Study of INCA 0186 in Subjects With Advanced Solid Tumors

Advanced Solid Tumors Clinical Trial

Official title:

A Phase 1, Open-Label, Multicenter Study of INCA00186 as Monotherapy or in Combination With Immunotherapy in Participants With Advanced Solid Tumors

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04989387
• Other study ID #: INCA 0186-101
• Status: Active, not recruiting
• Phase: Phase 1
• Start date: October 4, 2021
• Est. completion date: June 30, 2025

Study information

• Verified date: June 2024
• Source: Incyte Corporation
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is an open-label, nonrandomized, multicenter, dose escalation, and dose expansion first-in human (FIH) Phase 1 study to determine the safety, tolerability, PK, pharmacodynamics, and preliminary efficacy of INCA00186 when given alone or in combination with INCB106385 and/or retifanlimab in participants with specific advanced solid tumors; squamous cell carcinoma of the head and neck (SCCHN) and specified gastrointestinal (GI) malignancies have been selected as indications of interest for this study. Participants with CD8 T-cell-positive tumors will be selected as these tumors are more likely to respond to immunotherapy.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 57
• Est. completion date: June 30, 2025
• Est. primary completion date: June 30, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 90 Years

Eligibility

Inclusion Criteria:

• Ability to comprehend and willingness to sign a written ICF for the study.

• Male or female participant aged 18 years or older inclusive at the time of signing the ICF.

• Must be willing and able to conform to and comply with all Protocol requirements

• Willingness to undergo pre- and on-treatment tumor biopsy.

• Have CD8 T-cell-positive tumors

• ECOG performance status 0 or 1.

• Measurable disease according to RECIST v1.1.

• Participants with SCCHN: Participants with histologically or cytologically confirmed squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or larynx not amenable to local therapy with curative intent (surgery or radiation with or without chemotherapy).

• Participants with specified GI malignancies: Histologically or cytologically confirmed advanced or metastatic colorectal (CRC), gastric/gastroesophageal junction (GEJ) cancer, hepatocellular carcinoma (HCC), pancreatic ductal adenocarcinoma (PDAC), or squamous carcinoma of the anal canal (SCAC).

• Participants should have disease progression after treatment with available therapies, including anti-PD-(L)1 therapy (if applicable), that are known to confer clinical benefit or who are intolerant to or ineligible for standard treatment. Prior anti-PD-(L)1 therapy should not have been discontinued because of intolerance.

• For participants to be enrolled in cohorts including INCB106385: The ability to swallow oral medication.

• Willingness to avoid pregnancy or fathering children

Exclusion Criteria:

• Clinically significant cardiac disease, unstable angina, acute myocardial infarction within 6 months of Cycle 1 Day 1, and New York Heart Association Class III or IV congestive heart failure.

• History or presence of an ECG abnormality that, in the investigator's opinion, is clinically meaningful.

• Known active CNS metastases and/or carcinomatous meningitis.

• Participants who have active or inactive autoimmune disease or syndrome (eg, rheumatoid arthritis, moderate or severe psoriasis, multiple sclerosis, inflammatory bowel disease) that has required systemic treatment in the past 2 years or who are receiving systemic therapy for an autoimmune or inflammatory disease (ie, with use of disease modifying agents, corticosteroids, or immunosuppressive drugs).

• 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 with the exception of cured basal cell or squamous cell carcinoma of the skin, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy, or cancers from which the participant has been disease free > 1 year after treatment with curative intent.

• Participants with protocol specified exclusionary hematology, hepatic, renal and coagulation laboratory values at screening.

Has not recovered to = Grade 1 from toxic effects of prior therapy (including prior immunotherapy) 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.

• Prior treatment with any adenosine pathway targeting drugs.

• 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.

• For participants to be enrolled in cohorts including INCB106385: concomitant treatment with strong CYP3A4 inhibitors or inducers.

• Receipt of a live virus 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.

• Known or suspected SARS-CoV-2 infection at the time of enrollment.

• Active HBV or HCV infection that requires treatment. HBV-DNA and HCV-RNA must be undetectable. Participants who have cleared a prior HBV infection (defined as HBsAg negative, HBsAg antibody positive, and anti-HBc antibody positive) are eligible for the study.

