Solid Tumors and Hematologic Malignancy
Conditions
Keywords
solid tumor, lymphoma, BET bromodomain inhibitor, BRD, Diffuse large B-cell lymphoma (DLBCL), Burkitt's lymphoma, c-MYC, colorectal cancer, Non-small cell lung cancer, Pancreatic adenocarcinoma, castration-resistant prostate cancer, breast cancer, NUT midline carcinoma, leukemia, acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), myeloproliferative neoplasms, myelofibrosis (MF), multiple myeloma (MM), MDS/MPN
Brief summary
This was a study of INCB054329 given to patients with advanced malignancies that were conducted in three treatment groups. Each treatment group had a dose escalation (Part 1) and a dose expansion (Part 3), two of the treatment groups also had an intra-patient dose titration (Part 2).
Interventions
Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the treatment group A (TGA), with subsequent cohort escalations in the three treatment groups (TGA, TGB, and TGC) based on protocol-specific criteria
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria: * Confirmed diagnosis of advanced malignancy: * Treatment Group A (TGA): Part 1 and Part 2: Any advanced solid tumor or lymphoma; Part 3: Histologically confirmed disease in specific solid tumors and lymphomas * Treatment Group B (TGB): Acute Leukemia (Part 3 - acute myeloid leukemia \[AML\] only), myelodysplastic syndrome (MDS), myelodysplastic /myeloproliferative neoplasms (MDS/MPN) and myelofibrosis (MF) * Treatment Group C (TGC): Multiple myeloma * Progressed following at least 1 line of prior therapy and there is no further approved therapy available that has been demonstrated to prolong survival (including subjects who are intolerant to the approved therapy) * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 in Parts 1 and 2 dose escalation and titration, and 0, 1, 2 in Part 3 dose expansion Key
Exclusion criteria
* Inadequate hematopoietic, liver, endocrine or renal function * Receipt of anticancer medications or investigational drugs within the following interval before the first administration of study drug: * \< 6 weeks for mitomycin-C or nitrosoureas * \< 5 half-lives or 14 days, whichever is longer, for any investigational agent (for any indication) * \< 28 days for any antibodies or biological therapies * \< 5 half-lives for all other anticancer medications, or sponsor approval * Prior radiotherapy within 2 weeks prior to first dose of study drug * Untreated brain or central nervous system (CNS) metastases * Type 1 diabetes or uncontrolled Type 2 diabetes * Any sign of clinically significant bleeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With a Treatment-emergent Adverse Event (TEAE) | up to 30 days | TEAE is defined as an adverse event reported for the first time or worsening of a pre-existing event after the first dose of study treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | Summary of steady-state PK parameters by dosing regimen at Day 15 | Tmax is the time to maximum (peak) drug serum concentration. Study drug was administered with 240 mL of water. Summary of Steady-State, Day 15, was evaluated by dosing regimen. |
| Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | Summary of steady-state PK parameters by dosing regimen at Day 15 | Minimum observed plasma concentration measured at steady state (Day 15). Study drug was administered with 240 mL of water. Summary of Steady-State, Day 15, was evaluated by dosing regimen. |
| AUC0-t Analysis of INCB054329 | Summary of steady-state PK parameters by dosing regimen at Day 15 | AUC0-t is the area under the plasma or serum concentration-time curve from time = 0 to the last measurable concentration at time = t measured at steady state (Day 15). Study drug was administered with 240 mL of water. |
| Cl/F Analysis of INCB054329 | Summary of steady-state PK parameters by dosing regimen at Day 15 | Cl/F is the apparent oral dose clearance measured at steady state (Day 15). Study drug was administered with 240 mL of water. |
| Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | Summary of steady-state PK parameters by dosing regimen at Day 15 | Cmax is defined as the maximum observed serum concentration measured at steady state (Day 15). Study drug was administered with 240 mL of water. Summary of Steady-State, Day 15, was evaluated by dosing regimen. |
