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NCT02587598

Study of INCB053914 in Subjects With Advanced Malignancies

Terminated Phase 1, PHASE2 Results posted Last updated 8 December 2021
What this trial tests

Phase 1, PHASE2 trial testing INCB053914 in Solid Tumors in 97 participants. Terminated before completion.

Timeline
29 December 2015
Primary endpoint
11 August 2020
11 August 2020

Quick facts

Lead sponsorIncyte Corporation
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment97
Start date29 December 2015
Primary completion11 August 2020
Estimated completion11 August 2020
Sites19 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. 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.

Determination of the Safety and Tolerability of INCB053914 as Measured by the Number of Participants With Adverse Events Primary · Approximately 7 months
GroupValue95% CI
Parts 1 and 2: INCB053914 100 mg QD4
Parts 1 and 2: INCB053914 50 mg BID11
Parts 1 and 2: INB053914 65 mg BID4
Parts 1 and 2: INB053914 80 mg BID21
Parts 1 and 2: INB053914 100 mg BID12
Parts 1 and 2: INB053914 115 mg BID6
Parts 3 and 4: INCB053914 50 mg BID + Cytarabine6
Parts 3 and 4: INCB053914 50 mg BID + Azacitidine7
Parts 3 and 4: INCB053914 80 mg BID + Azacitine9
Parts 3 & 4: INCB 053914 50 mg BID + Ruxolitinib3
Parts 3 & 4: INCB 053914 80 mg + Ruxolitinib14
Evaluation of Phosphorylated BCL--2 Associated Death Promoter Protein (pBAD) Secondary · 1 month

Percent Inhibition of pBAD at the C1D15 trough from the pBAD at pre-dose by ex vivo cellular assay

GroupValue95% CI
Parts 1 and 2: INCB053914 100 mg QD4116 – 67
Parts 1 and 2: INCB053914 50 mg BID3717 – 59
Parts 1 and 2: INB053914 65 mg BID6852 – 91
Parts 1 and 2: INB053914 80 mg BID7863 – 104
Parts 1 and 2: INB053914 100 mg BID5528 – 92
Parts 1 and 2: INB053914 115 mg BID5834 – 80
Pharmacokinetics: Tmax of Combination Treatment Group A INCB053914 50 mg + Cytarabine Secondary · Cycle 1 Day 5
GroupValue95% CI
Parts 3 & 4: INCB053914 50 mg BID + Cytarabine1.521 – 2.07
Pharmacokinetics: AUCtau of Combination Treatment Group A INCB053914 50 mg + Cytarabine Secondary · Cycle 1 Day 5
GroupValue95% CI
Parts 3 & 4: INCB053914 50 mg BID + Cytarabine2860± 2040
Pharmacokinetics: Cl/F of Combination Treatment Group A INCB053914 50 mg + Cytarabine Secondary · Cycle 1 Day 5
GroupValue95% CI
Parts 3 & 4: INCB053914 50 mg BID + Cytarabine122± 213
Pharmacokinetics: Cmax of Combination Treatment Group A INCB053914 50 mg + Cytarabine Secondary · Cycle 1 Day 5
GroupValue95% CI
Parts 3 & 4: INCB053914 50 mg BID + Cytarabine423± 283
Pharmacokinetics: Cmin of Combination Treatment Group A INCB053914 50 mg + Cytarabine Secondary · Cycle 1 Day 5
GroupValue95% CI
Parts 3 & 4: INCB053914 50 mg BID + Cytarabine139± 101
Pharmacokinetics: Tmax of Combination Group B INCB053914 80 mg + Azatcitidine Secondary · Cycle 1 Day 8
GroupValue95% CI
Parts 3 & 4: INCB053914 80 mg BID + Azacitidine21 – 4
Pharmacokinetics: AUCtau of Combination Group B INCB053914 80 mg + Azatcitidine Secondary · Cycle 1 Day 8
GroupValue95% CI
Parts 3 & 4: INCB053914 80 mg BID + Azacitidine11000± 11100
Pharmacokinetics: Cl/F of Combination Group B INCB053914 80 mg + Azatcitidine Secondary · Cycle 1 Day 8
GroupValue95% CI
Parts 3 & 4: INCB053914 80 mg BID + Azacitidine30.8± 24.7
Pharmacokinetics: Cmax of Combination Group B INCB053914 80 mg + Azatcitidine Secondary · Cycle 1 Day 8
GroupValue95% CI
Parts 3 & 4: INCB053914 80 mg BID + Azacitidine1320± 1240
Pharmacokinetics: Cmin of Combination Group B INCB053914 80 mg + Azatcitidine Secondary · Cycle 1 Day 8
GroupValue95% CI
Parts 3 & 4: INCB053914 80 mg BID + Azacitidine513± 431

Adverse events — posted to ClinicalTrials.gov

Time frame: up to approximately 6 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1 and 2 - INCB053914: 100 mg QD
Serious: 3/4 (75%)
Deaths: 4/4
Part 1 and 2 - INCB053914: 50 mg BID
Serious: 6/11 (55%)
Deaths: 8/11
Part 1 and 2 - INCB053914: 65 mg BID
Serious: 3/4 (75%)
Deaths: 4/4
Part 1 and 2 - INCB053914: 80 mg BID
Serious: 6/21 (29%)
Deaths: 19/21
Part 1 and 2 - INCB053914: 100 mg BID
Serious: 8/12 (67%)
Deaths: 9/12
Part 1 and 2 - INCB053914: 115 mg BID
Serious: 5/6 (83%)
Deaths: 4/6
Part 3 and 4 - INCB053914: 50 mg BID + Cytarabine
Serious: 5/6 (83%)
Deaths: 6/6
Part 3 and 4 - INCB053914: 50 mg BID + Azacitidine
Serious: 5/7 (71%)
Deaths: 7/7
Part 3 and 4 - INCB053914: 80 mg BID + Azacitidine
Serious: 6/9 (67%)
Deaths: 9/9
Part 3 and 4 - INCB053914: 50 mg BID + Ruxolitinib
Serious: 0/3 (0%)
Deaths: 1/3
Part 3 and 4 - INCB053914: 80 mg BID + Ruxolitinib
Serious: 5/14 (36%)
Deaths: 3/14

