An Open-Label Safety and Tolerability Study of INCB062079 in Subjects With Advanced Hepatocellular Carcinoma and Other Malignancies
A Phase 1, Open-Label, Dose-Escalation and Expansion, Safety and Tolerability Study of INCB062079 in Subjects With Advanced Hepatocellular Carcinoma and Other Malignancies
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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-
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Brussels, Belgium, 1200
- Cliniques Universitaires Saint-luc
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Brussels, Belgium, 1000
- Institut Jules Bordet
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Leuven, Belgium, 3000
- University Hospital (UZ) Leuven
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-
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama
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New York
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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Ohio
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Toledo, Ohio, United States, 43614
- University of Toledo Medical Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Part 1: HCC; cholangiocarcinoma; or esophageal, nasopharyngeal, or serious ovarian cancer, regardless of FGF19/FGFR4 status; or other solid tumor malignancies with documented FGF19/FGFR4 alteration (FGF19/FGFR4 pathway activating alterations include, but are not limited to, FGFR4 amplification, FGFR4 activating mutations, and FGF19 amplification) based on local testing.
Part 2: Subjects will be enrolled into 1 of 3 cohorts:
- Cohort A: HCC with FGF19 amplification.
- Cohort B: HCC without FGF19 amplification.
- Cohort C: cholangiocarcinoma, esophageal, nasopharyngeal or serous ovarian cancers (regardless of FGF19/FGFR4 status), or other solid tumor malignancies with documented FGF19/FGFR4 alteration.
- Has progressed after prior therapy and either a) there is no further effective standard anticancer therapy available (including subject refusal) or b) is intolerant to standard anticancer therapy.
- Life expectancy > 12 weeks.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 (Part 1) or 0-2 (Part 2).
- Archival tumor specimen according to protocol-defined criteria.
- Centrally analyzed screening C4 (bile acid synthesis precursor) results must be below 40.9 ng/mL, which is the upper limit as determined by the sponsor.
- Must agree to take bile acid sequestrants while taking INCB062079.
Exclusion Criteria:
- Treatment with other investigational study drug for any indication for any reason, or receipt of anticancer medications within 28 days before first dose of study drug; subjects must have recovered from AEs due to previously administered therapies.
- Prior receipt of a selective FGFR4 inhibitor within the last 6 months.
- Laboratory parameters outside the protocol-defined ranges.
- History or presence of an abnormal ECG that in the investigator's opinion is clinically meaningful.
- Prior radiotherapy within 2 weeks of study treatment. A 1-week washout period is permitted for palliative radiation to non- central nervous system (CNS) disease with medical monitor approval.
- History of human immunodeficiency virus infection.
- Untreated brain or CNS metastases or brain/CNS metastases that have progressed. Subjects with previously treated and clinically stable brain/CNS metastases and who are off all corticosteroids for ≥ 4 weeks are eligible.
- Chronic or current active infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment, except concomitant antiviral systemic therapy for chronic hepatitis B or C.
- Child-Pugh liver function Class B or C.
- History of clinically significant or uncontrolled cardiac disease.
- History of allergic reactions to INCB062079, any of the excipients of INCB062079 or similar compounds.
- Pregnant or nursing women or subjects expecting to conceive or father children within the projected duration of the study, starting with the screening visit through 90 days after last dose of study drug.
