A Study to Evaluate the Safety, Tolerability, and Antitumor Activity of INCB001158 Plus Epacadostat, With or Without Pembrolizumab, in Advanced Solid Tumors
An Open-Label, Multicenter, Nonrandomized, Dose-Escalation, and Tumor-Expansion Phase 1/2 Study to Evaluate the Safety, Tolerability, and Antitumor Activity of INCB001158 Plus Epacadostat (INCB024360), With or Without Pembrolizumab, in Subjects With Advanced Solid Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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-
Alabama
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Birmingham, Alabama, United States, 35294-3300
- University of Alabama
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Illinois
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Chicago, Illinois, United States, 60637
- The University of Chicago Medicine
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- For Phase 1, subjects with histologically or cytologically confirmed advanced or metastatic solid tumors that have failed prior standard therapy (disease progression; subject intolerance is also allowable).
- For Phase 2, subjects with the following tumor types who meet protocol-defined criteria: advanced or metastatic NSCLC, melanoma, urothelial carcinoma, SCCHN, SCLC, and CRC.
- Presence of at least 1 measurable lesion by computed tomography or magnetic resonance imaging per RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
- Resolution of all toxicities and any toxic effect(s) of the most recent prior therapy to Grade 1 or less (except alopecia). Subjects with ≤ Grade 2 neuropathy are an exception and may enroll.
- Adequate renal, hepatic, and hematologic functions per protocol-defined laboratory parameters within ≤ 7 days before treatment initiation.
Exclusion Criteria:
- Participation in any other study in which receipt of an investigational study drug or device occurred within 2 weeks or 5 half-lives (whichever is longer) before first dose.
- Has received a prior monoclonal antibody within 4 weeks or 5 half-lives (whichever is shorter) before administration of study drug.
- Prior chemotherapy or targeted small molecule therapy within 2 weeks before administration of study treatment.
- Prior therapy with an IDO1 or arginase 1 inhibitor.
- Active autoimmune disease that has required systemic treatment in past 2 years. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
- Receipt of a live vaccine within 30 days before the first dose of study treatment.
- Any history of serotonin syndrome after receiving serotonergic drugs.
- Use of protocol-defined prior/concomitant therapy.
- Known or suspected defect in the function of the urea cycle.
- History of gastrointestinal condition that may affect drug absorption.
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: INCB001158 + Epacadostat + Pembrolizumab
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Phase 1: INCB001158 administered orally twice daily at the protocol-defined dose.
Phase 2: INCB001158 administered orally twice daily at the recommended dose from Phase 1.
Epacadostat at the protocol-defined dose administered orally twice daily.
Other Names:
Pembrolizumab at the protocol-defined dose administered intravenously every 3 weeks.
Other Names:
|
|
Experimental: INCB001158 + Epacadostat
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Phase 1: INCB001158 administered orally twice daily at the protocol-defined dose.
Phase 2: INCB001158 administered orally twice daily at the recommended dose from Phase 1.
Epacadostat at the protocol-defined dose administered orally twice daily.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Phase 1 Only: Safety and Tolerability of INCB001158 in Combination With Epacadostat ± Pembrolizumab as Assessed by Number of Participants With a Treatment-emergent Adverse Event (TEAE)
Time Frame: Up to approximately 12 months per subject
|
TEAE defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study treatment.
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Up to approximately 12 months per subject
|
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Phase 2 Only: Objective Response Rate (ORR) of INCB001158 in Combination With Epacadostat ± Pembrolizumab
Time Frame: Up to approximately 12 months per subject
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Defined as percentage of subjects having a complete response (CR) or partial response (PR) based on investigator assessment per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1).
|
Up to approximately 12 months per subject
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Phase 2 Only: Safety and Tolerability of INCB001158 in Combination With Epacadostat ± Pembrolizumab as Assessed by Number of Participants With a TEAE
Time Frame: Up to approximately 12 months per subject
|
TEAE defined as any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study treatment.
|
Up to approximately 12 months per subject
|
|
Phase 1 Only: ORR With INCB001158 in Combination With Epacadostat ± Pembrolizumab
Time Frame: Up to approximately 12 months per subject
|
Defined as percentage of subjects having a CR or PR based on investigator assessment per RECIST v1.1.
|
Up to approximately 12 months per subject
|
|
Disease Control Rate With INCB001158 in Combination With Epacadostat ± Pembrolizumab
Time Frame: Up to approximately 12 months per subject
|
Defined as percentage of subjects having CR, PR, or stable disease for at least 56 days based on investigator assessment per RECIST v1.1.
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Up to approximately 12 months per subject
|
|
Duration of Response With INCB001158 in Combination With Epacadostat ± Pembrolizumab
Time Frame: Up to approximately 12 months per subject
|
Defined as the time from earliest date of disease response until the earliest date of disease progression per RECIST v1.1, or death due to any cause, if occurring sooner than progression.
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Up to approximately 12 months per subject
|
|
Progression-free Survival With INCB001158 in Combination With Epacadostat ± Pembrolizumab
Time Frame: Up to approximately 12 months per subject
|
Defined as the time from date of first dose of study treatment until the earliest date of disease progression (based on investigator assessment of per RECIST v1.1) or death due to any cause, if occurring sooner than progression.
|
Up to approximately 12 months per subject
|
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Plasma Pharmacokinetic Profile of INCB001158 and Epacadostat
Time Frame: Up to approximately 1 month
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Noncompartmental method of analysis will be used to analyze the plasma concentrations of INCB001158 and epacadostat.
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Up to approximately 1 month
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Sven Gogov, MD, Incyte Corporation
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- INCB 01158-202
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
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