| Objective Response Rate (ORR) | Baseline through end of study, up to 6 months | Defined as the percentage of subjects having complete response (CR) or partial response (PR). The best overall response was defined as the best response recorded before and including the first event of Progressive disease (PD). |
| Duration of Response (DOR) | Baseline through end of study, up to 6 months | Defined as the time from earliest date of disease response until earliest date of disease progression or death. |
| Progression Free Survival (PFS) | Baseline through end of study, up to 6 months | PFS is the time from start of study treatment to first documentation of progression, or to death due to any cause, whichever comes first |
| Overall Survival (OS) | Baseline through end of study, up to 6 months for participants in Part 2 | OS is defined as the time from the date of randomization to the date of the participant's death. |
| Pharmacodynamics (PD) Analysis - Total c-Myc % Inhibition Versus INCB054329 | Day 15 in all cohorts | The half maximal inhibitory concentration (IC50) of INCB054329 was measured. The maximal inhibition of total c-Myc was correlated to the level of drug exposure and demonstrated a high degree of interparticipant variability, parallel to the PK data. The measure was performed as a value across all cohorts. The entire dose escalation data set was used to create the relationship curve. Analysis of individual cohorts contained too few subjects and was biased toward one region of the curve so that the relationship was poorly defined. Individual data points from all subjects were subjected to a nonlinear least squares regression analysis with no weighting, resulting in a sigmoidal dose response curve defining the relationship. The numerical value given is the projected INCB0054329 concentration in nM that produced 50% inhibition of c-myc expression. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. Treatment Group A included any advanced solid tumor or lymphoma. | 4 |
| Part 1 / Treatment Group A: 22.5 MG QD INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. Treatment Group A included any advanced solid tumor or lymphoma. | 5 |
| Part 1 / Treatment Group A: 15 MG BID INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. Treatment Group A included any advanced solid tumor or lymphoma. | 6 |
| Part 1 / Treatment Group A: 30 MG QD INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. Treatment Group A included any advanced solid tumor or lymphoma. | 5 |
| Part 1 / Treatment Group A: 22.5 MG BID INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. Treatment Group A included any advanced solid tumor or lymphoma. | 3 |
| Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. 5/2=5 days on/2 days off.
Treatment Group A included any advanced solid tumor or lymphoma. | 4 |
| Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. 4/3=4 days on/3 days off. Treatment Group A included any advanced solid tumor or lymphoma. | 4 |
| Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. 7/7=7 days on/7 days off. Treatment Group A included any advanced solid tumor or lymphoma. | 3 |
| Part 1 / Treatment Group A: 20 MG BID INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. Treatment Group A included any advanced solid tumor or lymphoma. | 8 |
| Part 1 / Treatment Group A: 25 MG BID 5/2 INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. 5/2=5 days on/2 days off. Treatment Group A included any advanced solid tumor or lymphoma. | 8 |
| Part 1 / Treatment Group A: 25 MG BID 7/7 INCB054329 Part 1 / treatment group A (TGA): Initial cohort dose of INCB054329 monotherapy at the protocol-specified starting dose in the TGA. 7/7=7 days on/7 days off. Treatment Group A included any advanced solid tumor or lymphoma. | 4 |
| Part 1 / Treatment Group B: 20 MG BID INCB054329 Part 1 / treatment group B (TGB): Initial cohort dose of INCB054329 monotherapy at the protocol-specified cohort escalation treatment group B (TGB), based on protocol-specific criteria. Treatment Group B included acute leukemia, myelodysplastic syndrome, myelodysplastic/myeloproliferative neoplasms, or myelofibrosis. | 4 |
| Part 2 / Treatment Group A: 20 MG BID INCB054329 Part 2 / treatment group A (TGA): dose titration was to determine the feasibility of intraparticipant dose titration using Protocol-defined criteria. Treatment Group A included any advanced solid tumor or lymphoma. | 10 |