- Any medical condition that would in the investigator's judgment interfere with full participation in the study, including administration of study medication and attending required study visits; pose a significant risk to the subject; or interfere with interpretation of study data.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Part 1 - INCB062079 10mg QD
INCB062079 was administered at 10mg once daily
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
|
Experimental: Part 1 - INCB062079 10mg BID
NCB062079 was administered at 10mg twice daily
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
|
Experimental: Part 1 - INCB062079 15mg BID
NCB062079 was administered at 15mg twice daily
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
|
Experimental: Part 1 - INCB062079 10 mg BID + BAS
NCB062079 was administered at 10 mg twice daily in combination with bile acid sequestrants (BAS)
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
|
Experimental: Part 1 - INCB062079 15 mg BID + BAS
NCB062079 was administered at 15mg twice daily in combination with bile acid sequestrants (BAS)
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
|
Experimental: Part 2 Dose Expansion - Cohort A
HCC Subjects with FGF19 amplification were enrolled to evaluate the dose selected in Part 1
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
|
Experimental: Part 2 - Dose Expansion Cohort B
HCC Subjects without FGF19 amplification were enrolled to evaluate the dose selected in Part 1
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
|
Experimental: Part 2 - Dose Expansion Cohort C
Subjects with cholangiocarcinoma or esophageal, nasopharyngeal, or serous ovarian cancers (regardless of FGF/FGFR status), or other solid tumor malignancies with documented FGF19/FGFR4 alteration were enrolled to evaluate the dose selected in Part 1
|
In Part 1, initial cohort dose of INCB062079 at the protocol-defined starting dose, with subsequent dose escalations based on protocol-specific criteria.
The recommended dose(s) from Part 1 will be taken forward into Part 2 cohorts.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety and tolerability of INCB062079 as measured by assessment of adverse events (AEs)
Time Frame: Baseline to 30-35 days after end of treatment, up to approximately 6 months per subject.
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An AE is defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related, that occurs after a subject provides informed consent.
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Baseline to 30-35 days after end of treatment, up to approximately 6 months per subject.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cmax of INCB062079
Time Frame: Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
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Defined as maximum observed plasma concentration.
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Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
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Tmax of INCB062079
Time Frame: Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
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Defined as time to maximum plasma concentration.
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Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
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|
Cmin of INCB062079
Time Frame: Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
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Defined as minimum observed plasma concentration during the dosing interval.
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Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
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AUC0-t of INCB062079
Time Frame: Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
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Defined as area under the single-dose plasma concentration-time curve from Hour 0 to the last quantifiable measurable plasma concentration.
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Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
|
|
t½ of INCB062079
Time Frame: Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
|
Defined as the apparent plasma terminal phase disposition half-life.
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Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
|
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Cl/F of INCB062079
Time Frame: Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
|
Defined as oral dose clearance.
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Protocol-defined time points during Cycles 1 and 2 of treatment, up to approximately 2 months per subject.
|
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Analysis of biomarkers
Time Frame: Screening visit
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A plasma sample will be collected during screening for possible analysis of FGFR4 pathway mutations using tumor circulating DNA.
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Screening visit
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Objective Response Rate
Time Frame: Every 2 cycles during the treatment period and every 8 weeks during the follow-up period, up to approximately 6 months per subject.
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Defined as the percentage of subjects with evidence of a confirmed complete response (CR) or partial response (PR) as per modified Response Evaluation Criteria (RECIST) in hepatocellular carcinoma (HCC) and standard Response Evaluation Criteria (RECIST v1.1) in participants with other advanced malignancies.
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Every 2 cycles during the treatment period and every 8 weeks during the follow-up period, up to approximately 6 months per subject.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Luis F. Vinas, MD, Incyte Corporation
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Bone Diseases
- Musculoskeletal Diseases
- Stomatognathic Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Head and Neck Neoplasms
- Liver Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Liver Neoplasms
- Esophageal Diseases
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Carcinoma
- Craniofacial Abnormalities
- Musculoskeletal Abnormalities
- Congenital Abnormalities
- Otorhinolaryngologic Diseases
- Pharyngeal Neoplasms
- Otorhinolaryngologic Neoplasms
- Nasopharyngeal Diseases
- Pharyngeal Diseases
- Bone Diseases, Developmental
- Limb Deformities, Congenital
- Synostosis
- Dysostoses
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Craniosynostoses
- Syndactyly
- Carcinoma, Hepatocellular
- Esophageal Neoplasms
- Ovarian Neoplasms
- Cholangiocarcinoma
- Nasopharyngeal Neoplasms
- Acrocephalosyndactylia
Other Study ID Numbers
Other Study ID Numbers
- INCB 62079-101
- 2017-001153-13 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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