NCT02711137 · REGISTRY CONDITION SEARCH
Open-Label Safety and Tolerability Study of INCB057643 in Subjects With Advanced Malignancies
Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.
- Phase
- PHASE1, PHASE2
- Status at capture
- TERMINATED
- Registry last update
- 2025-10-21
The purpose of the Study is to select a dose and assess the safety and tolerability of INCB057643 as a monotherapy (Part 1 and Part 2) and in combination with standard-of-care (SOC) agents (Part 3 and Part 4) for subjects with advanced malignancies. Part 1 will determine the maximum tolerated dose of INCB057643 and/or a tolerated dose that demonstrates sufficient pharmacologic activity. Part 2 will further evaluate the safety, preliminary efficacy, PK, and PD of the dose(s) selected in Part 1 in select tumor types including solid tumors, lymphomas and other hematologic malignancies. Part 3 will determine the tolerated dose of INCB057643 in combination with select SOC agents; and assess the safety and tolerability of the combination therapy in select advanced solid tumors and hematologic malignancies. Part 4 will further evaluate the safety, preliminary efficacy, PK, and PD of the selected dose combination from Part 3 in 4 specific advanced solid tumor and hematologic malignancies.
Open the original ClinicalTrials.gov record → · Download preserved record
What did the study report?
Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.
Participant flow
Baseline characteristics
Number of Participants With Treatment Emergent Adverse Events (TEAE's).
Percent Inhibition of Total Cellular Myc Protein Concentrations Before and After Administration of INCB057643 When Administered as Monotherapy in an Ex-vivo Assay
Objective Response Rate (ORR) With INCB057643 in Solid Tumors
Cmax: Maximum Observed Plasma Concentration of INCB057643.
Tmax: Time to Maximum Plasma Concentration of INCB057643
AUC0-t: Area Under the Single-dose Plasma Concentration-time Curve of INCB057643
AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy
Part 2 - Cmax: Maximum Observed Plasma Concentration of INCB057643.
Part 2-Tmax: Time to Maximum Plasma Concentration of INCB057643
AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy
Adverse events
Limitations, agreements, and source contact
Who could take part
- eligibility Criteria
- Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of relapsed or refractory advanced or metastatic malignancies: * Part 1: solid tumors or lymphomas, or hematologic malignancies * Part 2: histologically confirmed disease in specific tumor types * Part 3: advanced solid tumor or hematologic malignancy * Part 4: select advanced solid tumor or hematologic malignancy * For Part 1 and 2, subjects must have progressed following at least 1 line of prior therapy and there is no further established therapy that is known to provide clinical benefit (including subjects who are intolerant to the established therapy) * For Parts 3 and 4, subjects must have progressed following at least 1 line of prior therapy, and the treatment with the select SOC agent is relevant for the specific disease cohort. * Life expectancy \> 12 weeks, for MF subjects in Parts 3 and 4, life expectancy \> 24 weeks * Eastern Cooperative Oncology Group (ECOG) performance status * Parts 1 and 3: 0 or 1 * Parts 2 and 4: 0, 1, or 2 * Willingness to avoid pregnancy or fathering children Exclusion Criteria: * Inadequate bone marrow function per protocol-specified hemoglobin, platelet count, and absolute neutrophil count * Inadequate organ function per protocol-specified total bilirubin, AST and ALT, creatinine clearance and alkaline phosphatase. * Receipt of anticancer medications or investigational drugs within protocol-specified intervals * Unless approved by the medical monitor, may not have received an allogeneic hematopoietic stem cell transplant within 6 months before treatment, or have active graft-versus-host-disease following allogeneic transplant * Unless approved by the medical monitor, may not have received autologous hematopoietic stem cell transplant within 3 months before treatment * Any unresolved toxicity ≥ Grade 2 (except stable Grade 2 peripheral neuropathy or alopecia) from previous anticancer therapy * Radiotherapy within the 2 weeks before initiation of treatment. Palliative radiation treatment to nonindex or bone lesions performed less than 2 weeks before treatment initiation may be considered with medical monitor approval * Currently active and uncontrolled infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment * Untreated brain or central nervous system (CNS) metastases or brain/CNS metastases that have progressed * History or presence of abnormal electrocardiogram (ECG) that, in the investigator's opinion, is clinically meaningful * Type 1 diabetes or uncontrolled Type 2 diabetes * HbA1c of ≥ 8% (all subjects will have HbA1c test at screening) * Any sign of clinically significant bleeding * Coagulation panel within protocol-specified parameters
