Phase
Condition
Neoplasms
Melanoma
Treatment
INCAGN02385
INCAGN02390
INCMGA00012.
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Phase 1 Parts 1-4): Participants with locally advanced or metastatic solid tumors (locally advanced disease must not be amenable to resection with curative intent)that have failed available therapies, including anti-PD-(L)1 therapy if applicable,that are known to confer clinical benefit, or who are intolerant to, or ineligiblefor standard treatment. Prior anti-PD-(L)1 therapy should not have been discontinuedbecause of intolerance.
Phase 2, Cohort A:
- Participant with histologically confirmed unresectable/metastatic melanoma,whose disease failed prior anti-PD-(L)1 therapy (alone or as part of acombination) and meeting one of the following criteria:
- Participant who failed prior adjuvant anti-PD-(L)1 therapy for resectablemelanoma must have received prior anti-PD-(L)1 for ≥ 6 weeks andexperienced disease progression while still on active adjuvant therapycontaining anti-PD-(L)1, or participant who had early relapse occurring < 24 weeks after end of adjuvant anti-PD-(L)1 therapy. Progressive diseasemust be ascertained by confirmatory biopsy collected at baseline.
- Participant whose unresectable/metastatic disease progressed while on orwithin < 24 weeks of completion of anti-PD-(L)1 forinresectable/metastatic melanoma. Progressive disease must have beenconfirmed by imaging ≥ 4 weeks after evidence of initial diseaseprogression.
Participant must have received no more than 2 prior lines of therapy formelanoma and at least one prior regimen must have contained anti-PD-(L)1therapy (alone or as part of a combination) either in the adjuvant and/oradvanced/metastatic setting.
Participants must have had known BRAF V600 mutation status per localinstitutional testing standards.
Participants must have fresh biopsy available after completing prior PD-(L)1therapy or be willing and able to safely undergo pretreatment tumor biopsies (core or excisional). Determination of whether participants can safely undergobiopsy should be made by the treating physician in consultation with theindividual performing the biopsy.
Participant must have at least 1 measurable tumor lesion per RECIST v1.1.
- Phase 2, Cohort B:
Participant with previously untreated, histologically confirmed Stage III (unresectable) or IV melanoma per the American Joint Committee on Cancer v8staging system.
Participants must not have had prior systemic anticancer therapy forunresectable or metastatic melanoma.
Participants must have had known BRAF V600 mutation status per localinstitutional testing standards.
Participants must have fresh biopsy available or be willing and able to safelyundergo pretreatment tumor biopsies (core or excisional). Determination ofwhether participants can safely undergo biopsy should be made by the treatingphysician in consultation with the individual performing the biopsy.
Phase 2 (Cohorts A and B): Participant must have at least 1 measurable tumor lesionper RECIST v1.1.
ECOG performance status 0 or 1.
Willingness to avoid pregnancy or fathering children
Exclusion
Exclusion Criteria:
Laboratory and medical history parameters outside the protocol-defined range.
Known hypersensitivity or severe reaction to any component of the study drugs orformulation components ) within 14 days before study Day 1.
Participant who had prior treatment with a LAG-3 or TIM-3 targeted agent.
Phase 1: (Parts 1-4):
- Receipt of anticancer medications or investigational drugs within the followingintervals before the first administration of study treatment:
≤28 days or 5 half-lives (whichever is longer) before the first dose for allother investigational agents or devices. For investigational agents with longhalf-lives (eg, > 5 days), enrollment before the fifth half-life requiresmedical monitor approval.
Administration of colony-stimulating factors (including granulocytecolony-stimulating factor, granulocyte macrophage colony-stimulating factor, orrecombinant erythropoietin) within 14 days before study Day 1.
Phase 2:
Cohort A: Participant who has discontinued anti-PD-(L)1 therapy due to toxicity orother reasons unrelated to toxicity, then subsequently experienced diseaseprogression.
Cohort A: Participant who had experienced objective response (PR/CR) and had stoppedanti-PD-(L)1 therapy due to maximal benefit.
Cohort A: Participant with multiple metastases that achieved mixed tumor response toprior anti-PD-(L)1 therapy (such as isolated progressive lesion in a context ofPR/CR or SD for other lesions) or achieved overall disease progression based only ona single new lesion.
Cohort B: Participant who has or has had uveal melanoma.
Receipt of anticancer therapy (immunotherapy, chemotherapy, targeted therapy orhormonal therapy) within 21 days of the first administration of study treatment,with the exception of localized radiotherapy.
