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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02903914
Other study ID # INCB 01158-101
Secondary ID Mk3475 Keynote 7
Status Completed
Phase Phase 1/Phase 2
First received
Last updated
Start date September 14, 2016
Est. completion date August 15, 2022

Study information

Verified date February 2023
Source Incyte Corporation
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study is an open-label Phase 1/Phase 2 evaluation of INCB001158 as a single agent and in combination with immune checkpoint therapy in patients with advanced/metastatic solid tumors.


Description:

This study is an open-label Phase 1 evaluation of INCB001158 as a single agent and in combination with immune checkpoint therapy in patients with advanced/metastatic solid tumors. Single Agent INCB001158: Patients with advanced/metastatic solid tumors will be enrolled into escalating monotherapy dose cohorts to determine the Recommended Phase 2 Dose (RP2D) of INCB001158. Additional patients with NSCLC, Colorectal Cancer (CRC), and other tumors including SCCHN, RCC, Gastric, Bladder and Melanoma will be enrolled at the single agent RP2D. Combination Treatment: Patients with advanced/metastatic NSCLC, Melanoma, Urothelial, Microsatellite Instability (MSI)/ Microsatellite Stable (MSS) CRC, Gastric, SCCHN and Mesothelioma will be enrolled into separate cohorts of combination therapy (INCB001158 and Pembrolizumab) to determine the RP2D. In the dose expansion phase, additional patients with NSCLC, Melanoma, Urothelial, MSI/MSS CRC, Gastric, SCCHN and Mesothelioma will be treated with the combination of INCB001158 and Pembrolizumab at the RP2D. All patients will be assessed for safety, pharmacokinetics, biomarkers and tumor response.


Recruitment information / eligibility

Status Completed
Enrollment 260
Est. completion date August 15, 2022
Est. primary completion date August 31, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility *Additional cohort specific criteria may apply Inclusion Criteria: - Must be age 18 or older - Ability to provide written informed consent in accordance with federal, local, and institutional guidelines - Histological or cytological diagnosis of metastatic cancer or locally advanced cancer that is not amenable to local therapy - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1 - Life Expectancy of at least 3 months - Adequate hepatic, renal (moderately impaired renal function in cohort 1c only), cardiac, and hematologic function - Measurable disease by RECISTv1.1 criteria - Resolution of treatment-related toxicities - Willingness to avoid pregnancy or fathering children - Prior anti-PD-1 treatment for combination dose expansion cohorts 1c, 3a - 3d Exclusion Criteria: - Currently pregnant or lactating - Unable to receive oral medications - Unable to receive oral or IV hydration - Intolerance to prior anti-PD-1/PD-L1 therapy - Prior anti-PD-1 treatment for combination dose expansion cohorts 1c, 3e - 3h - Prior severe hypersensitivity reaction to another monoclonal antibody (mAb) - Any other current or previous malignancy within 3 years except protocol allowed malignancies - Chemotherapy, Tyrosine Kinase Inhibitor therapy, radiation therapy or hormonal therapy within 2 weeks - Immunotherapy or biological therapy, or investigational agent within 3 weeks (Note: some cohort exceptions allow anti-PD-1 therapy) - Active known or suspected exclusionary autoimmune disease - Any condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other systemic immunosuppressive medications within 2 weeks - Concomitant therapy with valproic acid/valproate-containing therapies - Concomitant therapy with allopurinol and other xanthine oxidase inhibitors - History of known risks factors for bowel perforation - Symptomatic ascites or pleural effusion - Major surgery within 28 days before Cycle 1 Day 1 - Active infection requiring within 2 weeks prior to first dose of study drug - Patients who have HIV, Hepatitis B or C - Conditions that could interfere with treatment or protocol-related procedures - Active, non-stable brain metastases or CNS disease - Known deficiencies or suspected defect in the urea cycle - Received live-virus vaccination within 30 days (seasonal flu vaccine allowed if non-live virus) - NSCLC with EGFR or ALK mutation

