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An Open-Label, Dose-Escalation Study of INCB054329 in Patients With Advanced Malignancies

A Phase 1/2, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCB054329 in Subjects With Advanced Malignancies

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02431260
Enrollment
69
Registered
2015-04-30
Start date
2015-04-14
Completion date
2018-01-31
Last updated
2019-06-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Solid Tumors and Hematologic Malignancy

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

DRUGINCB054329 Monotherapy

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

Incyte Corporation
Lead SponsorINDUSTRY

Study design

Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Number of Participants With a Treatment-emergent Adverse Event (TEAE)up to 30 daysTEAE 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

MeasureTime frameDescription
Time to Maximum Plasma Concentration (Tmax) Analysis of INCB054329Summary of steady-state PK parameters by dosing regimen at Day 15Tmax 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 INCB054329Summary of steady-state PK parameters by dosing regimen at Day 15Minimum 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 INCB054329Summary of steady-state PK parameters by dosing regimen at Day 15AUC0-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 INCB054329Summary of steady-state PK parameters by dosing regimen at Day 15Cl/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 INCB054329Summary of steady-state PK parameters by dosing regimen at Day 15Cmax 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 monthsDefined 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 monthsDefined 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 monthsPFS 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 2OS 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 INCB054329Day 15 in all cohortsThe 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

ArmCount
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
Total69

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013
Overall StudyDeath44342231663251
Overall StudyLost to Follow-up00000100000000
Overall StudyOther Unspecified00000000000110
Overall StudyPhysician Decision00000100000000
Overall StudyStudy Terminated by the Sponsor00211012111040
Overall StudySubject Decision01100000110100

Baseline characteristics

CharacteristicPart 1 / Treatment Group A: 22.5 MG QD INCB054329TotalPart 2 / Treatment Group C: 20 mg BID INCB054329Part 2 / Treatment Group A: 20 MG BID INCB054329Part 1 / Treatment Group B: 20 MG BID INCB054329Part 1 / Treatment Group A: 15 MG QD INCB054329Part 1 / Treatment Group A: 25 MG BID 7/7 INCB054329Part 1 / Treatment Group A: 25 MG BID 5/2 INCB054329Part 1 / Treatment Group A: 20 MG BID INCB054329Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329Part 1 / Treatment Group A: 22.5 MG BID INCB054329Part 1 / Treatment Group A: 30 MG QD INCB054329Part 1 / Treatment Group A: 15 MG BID INCB054329
Age, Continuous54.8 years
STANDARD_DEVIATION 13.39
60.03 years
STANDARD_DEVIATION 13.59
66.0 years59.3 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^225.5 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 Participants22 Participants1 Participants3 Participants1 Participants0 Participants2 Participants1 Participants5 Participants0 Participants1 Participants2 Participants0 Participants1 Participants3 Participants
Eastern Cooperative Oncology Group (ECOG)
ECOG - 1
3 Participants47 Participants0 Participants7 Participants3 Participants4 Participants2 Participants7 Participants3 Participants3 Participants3 Participants2 Participants3 Participants4 Participants3 Participants
Eastern Cooperative Oncology Group (ECOG)
ECOG - >=2
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants4 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants64 Participants1 Participants9 Participants4 Participants4 Participants4 Participants8 Participants7 Participants3 Participants4 Participants4 Participants3 Participants3 Participants5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants00 Participants0 Participants1 Participants
Height172.7 cm
STANDARD_DEVIATION 11.47
168 cm
STANDARD_DEVIATION 11.47
159.0 cm160.8 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 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants4 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
5 Participants65 Participants1 Participants10 Participants3 Participants4 Participants4 Participants8 Participants7 Participants3 Participants4 Participants2 Participants3 Participants5 Participants6 Participants
Sex: Female, Male
Female
2 Participants36 Participants1 Participants7 Participants2 Participants2 Participants1 Participants4 Participants3 Participants1 Participants2 Participants3 Participants1 Participants3 Participants4 Participants
Sex: Female, Male
Male
3 Participants33 Participants0 Participants3 Participants2 Participants2 Participants3 Participants4 Participants5 Participants2 Participants2 Participants1 Participants2 Participants2 Participants2 Participants
Weight66.2 kg
STANDARD_DEVIATION 11.14
75.69 kg
STANDARD_DEVIATION 19.82
58.0 kg66.3 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 typeEG000
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 / 44 / 53 / 64 / 52 / 32 / 43 / 41 / 36 / 86 / 83 / 42 / 46 / 101 / 1
other
Total, other adverse events
4 / 45 / 56 / 65 / 53 / 34 / 44 / 43 / 38 / 88 / 82 / 44 / 410 / 101 / 1
serious
Total, serious adverse events
1 / 41 / 51 / 61 / 53 / 33 / 41 / 41 / 33 / 83 / 81 / 43 / 43 / 101 / 1

