Itacitinib Combined With INCB024360 and/or Itacitinib Combined With INCB050465 in Advanced Solid Tumors



Status:Active, not recruiting
Conditions:Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:3/8/2019
Start Date:November 2015
End Date:June 2019

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A Platform Study Exploring the Safety, Tolerability, Effect on the Tumor Microenvironment, and Efficacy of INCB Combinations in Advanced Solid Tumors

This is an open-label, Phase 1b, platform study in subjects with advanced or metastatic solid
tumors. The study will be divided into 3 parts (Part 1a, Part 1b, and Part 2). Part 1a will
evaluate a JAK inhibitor with JAK1 selectivity (Itacitinib) in combination with an IDO1
inhibitor (epacadostat; INCB024360; Group A) and Itacitinib in combination with a PI3K-delta
inhibitor (INCB050465; Group B) to determine the MTD or PAD and the recommended Part 1b doses
for each combination. Once the recommended dose has been identified for each treatment group
in Part 1a, subjects with advanced solid tumors will be enrolled into expansion cohorts based
upon prior treatment history with a PD-1 pathway-targeted agent (Part 1b). In Part 2,
additional expansion cohorts will be enrolled to further evaluate lower doses of itacitinib
and INCB050465 in subjects with select tumor types.


Inclusion Criteria:

- Male or female, age 18 years or older.

- Willingness to provide written informed consent for the study.

- Part 1a: Subjects with histologically or cytologically confirmed advanced or
metastatic solid tumors that have failed prior standard therapy (including subject
refusal or intolerance).

- Part 1b: Subjects with endometrial cancer, gastric cancer, head and neck squamous cell
carcinoma, melanoma, microsatellite unstable colorectal cancer, non-small cell lung
cancer, pancreatic ductal adenocarcinoma, renal cell carcinoma, triple negative breast
cancer, or transitional cell carcinoma of the genitourinary tract that have had
disease progression after available therapies for metastatic disease that are known to
confer clinical benefit, been intolerant to treatment, or refused standard treatment.

- Part 1b: Must have documented confirmed disease progression on a prior programmed cell
death-1 (PD-1) pathway targeted agent or must be PD-1 pathway-targeted treatment
naïve.

- Part 2: Subjects with HNSCC, NSCLC, pancreatic ductal adenocarcinoma, salivary gland
cancer, and transitional cell carcinoma of the genitourinary tract that have had
disease progression after available therapies for advanced or metastatic disease that
are known to confer clinical benefit, have been intolerant to treatment, or have
refused standard treatment.

- Willingness to undergo a pre-treatment and on-treatment tumor biopsy to obtain the
specimen.

- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Exclusion Criteria:

- Laboratory parameters not within the protocol-defined range.

- Receipt of anticancer medications or investigational drugs within a defined interval
before the first administration of study drug.

- Received an immune-suppressive based treatment for any reason within 14 days prior to
the first dose of study treatment.

- Has not recovered from toxic effect of prior therapy to < Grade 1.

- Active or inactive autoimmune process.

- Has received a live vaccine within 30 days of planned start of study therapy.

- Active infection requiring systemic therapy.
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