| Part 2 / Treatment Group C: 20 mg BID INCB054329 Part 2 / treatment group C (TGC): dose titration was to determine the feasibility of intraparticipant dose titration using Protocol-defined criteria. Treatment Group C included multiple myeloma. | 1 |
| Total | 69 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 | FG010 | FG011 | FG012 | FG013 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Death | 4 | 4 | 3 | 4 | 2 | 2 | 3 | 1 | 6 | 6 | 3 | 2 | 5 | 1 |
| Overall Study | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Overall Study | Other Unspecified | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 |
| Overall Study | Physician Decision | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Overall Study | Study Terminated by the Sponsor | 0 | 0 | 2 | 1 | 1 | 0 | 1 | 2 | 1 | 1 | 1 | 0 | 4 | 0 |
| Overall Study | Subject Decision | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 |
Baseline characteristics
| Characteristic | Part 1 / Treatment Group A: 22.5 MG QD INCB054329 | Total | Part 2 / Treatment Group C: 20 mg BID INCB054329 | Part 2 / Treatment Group A: 20 MG BID INCB054329 | Part 1 / Treatment Group B: 20 MG BID INCB054329 | Part 1 / Treatment Group A: 15 MG QD INCB054329 | Part 1 / Treatment Group A: 25 MG BID 7/7 INCB054329 | Part 1 / Treatment Group A: 25 MG BID 5/2 INCB054329 | Part 1 / Treatment Group A: 20 MG BID INCB054329 | Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 | Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 | Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 | Part 1 / Treatment Group A: 22.5 MG BID INCB054329 | Part 1 / Treatment Group A: 30 MG QD INCB054329 | Part 1 / Treatment Group A: 15 MG BID INCB054329 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 54.8 years STANDARD_DEVIATION 13.39 | 60.03 years STANDARD_DEVIATION 13.59 | 66.0 years | 59.3 years STANDARD_DEVIATION 14.2 | 71.8 years STANDARD_DEVIATION 8.77 | 62.3 years STANDARD_DEVIATION 4.03 | 50.3 years STANDARD_DEVIATION 16.58 | 60.9 years STANDARD_DEVIATION 14.84 | 58.4 years STANDARD_DEVIATION 17.55 | 68.3 years STANDARD_DEVIATION 16.2 | 61.5 years STANDARD_DEVIATION 12.4 | 49.3 years STANDARD_DEVIATION 21.73 | 68.7 years STANDARD_DEVIATION 5.77 | 63.6 years STANDARD_DEVIATION 7.86 | 57.7 years STANDARD_DEVIATION 8.5 |
| Body mass index (BMI) | 22.3 kg/m^2 STANDARD_DEVIATION 3.68 | 26.36 kg/m^2 STANDARD_DEVIATION 5.75 | 22.9 kg/m^2 | 25.5 kg/m^2 STANDARD_DEVIATION 6.46 | 30.6 kg/m^2 STANDARD_DEVIATION 3.27 | 25.2 kg/m^2 STANDARD_DEVIATION 4.34 | 27.2 kg/m^2 STANDARD_DEVIATION 10.69 | 26.7 kg/m^2 STANDARD_DEVIATION 7.73 | 28.8 kg/m^2 STANDARD_DEVIATION 4.85 | 26.6 kg/m^2 STANDARD_DEVIATION 3.12 | 24.3 kg/m^2 STANDARD_DEVIATION 5.1 | 25.5 kg/m^2 STANDARD_DEVIATION 3.51 | 26.1 kg/m^2 STANDARD_DEVIATION 4.62 | 29.5 kg/m^2 STANDARD_DEVIATION 6.83 | 24.8 kg/m^2 STANDARD_DEVIATION 5 |
| Eastern Cooperative Oncology Group (ECOG) ECOG - 0 | 2 Participants | 22 Participants | 1 Participants | 3 Participants | 1 Participants | 0 Participants | 2 Participants | 1 Participants | 5 Participants | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 1 Participants | 3 Participants |
| Eastern Cooperative Oncology Group (ECOG) ECOG - 1 | 3 Participants | 47 Participants | 0 Participants | 7 Participants | 3 Participants | 4 Participants | 2 Participants | 7 Participants | 3 Participants | 3 Participants | 3 Participants | 2 Participants | 3 Participants | 4 Participants | 3 Participants |
| Eastern Cooperative Oncology Group (ECOG) ECOG - >=2 | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 4 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 5 Participants | 64 Participants | 1 Participants | 9 Participants | 4 Participants | 4 Participants | 4 Participants | 8 Participants | 7 Participants | 3 Participants | 4 Participants | 4 Participants | 3 Participants | 3 Participants | 5 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 00 Participants | 0 Participants | 1 Participants |
