior treatment with any tumor necrosis factor super family agonist. - Receipt of anticancer medications or investigational drugs within protocol-defined intervals before the first administration of study drug. - Has not recovered to = Grade 1 from toxic effects of prior therapy. - Active autoimmune disease. - Known active central nervous system metastases and/or carcinomatous meningitis. - Evidence of active, noninfectious pneumonitis or history of interstitial lung disease. - Evidence of hepatitis B virus or hepatitis C virus infection or risk of reactivation. - Known history of human immunodeficiency virus (HIV; HIV 1/2 antibodies).

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
INCAGN01876
In Phase 1 participants will receive INCAGN01876 administered intravenously (IV) at the protocol-defined dose according to cohort enrollment. In Phase 2, participants will be administered IV study drug at the recommended dose from Phase 1 ().
Nivolumab
Nivolumab will be administered IV at the protocol-defined dose according to assigned treatment group.
Ipilimumab
Ipilimumab will be administered IV at the protocol-defined dose according to assigned treatment group.

Locations

Country Name City State
Australia Blacktown Cancer and Haematology Centre Blacktown New South Wales
Australia Greenslopes Private Hospital Brisbane Queensland
Australia Austin Hospital Heidelberg Victoria
Australia Linear Clinical Research Perth Western Australia
Australia Scientia Clinical Research Randwick New South Wales
Belgium Saint Augustinus Hospital Antwerpen
Belgium Cliniques Universitaires Saint-Luc Brussels
Belgium Institut Jules Bordet Brussels
Belgium CHU Brugmann Bruxelles
Belgium Mi Kryviy Rih Center of Dnipropetrovsk Regional Council Charleroi
Belgium Ghent University Hospital Ghent
Belgium AZ Groeninge Kortrijk
Belgium CHA Centre Hospitalier de l'Ardenne Libramont Chevigny
Spain Hospital Clinic I Provincial Barcelona
Spain Hospital Clinico y Provincial de Barcelona Barcelona
Spain Hospital Vall de Hebron Barcelona
Spain Institut Catala D'Oncologia-Badalona Barcelona
Spain Hospital Reina Sophia Córdoba
Spain Hospital HM Sanchinarro Madrid
Spain Hospital Universitario Doce de Octubre Madrid
Spain University Hospital Ramon y Cajal Madrid
Spain Clinica Universidad De Navarra (CUN) Pamplona
Spain Hospital Universitario Virgen Del Rocio Sevilla
United States The University of North Carolina at Chapel Hill Chapel Hill North Carolina
United States BUMC Mary Crowley Cancer Research Centers Dallas Texas
United States Karmanos Cancer Institute Detroit Michigan
United States University of Florida Gainesville Florida
United States Hackensack University Medical Center Hackensack New Jersey
United States MD Anderson Houston Texas
United States The Angeles Clinic and Research Institute Los Angeles California
United States Tennessee Oncology, Sarah Cannon Research Institute Nashville Tennessee
United States Memorial Sloan Kettering Cancer New York New York
United States University of Oklahoma, Sarah Cannon Research Institute Oklahoma City Oklahoma
United States Fox Chase Cancer Center Philadelphia Pennsylvania
United States University of Pittsburgh, UPMC Cancer Pavilion Pittsburgh Pennsylvania
United States Providance Portland Medical Center Portland Oregon
United States Washington University - Siteman Cancer Center Saint Louis Missouri
United States Seattle Cancer Care Alliance Seattle Washington

Sponsors (1)

