A Study to Evaluate INCB177054 in Participants With Select Advanced or Metastatic Solid Tumors

Incyte

Status and phase: Not yet enrolling; Phase 2; Phase 1

Conditions: Advanced Solid Tumors; Metastatic Solid Tumors; Solid Tumors

Treatments: Drug: INCB177054; Drug: Retifanlimab

Study type: Interventional

Funder types: Industry

Identifiers

NCT06873789

INCB177054-101

Details and patient eligibility

About

This study will be conducted to evaluate INCB177054 given as monotherapy or in combination with retifanlimab in participants with select advanced or metastatic solid Tumors.

Enrollment: 322 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Anticipated life expectancy greater than 12 weeks.

• ECOG performance status score of 0 or 1.

• Measurable disease per RECIST v1.1 on CT or MRI.

• Part 1a and 2a (dose escalation) and Part 1c (dose expansion): participants who have a confirmed tissue diagnosis of a solid malignant tumor that is progressing and not amenable to curative surgery or other curative treatment modalities.

  • Part 1a (monotherapy): Participants must have had disease progression on/after prior treatment and have been considered for all standard available therapies (have disease progression on all available standard treatment options or are intolerant or ineligible to them or has refused available options approved in the region).
  • Part 2a (combination): participants with advanced malignant tumors for whom immunotherapy is an appropriate treatment option.

• Part 1b incurable locally recurrent or metastatic HNSCC:

  • Tissue diagnosis of HNSCC.
  • Locally recurrent disease must not be amenable to therapy (surgery and/or radiation therapy with or without chemotherapy) with curative intent. Participants who refuse curative salvage surgery for locally recurrent disease are ineligible.
  • Eligible primary tumor locations include oral cavity, oropharynx, hypopharynx, or larynx. Primary tumors of the nasopharynx, sinonasal cavity, or salivary gland are excluded.

• Part 2b combination dose-expansion cohorts in locally advanced or metastatic SCAC (Group 1), metastatic PD-L1-positive (TPS ≥ 50%) NSCLC (Group 2), or locally recurrent or metastatic PD-L1-positive (CPS ≥ 1%) HNSCC (Group 3) (Primary tumors of the nasopharynx, sinonasal cavity, or salivary gland are excluded).

• Availability of a baseline archival tumor specimen or willingness to undergo a pretreatment biopsy to obtain.

• If HIV-positive, CD4+ count must be greater than or equal to 350 cells/μL, must have undetectable viral load per standard of care assay, and receiving antiretroviral therapy not containing a moderate or potent CYP3A4/CYP3A5 inhibitor or inducer for at least 4 weeks prior to study enrollment, and have not had any HIV-related opportunistic infection for at least 4 weeks prior to study enrollment.

• Willingness to avoid pregnancy or fathering children.

Exclusion criteria

• Known additional invasive malignancy within 1 year of the first dose of study drug.
• Known active CNS metastases and/or carcinomatous meningitis and/or leptomeningeal disease, or evidence of progression of previously treated CNS metastases.
• Prior treatment with a DGK inhibitor.
• Receipt of anticancer medications, investigational drugs, or other interventional clinical studies within 5 half-lives or 28 days before the first administration of study drug.
• History of organ transplant, including allogeneic stem cell transplantation.
• Radiation therapy administered within 28 days of the start of treatment.
• Any residual toxic effects ≥ Grade 2 from prior therapy or surgery.
• Any immune-related toxicity during prior immune therapy for which permanent discontinuation or prolonged immunosuppression was recommended to manage.
• Laboratory values specified at screening.
• Significant concurrent, uncontrolled medical conditions, including but not limited to hepatic, gastrointestinal conditions, pulmonary, cardiovascular, and active autoimmune disease.
• Chronic or current active infectious disease requiring systemic antibiotics, antifungal, or antiviral treatment.
• Active HBV or HCV.
• Prohibited medication per protocol.
• Hypersensitivity to any component of study treatment or formulation components.
• Women who are pregnant or breastfeeding.
• Has received a live vaccine within 28 days of the planned start of study treatment.
• Any condition that would interfere with participation.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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322 participants in 5 patient groups

Part 1a: Dose Escalation monotherapy

Experimental group

Description:

INCB177054 at the protocol-defined dose strength based on cohort assignment.

Treatment:

Drug: INCB177054

Part 1b: Pharmacodynamic cohort

Experimental group

Description:

INCB177054 at the protocol-defined dose strength based on cohort assignment.

Treatment:

Drug: INCB177054

Part 1c: Dose Expansion monotherapy

Experimental group

Description:

INCB177054 at the protocol-defined dose strength based on cohort assignment.

Treatment:

Drug: INCB177054

Part 2a: Dose Escalation combination

Experimental group

Description:

INCB177054 in combination with retifanlimab at the protocol-defined dose strength based on cohort assignment.

Treatment:

Drug: Retifanlimab

Drug: INCB177054

Part 2b: Dose Expansion combination

Experimental group

Description:

INCB177054 in combination with retifanlimab at the protocol-defined dose strength based on cohort assignment.

Treatment:

Drug: Retifanlimab

Drug: INCB177054