Palliative radiation therapy administered within 1 week of first dose of studytreatment or radiation therapy in the thoracic region that is > 30 Gy within 6months of the first dose of study treatment.
If participant received major surgery, then they must have recovered adequately fromtoxicities and/or complications from the intervention before starting studytreatment.
Treatment-related toxicity related to prior therapy that has not recovered to ≤Grade 1 (with the exception of alopecia and anemia not requiring transfusionalsupport), unless approved by the medical monitor.
History of immune-related toxicity during prior checkpoint inhibitor therapy forwhich permanent discontinuation of therapy is recommended (per product label orconsensus guidelines), OR any immune-related toxicity requiring intensive orprolonged immunosuppression to manage (with the exception of endocrinopathy that iswell controlled on stable dose of replacement hormones such as hypothyroidism oradrenal insufficiency, or Grade 3 rashes that resolved with topical therapy orasymptomatic lipase elevations that do not require treatment interruption or uveitisthat resolved with steroid drops).
Has an active autoimmune disease requiring systemic immunosuppression withcorticosteroids (> 10 mg/day of prednisone or equivalent) or immunosuppressive drugswithin 14 days before the first dose of study treatment.
Receiving chronic systemic corticosteroids (> 10 mg/day of prednisone orequivalent).
Active infections requiring systemic antibiotics, or antifungal or antiviraltreatment within 7 days before first dose of study treatment.
History of organ transplant, including allogeneic stem cell transplantation.
Evidence of interstitial lung disease or active, noninfectious pneumonitis.
Known active HBV or HCV infection or risk of reactivation of HBV or HCV.
Participants who are known to be HIV-positive .
Known active brain or CNS metastases including carcinomatous meningitis.
Known additional malignancy that is progressing or requires active treatment, orhistory of other malignancy within 2 years of study entry with the exception ofcured basal cell or squamous cell carcinoma of the skin, superficial bladder cancer,carcinoma in situ of the cervix, or other noninvasive or indolent malignancy aftertreatment with curative intent.
Participants with impaired cardiac function or clinically significant cardiacdisease
History or presence of an abnormal ECG that, in the investigator's opinion, isclinically meaningful.
Women who are pregnant or breastfeeding.
Receipt of a live vaccine within 30 days of planned start of study treatment.
Study Design
Connect with a study center
Melanoma Institute Australia
Wollstonecraft, New South Wales 02060
AustraliaSite Not Available
Greenslopes Private Hospital
Brisbane, Queensland
AustraliaSite Not Available
Greenslopes Private Hospital
Greenslopes, Queensland 04120
AustraliaSite Not Available
Flinders Medical Centre
Bedford Park, South Australia 05042
AustraliaSite Not Available
Box Hill Hospital
Box Hill, Victoria 03128
AustraliaSite Not Available
One Clinical Research
Nedlands, Western Australia 06009
AustraliaSite Not Available
The Angeles Clinic and Research Institute
Los Angeles, California 90025
United StatesSite Not Available
University of Miami Sylvester Comprehensive Cancer Center
Miami, Florida 33136
United StatesSite Not Available
H Lee Moffitt Cancer Center and Research
Tampa, Florida 33612
United StatesSite Not Available
University of Iowa
Iowa City, Iowa 52242
United StatesSite Not Available
Cancer Center For Blood Disorders
Bethesda, Maryland 20817
United StatesActive - Recruiting
Cancer Center For Blood Disorders A Division of American Oncology Partners P.A
Bethesda, Maryland 20817
United StatesSite Not Available
Washington University
Saint Louis, Missouri 63110
United StatesSite Not Available
Md Anderson Cancer Center At Cooper
Camden, New Jersey 08103
United StatesSite Not Available
John Theurer Cancer Center, Hackensack University Medical Center
Hackensack, New Jersey 07601
United StatesSite Not Available
Nyu Langone Laura and Isaac Perlmutter Cancer Center
New York, New York 10016
United StatesSite Not Available
Carolina Bio Oncology
Huntersville, North Carolina 28078
United StatesSite Not Available
Penn State Hershey Cancer Institute
Hershey, Pennsylvania 17033
United StatesSite Not Available
Hillman Cancer Center
Pittsburgh, Pennsylvania 15232
United StatesSite Not Available
University of Washington - Seattle Cancer Care Alliance
Seattle, Washington 98109
United StatesSite Not Available
University of Washington-Seattle Cancer Care Alliance
Seattle, Washington 98109
United StatesSite Not Available
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