Study Design


Intervention

Drug:
INCB001158
Arginase Inhibitor
Pembrolizumab
PD-1 Inhibitor

Locations

Country Name City State
Italy Ospedale San Raffaele Milan
Italy Oncologica Azienda Ospedaliera Universitaria Senese Siena
Netherlands NKI Amsterdam
Netherlands Radboudumc Nijmegen
Spain Hospital Universitari Vall d'Hebron Barcelona
Spain Institut Catala d'Oncologia Barcelona
Spain START Madrid-HM CIOCC Madrid
United States Johns Hopkins Baltimore Maryland
United States BIDMC Boston Massachusetts
United States DFCI Boston Massachusetts
United States Henry Ford Detroit Michigan
United States MD Anderson Houston Texas
United States MD Anderson Houston Texas
United States University of South Alabama Mobile Alabama
United States Sarah Cannon Research Institute at Tennessee Oncology Nashville Tennessee
United States Vanderbilt Nashville Tennessee
United States START San Antonio Texas
United States Honor Health/Pinnacle Oncology Hematology Scottsdale Arizona
United States University of Arizona Tucson Arizona
United States Georgetown Washington District of Columbia

Sponsors (1)

Lead Sponsor Collaborator
Incyte Corporation

Countries where clinical trial is conducted

United States,  Italy,  Netherlands,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Determination of the Safety and Tolerability of INCB001158 as a Single Agent and in Combination With Pembrolizumab: Incidence of Adverse Events Evaluation of adverse events (AEs) and changes in laboratory values, vital signs, and physical examinations. Up to 6 months
Secondary Recommended Phase 2 Dose (RP2D) of INCB001158 RP2D was determined by a traditional 3+3 dose escalation design of single agent INCB001158 in patients with advanced/metastatic solid tumors at doses 50, 75, 100 or 150 mg. 12 Weeks
Secondary Recommended Phase 2 Dose (RP2D) of INCB001158 in Combination With Pembrolizumab INCB001158 was dosed orally BID 12 Weeks
Secondary Overall Response Rate (ORR) Anti-tumor Activity of INCB001158 as Monotherapy and in Combination With Pembrolizumab for Patients With Advanced/Metastatic Solid Tumors ORR assessment of anti-tumor activity per RECIST Criteria (v1.1) and immune-related RECIST (irRECIST) criteria. Until disease progression/study discontinuation up to 24 months
Secondary Best Overall Response (BOR) Anti-tumor Activity of INCB001158 as Monotherapy and in Combination With Pembrolizumab for Patients With Advanced/Metastatic Solid Tumors BOR Assessment of anti-tumor activity per RECIST Criteria (v1.1) and immune-related RECIST (irRECIST) criteria. Until disease progression/study discontinuation up to 24 months
Secondary Duration of Response (DOR) Anti-tumor Activity of INCB001158 as Monotherapy and in Combination With Pembrolizumab for Patients With Advanced/Metastatic Solid Tumors DOR Assessment of anti-tumor activity per RECIST Criteria (v1.1) and immune-related RECIST (irRECIST) criteria. Until disease progression/study discontinuation up to 24 months
Secondary Progression-free Survival (PFS) Anti-tumor Activity of INCB001158 as Monotherapy and in Combination With Pembrolizumab for Patients With Advanced/Metastatic Solid Tumors DOR Assessment of anti-tumor activity per RECIST Criteria (v1.1) and immune-related RECIST (irRECIST) criteria. Until disease progression/study discontinuation up to 24 months
Secondary Pharmacokinetics: Cmax of INCB001158 Non-compartmental method of analysis will be used to analyze the plasma concentrations of INCB001158. in patients with CrCl 30-49 mL/min (Part 1c only) or CrCl = 50 mL/min (Parts 1a, 1b, 2, and 3) Cycle 1 Day 1 (C1D1), C1D15, C2D! + 2, C4D1
Secondary Tmax Plasma Pharmacokinetic (PK) Profile of INCB001158 Non-compartmental method of analysis will be used to analyze the plasma concentrations of INCB001158. 12 Weeks
Secondary AUCt Plasma Pharmacokinetic (PK) Profile of INCB001158 Non-compartmental method of analysis will be used to analyze the plasma concentrations of INCB001158. 12 Weeks
Secondary AUC0-12 Plasma Pharmacokinetic (PK) Profile of INCB001158 Non-compartmental method of analysis will be used to analyze the plasma concentrations of INCB001158. 12 Weeks
Secondary CL/F Plasma Pharmacokinetic (PK) Profile of INCB001158 Non-compartmental method of analysis will be used to analyze the plasma concentrations of INCB001158. 12 Weeks
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