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NCT02265510

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

Terminated Phase 1, PHASE2 Results posted Last updated 17 April 2020
What this trial tests

Phase 1, PHASE2 trial testing INCB052793 in Solid Tumors in 83 participants. Terminated before completion.

Timeline
10 September 2014
Primary endpoint
27 February 2019
27 February 2019

Quick facts

Lead sponsorIncyte Corporation
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment83
Start date10 September 2014
Primary completion27 February 2019
Estimated completion27 February 2019
Sites14 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Incyte Corporation — full company profile →

Who can join

18 and older, any sex, with Solid Tumors or Advanced Malignancies. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Phase 1a and 1b: Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE) and Serious Adverse Event (SAE) Primary · From first dose of study drug up to 30 days after last dose of study drug (Up to approximately 3.4 years)

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 defi

TEAE
GroupValue95% CI
Phase 1a TGA - INCB052793 15 mg3
Phase 1a TGA - INCB052793 25 mg3
Phase 1a TGA - INCB052793 35 mg6
Phase 1a TGA - INCB052793 50 mg4
Phase 1a TGA - INCB052793 75 mg3
Phase 1a TGA - INCB052793 100 mg6
Phase 1a TGB - INCB052793 25 mg3
Phase 1a TGB - INCB052793 35 mg4
Phase 1a TGB - INCB052793 50 mg4
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg7
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^25
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^216
SAE
GroupValue95% CI
Phase 1a TGA - INCB052793 15 mg0
Phase 1a TGA - INCB052793 25 mg1
Phase 1a TGA - INCB052793 35 mg0
Phase 1a TGA - INCB052793 50 mg2
Phase 1a TGA - INCB052793 75 mg3
Phase 1a TGA - INCB052793 100 mg2
Phase 1a TGB - INCB052793 25 mg1
Phase 1a TGB - INCB052793 35 mg2
Phase 1a TGB - INCB052793 50 mg2
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg5
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^24
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^214
Phase 2: Objective Response Rate (ORR) in Hematological Malignancies Primary · Baseline through end of study (Up to approximately 4.5 years)

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.

GroupValue95% CI
Phase 2 Cohort I-INCB052793 +Azacytidine (AML)0
Phase 2 Cohort I-INCB052793 +Azacytidine (MDS)1
Phase 2 Cohort J-Itacitinib +Azacitidine (AML)1
Phase 2 Cohort J-Itacitinib +Azacitidine (MDS)0
Phase 1A and 1B: Percentage of Participants With Response as Determined by Investigator's Assessment Secondary · Baseline through end of study (Up to approximately 4.5 years)

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, M

GroupValue95% CI
Phase 1a TGA - INCB052793 in Solid Tumors0
Phase 1a TGB - INCB052793 in Lymphoma0
Phase 1a TGB - INCB052793 in MDS/MPN1
Phase 1a TGB - INCB052793 in MM0
Phase 1b Cohort B - INCB052793 + Dexamethasone in MM2
Phase 1b Cohort F-INCB052793 +Azacytidine in AML4
Phase 1b Cohort F-INCB052793 +Azacytidine in MDS3
Phase 1b Cohort F-INCB052793 +Azacytidine in MDS/MPN2
Phase 2: Number of Participants With at Least One TEAE and SAE Secondary · From first dose of study drug up to 30 days after last dose of study drug (Up to approximately 1.3 years)

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 defi

TEAE
GroupValue95% CI
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^29
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^210
SAE
GroupValue95% CI
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^27
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^28
Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration for INCB052793 Secondary · 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

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.

GroupValue95% CI
Phase 1a TGA - INCB052793 15 mg522± 126
Phase 1a TGA - INCB052793 25 mg1110± 324
Phase 1a TGA - INCB052793 35 mg1120± 543
Phase 1a TGA - INCB052793 50 mg2050± 1070
Phase 1a TGA - INCB052793 75 mg1840± 563
Phase 1a TGA - INCB052793 100 mg2890± 1690
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg928± 263
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^21270± 856
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^21480± 588
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^21610± 745
Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for INCB052793 Secondary · 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

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.