Serious adverse events (77 terms)

ReactionSystemPart 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…
Disease progressionGeneral disorders
Febrile neutropeniaBlood and lymphatic system disorders
PneumoniaInfections and infestations
SepsisInfections and infestations
PyrexiaGeneral disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Clostridium difficile infectionInfections and infestations
HaematuriaRenal and urinary disorders
Acute febrile neutrophilic dermatosisSkin and subcutaneous tissue disorders
Alanine aminotransferase increasedInvestigations
AnaemiaBlood and lymphatic system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Aspartate aminotransferase increasedInvestigations
BacteraemiaInfections and infestations
Carotid artery occlusionNervous system disorders
ColitisGastrointestinal disorders
Device related infectionInfections and infestations
FallInjury, poisoning and procedural complications
Haemorrhagic infarctionVascular disorders
HeadacheNervous system disorders
HyperuricaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Infective myositisInfections and infestations
Intestinal obstructionGastrointestinal disorders
Other adverse events (230 terms — click to expand)

ReactionSystemPart 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 1 and 2 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…Part 3 and 4 - INCB053914:…
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
ConstipationGastrointestinal disorders
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Blood alkaline phosphatase increasedInvestigations
Blood bilirubin increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
DiarrhoeaGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Platelet count decreasedInvestigations
Muscular weaknessMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
DehydrationMetabolism and nutrition disorders
DysgeusiaNervous system disorders
HyperglycaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
NeutropeniaBlood and lymphatic system disorders
Oedema peripheralGeneral disorders
VomitingGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Acute kidney injuryRenal and urinary disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AstheniaGeneral disorders
ChillsGeneral disorders
Confusional statePsychiatric disorders
DizzinessNervous system disorders
DysphagiaGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
FallInjury, poisoning and procedural complications
Gastrointestinal haemorrhageGastrointestinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
HyperuricaemiaMetabolism and nutrition disorders

Most-reported serious reactions: Disease progression, Febrile neutropenia, Pneumonia, Sepsis, Pyrexia, Rash maculo-papular, Clostridium difficile infection, Haematuria.

Data from ClinicalTrials.gov NCT02587598 adverse events section.

Sponsor's own description

This is an open-label, dose-escalation study of the proviral integration site of Moloney murine leukemia virus (PIM) kinase inhibitor INCB053914 in subjects with advanced malignancies. The study will be conducted in 4 parts. Part 1 (monotherapy dose escalation) will evaluate safety and determine the maximum tolerated dose of INCB053914 monotherapy and the recommended phase 2 dose(s) (a tolerated pharmacologically active dose that will be taken forward into the remaining parts of the study). Part 2 (monotherapy dose expansion) will further evaluate the safety, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of the recommended Phase 2 dose(s). Part 3 (combination dose finding) will evaluate safety of INCB053914 in combination with select standard of care (SOC) agents and will identify the optimal INCB053914 dose in combination with conventional SOC regimens to take forward into Part 4. Part 4 (combination dose expansion) will further evaluate the safety, efficacy and pharmacokinetics of the recommended Phase 2 dose combination(s).

Publications & conference data

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

  1. Targeting Pim kinases in hematological cancers: molecular and clinical review.
    Bellon M, Nicot C. · · 2023 · cited 58× · PMID 36694243 · DOI 10.1186/s12943-023-01721-1
  2. JAK Inhibition for the Treatment of Myelofibrosis: Limitations and Future Perspectives.
    Bose P, Verstovsek S. · · 2020 · cited 51× · PMID 32903304 · DOI 10.1097/hs9.0000000000000424
  3. Preclinical characterization of INCB053914, a novel pan-PIM kinase inhibitor, alone and in combination with anticancer agents, in models of hematologic malignancies.
    Koblish H, Li YL, Shin N, Hall L, et al · · 2018 · cited 42× · PMID 29927999 · DOI 10.1371/journal.pone.0199108
  4. The pan-PIM inhibitor INCB053914 displays potent synergy in combination with ruxolitinib in models of MPN.
    Mazzacurati L, Collins RJ, Pandey G, Lambert-Showers QT, et al · · 2019 · cited 24× · PMID 31725895 · DOI 10.1182/bloodadvances.2019000260
  5. Management of myelofibrosis after ruxolitinib failure.
    Bose P, Verstovsek S. · · 2020 · cited 16× · PMID 32297800 · DOI 10.1080/10428194.2020.1749606
  6. Finding a Jill for JAK: Assessing Past, Present, and Future JAK Inhibitor Combination Approaches in Myelofibrosis.
    Kuykendall AT, Horvat NP, Pandey G, Komrokji R, et al · · 2020 · cited 15× · PMID 32823910 · DOI 10.3390/cancers12082278
  7. Pim Kinases: Important Regulators of Cardiovascular Disease.
    Nock S, Karim E, Unsworth AJ. · · 2023 · cited 13× · PMID 37511341 · DOI 10.3390/ijms241411582
  8. Targeting PIM Kinases to Improve the Efficacy of Immunotherapy.
    Clements AN, Warfel NA. · · 2022 · cited 12× · PMID 36429128 · DOI 10.3390/cells11223700

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Other trials of INCB053914

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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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing