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NCT03597295 · CITED IN SOURCE DOCUMENTS

A Study of INCMGA00012 in Squamous Carcinoma of the Anal Canal Following Platinum-Based Chemotherapy (POD1UM-202)

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE2
Status at capture
COMPLETED
Registry last update
2025-08-21

The purpose of this study is to assess the efficacy of INCMGA00012 in participants with locally advanced or metastatic squamous carcinoma of the anal canal (SCAC) who have progressed after platinum-based chemotherapy.

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.

Who could take part
eligibility Criteria
Inclusion Criteria: * Ability to comprehend and willingness to sign a written informed consent form. * Confirmed diagnosis of locally advanced or metastatic SCAC. * Must have received (or been intolerant to or ineligible for) at least 1 prior line of platinum-based chemotherapy and received no more than 2 prior systemic treatments. * Must have measurable disease by RECIST v1.1. * Eastern Cooperative Oncology Group performance status of 0 to 1. * If HIV-positive, then all of the following criteria must also be met: CD4+ count ≥ 300/μL, undetectable viral load, and receiving highly active antiretroviral therapy. Exclusion Criteria: * Receipt of anticancer therapy or participation in another interventional clinical study within 21 days before the first administration of study drug; 6 weeks for mitomycin C. * Radiotherapy within 14 days of first dose of study treatment with the following caveats: 28 days for pelvic radiotherapy, 6 months for thoracic region radiotherapy that is \> 30 Gy. * Prior treatment with programmed cell death protein 1 (PD-1) or programmed cell death ligand protein 1 (PD-L1)-directed therapy. * Active autoimmune disease requiring systemic immunosuppression. * Known central nervous system (CNS) metastases and/or carcinomatous meningitis. * Known active hepatitis infection. * Active infections requiring systemic therapy. * Is pregnant or breastfeeding or is expecting to conceive or father children within the projected duration of the study, from screening through 6 months after the last dose of study drug.
healthy Volunteers
false
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Retifanlimab 500 milligrams (mg) intravenously every 4 weeks (Q4W).
    intervention Names
    1. Drug: Retifanlimab
    label
    Retifanlimab 500 mg
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. Retifanlimab 500 mg
    description
    Retifanlimab 500 milligrams (mg) intravenously every 4 weeks (Q4W).
    name
    Retifanlimab
    other Names
    1. MGA012
    2. INCMGA00012
    type
    DRUG
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
94
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR), per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (v1.1), as assessed by independent central radiographic (ICR) review, at any post-Baseline visit until new anti-cancer therapy or first Progressive Disease. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to \<10 millimeters (mm). PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions.
    measure
    Objective Response Rate (ORR)
    time Frame
    Cycle 1 Day 1, and every 4 weeks throughout the study, up to approximately 24 months
secondary Outcomes
  1. description
    DOR was defined as the time from an initial objective response (CR or PR) per RECIST v1.1 until the first observation of documented disease progression (PD), as determined by ICR, or death due to any cause. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to \<10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion.
    measure
    Duration of Response (DOR)
    time Frame
    up to 18.2 months
  2. description
    DCR was defined as the percentage of participants with a confirmed overall response of CR, PR, or stable disease (SD), per RECIST v1.1, at any post-baseline visit until the first progressive disease (PD) or new anti-cancer therapy. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to \<10 mm. PR: complete disappearance or at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD.
    measure
    Disease Control Rate (DCR)
    time Frame
    Cycle 1 Day 1, and every 4 weeks throughout the study, up to approximately 24 months
  3. description
    According to RECIST 1.1, PFS was defined as the length of time from the initial infusion of study drug until the earliest date of disease progression, as determined by ICR, or death due to any cause, if occurring sooner than progression.
    measure
    Progression-free Survival (PFS)
    time Frame
    up to 16.8 months
  4. description
    Overall survival was defined as the time in months between the first dose date (Day 1) and the date of death due to any cause.
    measure
    Overall Survival
    time Frame
    up to 28.2 months
  5. description
    An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the study drug. A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of retifanlimab and within 90 days of the last administration of retifanlimab.
    measure
    Number of Participants With Treatment-emergent Adverse Events (TEAEs)
    time Frame
    up to 913 days
  6. description
    Cmax was defined as the maximum observed plasma concentration.
    measure
    Cmax of Retifanlimab
    time Frame
    pre-infusion on Day 1 of Cycles 1, 2, 4, 6, and 7; 10 minutes and 4 hours post-infusion on Day 1 of Cycles 1 and 6
  7. description
    tmax was defined as the time to the maximum concentration.
    measure
    Tmax of Retifanlimab
    time Frame
    pre-infusion on Day 1 of Cycles 1, 2, 4, 6, and 7; 10 minutes and 4 hours post-infusion on Day 1 of Cycles 1 and 6
  8. description
    Cmin was defined as the minimum observed plasma concentration over the dose interval.
    measure
    Cmin of Retifanlimab
    time Frame
    pre-infusion on Day 1 of Cycles 1, 2, 4, 6, and 7; 10 minutes and 4 hours post-infusion on Day 1 of Cycles 1 and 6
  9. description
    AUC0-t was defined as the area under the plasma concentration-time curve from time = 0 to the last measurable concentration at time = t.
    measure
    AUC0-t of Retifanlimab
    time Frame
    pre-infusion on Day 1 of Cycles 1, 2, 4, 6, and 7; 10 minutes and 4 hours post-infusion on Day 1 of Cycles 1 and 6
Full study description
brief Summary
The purpose of this study is to assess the efficacy of INCMGA00012 in participants with locally advanced or metastatic squamous carcinoma of the anal canal (SCAC) who have progressed after platinum-based chemotherapy.
Source references
references
  1. citation
    Rao S, Anandappa G, Capdevila J, Dahan L, Evesque L, Kim S, Saunders MP, Gilbert DC, Jensen LH, Samalin E, Spindler KL, Tamberi S, Demols A, Guren MG, Arnold D, Fakih M, Kayyal T, Cornfeld M, Tian C, Catlett M, Smith M, Spano JP. A phase II study of retifanlimab (INCMGA00012) in patients with squamous carcinoma of the anal canal who have progressed following platinum-based chemotherapy (POD1UM-202). ESMO Open. 2022 Aug;7(4):100529. doi: 10.1016/j.esmoop.2022.100529. Epub 2022 Jul 8.
    pmid
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    type
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        RR was 56% (95% CI: 48, 64) and 44% (95% CI: 36, 52) in the respective arms.</p><p>Efficacy of retifanlimab-dlwr as a single agent was evaluated in POD1UM-202 (NCT03597295), an open-label, multicenter, single-arm trial in 94 patients with locally recurrent or metastatic SCAC with disease progression on or intolerance to platinum-
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        num-refractory or Intolerant Locally Recurrent or Metastatic Squamous Cell Carcinoma of the Anal Canal The efficacy of ZYNYZ was evaluated in study POD1UM-202 (NCT03597295), an open-label, multicenter, single-arm study in 94 patients with locally recurrent or metastatic SCAC who progressed on or were intolerant of platinum-based
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    Preserved source evidence · Not medical advice