AzTrials
AzTrials

Solid TumorsPhase 1/2NCT02265510

An Open-Label Study of a Novel JAK-inhibitor, INCB052793, Given to Patients With Advanced Malignancies

A Phase 1/2 study testing INCB052793, gemcitabine and nab-paclitaxel in people with Solid Tumors and Advanced Malignancies, run by Incyte Corporation at 14 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This was a study of INCB052793 given to patients with advanced malignancies that was to be conducted in three phases; Phase 1a (Monotherapy) and Phase 1b (Combination Therapy) and Phase 2 (Combination therapy of INCB052793 with azacitidine and itacitinib with azacitidine). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
INCB052793, gemcitabine and nab-paclitaxel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
83 participants
Where
14 sitesUnited States
Study dates
10 Sep 2014to 27 Feb 2019
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Phase 1a
  • Aged 18 years or older
  • Histologically or cytologically confirmed solid tumor or hematologic malignancy
  • Life expectancy of 12 weeks or longer
  • Must have received ≥ 1 prior treatment regimen
  • Must not be a candidate for potentially curative or standard of care approved therapy
Show all 22Show fewer
  • Phase 1b
  • Aged 18 years or older
  • Cohort A: Histologically or cytologically confirmed pancreatic adenocarcinoma, triple-negative breast cancer, urothelial cancer with at least 1 measurable or evaluable target lesion
  • Cohorts B, C, D, E and G: Histologically confirmed multiple myeloma and measureable/evaluable disease
  • Cohort F: Confirmed acute myeloid leukemia or myelodysplastic syndrome
  • Cohort H: Individuals diagnosed with lymphoma
  • Prior therapy:
  • Cohort A: No more than 1 prior chemotherapy regimen for advanced or metastatic disease (not including neoadjuvant and/or adjuvant therapy)
  • Cohorts B, C, D, E and G: Must have relapsed from or have been refractory to ≥ 2 prior treatment regimens
  • Cohort F: May have received any number of prior treatment regimens or be treatment-naïve
  • Cohort H: Must have relapsed from or have been refractory to available treatments
  • Phase 2
  • Aged 18 years or older
  • Cohorts I and J: Confirmed acute myeloid leukemia or high risk myelodysplastic syndrome
  • Prior therapy:
  • Cohorts I and J: Must have failed prior therapy with a hypomethylating agent (HMA)

Who cannot join

  • Prior receipt of a JAK1 inhibitor (Phase 1a only)
  • Known active central nervous system metastases and/or carcinomatous meningitis
  • Eastern Cooperative Oncology Group (ECOG) performance status > 2
  • Any known contraindications to the use of gemcitabine, nab-paclitaxel, dexamethasone, carfilzomib, bortezomib, lenalidomide, azacitidine, pomalidomide or PI3Kδ inhibitor (Phase 1b and Phase 2 only, as appropriate to treatment cohort)
  • Known human immunodeficiency virus infection, or evidence of hepatitis B virus (HBV) or hepatitis C virus (HCV) infection or risk of reactivation

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

United States14 sites
  • Study site

    Atlanta, Georgia

  • Study site

    Birmingham, Alabama

  • Study site

    Chicago, Illinois

  • Study site

    Dallas, Texas

  • Study site

    Durham, North Carolina

  • Study site

    Greenville, South Carolina

  • Study site

    Hackensack, New Jersey

  • Study site

    Indianapolis, Indiana

  • Site 2

    Nashville, Tennessee

  • Study site

    Nashville, Tennessee

  • Study site

    New Haven, Connecticut

  • Study site

    New York, New York

  • Study site

    Portland, Oregon

  • Study site

    West Hollywood, California

Other trials in United States

About this study

Official title: A Phase 1/2, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCB052793 in Subjects With Advanced Malignancies

This was a study of INCB052793 given to patients with advanced malignancies that was to be conducted in three phases; Phase 1a (Monotherapy) and Phase 1b (Combination Therapy) and Phase 2 (Combination therapy of INCB052793 with azacitidine and itacitinib with azacitidine). Phase 1 had two parts; a dose escalation (Part 1) and an expansion (Part 2).

Medical subject headings
Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • INCB052793Drug

    Initial cohort dose of INCB052793 monotherapy at the protocol-specified starting dose, with subsequent cohort escalations based on protocol-specific criteria.

  • gemcitabineDrug

    Also called Gemzar®

    Gemcitabine administered intravenously over 30 minutes at the protocol-specified dose and frequency.

  • nab-paclitaxelDrug

    Also called Abraxane®

    nab-paclitaxel administered intravenously over 30 minutes at the protocol-specified dose and frequency.