- healthy Volunteers
- false
- minimum Age
- 18 Years
- sex
- ALL
- std Ages
- ADULT
- OLDER_ADULT
Treatment arms and interventions
- arm Groups
- description
- Initial cohort dose of INCB057643 monotherapy at the protocol specified starting dose in the TGA. Treatment Group A included solid tumors and lymphoma
- intervention Names
- Drug: INCB057643
- label
- Part1/Treatment Group A : 8mg QD INCB057643
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB057643 monotherapy at the protocol specified starting dose in the TGA. Treatment Group A included solid tumors and lymphoma
- intervention Names
- Drug: INCB057643
- label
- Part1/Treatment Group A : 12mg QD INCB057643
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB057643 monotherapy at the protocol specified starting dose in the TGA. Treatment Group A included solid tumors and lymphoma
- intervention Names
- Drug: INCB057643
- label
- Part1/Treatment Group A : 16mg QD INCB057643
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB054763 monotherapy at the protocol-specified cohort escalation treatment group B (TGB), based on protocol-specific criteria. Treatment Group B included any acute leukemia, HRMDS, MDS/MPN, or MF
- intervention Names
- Drug: INCB057643
- label
- Part1/Treatment Group B : 8mg QD INCB057643
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB054763 monotherapy at the protocol-specified cohort escalation treatment group B (TGB), based on protocol-specific criteria. Treatment Group B included any acute leukemia, HRMDS, MDS/MPN, or MF.
- intervention Names
- Drug: INCB057643
- label
- Part1/Treatment Group B : 12mg QD INCB057643
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB054763 monotherapy at the protocol-specified cohort escalation treatment group C (TGC), based on protocol-specific criteria. Treatment Group C includes subjects with MM
- intervention Names
- Drug: INCB057643
- label
- Part1/Treatment Group C : 8mg QD INCB057643
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB054763 monotherapy at the specified RP2D dose selected in Part 1 cohort escalation treatment group A (TGA), based on protocol-specific criteria. Part 2 Treatment Group A expansion included pancreatic adenocarcinoma, castration-resistant prostrate cancer, breast cancer, high grade serious ovarian cancer, glioblastoma multiform, non-hodgkin's lymphoma, ewing's sarcoma, and solid tumor or lymphoma.
- intervention Names
- Drug: INCB057643
- label
- Part2/Treatment Group A : 12 mg INCB057643 Expansion Cohort
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB057463 monotherapy at the specified RP2D dose selected in Part 1 cohort escalation treatment group B (TGB), based on protocol-specific criteria. Part 2 Treatment Group B expansion included pancreatic adenocarcinoma, castration-resistant prostrate cancer, breast cancer, high grade serious ovarian cancer, glioblastoma multiform, non-hodgkin's lymphoma, ewing's sarcoma, and solid tumor or lymphoma.
- intervention Names
- Drug: INCB057643
- label
- Part2/Treatment Group B : 12 mg INCB057643 Expansion Cohort
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB057643 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Gemcitabine) in relapsed or refractory advanced or metastatic solid tumors and hematologic malignancies where Gemcitabine is relevant
- intervention Names
- Drug: INCB057643
- Drug: Gemcitabine
- label
- Part3/Treatment Group A : 8 mg INCB057643 + Gemcitabine 1000mg
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Paclitaxel) in relapsed or refractory advanced or metastatic solid tumors and hematologic malignancies.
- intervention Names
- Drug: INCB057643
- Drug: Paclitaxel
- label
- Part3/Treatment Group B : 8 mg INCB057643 + Paclitaxel 80mg
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Rucaparib) in relapsed or refractory advanced or metastatic solid tumors and hematologic malignancies.
