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The study will be conducted in three parts. Part 1 is a dose escalation phase to determine the maximum tolerated dose (MTD) of INCB040093, a PI3Kδ inhibitor, or a tolerated, pharmacologically active dose; Part 2 will evaluate the combination of INCB040093 and itacitinib (INCB039110), a JAK1 inhibitor, to determine the MTD of the combination or a tolerated dose that produces substantial pharmacologic inhibition of both targets; Part 3 will further evaluate the chosen doses of INCB040093 alone and in combination with itacitinib (INCB039110) in subjects with relapsed/refractory B-cell malignancies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| INCB040093 | Experimental |
| |
| INCB040093 in combination with itacitinib (INCB039110) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INCB040093 | Drug | Escalating doses starting at 100 mg every day (QD) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of INCB040093 as monotherapy and when given in combination with itacitinib as determined by clinical laboratory assessments, physical exams, 12-lead ECG and summary of adverse events | Measured every 3 weeks until progression. |
| Measure | Description | Time Frame |
|---|---|---|
| Preliminary efficacy as assessed by Overall Response Rate (ORR) as measured by published criteria for Hodgkin's/non-Hodgkin's lymphoma (Cheson et al 2007 and Owen et al 2013) and Chronic Lymphocytic Leukemia (CLL) (Cheson et el 2012) | Every 12 weeks (4 cycles) until study withdrawal | |
| Pharmacokinetic (PK) collections. |
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Inclusion Criteria:
• Aged 18 years or older, with lymphoid malignancies of B-cell origin as follows:
*Indolent / aggressive B-cell (NHL) Non- Hodgkin's Lymphoma:
EXCLUDING: Burkitt lymphoma and precursor B-lymphoblastic leukemia/lymphoma
INCLUDING: any non-Hodgkin's B-cell malignancy such as CLL and rare non-Hodgkin's B-cell subtypes such as Hairy Cell Leukemia, Waldenstrom macroglobulinemia, Mantle cell lymphoma, transformed NHL histologies, etc.
*Hodgkin's lymphoma
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Peter Langmuir, MD | Incyte Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29695516 | Derived | Phillips TJ, Forero-Torres A, Sher T, Diefenbach CS, Johnston P, Talpaz M, Pulini J, Zhou L, Scherle P, Chen X, Barr PM. Phase 1 study of the PI3Kdelta inhibitor INCB040093 +/- JAK1 inhibitor itacitinib in relapsed/refractory B-cell lymphoma. Blood. 2018 Jul 19;132(3):293-306. doi: 10.1182/blood-2017-10-812701. Epub 2018 Apr 25. |
| Label | URL |
|---|---|
| Study of INCB040093 in Subjects With Previously Treated B-Cell Malignancies | View source |
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| ID | Term |
|---|---|
| C000718170 | itacitinib |
| C000603457 | INCB039110 |
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| INCB040093 + itacitinib |
| Drug |
INCB040093 dose to be determined at completion of Part 1 of the study + itacitinib at a starting dose of 400 mg, QD with escalations planned up to 600 mg QD. |
|
|
Plasma concentrations of each INCB040093 and itacitinib will be used to estimate peak plasma concentration (Cmax) and area under the plasma concentration-time curve (AUC). |
| Measured for each patient at Cycle 1 Day 1, Cycle 1 Day 8 and Cycle 1 Day 15 |
| Jacksonville |
| Florida |
| United States |
| Ann Arbor | Michigan | United States |
| Rochester | Minnesota | United States |
| New York | New York | United States |
| Rochester | New York | United States |