• Known history of HIV (HIV 1/2 antibodies).

• History of organ transplant, including allogeneic stem-cell transplantation or CAR-T cell therapy.

• Known hypersensitivity or severe reaction to any component of study drug(s) or formulation components.

• For participants to be enrolled in cohorts including INCB106385: Inability to swallow food or any concomitant condition of the upper GI tract that precludes administration of oral medications.

• Is pregnant or breastfeeding.

• Any condition that would, in the investigator's judgment, interfere with full participation in the study, including administration of study treatment and attending required study visits; pose a significant risk to the participant; or interfere with interpretation of study data.

• The following participants are excluded in France: vulnerable populations according to article L.1121-6 of the French Public Health Code and adults under legal protection or who are unable to express their consent per article L.1121-8 of the French Public Health Code.

Related Conditions & MeSH terms

• Advanced Solid Tumors
• Carcinoma
• Carcinoma, Squamous Cell
• Neoplasms
• Squamous Cell Carcinoma of Head and Neck
• Squamous Cell Carcinoma of the Head and Neck (SCCHN)

Intervention

Drug:
• INCA00186
INCA00186 will be administered every 2 weeks or 4 weeks as per protocol
• Retifanlimab
Retifanlimab will be administered every 4 weeks as per protocol
• INCB106385
INCB106385 will be administered orally once or twice a day.

Locations

Country	Name	City	State
Austria	Innsbruck University Hospital	Innsbruck
Austria	Landeskrankenhaus Salzburg	Salzburg
Belgium	Cliniques Universitaires Ucl Saint-Luc	Brussels
Belgium	Institut Jules Bordet	Brussels
Belgium	Universitair Ziekenhuis Antwerpen (Uza)	Edegem
Belgium	Ghent University Hospital	Ghent
Belgium	Universitair Ziekenhuis (Uz) Leuven	Leuven
Netherlands	Netherlands Cancer Institute Antoni Van Leeuwenhoek Ziekenhuis	Amsterdam
Netherlands	University Medical Center Groningen	Groningen
Netherlands	Radboud University Nijmegen Medical Center	Nijmegen
Netherlands	Erasmus Mc Cancer Institute	Rotterdam
Netherlands	University Medical Center Utrecht	Utrecht
Spain	Hospital General Universitario Vall D Hebron	Barcelona
Spain	Institut Catala Doncologia Ico - Hospital Duran I Reynals Location	Barcelona
Spain	Fundacion Jimenez Diaz University Hospital	Madrid
Spain	Hospital Universitario 12 de Octubre	Madrid
Spain	Hospital Clinico Universitario Virgen de La Victoria	Malaga
Spain	Hospital Universitario Quironsalud Madrid	Pozuelo de Alarcon
United Kingdom	Cambridge University Hospitals Nhs Foundation Trust	Cambridge
United Kingdom	Guys and St Thomas Nhs Foundation Trust	London
United Kingdom	Imperial College Healthcare Nhs Trust - Hammersmith Hospital	London
United Kingdom	The Christie Nhs Foundation Trust Uk	Manchester
United Kingdom	Freeman Hospital Newcastle Upon Tyne Foundation Nhs Trust	Newcastle Upon Tyne
United Kingdom	The Royal Marsden Nhs Foundation Trust - Chelsea	Sutton
United States	Emory University	Atlanta	Georgia
United States	University of Maryland-Greenebaum Cancer Center	Baltimore	Maryland
United States	Hackensack University Medical Center	Hackensack	New Jersey
United States	Md Anderson Cancer Center	Houston	Texas
United States	Carolina Bio-Oncology Institute, Pllc	Huntersville	North Carolina
United States	The Angeles Clinic and Research Institute	Los Angeles	California
United States	Vanderbilt Medical Center	Nashville	Tennessee
United States	South Texas Accelerated Research Therapeutics	San Antonio	Texas

Sponsors (1)

