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NCT03679767

A Study of INCMGA00012 in Participants With Selected Solid Tumors (POD1UM-203)

Completed Phase 2 Results posted Last updated 21 July 2023
What this trial tests

Phase 2 trial testing Retifanlimab in Metastatic Non-small Cell Lung Cancer in 121 participants. Completed in 28 June 2022.

Timeline
9 January 2019
Primary endpoint
15 April 2021
28 June 2022

Quick facts

Lead sponsorIncyte Corporation
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment121
Start date9 January 2019
Primary completion15 April 2021
Estimated completion28 June 2022
Sites52 locations across Italy, France, Austria, Hungary, Poland, Romania, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Incyte Corporation — full company profile →

Who can join

18 and older, any sex, with Metastatic Non-small Cell Lung Cancer or Locally Advanced Urothelial Cancer. 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.

Overall Response Rate (ORR) Primary · up to 25.9 months

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 determined by the investigator, 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% decre

GroupValue95% CI
Melanoma40.023.9 – 57.9
Non-small Cell Lung Cancer34.816.4 – 57.3
Urethelial Carcinoma37.920.7 – 57.7
Renal Cell Carcinoma23.510.7 – 41.2
Duration of Response (DOR) Secondary · up to 24.0 months

DOR was defined as the time from initial objective response (CR or PR) per RECIST v1.1 until the first observation of documented disease progression (PD), as determined by the investigator, 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 prog

GroupValue95% CI
MelanomaNA9.2 – NA
Non-small Cell Lung Cancer18.21.9 – NA
Urethelial Carcinoma11.52.2 – NA
Renal Cell CarcinomaNA2.8 – NA
Disease Control Rate (DCR) Secondary · up to 25.9 months

DCR was defined as the proportion of participants with an overall response of CR, PR, or stable disease (SD), per RECIST v1.1. 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 presenc

GroupValue95% CI
Melanoma54.336.6 – 71.2
Non-small Cell Lung Cancer65.242.7 – 83.6
Urethelial Carcinoma55.235.7 – 73.6
Renal Cell Carcinoma64.746.5 – 80.3
Progression-free Survival (PFS) Secondary · up to 25.9 months

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, determined by investigator assessment, or death due to any cause, if occurring sooner than progression.

GroupValue95% CI
Melanoma3.61.8 – NA
Non-small Cell Lung Cancer4.41.8 – 21.9
Urethelial Carcinoma5.71.8 – 13.6
Renal Cell Carcinoma5.42.3 – 11.4
Overall Survival Secondary · up to 28.2 months

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.

GroupValue95% CI
MelanomaNA8.7 – NA
Non-small Cell Lung Cancer21.95.2 – NA
Urethelial Carcinoma15.27.7 – NA
Renal Cell CarcinomaNANA – NA
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Secondary · up to approximately 2.3 years

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 therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of 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 until the earlier of 90 days of the last administration of retifanlimab and new anti-cancer thera

GroupValue95% CI
Melanoma32
Non-small Cell Lung Cancer21
Urethelial Carcinoma28
Renal Cell Carcinoma32
First-dose Cmax of Retifanlimab Secondary · preinfusion and 10 minutes postinfusion (± 10 minutes) on Day 1 of Cycle 1

Cmax was defined as the maximum observed plasma or serum concentration of retifanlimab.

GroupValue95% CI
All Participants143± 30.9
Cmax of Retifanlimab at Steady-state Secondary · preinfusion and 10 minutes postinfusion (± 10 minutes) on Day 1 of Cycles 1, 2, 4, and 6 (up to approximately 168 days; each cycle was 28 days)

Cmax was defined as the maximum observed plasma or serum concentration of retifanlimab.

GroupValue95% CI
All Participants181± 39.4
First-dose Tmax of Retifanlimab Secondary · preinfusion and 10 minutes postinfusion (± 10 minutes) on Day 1 of Cycle 1

tmax was defined as the time to the maximum concentration of retifanlimab.

GroupValue95% CI
All Participants0.5000.500 – 1.00
Tmax of Retifanlimab at Steady-state Secondary · preinfusion and 10 minutes postinfusion (± 10 minutes) on Day 1 of Cycles 1, 2, 4, and 6 (up to approximately 168 days; each cycle was 28 days)

tmax was defined as the time to the maximum concentration of retifanlimab.

GroupValue95% CI
All Participants0.5000.500 – 1.00
First-dose Cmin of Retifanlimab Secondary · preinfusion and 10 minutes postinfusion (± 10 minutes) on Day 1 of Cycle 1

Cmin was defined as the minimum observed plasma or serum concentration over the dose interval of retifanlimab.

GroupValue95% CI
All Participants18.0± 7.52
Cmin of Retifanlimabv at Steady-state Secondary · preinfusion and 10 minutes postinfusion (± 10 minutes) on Day 1 of Cycles 1, 2, 4, and 6 (up to approximately 168 days; each cycle was 28 days)

Cmin was defined as the minimum observed plasma or serum concentration over the dose interval of retifanlimab.

GroupValue95% CI
All Participants38.2± 16.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were assessed for up to approximately 2.3 years. All-Cause Mortality was assessed for up to 28.2 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Melanoma
Serious: 8/35 (23%)
Deaths: 16/35
Non-small Cell Lung Cancer
Serious: 9/23 (39%)
Deaths: 11/23
Urothelial Cancer
Serious: 12/29 (41%)
Deaths: 17/29
Renal Cell Carcinoma
Serious: 11/34 (32%)
Deaths: 10/34
Total
Serious: 40/121 (33%)
Deaths: 54/121

Serious adverse events (54 terms)

ReactionSystemMelanomaNon-small Cell Lung CancerUrothelial CancerRenal Cell CarcinomaTotal
PneumoniaInfections and infestations
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
SepsisInfections and infestations
COVID-19 pneumoniaInfections and infestations
Hepatocellular injuryHepatobiliary disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Abdominal pain lowerGastrointestinal disorders
Acute kidney injuryRenal and urinary disorders
AnaemiaBlood and lymphatic system disorders
Arterial occlusive diseaseVascular disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AstheniaGeneral disorders
Atrial fibrillationCardiac disorders
Back painMusculoskeletal and connective tissue disorders
Bone lesionMusculoskeletal and connective tissue disorders
Bronchial obstructionRespiratory, thoracic and mediastinal disorders
CellulitisInfections and infestations
Cerebrovascular accidentNervous system disorders
ChillsGeneral disorders
Cognitive disorderNervous system disorders
Confusional statePsychiatric disorders
DeathGeneral disorders
Extrapyramidal disorderNervous system disorders
Gastric ulcerGastrointestinal disorders
GastroenteritisInfections and infestations
Other adverse events (68 terms — click to expand)

ReactionSystemMelanomaNon-small Cell Lung CancerUrothelial CancerRenal Cell CarcinomaTotal
AstheniaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
Decreased appetiteMetabolism and nutrition disorders
DiarrhoeaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Urinary tract infectionInfections and infestations
RashSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
PyrexiaGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
HypothyroidismEndocrine disorders
Back painMusculoskeletal and connective tissue disorders
Dry skinSkin and subcutaneous tissue disorders
Oedema peripheralGeneral disorders
Blood creatinine increasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
Pain in extremityMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
Alanine aminotransferase increasedInvestigations
PneumoniaInfections and infestations
Abdominal pain upperGastrointestinal disorders
HypertensionVascular disorders
HypokalaemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
VomitingGastrointestinal disorders
Abdominal painGastrointestinal disorders
AnxietyPsychiatric disorders
Dry mouthGastrointestinal disorders
DysuriaRenal and urinary disorders
ErythemaSkin and subcutaneous tissue disorders
HyperglycaemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
Blood alkaline phosphatase increasedInvestigations
Gastrooesophageal reflux diseaseGastrointestinal disorders
HypercalcaemiaMetabolism and nutrition disorders
Weight decreasedInvestigations

Most-reported serious reactions: Pneumonia, Chronic obstructive pulmonary disease, Sepsis, COVID-19 pneumonia, Hepatocellular injury, Pulmonary embolism, Abdominal pain lower, Acute kidney injury.

Data from ClinicalTrials.gov NCT03679767 adverse events section.

Sponsor's own description

The purpose of this study is to assess the clinical activity and safety of INCMGA00012 in participants with advanced solid tumors where the efficacy of PD-1 inhibitors has previously been established.

Publications & conference data

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

  1. Immune checkpoint inhibitors: breakthroughs in cancer treatment.
    Kong X, Zhang J, Chen S, Wang X, et al · · 2024 · cited 71× · PMID 38801082 · DOI 10.20892/j.issn.2095-3941.2024.0055
  2. A Comprehensive Review of Immunotherapy Clinical Trials for Metastatic Urothelial Carcinoma: Immune Checkpoint Inhibitors Alone or in Combination, Novel Antibodies, Cellular Therapies, and Vaccines.
    Patel DM, Mateen R, Qaddour N, Carrillo A, et al · · 2024 · cited 13× · PMID 38254823 · DOI 10.3390/cancers16020335
  3. A phase II study of retifanlimab, a humanized anti-PD-1 monoclonal antibody, in patients with solid tumors (POD1UM-203).
    Di Giacomo AM, Schenker M, Medioni J, Mandziuk S, et al · · 2024 · cited 6× · PMID 38401247 · DOI 10.1016/j.esmoop.2024.102387
  4. PD-1 and LAG-3 dual blockade: emerging mechanisms and potential therapeutic prospects in cancer.
    Qiu X, Yu Z, Lu X, Jin X, et al · · 2024 · cited 5× · PMID 39641454 · DOI 10.20892/j.issn.2095-3941.2024.0436
  5. Structural insights into antibody-based immunotherapy for hepatocellular carcinoma.
    Shah M, Hussain M, Woo HG. · · 2025 · cited 2× · PMID 39833954 · DOI 10.1186/s44342-024-00033-0
  6. Engineering strategies and binding mechanisms of therapeutic anti-PD-1 antibodies approved by regulatory agencies globally.
    Almagro JC, Gómez-Castellano K, Licona-Limón I, Carballo Uicab GJ, et al · · 2026 · PMID 42253975 · DOI 10.3389/fimmu.2026.1834585

Verify or expand the search:

Other trials of Retifanlimab

Trials testing the same drug.

Other recruiting trials for Metastatic Non-small Cell Lung Cancer

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Other Incyte Corporation trials

Trials by the same sponsor.

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