  • dexamethasoneDrug

    Dexamethasone administered orally at the protocol-specified dose and frequency.

  • CarfilzomibDrug

    Also called Kyprolis®

    Carfilzomib administered intravenously at the protocol-specified dose and frequency.

  • bortezomibDrug

    Also called Velcade®

    Bortezomib administered intravenously or subcutaneously at the protocol-specified dose and frequency.

  • lenalidomideDrug

    Also called Revlimid®

    Lenalidomide administered orally at the protocol-specified dose and frequency.

  • azacitidineDrug

    Also called Vidaza®

    Azacitidine administered subcutaneously at the protocol-specified dose and frequency.

  • INCB052793Drug

    INCB052793 tablets administered orally at the protocol specified dose strength and frequency.

  • pomalidomideDrug

    Also called Pomalyst®

    Pomalidomide administered orally at the protocol-specified dose and frequency.

  • INCB050465Drug

    INCB050465 tablets administered orally at the protocol specified dose strength and frequency.

  • INCB039110Drug

    Also called itacitinib

    INCB039110 tablets administered orally at the protocol specified dose strength and frequency.

Study groups in NCT02265510
Study groupRoleWhat they receive
Phase 1a: INCB052793 MonotherapyExperimentalNot described
Receives: Drug: INCB052793
Phase 1b: INCB052793 Combination TherapyExperimentalNot described
Receives: Drug: gemcitabine; Drug: nab-paclitaxel; Drug: dexamethasone; Drug: Carfilzomib; Drug: bortezomib; Drug: lenalidomide; Drug: azacitidine; Drug: INCB052793; Drug: pomalidomide; Drug: INCB050465
Phase 2: INCB052793 and itacitinib Combination TherapyExperimentalNot described
Receives: Drug: azacitidine; Drug: INCB052793; Drug: INCB039110

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1a and 1b: Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) and Serious Adverse Event (SAE)

    An AE is any untoward medical occurrence in a subject administered a medicinal investigational drug. The untoward medical occurrence does not necessarily have to have a causal relationship with treatment. An SAE is any untoward medical occurrence that results in death; is life-threatening; requires inpatient hospitalization or prolongation of present hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect or is a medically important event that may not be immediately life-threatening or result in death or hospitalization. A TEAE was defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last dose of study drug.

    Measured: From first dose of study drug up to 30 days after last dose of study drug (Up to approximately 3.4 years)

  2. Phase 2: Objective Response Rate (ORR) in Hematological Malignancies

    ORR is defined as the proportion of participants who achieved complete response (CR), CR with incomplete hematologic recovery (CRi), partial response (PR), or hematologic improvement (HI), using the IWG response criteria.

    Measured: Baseline through end of study (Up to approximately 4.5 years)

Secondary outcomes (21)
  1. Phase 1A and 1B: Percentage of Participants With Response as Determined by Investigator's Assessment

    Response rate is defined as the percentage of participants who achieved best overall response (BOR) as determined by IWG response criteria of investigator's assessment. A participant was considered an objective responder based on the following- Solid tumors: participant had a best overall response (BOR) of CR or PR, Lymphoma: participant had a BOR of complete radiologic response/complete metabolic response or partial remission/partial metabolic response, AML: participant had a BOR of CR, CRi, morphological leukemia-free state (MLFS), or PR, MDS: participant had a BOR of CR, PR, or marrow CR, MDS/myeloproliferative neoplasm (MPN): participant had a BOR of CR, PR, or marrow response, MM: participant had a BOR of stringent CR, CR, very good PR, PR, or MR. Subjects are combined by tumor type for this analysis.

    Measured: Baseline through end of study (Up to approximately 4.5 years)

  2. Phase 2: Number of Participants With at Least One TEAE and SAE

    An AE is any untoward medical occurrence in a subject administered a medicinal investigational drug. The untoward medical occurrence does not necessarily have to have a causal relationship with treatment. An SAE is any untoward medical occurrence that results in death; is life-threatening; requires inpatient hospitalization or prolongation of present hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect or is a medically important event that may not be immediately life-threatening or result in death or hospitalization. A TEAE was defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last dose of study drug.

    Measured: From first dose of study drug up to 30 days after last dose of study drug (Up to approximately 1.3 years)

  3. Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration for INCB052793

    Cmax is defined as the maximum observed plasma concentration measured at steady state (Day 15). For PK analyses subjects in TGA and TGB are combined by dosage group because only 3 subjects were enrolled in each dose group in TGB and 4 subject for first dose in TGB 50 mg.