Lead Sponsor	Collaborator
Incyte Corporation

Countries where clinical trial is conducted

United States,  Austria,  Belgium,  Netherlands,  Spain,  United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evaluation of the safety and tolerability of INCA00186 as monotherapy and in combination with retifanlimab and/or INCB106385 as measured by the number of participants with adverse eventsductions and withdrawal of treatment due to AEs		90 days after study completion totaling up to 27 months
Primary	Evaluation of Dose-Limiting Toxicity (DLTs) of INCA00186 as monotherapy and in combination with retifanlimab and/or INCB106385 as measured by safety events during treatment		90 days after study completion totaling up to 27 months
Primary	Evaluation of Recommended Dose for Expansion (RDE) of INCA00186 as monotherapy and in combination with retifanlimab and/or INCB106385 as measured by safety, PK and PD data		90 days after study completion totaling up to 27 months
Secondary	Determination of PK parameter Maximum Observed Plasma Concentration (Cmax) for INCA00186		Cycle 1 days 1, 2, 8, 15, 22; Cycle 2 days 1, 8; Day 1 of every other cycle starting at Cycle 4 (ie, Cycle 4 day 1, Cycle 6 day 1, etc; each cycle is 28 days) + 30 day follow-up; approximately 24 months
Secondary	Determination of PK parameter of Time to Maximum Plasma Concentration (tmax) for INCA00186		Cycle 1 days 1, 2, 8, 15, 22; Cycle 2 days 1, 8; Day 1 of every other cycle starting at Cycle 4 (ie, Cycle 4 day 1, Cycle 6 day 1, etc; each cycle is 28 days) + 30 day follow-up; approximately 24 months
Secondary	Determination of PK parameter of concentration at the end of the dosing interval (Ctau) for INCA00186		Cycle 1 days 1, 2, 8, 15, 22; Cycle 2 days 1, 8; Day 1 of every other cycle starting at Cycle 4 (ie, Cycle 4 day 1, Cycle 6 day 1, etc; each cycle is 28 days) + 30 day follow-up; approximately 24 months
Secondary	Determination of PK parameter of area under the plasma or serum concentration-time curve (AUC) for INCA00186		Cycle 1 days 1, 2, 8, 15, 22; Cycle 2 days 1, 8; Day 1 of every other cycle starting at Cycle 4 (ie, Cycle 4 day 1, Cycle 6 day 1, etc; each cycle is 28 days) + 30 day follow-up; approximately 24 months
Secondary	Determination of PK parameter of total clearance (CL) for INCA00186		Cycle 1 days 1, 2, 8, 15, 22; Cycle 2 days 1, 8; Day 1 of every other cycle starting at Cycle 4 (ie, Cycle 4 day 1, Cycle 6 day 1, etc; each cycle is 28 days) + 30 day follow-up; approximately 24 months
Secondary	Determination of PK parameter of volume of distribution (Vz) for INCA00186		Cycle 1 days 1, 2, 8, 15, 22; Cycle 2 days 1, 8; Day 1 of every other cycle starting at Cycle 4 (ie, Cycle 4 day 1, Cycle 6 day 1, etc; each cycle is 28 days) + 30 day follow-up; approximately 24 months
Secondary	Determination of PK parameter half-life (t1/2) for INCA00186		Cycle 1 days 1, 2, 8, 15, 22; Cycle 2 days 1, 8; Day 1 of every other cycle starting at Cycle 4 (ie, Cycle 4 day 1, Cycle 6 day 1, etc; each cycle is 28 days) + 30 day follow-up; approximately 24 months
Secondary	Intratumoral effect of INCA0186 on CD73 enzymatic activity		2 biopsy samples will be taken: pre-treatment and on-treatment on Cycle 1 Day 22 (for every 2 week INCA00186 dosing group) or Cycle 2 Day 8 (for every 4 week INCA00186 dosing group); each cycle is 28 days; sampling will be taken within 2 months.
Secondary	Objective Response Rate (ORR) by radiographic disease assessment		Baseline through end of study up, to 24 months
Secondary	Disease Control Response (DCR) determined by radiographic disease assessment		Baseline through end of study, up to 24 months
Secondary	Duration of Response (DOR) from earliest date of disease response until earliest date of disease progression as determined by radiographic disease assessment, or death if occurring sooner than progression		Baseline through end of study, up to 24 months