Study of Combination Therapy With INCMGA00012 (Anti-PD-1), INCAGN02385 (Anti-LAG-3), and INCAGN02390 (Anti-TIM-3) in Participants With Select Advanced Malignancies

Last updated: April 28, 2025
Sponsor: Incyte Corporation
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Neoplasms

Melanoma

Treatment

INCAGN02385

INCAGN02390

INCMGA00012.

Clinical Study ID

NCT04370704
INCAGN 2385-201
  • Ages > 18
  • All Genders

Study Summary

The study will determine Recommended Phase 2 Dose for all study drugs, based on the safety and tolerability of the following combinations: INCAGN02385 + INCAGN02390 and INCAGN02385 + INCAGN02390 + INCMGA00012.

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:

  1. 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.
  1. 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.

  2. Participants must have had known BRAF V600 mutation status per localinstitutional testing standards.

  3. 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.

  4. Participant must have at least 1 measurable tumor lesion per RECIST v1.1.

  • Phase 2, Cohort B:
  1. Participant with previously untreated, histologically confirmed Stage III (unresectable) or IV melanoma per the American Joint Committee on Cancer v8staging system.

  2. Participants must not have had prior systemic anticancer therapy forunresectable or metastatic melanoma.

  3. Participants must have had known BRAF V600 mutation status per localinstitutional testing standards.

  4. 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:
  1. ≤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.

  2. 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

Total Participants: 61
Treatment Group(s): 3
Primary Treatment: INCAGN02385
Phase: 1/2
Study Start date:
July 27, 2020
Estimated Completion Date:
August 04, 2025

Connect with a study center

  • Melanoma Institute Australia

    Wollstonecraft, New South Wales 02060
    Australia

    Site Not Available

  • Greenslopes Private Hospital

    Brisbane, Queensland
    Australia

    Site Not Available

  • Greenslopes Private Hospital

    Greenslopes, Queensland 04120
    Australia

    Site Not Available

  • Flinders Medical Centre

    Bedford Park, South Australia 05042
    Australia

    Site Not Available

  • Box Hill Hospital

    Box Hill, Victoria 03128
    Australia

    Site Not Available

  • One Clinical Research

    Nedlands, Western Australia 06009
    Australia

    Site Not Available

  • The Angeles Clinic and Research Institute

    Los Angeles, California 90025
    United States

    Site Not Available

  • University of Miami Sylvester Comprehensive Cancer Center

    Miami, Florida 33136
    United States

    Site Not Available

  • H Lee Moffitt Cancer Center and Research

    Tampa, Florida 33612
    United States

    Site Not Available

  • University of Iowa

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • Cancer Center For Blood Disorders

    Bethesda, Maryland 20817
    United States

    Active - Recruiting

  • Cancer Center For Blood Disorders A Division of American Oncology Partners P.A

    Bethesda, Maryland 20817
    United States

    Site Not Available

  • Washington University

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Md Anderson Cancer Center At Cooper

    Camden, New Jersey 08103
    United States

    Site Not Available

  • John Theurer Cancer Center, Hackensack University Medical Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • Nyu Langone Laura and Isaac Perlmutter Cancer Center

    New York, New York 10016
    United States

    Site Not Available

  • Carolina Bio Oncology

    Huntersville, North Carolina 28078
    United States

    Site Not Available

  • Penn State Hershey Cancer Institute

    Hershey, Pennsylvania 17033
    United States

    Site Not Available

  • Hillman Cancer Center

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • University of Washington - Seattle Cancer Care Alliance

    Seattle, Washington 98109
    United States

    Site Not Available

  • University of Washington-Seattle Cancer Care Alliance

    Seattle, Washington 98109
    United States

    Site Not Available

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