    Measured: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2

  4. Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for INCB052793

    Tmax is the time to maximum (peak) observed plasma drug concentration. Summary of Steady-State, Day 15, was evaluated by dosing regimen. For PK analyses subjects in TGA and TGB are combined by dosage group because only 3 subjects were enrolled in each dose group in TGB and 4 subject for first dose in TGB 50 mg.

    Measured: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2

  5. Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for INCB052793

    AUC0-τ is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t measured at steady state (Day 15). For PK analyses subjects in TGA and TGB are combined by dosage group because only 3 subjects were enrolled in each dose group in TGB and 4 subject for first dose in TGB 50 mg.

    Measured: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2

  6. Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration of Itacitinib

    Cmax is defined as the maximum observed plasma concentration measured at steady state (Day 15).

    Measured: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2

  7. Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for Itacitinib

    Tmax is the time to maximum (peak) observed plasma drug concentration.

    Measured: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2

  8. Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for Itacitinib

    AUC0-τ is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t measured at steady state (Day 15).

    Measured: Cycle 1, Day 15: predose and 0.5, 1, 2, 4, 6 hours postdose in Phase 1a; 0 (predose), 0.08, 0.5, 1, 2, 4, 6 and 8 hours postdose in Phase 1b and Phase 2

  9. Phase 1a, Part 2: Cmax: Maximum Observed Plasma Concentration for INCB052793

    Cmax is defined as the maximum observed plasma concentration measured at Day 1.

    Measured: Cycle 1, Day 1

  10. Phase 1a, Part 2: Tmax: Time to Maximum Plasma Concentration for INCB052793

    Tmax is the time to maximum (peak) observed plasma drug concentration.

    Measured: Cycle 1, Day 1

  11. Phase 1a, Part 2: AUC[0-t]: Area Under the Plasma Concentration-Time Curve From Time 0 To the Last Measurable Concentration at Time t

    AUC0-t is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.

    Measured: Cycle 1, Day 1

  12. Phase 1a, Part 2: Cmax: Maximum Observed Plasma Concentration for INCB052793

    Cmax is defined as the maximum observed plasma concentration measured at steady state (Day 15).

    Measured: Cycle 1, Day 15

  13. Phase 1a, Part 2: Cmin: Minimum Observed Plasma Concentration Over the Dose Interval

    Minimum observed plasma concentration measured at steady state (Day 15).

    Measured: Cycle 1, Day 15

  14. Phase 1a, Part 2: Tmax: Time to Maximum Plasma Concentration for INCB052793

    Tmax is the time to maximum (peak) observed plasma drug concentration.

    Measured: Cycle 1, Day 15

  15. Phase 1a, Part 2: AUC[0-t]: Area Under the Plasma Concentration-Time Curve From Time 0 To the Last Measurable Concentration at Time

    AUC0-t is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t measured at steady state (Day 15).

    Measured: Cycle 1, Day 15

  16. Phase 1a, Part 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for INCB052793

    AUC0-τ is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.

    Measured: Cycle 1, Day 15

  17. Phase 1a, Part 2: Cmax: Maximum Observed Plasma Concentration for INCB052793

    Cmax is defined as the maximum observed plasma concentration measured at cycle 2 Day 1.

    Measured: Cycle 2, Day 1

  18. Phase 1a, Part 2: Cmin: Minimum Observed Plasma Concentration Over the Dose Interval

    Cmin is defined as the minimal observed plasma concentration measured at cycle 2 Day 1

    Measured: Cycle 2, Day 1

  19. Phase 1a, Part 2: Tmax: Time to Maximum Plasma Concentration for INCB052793

    Tmax is the time to maximum (peak) observed plasma drug concentration.

    Measured: Cycle 2, Day 1

  20. Phase 1a, Part 2: AUC[0-t]: Area Under the Plasma Concentration-Time Curve From Time 0 To the Last Measurable Concentration at Time

    AUC0-t is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.

    Measured: Cycle 2, Day 1

  21. Phase 1a, Part 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for INCB052793

    AUC0-τ is the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.

    Measured: Cycle 2, Day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Oct 2014 (estimated)
  2. Study start10 Sep 2014
  3. Primary completion27 Feb 2019
  4. Study completion27 Feb 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
83 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02265510
Sponsor's protocol ID
INCB 52793-101
Status last verified
Apr 2020
First submitted
29 Sep 2014
Last updated
17 Apr 2020
Data monitoring committee
No
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing INCB052793, gemcitabine and nab-paclitaxel in people with Solid Tumors and Advanced Malignancies, run by Incyte Corporation at 14 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 22 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 17 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Apr 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1a and 1b: Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) and Serious Adverse Event (SAE) (time frame: From first dose of study drug up to 30 days after last dose of study drug (Up to approximately 3.4 years)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Apr 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in