Lead Sponsor Collaborator
Incyte Biosciences International Sàrl

Countries where clinical trial is conducted

United States,  Australia,  Belgium,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Phase 1: Number of Participants With Any Treatment-emergent Adverse Event (TEAE) An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study medication. up to approximately 27.4 months
Primary Phase 2: Objective Response Rate (ORR) Per RECIST v1.1 ORR was defined as the percentage of participants with a best overall response of confirmed complete response (CR) or partial response (PR), determined by investigator assessment of radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (v1.1). CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. up to approximately 44.7 months
Secondary Phase 1: ORR Per RECIST v1.1 ORR was defined as the percentage of participants with a best overall response of unconfirmed CR or PR, determined by investigator assessment of radiographic disease assessments per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. up to approximately 44.7 months
Secondary Phase 1: ORR Per Modified RECIST (mRECIST) v1.1 ORR was defined as the percentage of participants with a best overall response of unconfirmed CR or PR, determined by investigator assessment of radiographic disease assessments per mRECIST v1.1. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). CR: Disappearance of any intratumoral arterial enhancement during in target lesions, disappearance of all non-target lesions, and no appearance of any new lesions. PR: =30% of the sum of the diameters of viable portions (enhancement on arterial phase) of target lesions taking as reference the Baseline sum, no new lesions, and no progression of non-target lesions. up to approximately 44.7 months
Secondary Phase 2: ORR Per mRECIST v1.1 ORR was defined as the percentage of participants with a best overall response of confirmed CR or PR, determined by investigator assessment of radiographic disease assessments per mRECIST v1.1. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). CR: Disappearance of any intratumoral arterial enhancement during in target lesions, disappearance of all non-target lesions, and no appearance of any new lesions. PR: =30% of the sum of the diameters of viable portions (enhancement on arterial phase) of target lesions taking as reference the Baseline sum, no new lesions, and no progression of non-target lesions. up to approximately 44.7 months
Secondary Phase 1: Duration of Response (DOR) Per RECIST v1.1 DOR was defined as the time from the first overall response contributing to an unconfirmed objective response (CR or PR) to the earlier of the participant's death from any cause or the first assessment of PD, determined by investigator assessment of radiographic disease assessment per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. up to approximately 44.7 months
Secondary Phase 2: DOR Per RECIST v1.1 DOR was defined as the time from the first overall response contributing to a confirmed objective response (CR or PR) to the earlier of the participant's death from any cause or the first assessment of PD, determined by investigator assessment of radiographic disease assessment per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. up to approximately 44.7 months
Secondary Phase 1: DOR Per mRECIST v1.1 DOR was defined as the time from the first unconfirmed overall response contributing to an unconfirmed objective response (CR or PR) to the earlier of the participant's death from any cause or the first confirmed assessment of PD, determined by investigator assessment of radiographic disease assessment per mRECIST v1.1. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). CR: Disappearance of any intratumoral arterial enhancement during in target lesions, disappearance of all non-target lesions, and no appearance of any new lesions. PR: =30% of the sum of the diameters of viable portions (enhancement on arterial phase) of target lesions taking as reference the Baseline sum, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. up to approximately 44.7 months
Secondary Phase 2: DOR Per mRECIST v1.1 DOR was defined as the time from the first overall response contributing to a confirmed objective response (CR or PR) to the earlier of the participant's death from any cause or the first assessment of PD, determined by investigator assessment of radiographic disease assessment per mRECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. up to approximately 44.7 months
Secondary Phase 1: Disease Control Rate (DCR) Per RECIST v1.1 DCR was defined as the percentage of participants with a best overall response of unconfirmed CR, unconfirmed PR, or stable disease (SD; =49 days), determined by investigator assessment of radiographic disease assessments per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. up to approximately 44.7 months
Secondary Phase 2: DCR Per RECIST v1.1 DCR was defined as the percentage of participants with a best overall response of confirmed CR, confirmed PR, or SD (=49 days), determined by investigator assessment of radiographic disease assessments per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. up to approximately 44.7 months
Secondary Phase 1: DCR Per mRECIST v1.1 DCR was defined as the percentage of participants with a best overall response of unconfirmed CR, unconfirmed PR, or stable disease (SD; =49 days), determined by investigator assessment of radiographic disease assessments per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. up to approximately 44.7 months