GroupValue95% CI
Phase 1a TGA - INCB052793 15 mg1.10.48 – 2.0
Phase 1a TGA - INCB052793 25 mg0.760.47 – 2.0
Phase 1a TGA - INCB052793 35 mg2.00.50 – 4.0
Phase 1a TGA - INCB052793 50 mg1.11.0 – 2.1
Phase 1a TGA - INCB052793 75 mg2.21.1 – 4.0
Phase 1a TGA - INCB052793 100 mg2.00.43 – 2.1
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg1.00.43 – 2.0
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^21.10.58 – 7.7
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^21.10.47 – 2.1
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^20.510.33 – 2.1
Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for INCB052793 Secondary · 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

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.

GroupValue95% CI
Phase 1a TGA - INCB052793 15 mg4750± 1380
Phase 1a TGA - INCB052793 25 mg9170± 4290
Phase 1a TGA - INCB052793 35 mg8430± 2520
Phase 1a TGA - INCB052793 50 mg14700± 6670
Phase 1a TGA - INCB052793 75 mg18300± 10600
Phase 1a TGA - INCB052793 100 mg27800± 12300
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg6390± 1690
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^29580± 6710
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^210200± 5260
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^29380± 4390
Phase 1a, 1b, and Phase 2: Cmax: Maximum Observed Plasma Concentration of Itacitinib Secondary · 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

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

GroupValue95% CI
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^21310± 638
Phase 1a, 1b, and Phase 2: Tmax: Time to Maximum Plasma Concentration for Itacitinib Secondary · 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

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

GroupValue95% CI
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^23.51.0 – 8.0
Phase 1a, 1b, and Phase 2: AUC0-τ: Area Under the Plasma Concentration-time Curve Over Dosing Interval for Itacitinib Secondary · 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

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).

GroupValue95% CI
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^29870± 7350

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to 30-35 days after last dose of study drug (Up to approximately 3.4 years). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase 1a TGA - INCB052793 15 mg
Serious: 0/3 (0%)
Deaths: 2/3
Phase 1a TGA - INCB052793 25 mg
Serious: 1/3 (33%)
Deaths: 0/3
Phase 1a TGA - INCB052793 35 mg
Serious: 0/6 (0%)
Deaths: 2/6
Phase 1a TGA - INCB052793 50 mg
Serious: 2/4 (50%)
Deaths: 2/4
Phase 1a TGA - INCB052793 75 mg
Serious: 3/3 (100%)
Deaths: 1/3
Phase 1a TGA - INCB052793 100 mg
Serious: 2/6 (33%)
Deaths: 3/6
Phase 1a TGB - INCB052793 25 mg
Serious: 1/3 (33%)
Deaths: 2/3
Phase 1a TGB - INCB052793 35 mg
Serious: 2/4 (50%)
Deaths: 1/4
Phase 1a TGB - INCB052793 50 mg
Serious: 2/4 (50%)
Deaths: 3/4
Phase 1b Cohort B - INCB052793 25 mg + Dexamethasone 40 mg
Serious: 5/7 (71%)
Deaths: 3/7
Phase 1b Cohort F - INCB052793 25 mg + Azacytidine 75 mg/m^2
Serious: 4/5 (80%)
Deaths: 4/5
Phase 1b Cohort F - INCB052793 35 mg + Azacytidine 75 mg/m^2
Serious: 14/16 (88%)
Deaths: 12/16
Phase 2 Cohort I - INCB052793 35 mg + Azacytidine 75 mg/m^2
Serious: 7/9 (78%)
Deaths: 7/9
Phase 2 Cohort J - Itacitinib 300 mg + Azacitidine 75 mg/m^2
Serious: 8/10 (80%)
Deaths: 6/10

Serious adverse events (63 terms)

ReactionSystemPhase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGB - INCB052793 …Phase 1a TGB - INCB052793 …Phase 1a TGB - INCB052793 …Phase 1b Cohort B - INCB05…Phase 1b Cohort F - INCB05…Phase 1b Cohort F - INCB05…Phase 2 Cohort I - INCB052…Phase 2 Cohort J - Itaciti…
Febrile neutropeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
PneumoniaInfections and infestations
SepsisInfections and infestations
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Intestinal obstructionGastrointestinal disorders
NauseaGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
VomitingGastrointestinal disorders
Staphylococcal bacteraemiaInfections and infestations
Platelet count decreasedInvestigations
DehydrationMetabolism and nutrition disorders
Pancreatic carcinoma metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DyspnoeaRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
EmbolismVascular disorders
LymphadenopathyBlood and lymphatic system disorders
Urinary tract obstructionRenal and urinary disorders
Herpes zosterInfections and infestations
Pharyngitis streptococcalInfections and infestations
HypercalcaemiaMetabolism and nutrition disorders
EncephalopathyNervous system disorders
Spinal cord compressionNervous system disorders
Other adverse events (308 terms — click to expand)