- intervention Names
- Drug: INCB057643
- Drug: Rucaparib
- label
- Part3/Treatment Group C : 8 mg INCB057643 + Rucaparib 600mg
- type
- EXPERIMENTAL
- description
- Initial cohort dose of INCB054763 monotherapy based on protocol-specific criteria. Part 3 will determine the MTD and/or a tolerated dose of the combination of INCB057643 and one of the SOC agents (Abiraterone + Prednisone) in Castration Resistant Prostrate Cancer
- intervention Names
- Drug: INCB057643
- Drug: Abiraterone
- label
- Part3/Treatment Group D : 8 mg INCB057643 + Abir +Predni
- type
- EXPERIMENTAL
- interventions
- arm Group Labels
- Part1/Treatment Group A : 12mg QD INCB057643
- Part1/Treatment Group A : 16mg QD INCB057643
- Part1/Treatment Group A : 8mg QD INCB057643
- Part1/Treatment Group B : 12mg QD INCB057643
- Part1/Treatment Group B : 8mg QD INCB057643
- Part1/Treatment Group C : 8mg QD INCB057643
- Part2/Treatment Group A : 12 mg INCB057643 Expansion Cohort
- Part2/Treatment Group B : 12 mg INCB057643 Expansion Cohort
- Part3/Treatment Group A : 8 mg INCB057643 + Gemcitabine 1000mg
- Part3/Treatment Group B : 8 mg INCB057643 + Paclitaxel 80mg
- Part3/Treatment Group C : 8 mg INCB057643 + Rucaparib 600mg
- Part3/Treatment Group D : 8 mg INCB057643 + Abir +Predni
- description
- Initial cohort dose of INCB057643 at the protocol-specified starting dose (Part 1), with subsequent dose escalations based on protocol-specific criteria. The recommended treatment group-specific dose(s) will be taken forward into expansion cohorts (Part 2).
- name
- INCB057643
- type
- DRUG
- arm Group Labels
- Part3/Treatment Group A : 8 mg INCB057643 + Gemcitabine 1000mg
- description
- Standard of Care (SOC) agents
- name
- Gemcitabine
- type
- DRUG
- arm Group Labels
- Part3/Treatment Group B : 8 mg INCB057643 + Paclitaxel 80mg
- description
- Standard of Care (SOC) agents
- name
- Paclitaxel
- type
- DRUG
- arm Group Labels
- Part3/Treatment Group C : 8 mg INCB057643 + Rucaparib 600mg
- description
- Standard of Care (SOC) agents
- name
- Rucaparib
- type
- DRUG
- arm Group Labels
- Part3/Treatment Group D : 8 mg INCB057643 + Abir +Predni
- description
- Standard of Care (SOC) agents
- name
- Abiraterone
- type
- DRUG
- arm Group Labels
- Part3/Treatment Group E : 8 mg INCB057643 + Ruxolitinib 20mg
- description
- Standard of Care (SOC) agents
- name
- Ruxolitinib
- type
- DRUG
- arm Group Labels
- Part3/Treatment Group F : 8 mg INCB057643 + Azacitidine 75mg
- description
- Standard of Care (SOC) agents
- name
- Azacitidine
- type
- DRUG
Study design
- allocation
- NON_RANDOMIZED
- intervention Model
- SINGLE_GROUP
- masking Info
- masking
- NONE
- primary Purpose
- TREATMENT
Enrollment
- count
- 137
- type
- ACTUAL
Registered outcome plans (not posted results)
- primary Outcomes
- description
- Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug/treatment.
- measure
- Number of Participants With Treatment Emergent Adverse Events (TEAE's).
- time Frame
- From screening through at least 30 days after end of treatment, up to approximately 24 months
- secondary Outcomes
- description
- An ex vivo assay (utilized in monotherapy only), Measuring Total c-Myc protein expressed from an exogenously added cell line (KMS12BM) to patient plasma, before and after administration of INCB057643.
- measure
- Percent Inhibition of Total Cellular Myc Protein Concentrations Before and After Administration of INCB057643 When Administered as Monotherapy in an Ex-vivo Assay
- time Frame
- PD in plasma at pre-dose and 0.5, 1, 2, 4, 6 and 8 hours postdose, for C1D1 and C1D8, and 24hrs post dose for C1D1
- description
- Objective response rate is defined as the proportion of subjects who have an objective response using the applicable disease assessment criteria. ORR was proportion of participants with best overall response \[complete response (CR) or partial response (PR)\].
