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临床试验/NL-OMON48925
NL-OMON48925已完成不适用

A Phase 1/2, Open-Label, Dose-Escalation/Dose-Expansion, Safety and Tolerability Study of INCB059872 in Subjects With Advanced Malignancies - A Safety and Tolerability Study for patients with Advanced Malignancies

Incyte Biosciences UK Ltd0 个研究点目标入组 10 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
已完成
入组人数
10

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. Male or female subjects, age 18 years or older.
  • 2. Presence of measurable disease that has been confirmed by histology or
  • cytology. Myelofibrosis subjects must have palpable spleen of * 5 cm below the
  • left subcostal margin on physical examination at the screening visit.
  • 3. The following malignancy types will be included in each of the treatment
  • * Part 1 (Dose Escalation)
  • Treatment Group A: AML or myelodysplastic syndrome (MDS)
  • Treatment Group B: SCLC (other solid tumors, eg, endocrine tumors, are allowed
  • with medical monitor approval)
  • * Part 2 (Dose Expansion)
  • Treatment Group A1: Relapsed/refractory AML or MDS
  • Treatment Group A2: MF (PMF, PPV-MF, and PET-MF)
  • Treatment Group B1: SCLC
  • Treatment Group B2: Ewing's sarcoma and poorly differentiated neuroendocrine
  • * Parts 3 and 4 (Combination Dose Escalation/Expansion)
  • Treatment Group C/C1: Relapsed/refractory AML
  • Treatment Group D/D1: Newly diagnosed, treatment-naive AML, or MDS who are
  • unfit to tolerate standard intensive chemotherapy at study entry and who are
  • eligible to receive azacitidine as first-line therapy for the disease under
  • Treatment Group E/E1: SCLC previously progressed on platinum-based treatment
  • 4. Subjects must meet specific disease and treatment criteria as follows:
  • * TG A/A1/A2, TG B/B1/B2, C/C1, and TG E/E1: The subject must not be a
  • candidate for potentially curative therapy or standard-of-care approved therapy.
  • * TG A2: The subjects must have confirmed diagnosis of PMF, PPV-MF, or PET-MF
  • according to revised WHO 2016 criteria.
  • * TG D/D1: Subjects with newly diagnosed, treatment-naive AML who are unfit to
  • tolerate standard intensive chemotherapy at study entry based on at least 1 of
  • the following criteria:
  • * Age * 75 years old
  • * History of congestive heart failure (CHF) or documented ejection fraction
  • (EF) * 50%
  • * Pulmonary disease with diffusing capacity of the lungs for carbon monoxide*
  • 65% or FEVI * 65%, or dyspnea at rest or requiring oxygen
  • * Any other comorbidity that the physician judges to be incompatible with
  • intensive chemotherapy
  • Subjects with newly diagnosed, treatment-naïve, IPSS-R intermediate or higher
  • risk disease MDS who have at least 5% bone marrow blasts, who are unfit to
  • tolerate standard intensive chemotherapy at study entry and who are eligible to
  • receive azacitidine as first-line therapy for the disease under study.
  • The following treatments for prior lower risk MDS are acceptable:
  • Revlimid®, low-dose cytarabine, and growth factors.
  • * TG E/E1: The subjects in TG E must have previously received platinum-based
  • therapy, but additional lines of therapies are allowed. The subjects in TG E1
  • must not have received more than 1 previous line of therapy for locally
  • advanced or metastatic SCLC. The previous line of therapy must be a
  • platinum-based therapy, and the subjects must have
  • progressed on or after this treatment.
  • 5. Willingness to undergo a pretreatment bone marrow biopsy or aspirate
  • (AML/MDS/MF) during screening (may be waived with medical monitor approval).
  • For subjects with solid malignancies, must have baseline archival tumor
  • 另有 3 项未显示

排除标准

  • 1. Receipt of anticancer medications, anticancer therapies, or investigational
  • drugs within the following interval before the first administration of study
  • drug (requirement may be waived with medical monitor approval):
  • a. < 5 half-lives or 14 days, whichever is longer, for any investigational agent
  • b. < 5 half-lives for all other anticancer medications
  • c. < 6 weeks for mitomycin-C or nitrosoureas
  • 2. Any unresolved toxicity * Grade 2 from previous anticancer therapy except
  • for stable chronic toxicities (* Grade 2) not expected to resolve.
  • 3. All treatment groups: prior receipt of an LSD1 inhibitor therapy. Parts 3
  • and 4 TG E/E1: prior receipt of anti*programmed cell death-1, anti*programmed
  • death ligand 1, or anti*PD-L2 antibody.
  • 4. Any of the following laboratory results at screening without transfusions
  • and hematopoietic growth factor support in solid tumors (no lower limits in AML
  • and MDS, or in MF with medical monitor approval):
  • Absolute neutrophil count (× 109/L): < 1.5
  • Hemoglobin (g/dL): < 9.0
  • Platelet count (× 109/L): < 100
  • 5. Laboratory and medical history parameters outside Protocol-defined range
  • unless associated with primary malignancy or metastatic disease
  • and with medical monitor approval:
  • a. Total bilirubin > 1.5 × institutional upper limit of normal (ULN) if no
  • liver metastases or > 3 × ULN in the presence of liver metastases or presence
  • of documented Gilbert syndrome (unconjugated hyperbilirubinemia).
  • b. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2.0 ×
  • institutional ULN.
  • c. Creatinine clearance < 60 mL/min based on the institutional formula., Please
  • refers to study protocol for further exclusion criteria

研究者

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