ReactionSystemPhase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGA - INCB052793 …Phase 1a TGB - INCB052793 …Phase 1a TGB - INCB052793 …Phase 1a TGB - INCB052793 …Phase 1b Cohort B - INCB05…Phase 1b Cohort F - INCB05…Phase 1b Cohort F - INCB05…Phase 2 Cohort I - INCB052…Phase 2 Cohort J - Itaciti…
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
FatigueGeneral disorders
ThrombocytopeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
DiarrhoeaGastrointestinal disorders
StomatitisGastrointestinal disorders
Injection site reactionGeneral disorders
PyrexiaGeneral disorders
Aspartate aminotransferase increasedInvestigations
HypertriglyceridaemiaMetabolism and nutrition disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
Platelet count decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
Oedema peripheralGeneral disorders
Blood alkaline phosphatase increasedInvestigations
Blood cholesterol increasedInvestigations
Neutrophil count decreasedInvestigations
HypophosphataemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
HaematuriaRenal and urinary disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
LeukopeniaBlood and lymphatic system disorders
Aphthous stomatitisGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Oral painGastrointestinal disorders
Injection site bruisingGeneral disorders

Most-reported serious reactions: Febrile neutropenia, Pyrexia, Pneumonia, Sepsis, Pulmonary embolism, Gastrointestinal haemorrhage, Intestinal obstruction, Nausea.

Data from ClinicalTrials.gov NCT02265510 adverse events section.

Sponsor's own description

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).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting PI3K in cancer: mechanisms and advances in clinical trials.
    Yang J, Nie J, Ma X, Wei Y, et al · · 2019 · cited 1142× · PMID 30782187 · DOI 10.1186/s12943-019-0954-x
  2. Targeting Inflammation in Cancer Prevention and Therapy.
    Todoric J, Antonucci L, Karin M. · · 2016 · cited 278× · PMID 27913448 · DOI 10.1158/1940-6207.capr-16-0209
  3. Signal Transducer and Activator of Transcription (STATs) Proteins in Cancer and Inflammation: Functions and Therapeutic Implication.
    Loh CY, Arya A, Naema AF, Wong WF, et al · · 2019 · cited 241× · PMID 30847297 · DOI 10.3389/fonc.2019.00048
  4. CSF1R<sup>+</sup> Macrophages Sustain Pancreatic Tumor Growth through T Cell Suppression and Maintenance of Key Gene Programs that Define the Squamous Subtype.
    Candido JB, Morton JP, Bailey P, Campbell AD, et al · · 2018 · cited 182× · PMID 29719257 · DOI 10.1016/j.celrep.2018.03.131
  5. The Role of Janus Kinase Signaling in Graft-Versus-Host Disease and Graft Versus Leukemia.
    Schroeder MA, Choi J, Staser K, DiPersio JF. · · 2018 · cited 82× · PMID 29289756 · DOI 10.1016/j.bbmt.2017.12.797
  6. The proteasome as a druggable target with multiple therapeutic potentialities: Cutting and non-cutting edges.
    Tundo GR, Sbardella D, Santoro AM, Coletta A, et al · · 2020 · cited 78× · PMID 32442437 · DOI 10.1016/j.pharmthera.2020.107579
  7. Targeting the JAK/STAT pathway in solid tumors.
    Qureshy Z, Johnson DE, Grandis JR. · · 2020 · cited 76× · PMID 33521321 · DOI 10.20517/2394-4722.2020.58
  8. Targeting STAT3 with Proteolysis Targeting Chimeras and Next-Generation Antisense Oligonucleotides.
    Shiah JV, Grandis JR, Johnson DE. · · 2021 · cited 22× · PMID 33203730 · DOI 10.1158/1535-7163.mct-20-0599

Verify or expand the search:

Other trials of INCB052793

Trials testing the same drug.

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Currently open trials in the same condition.

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Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02265510.

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