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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-501505-13-00 | Registry Identifier | EU CT Number |
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This is a multicenter, open-label, single-arm study to investigate the safety, tolerability, PK, pharmacodynamics and preliminary activity of INCA32459 in participants with selected advanced malignancies. Part 1 (dose escalation) will determine the recommended dose of INCA 32459 for expansion (RDE) and the maximum tolerated dose (MTD). Part 2 (dose expansion) will further evaluate the safety, tolerability, PK, pharmacodynamics, and preliminary antitumor activity of INCA 32459 at the recommended dose(s) for expansion in 2 tumor-specific cohorts.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Dose Escalation | Experimental | INCA32459 will be administered at a protocol defined starting regimen intravenously. Subsequent dose regimens will be determined during study conduct. |
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| Part 2: Dose Expansion Cohort Disease Group 1 | Experimental | INCA32459 will be administered at the recommended dose or doses for expansion (RDE[s]) for unresectable or metastatic melanoma. |
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| Part 2: Dose Expansion Cohort Disease Group 2 | Experimental | INCA32459 will be administered at the recommended dose or doses for expansion (RDE[s]) for recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN) that is PD-L1 positive. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INCA32459-101 | Drug | solution for infusion |
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| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Occurrence of Dose Limiting Toxicities (DLTs) | Toxicities occurring during Part 1 will define tolerability. DLTs will be assessed for severity by the investigator using CTCAE v5.0 criteria. | Up to approximately 12 months |
| Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE is any Adverse Event (AE) either reported for the first time or worsening of a pre-existing event after first dose of study drug. | Up to approximately 12 months |
| Number of Participants with Dose Interruptions due to TEAE | Dose interruptions will occur according to protocol guidelines. | Up to approximately 12 months |
| Number of Participants discontinue study due to TEAE | TEAE is defined as any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. | Up to approximately 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | Defined as having Complete Response (CR) or Partial Response (PR), as determined by the investigator by radiographic disease assessment according to RECIST v1.1 or Lugano criteria (B-cell lymphomas only). | Up to 12 months |
| Disease Control Response (DCR) |
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Inclusion Criteria:
Histologically or cytologically confirmed advanced malignancies as follows:
Part 1 only: Participants with the select advanced malignancies as specified in the protocol.
Part 2 only:
Participants must have experienced disease progression after treatment with standard therapies, or are intolerant to or ineligible for standard treatment:
ECOG performance status of 0 or 1
Part 2 only: Measurable disease according to RECIST v1.1.
Part 2 only: Willingness to undergo a fresh tumor biopsy at screening (core or excisional).
Part 2 only: Willingness to undergo a fresh tumor biopsy at screening and on-treatment in selected participant.
Willingness to avoid pregnancy or fathering children
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Angeles Clinic and Research Institute | Los Angeles | California | 90025 | United States | ||
| University of Texas Md Anderson Cancer Center |
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Part 1 will be dose escalation using a statistical hybrid design to identify the RDE(s). Part 2 will be dose expansion portion which will administer the RDE(s) defined in Part 1 to participants in 2 tumor-specific cohorts.
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Defined as having CR, PR, or Stable Disease (SD) as determined by the investigator by radiographic disease assessment according to RECIST v1.1. or Lugano criteria (B-cell lymphomas only). |
| Up to 12 months |
| Duration of Response (DOR) | Defined as the time from earliest date of disease response (Completed Response or Partial Response) until earliest date of disease progression as determined by the investigator by radiographic disease assessment according to RECIST v1.1 or Lugano criteria (B-cell lymphomas only) or death due to any cause if occurring sooner than progression. | Up to 12 months |
| PK parameters: Cmax | Defined as the maximum (peak) plasma drug concentration | Up to 24 months |
| PK parameters: tmax | Defined as the time to reach maximum (peak) plasma concentration following drug administration | Up to 24 months |
| PK parameters: Cmin | Defined as concentration at the end of the dosing interval | Up to 24 months |
| PK Parameters: AUC | Defined as the area under the plasma concentration-time curve | Up to 24 months |
| PK Parameters: CL | Defined as the apparent total body clearance of the drug from plasma | Up to 24 months |
| PK Parameters: Vz | Defined as apparent volume of distribution during terminal phase | Up to 24 months |
| PK Parameters: t1/2 | Defined as Elimination half-life (to be used in one-or noncompartmental model) | Up to 24 months |
| Receptor Occupancy | Defined as PD-1 receptor occupancy in peripheral blood samples. | Up to 24 months |
| Houston |
| Texas |
| 77030 |
| United States |
| Cliniques Universitaires Ucl Saint-Luc | Brussels | 01200 | Belgium |
| Universitair Ziekenhuis Antwerpen (Uza) | Edegem | 02650 | Belgium |
| Universitair Ziekenhuis Gent | Ghent | 09000 | Belgium |
| Universitair Ziekenhuis Brussel | Jette | 01090 | Belgium |
| Chu Ucl Namur University Hospital Mont-Godinne | Yvoir | 05530 | Belgium |
| Centro Ricerche Cliniche Di Verona (Crc) | Verona | 37134 | Italy |
| Hospital Quironsalud Barcelona | Barcelona | 08023 | Spain |
| Ico Institut Catala D Oncologia | L'Hospitalet de Llobregat | 08906 | Spain |
| Hospital Universitario 12 de Octubre | Madrid | 28041 | Spain |
| Centro Integral Oncologico Clara Campal | Madrid | 28050 | Spain |
| Hospital Universitario Quironsalud Madrid | Pozuelo de Alarcón | 28223 | Spain |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D006258 | Head and Neck Neoplasms |
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