- measure
- Objective Response Rate (ORR) With INCB057643 in Solid Tumors
- time Frame
- Efficacy measures from screening through end of treatment and follow-up (every 9 weeks), up to approximately 24 months
- description
- Maximum Observed Plasma Concentration INCB057643 administered as monotherapy in fasted state.
- measure
- Cmax: Maximum Observed Plasma Concentration of INCB057643.
- time Frame
- Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D1 and C1D8
- description
- Time to maximum plasma concentration of INCB057643 administered as monotherapy in fasted state
- measure
- Tmax: Time to Maximum Plasma Concentration of INCB057643
- time Frame
- Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D1 and C1D8
- description
- Area under the single-dose plasma concentration-time curve from Hour 0 to the last quantifiable measurable plasma concentration of INCB057643 administered as monotherapy in fasted state
- measure
- AUC0-t: Area Under the Single-dose Plasma Concentration-time Curve of INCB057643
- time Frame
- Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D1
- description
- Area under the steady-state plasma concentration-time curve over 1 dosing interval from Hour 0 to 24 for QD administration of INCB057643 administered as monotherapy in fasted state
- measure
- AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy
- time Frame
- Predose, 0.5, 1, 2, 4, 6, 8 hours on C1D8
- description
- Maximum Observed Plasma Concentration INCB057643 administered as monotherapy in fed state.
- measure
- Part 2 - Cmax: Maximum Observed Plasma Concentration of INCB057643.
- time Frame
- C2D1
- description
- Time to maximum plasma concentration of INCB057643 administered as monotherapy in fed state
- measure
- Part 2-Tmax: Time to Maximum Plasma Concentration of INCB057643
- time Frame
- C2D1
- description
- Area under the steady-state plasma concentration-time curve over 1 dosing interval from Hour 0 to 24 for QD administration of INCB057643 administered as monotherapy in fed state.
- measure
- AUC0-24: Area Under the Steady-state Plasma Concentration-time Curve of INCB057643 Administered as Monotherapy
- time Frame
- C2D1
Full study description
- brief Summary
- The purpose of the Study is to select a dose and assess the safety and tolerability of INCB057643 as a monotherapy (Part 1 and Part 2) and in combination with standard-of-care (SOC) agents (Part 3 and Part 4) for subjects with advanced malignancies. Part 1 will determine the maximum tolerated dose of INCB057643 and/or a tolerated dose that demonstrates sufficient pharmacologic activity. Part 2 will further evaluate the safety, preliminary efficacy, PK, and PD of the dose(s) selected in Part 1 in select tumor types including solid tumors, lymphomas and other hematologic malignancies. Part 3 will determine the tolerated dose of INCB057643 in combination with select SOC agents; and assess the safety and tolerability of the combination therapy in select advanced solid tumors and hematologic malignancies. Part 4 will further evaluate the safety, preliminary efficacy, PK, and PD of the selected dose combination from Part 3 in 4 specific advanced solid tumor and hematologic malignancies.
Source references
- references
- citation
- Falchook G, Rosen S, LoRusso P, Watts J, Gupta S, Coombs CC, Talpaz M, Kurzrock R, Mita M, Cassaday R, Harb W, Peguero J, Smith DC, Piha-Paul SA, Szmulewitz R, Noel MS, Yeleswaram S, Liu P, Switzky J, Zhou G, Zheng F, Mehta A. Development of 2 Bromodomain and Extraterminal Inhibitors With Distinct Pharmacokinetic and Pharmacodynamic Profiles for the Treatment of Advanced Malignancies. Clin Cancer Res. 2020 Mar 15;26(6):1247-1257. doi: 10.1158/1078-0432.CCR-18-4071. Epub 2019 Sep 16.
- pmid
- 31527168
- type
- DERIVED
Source notices and limitations
Discovery and provenance
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Preserved source evidence · Not medical advice
Triangle