Outcome results

Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1 / Treatment Group A: 15 MG QD INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)4 Participants
Part 1 / Treatment Group A: 22.5 MG QD INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)5 Participants
Part 1 / Treatment Group A: 15 MG BID INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)6 Participants
Part 1 / Treatment Group A: 30 MG QD INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)5 Participants
Part 1 / Treatment Group A: 22.5 MG BID INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)3 Participants
Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)4 Participants
Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)4 Participants
Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)3 Participants
Part 1 / Treatment Group A: 20 MG BID INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)8 Participants
Part 1 / Treatment Group A: 25 MG BID 5/2 INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)8 Participants
Part 1 / Treatment Group A: 25 MG BID 7/7 INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)3 Participants
Part 1 / Treatment Group B: 20 MG BID INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)4 Participants
Part 2 / Treatment Group A: 20 MG BID INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)10 Participants
Part 2 / Treatment Group C: 20 mg BID INCB054329Number of Participants With a Treatment-emergent Adverse Event (TEAE)1 Participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Part 1 / Treatment Group A: 15 MG QD INCB054329AUC0-t Analysis of INCB054329686 nM*hStandard Deviation 178
Part 1 / Treatment Group A: 22.5 MG QD INCB054329AUC0-t Analysis of INCB054329611 nM*hStandard Deviation 628
Part 1 / Treatment Group A: 15 MG BID INCB054329AUC0-t Analysis of INCB054329883 nM*hStandard Deviation 409
Part 1 / Treatment Group A: 30 MG QD INCB054329AUC0-t Analysis of INCB0543291150 nM*hStandard Deviation 1660
Part 1 / Treatment Group A: 22.5 MG BID INCB054329AUC0-t Analysis of INCB0543292130 nM*hStandard Deviation 1690
Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329AUC0-t Analysis of INCB0543291970 nM*hStandard Deviation 1560
Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329AUC0-t Analysis of INCB054329995 nM*hStandard Deviation 843
Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329AUC0-t Analysis of INCB054329NA nM*h
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Part 1 / Treatment Group A: 15 MG QD INCB054329Cl/F Analysis of INCB05432961.8 L/hStandard Deviation 21.3
Part 1 / Treatment Group A: 22.5 MG QD INCB054329Cl/F Analysis of INCB05432985.0 L/hStandard Deviation 42.9
Part 1 / Treatment Group A: 15 MG BID INCB054329Cl/F Analysis of INCB05432981.7 L/hStandard Deviation 29.4
Part 1 / Treatment Group A: 30 MG QD INCB054329Cl/F Analysis of INCB054329234 L/hStandard Deviation 184
Part 1 / Treatment Group A: 22.5 MG BID INCB054329Cl/F Analysis of INCB05432992.3 L/hStandard Deviation 201
Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329Cl/F Analysis of INCB05432948.3 L/hStandard Deviation 33.7
Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329Cl/F Analysis of INCB054329130 L/hStandard Deviation 127
Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329Cl/F Analysis of INCB05432995.5 L/hStandard Deviation 135
Secondary

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.

Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Part 1 / Treatment Group A: 15 MG QD INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329278 nMStandard Deviation 82.6
Part 1 / Treatment Group A: 22.5 MG QD INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329267 nMStandard Deviation 201
Part 1 / Treatment Group A: 15 MG BID INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329479 nMStandard Deviation 154
Part 1 / Treatment Group A: 30 MG QD INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329389 nMStandard Deviation 393
Part 1 / Treatment Group A: 22.5 MG BID INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329652 nMStandard Deviation 348
Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329720 nMStandard Deviation 472
Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329449 nMStandard Deviation 335
Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329Maximum Plasma Concentration (Cmax) Analysis of INCB054329NA nM
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Part 1 / Treatment Group A: 15 MG QD INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB0543290.538 nMStandard Deviation 1.08
Part 1 / Treatment Group A: 22.5 MG QD INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB0543291.09 nMStandard Deviation 2.45
Part 1 / Treatment Group A: 15 MG BID INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB0543290 nMStandard Deviation 0
Part 1 / Treatment Group A: 30 MG QD INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB0543291.51 nMStandard Deviation 3.02
Part 1 / Treatment Group A: 22.5 MG BID INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB05432954.2 nMStandard Deviation 91.1
Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB05432914.6 nMStandard Deviation 45
Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB0543290 nMStandard Deviation 0
Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329Minimum Observed Plasma Concentration Over the Dose Interval (Cmin) Analysis of INCB054329NA nM
Secondary

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.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Part 1 / Treatment Group A: 15 MG QD INCB054329Objective Response Rate (ORR)Complete response (CR)0 Participants
Part 1 / Treatment Group A: 15 MG QD INCB054329Objective Response Rate (ORR)Partial response (PR)0 Participants
Part 1 / Treatment Group A: 15 MG QD INCB054329Objective Response Rate (ORR)Stable disease (SD) >= 6 months0 Participants
Part 1 / Treatment Group A: 15 MG QD INCB054329Objective Response Rate (ORR)Stable disease (SD) < 6 months4 Participants
Part 1 / Treatment Group A: 15 MG QD INCB054329Objective Response Rate (ORR)Progressive disease (PD)5 Participants
Part 1 / Treatment Group A: 15 MG QD INCB054329Objective Response Rate (ORR)Not evaluable (NE)1 Participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Part 1 / Treatment Group A: 15 MG QD INCB054329Overall Survival (OS)7.09 months
Secondary

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.

ArmMeasureValue (NUMBER)
Part 1 / Treatment Group A: 15 MG QD INCB054329Pharmacodynamics (PD) Analysis - Total c-Myc % Inhibition Versus INCB054329283.4 nM
Secondary

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.

ArmMeasureValue (MEDIAN)
Part 1 / Treatment Group A: 15 MG QD INCB054329Progression Free Survival (PFS)2.04 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Part 1 / Treatment Group A: 15 MG QD INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543291.0 hour
Part 1 / Treatment Group A: 22.5 MG QD INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543290.93 hour
Part 1 / Treatment Group A: 15 MG BID INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543290.53 hour
Part 1 / Treatment Group A: 30 MG QD INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543291.0 hour
Part 1 / Treatment Group A: 22.5 MG BID INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543291.0 hour
Part 1 / Treatment Group A: 22.5 MG BID 5/2 INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543291.0 hour
Part 1 / Treatment Group A: 22.5 MG BID 4/3 INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543290.77 hour
Part 1 / Treatment Group A: 22.5 MG BID 7/7 INCB054329Time to Maximum Plasma Concentration (Tmax) Analysis of INCB0543291.0 hour

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026