Secondary Phase 2: DCR Per mRECIST v1.1 DCR was defined as the percentage of participants with a best overall response of confirmed CR, confirmed PR, or SD (=49 days), determined by investigator assessment of radiographic disease assessments per mRECIST v1.1. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). CR: Disappearance of any intratumoral arterial enhancement during in target lesions, disappearance of all non-target lesions, and no appearance of any new lesions. PR: =30% of the sum of the diameters of viable portions (enhancement on arterial phase) of target lesions taking as reference the Baseline sum, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. up to approximately 44.7 months
Secondary Phase 1: Duration of Disease Control Per RECIST v1.1 Duration of disease control (CR, PR, and SD [=49 days]) was measured from the start of treatment until PD or death from any cause, if occurring sooner than progression, determined by investigator assessment of radiographic disease per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. up to approximately 44.7 months
Secondary Phase 2: Duration of Disease Control Per RECIST v1.1 Duration of disease control (CR, PR, and SD [=49 days]) was measured from the start of treatment until PD or death from any cause, if occurring sooner than progression, determined by investigator assessment of radiographic disease per RECIST v1.1. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. up to approximately 44.7 months
Secondary Phase 1: Duration of Disease Control Per mRECIST v1.1 Duration of disease control (CR, PR, and SD [=49 days]) was measured from the start of treatment until PD or death from any cause, if occurring sooner than progression, determined by investigator assessment of radiographic disease per RECIST v1.1. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). CR: Disappearance of any intratumoral arterial enhancement during in target lesions, disappearance of all non-target lesions, and no appearance of any new lesions. PR: =30% of the sum of the diameters of viable portions (enhancement on arterial phase) of target lesions taking as reference the Baseline sum, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. up to approximately 44.7 months
Secondary Phase 2: Duration of Disease Control Per mRECIST v1.1 Duration of disease control (CR, PR, and SD [=49 days]) was measured from the start of treatment until PD or death from any cause, if occurring sooner than progression, determined by investigator assessment of radiographic disease per RECIST v1.1. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). CR: Disappearance of any intratumoral arterial enhancement during in target lesions, disappearance of all non-target lesions, and no appearance of any new lesions. PR: =30% of the sum of the diameters of viable portions (enhancement on arterial phase) of target lesions taking as reference the Baseline sum, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD. [ up to approximately 44.7 months
Secondary Phase 1: Progression-free Survival (PFS) Per RECIST v1.1 According to RECIST 1.1, PFS was defined as the length of time between the Baseline visit (Day 1) and the earlier of death or the first assessment of PD, as determined by investigator assessment of objective radiographic disease assessments. up to approximately 44.7 months
Secondary Phase 2: PFS Per RECIST v1.1 According to RECIST 1.1, PFS was defined as the length of time between the Baseline visit (Day 1) and the earlier of death or the first assessment of PD, as determined by investigator assessment of objective radiographic disease assessments. up to approximately 44.7 months
Secondary Phase 1: PFS Per mRECIST v1.1 According to mRECIST 1.1, PFS was defined as the length of time between the Baseline visit (Day 1) and the earlier of the participant's death or the first confirmed assessment of PD, as determined by investigator assessment of objective radiographic disease assessments. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). up to approximately 44.7 months
Secondary Phase 2: PFS Per mRECIST v1.1 According to mRECIST 1.1, PFS was defined as the length of time between the Baseline visit (Day 1) and the earlier of the participant's death or the first confirmed assessment of PD, as determined by investigator assessment of objective radiographic disease assessments. The response of target lesions was evaluated from the percentage change in the sum of the diameters of the viable portions (portions enhanced during the arterial phase). up to approximately 44.7 months
Secondary Phase 1: Overall Survival Overall survival was defined as the interval between the Baseline visit (Day 1) and the date of death due to any cause. up to approximately 44.7 months
Secondary Phase 2: Overall Survival Overall survival was defined as the interval between the Baseline visit (Day 1) and the date of death due to any cause. up to approximately 44.7 months
Secondary Phase 2: : Number of Participants With Any TEAE An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurred after a participant provided informed consent. Abnormal laboratory values or test results occurring after informed consent constituted AEs only if they induced clinical signs or symptoms, were considered clinically meaningful, required therapy (e.g., hematologic abnormality that required transfusion), or required changes in the study drug(s). A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study medication. up to approximately 27.4 months
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