| Height | 172.7 cm STANDARD_DEVIATION 11.47 | 168 cm STANDARD_DEVIATION 11.47 | 159.0 cm | 160.8 cm STANDARD_DEVIATION 10.4 | 167.0 cm STANDARD_DEVIATION 13.29 | 167.3 cm STANDARD_DEVIATION 8.02 | 179.8 cm STANDARD_DEVIATION 7.41 | 170.5 cm STANDARD_DEVIATION 12.6 | 173.6 cm STANDARD_DEVIATION 7.05 | 174.2 cm STANDARD_DEVIATION 14.65 | 170.8 cm STANDARD_DEVIATION 16.64 | 164.8 cm STANDARD_DEVIATION 16.52 | 172.0 cm STANDARD_DEVIATION 12.12 | 164.6 cm STANDARD_DEVIATION 10.48 | 169.1 cm STANDARD_DEVIATION 9.8 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 4 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 5 Participants | 65 Participants | 1 Participants | 10 Participants | 3 Participants | 4 Participants | 4 Participants | 8 Participants | 7 Participants | 3 Participants | 4 Participants | 2 Participants | 3 Participants | 5 Participants | 6 Participants |
| Sex: Female, Male Female | 2 Participants | 36 Participants | 1 Participants | 7 Participants | 2 Participants | 2 Participants | 1 Participants | 4 Participants | 3 Participants | 1 Participants | 2 Participants | 3 Participants | 1 Participants | 3 Participants | 4 Participants |
| Sex: Female, Male Male | 3 Participants | 33 Participants | 0 Participants | 3 Participants | 2 Participants | 2 Participants | 3 Participants | 4 Participants | 5 Participants | 2 Participants | 2 Participants | 1 Participants | 2 Participants | 2 Participants | 2 Participants |
| Weight | 66.2 kg STANDARD_DEVIATION 11.14 | 75.69 kg STANDARD_DEVIATION 19.82 | 58.0 kg | 66.3 kg STANDARD_DEVIATION 19.9 | 84.8 kg STANDARD_DEVIATION 5.85 | 70.0 kg STANDARD_DEVIATION 9.19 | 88.4 kg STANDARD_DEVIATION 36.32 | 77.6 kg STANDARD_DEVIATION 23.65 | 87.3 kg STANDARD_DEVIATION 18.24 | 82.3 kg STANDARD_DEVIATION 24.18 | 72.3 kg STANDARD_DEVIATION 24.39 | 70.2 kg STANDARD_DEVIATION 19.12 | 77.6 kg STANDARD_DEVIATION 18.55 | 79.7 kg STANDARD_DEVIATION 18.3 | 71.7 kg STANDARD_DEVIATION 18.32 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk | EG011 affected / at risk | EG012 affected / at risk | EG013 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 4 / 4 | 4 / 5 | 3 / 6 | 4 / 5 | 2 / 3 | 2 / 4 | 3 / 4 | 1 / 3 | 6 / 8 | 6 / 8 | 3 / 4 | 2 / 4 | 6 / 10 | 1 / 1 |
| other Total, other adverse events | 4 / 4 | 5 / 5 | 6 / 6 | 5 / 5 | 3 / 3 | 4 / 4 | 4 / 4 | 3 / 3 | 8 / 8 | 8 / 8 | 2 / 4 | 4 / 4 | 10 / 10 | 1 / 1 |
| serious Total, serious adverse events | 1 / 4 | 1 / 5 | 1 / 6 | 1 / 5 | 3 / 3 | 3 / 4 | 1 / 4 | 1 / 3 | 3 / 8 | 3 / 8 | 1 / 4 | 3 / 4 | 3 / 10 | 1 / 1 |
Outcome results
Number of Participants With a Treatment-emergent Adverse Event (TEAE)
TEAE is defined as an adverse event reported for the first time or worsening of a pre-existing event after the first dose of study treatment.
Time frame: up to 30 days
Population: The safety population included all enrolled participants who received at least 1 dose of INCB054329.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 4 Participants |
| Part 1 / Treatment Group A: 22.5 MG QD INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 5 Participants |
| Part 1 / Treatment Group A: 15 MG BID INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 6 Participants |
| Part 1 / Treatment Group A: 30 MG QD INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 5 Participants |
| Part 1 / Treatment Group A: 22.5 MG BID INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 3 Participants |
| Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 4 Participants |
| Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 4 Participants |
| Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 3 Participants |
| Part 1 / Treatment Group A: 20 MG BID INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 8 Participants |
| Part 1 / Treatment Group A: 25 MG BID 5/2 INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 8 Participants |
| Part 1 / Treatment Group A: 25 MG BID 7/7 INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 3 Participants |
| Part 1 / Treatment Group B: 20 MG BID INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 4 Participants |
| Part 2 / Treatment Group A: 20 MG BID INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 10 Participants |
| Part 2 / Treatment Group C: 20 mg BID INCB054329 | Number of Participants With a Treatment-emergent Adverse Event (TEAE) | 1 Participants |
AUC0-t Analysis of INCB054329
AUC0-t is the area under the plasma or serum concentration-time curve from time = 0 to the last measurable concentration at time = t measured at steady state (Day 15). Study drug was administered with 240 mL of water.
