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A Study to Evaluate INCB161734 in Participants With Advanced or Metastatic Solid Tumors With KRAS G12D Mutation

Phase 1
Recruiting
Conditions
Solid Tumors
Interventions
Drug: GEMNabP
Drug: mFOLFIRINOX
Drug: FOLFOX
Drug: FOLFIRI
Registration Number
NCT06179160
Lead Sponsor
Incyte Corporation
Brief Summary

This study is conducted to determine the safety and tolerability of INCB161734 as a single agent or in combination with other anticancer therapies.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
710
Inclusion Criteria
  • ≥18 years old.
  • Locally advanced or metastatic solid tumor with KRAS G12D mutation.
  • For Part 1a and Part 2 Combination Groups 1, 2, and 7: Disease progression on prior standard treatment, intolerance to or ineligibility for standard treatment, declined available therapies that are known to confer clinical benefit, or no standard available treatment to improve the disease outcome.
  • Cohort specific requirements aas defined in the protocol.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Exclusion Criteria
  • Prior treatment with any KRAS G12D inhibitor
  • Known additional invasive malignancy within 1 year of the first dose of study drug
  • History of organ transplant, including allogeneic stem cell transplantation
  • Significant, uncontrolled medical condition
  • History or presence of an ECG abnormality
  • Inadequate organ function

Other protocol-defined Inclusion/Exclusion Criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part 1a: Dose Escalation monotherapyINCB161734INCB161734 at the protocol-defined dose strength based on cohort assignment.
Part 1b: Dose Expansion monotherapyINCB161734INCB161734 at the protocol-defined dose strength based on cohort assignment.
Part 1c: Pharmacodynamic cohortINCB161734INCB161734 at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationINCB161734INCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationCetuximabINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationRetifanlimabINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationGEMNabPINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationmFOLFIRINOXINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationFOLFOXINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationFOLFIRIINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2a: Dose Escalation combinationINCA33890INCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationINCB161734INCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationCetuximabINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationRetifanlimabINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationGEMNabPINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationmFOLFIRINOXINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationFOLFOXINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationFOLFIRIINCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 2b: Dose Expansion combinationINCA33890INCB161734 in combination at the protocol-defined dose strength based on cohort assignment.
Part 1d: Food-EffectINCB161734Evaluate food effect on drug exposure as defined in the protocol.
Primary Outcome Measures
NameTimeMethod
Number of participants with Dose Limiting Toxicities (DLTs)Up to 28 days

Dose-limiting toxicity will be defined as the occurrence of any of the toxicities as per protocol.

Number of participants with TEAEs leading to dose modification or discontinuationUp to 2 years and 90 days

Number of participants with TEAEs leading to dose modification or discontinuation.

Number of participants with Treatment-emergent Adverse Events (TEAEs)Up to 2 years and 90 days

Defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug monotherapy and in combination with cetuximab and retifanlimab.

Secondary Outcome Measures
NameTimeMethod
INCB161734 pharmacokinetic (PK) in PlasmaUp to approximately 90 days

INCB161734 concentration in plasma.

Duration of Response (DOR)Up to 2 years

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 death due to any cause if occurring sooner than progression.

Objective Response Rate (ORR)Up to 2 years

Defined as having a best overall Complete Response (CR) or Partial Response (PR), as determined by the investigator by radiographic disease assessment according to RECIST v1.1.

Disease Control Response (DCR)Up to 2 years

Defined as having a best overall response of CR, PR, or Stable Disease (SD) as determined by the investigator by radiographic disease assessment according to RECIST v1.1.

Trial Locations

Locations (34)

Mayo Clinic Hospital

🇺🇸

Phoenix, Arizona, United States

Stanford University

🇺🇸

Palo Alto, California, United States

UCLA Healthcare Hematology-Oncology

🇺🇸

Santa Monica, California, United States

Sarah Cannon Research Institue At Healthone

🇺🇸

Denver, Colorado, United States

Florida Cancer Specialists

🇺🇸

Sarasota, Florida, United States

Sidney Kimmel Comprehensive Cancer Center At Johns Hopkins

🇺🇸

Baltimore, Maryland, United States

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Weill Cornell Medicine

🇺🇸

New York, New York, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

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Mayo Clinic Hospital
🇺🇸Phoenix, Arizona, United States

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