Time frame: Summary of steady-state PK parameters by dosing regimen at Day 15
Population: All enrolled patients who received at least 1 dose of study medication and provided at least 1 plasma sample were included.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | AUC0-t Analysis of INCB054329 | 686 nM*h | Standard Deviation 178 |
| Part 1 / Treatment Group A: 22.5 MG QD INCB054329 | AUC0-t Analysis of INCB054329 | 611 nM*h | Standard Deviation 628 |
| Part 1 / Treatment Group A: 15 MG BID INCB054329 | AUC0-t Analysis of INCB054329 | 883 nM*h | Standard Deviation 409 |
| Part 1 / Treatment Group A: 30 MG QD INCB054329 | AUC0-t Analysis of INCB054329 | 1150 nM*h | Standard Deviation 1660 |
| Part 1 / Treatment Group A: 22.5 MG BID INCB054329 | AUC0-t Analysis of INCB054329 | 2130 nM*h | Standard Deviation 1690 |
| Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 | AUC0-t Analysis of INCB054329 | 1970 nM*h | Standard Deviation 1560 |
| Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 | AUC0-t Analysis of INCB054329 | 995 nM*h | Standard Deviation 843 |
| Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 | AUC0-t Analysis of INCB054329 | NA nM*h | — |
Cl/F Analysis of INCB054329
Cl/F is the apparent oral dose clearance measured at steady state (Day 15). Study drug was administered with 240 mL of water.
Time frame: Summary of steady-state PK parameters by dosing regimen at Day 15
Population: All enrolled patients who received at least 1 dose of study medication and provided at least 1 plasma sample were included.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Cl/F Analysis of INCB054329 | 61.8 L/h | Standard Deviation 21.3 |
| Part 1 / Treatment Group A: 22.5 MG QD INCB054329 | Cl/F Analysis of INCB054329 | 85.0 L/h | Standard Deviation 42.9 |
| Part 1 / Treatment Group A: 15 MG BID INCB054329 | Cl/F Analysis of INCB054329 | 81.7 L/h | Standard Deviation 29.4 |
| Part 1 / Treatment Group A: 30 MG QD INCB054329 | Cl/F Analysis of INCB054329 | 234 L/h | Standard Deviation 184 |
| Part 1 / Treatment Group A: 22.5 MG BID INCB054329 | Cl/F Analysis of INCB054329 | 92.3 L/h | Standard Deviation 201 |
| Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 | Cl/F Analysis of INCB054329 | 48.3 L/h | Standard Deviation 33.7 |
| Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 | Cl/F Analysis of INCB054329 | 130 L/h | Standard Deviation 127 |
| Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 | Cl/F Analysis of INCB054329 | 95.5 L/h | Standard Deviation 135 |
Duration of Response (DOR)
Defined as the time from earliest date of disease response until earliest date of disease progression or death.
Time frame: Baseline through end of study, up to 6 months
Population: As a result of early termination of the study, there are no participants that are responders and therefore DOR was not achieved.
Maximum Plasma Concentration (Cmax) Analysis of INCB054329
Cmax is defined as the maximum observed serum concentration measured at steady state (Day 15). Study drug was administered with 240 mL of water. Summary of Steady-State, Day 15, was evaluated by dosing regimen.
Time frame: Summary of steady-state PK parameters by dosing regimen at Day 15
Population: All enrolled patients who received at least 1 dose of study medication and provided at least 1 plasma sample were included.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | 278 nM | Standard Deviation 82.6 |
| Part 1 / Treatment Group A: 22.5 MG QD INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | 267 nM | Standard Deviation 201 |
| Part 1 / Treatment Group A: 15 MG BID INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | 479 nM | Standard Deviation 154 |
| Part 1 / Treatment Group A: 30 MG QD INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | 389 nM | Standard Deviation 393 |
| Part 1 / Treatment Group A: 22.5 MG BID INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | 652 nM | Standard Deviation 348 |
| Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | 720 nM | Standard Deviation 472 |
| Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | 449 nM | Standard Deviation 335 |
| Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 | Maximum Plasma Concentration (Cmax) Analysis of INCB054329 | NA nM | — |
Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329
Minimum observed plasma concentration measured at steady state (Day 15). Study drug was administered with 240 mL of water. Summary of Steady-State, Day 15, was evaluated by dosing regimen.
Time frame: Summary of steady-state PK parameters by dosing regimen at Day 15
Population: All enrolled patients who received at least 1 dose of study medication and provided at least 1 plasma sample were included.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | 0.538 nM | Standard Deviation 1.08 |
| Part 1 / Treatment Group A: 22.5 MG QD INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | 1.09 nM | Standard Deviation 2.45 |
| Part 1 / Treatment Group A: 15 MG BID INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | 0 nM | Standard Deviation 0 |
| Part 1 / Treatment Group A: 30 MG QD INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | 1.51 nM | Standard Deviation 3.02 |
| Part 1 / Treatment Group A: 22.5 MG BID INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | 54.2 nM | Standard Deviation 91.1 |
| Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | 14.6 nM | Standard Deviation 45 |
| Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | 0 nM | Standard Deviation 0 |
| Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 | Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329 | NA nM | — |
Objective Response Rate (ORR)
Defined as the percentage of subjects having complete response (CR) or partial response (PR). The best overall response was defined as the best response recorded before and including the first event of Progressive disease (PD).
Time frame: Baseline through end of study, up to 6 months
Population: As a result of early termination of the study, only participants in Part 2 of the study were evaluated; Treatment Group C was not evaluated due to early termination from the study.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Objective Response Rate (ORR) | Complete response (CR) | 0 Participants |
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Objective Response Rate (ORR) | Partial response (PR) | 0 Participants |
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Objective Response Rate (ORR) | Stable disease (SD) >= 6 months | 0 Participants |
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Objective Response Rate (ORR) | Stable disease (SD) < 6 months | 4 Participants |
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Objective Response Rate (ORR) | Progressive disease (PD) | 5 Participants |
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Objective Response Rate (ORR) | Not evaluable (NE) | 1 Participants |
Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of the participant's death.
Time frame: Baseline through end of study, up to 6 months for participants in Part 2
Population: As a result of early termination of the study, only participants in Part 2 of the study were evaluated; Treatment Group C was not evaluated due to early termination from the study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Overall Survival (OS) | 7.09 months |
Pharmacodynamics (PD) Analysis - Total c-Myc % Inhibition Versus INCB054329
The half maximal inhibitory concentration (IC50) of INCB054329 was measured. The maximal inhibition of total c-Myc was correlated to the level of drug exposure and demonstrated a high degree of interparticipant variability, parallel to the PK data. The measure was performed as a value across all cohorts. The entire dose escalation data set was used to create the relationship curve. Analysis of individual cohorts contained too few subjects and was biased toward one region of the curve so that the relationship was poorly defined. Individual data points from all subjects were subjected to a nonlinear least squares regression analysis with no weighting, resulting in a sigmoidal dose response curve defining the relationship. The numerical value given is the projected INCB0054329 concentration in nM that produced 50% inhibition of c-myc expression.
Time frame: Day 15 in all cohorts
Population: Individual data points from all subjects were subjected to a nonlinear least squares regression analysis with no weighting, resulting in a sigmoidal dose response curve defining the relationship. The numerical value given is the projected INCB0054329 concentration in nM that produced 50% inhibition of c-myc expression.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Pharmacodynamics (PD) Analysis - Total c-Myc % Inhibition Versus INCB054329 | 283.4 nM |
Progression Free Survival (PFS)
PFS is the time from start of study treatment to first documentation of progression, or to death due to any cause, whichever comes first
Time frame: Baseline through end of study, up to 6 months
Population: As a result of early termination of the study, only participants in Part 2 of the study were evaluated; Treatment Group C was not evaluated due to early termination from the study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Progression Free Survival (PFS) | 2.04 months |
Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329
Tmax is the time to maximum (peak) drug serum concentration. Study drug was administered with 240 mL of water. Summary of Steady-State, Day 15, was evaluated by dosing regimen.
Time frame: Summary of steady-state PK parameters by dosing regimen at Day 15
Population: All enrolled patients who received at least 1 dose of study medication and provided at least 1 plasma sample were included.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1 / Treatment Group A: 15 MG QD INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 1.0 hour |
| Part 1 / Treatment Group A: 22.5 MG QD INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 0.93 hour |
| Part 1 / Treatment Group A: 15 MG BID INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 0.53 hour |
| Part 1 / Treatment Group A: 30 MG QD INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 1.0 hour |
| Part 1 / Treatment Group A: 22.5 MG BID INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 1.0 hour |
| Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 1.0 hour |
| Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 0.77 hour |
| Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329 | Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329 | 1.0 hour |