Clinical trial

A Phase 1/2 Study of the Safety, Tolerability, and Efficacy of Epacadostat Administered in Combination With Nivolumab in Select Advanced Cancers (ECHO-204)

Name
INCB 24360-204 / ECHO-204
Description
This is a Phase 1/2, open label study. Phase 1 consists of 2 parts. Part 1 is a dose-escalation assessment of the safety and tolerability of epacadostat administered with nivolumab in subjects with select advanced solid tumors and lymphomas. Part 2 will evaluate the safety and tolerability of epacadostat in combination with nivolumab and chemotherapy in subjects with squamous cell carcinoma of head and neck (SCCHN) and non-small cell lung cancer (NSCLC). Phase 2 will include expansion cohorts in 7 tumor types, including melanoma, NSCLC, SCCHN, colorectal cancer, ovarian cancer, glioblastoma and diffuse large B-cell lymphoma (DLBCL).
Trial arms
Trial start
2014-11-26
Estimated PCD
2020-06-16
Trial end
2020-06-16
Status
Completed
Phase
Early phase I
Treatment
Nivolumab
specified dose and dosing schedule
Arms:
Phase 1 Part 1 Epacadostat 100mg BID +Nivolumab, Phase 1 Part 1 Epacadostat 25mg BID +Nivolumab, Phase 1 Part 1 Epacadostat 300mg BID +Nivolumab, Phase 1 Part 1 Epacadostat 50mg BID +Nivolumab, Phase 1 Part 2 Epacadostat 100mg BID +Nivolumab +5-FU/Platinum, Phase 2 Epacadostat 100mg BID + Nivolumab, Phase 2 Epacadostat 300mg BID + Nivolumab
Epacadostat
oral twice daily continuous at the protocol-defined dose
Arms:
Phase 1 Part 1 Epacadostat 100mg BID +Nivolumab, Phase 1 Part 1 Epacadostat 25mg BID +Nivolumab, Phase 1 Part 1 Epacadostat 300mg BID +Nivolumab, Phase 1 Part 1 Epacadostat 50mg BID +Nivolumab, Phase 1 Part 2 Epacadostat 100mg BID +Nivolumab +5-FU/Platinum, Phase 1 Part 2 Epacadostat 100mg BID +Paclitaxel/Platinum, Phase 1 Part 2 Epacadostat 100mg BID +Pemetrexed/Platinum, Phase 2 Epacadostat 100mg BID + Nivolumab, Phase 2 Epacadostat 300mg BID + Nivolumab
Chemotherapy
Specified dose on specified days
Arms:
Phase 1 Part 2 Epacadostat 100mg BID +Nivolumab +5-FU/Platinum, Phase 1 Part 2 Epacadostat 100mg BID +Paclitaxel/Platinum, Phase 1 Part 2 Epacadostat 100mg BID +Pemetrexed/Platinum
Size
307
Primary endpoint
Phase 1, Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
Day 42
Phase 1, Part 2: Number of Participants With Dose Limiting Toxicities (DLTs)
Day 42
Phase 1, Parts 1 and 2: Number of Participants With At Least One Treatment-Emergent Adverse Event (TEAE)
up to approximately 39 months
Phase 2: Objective Response Rate (ORR) in Participants With Select Solid Tumors Per Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1 for Participants With Solid Tumors and Per Cheson Criteria for Participants With DLBCL
From first dose up end of the study (up to approximately 6 years)
Phase 2: Progression Free Survival (PFS)
From first dose up end of the study (up to approximately 6 years)
Phase 2: Overall Survival (OS) Rate of Proportion With Glioblastoma
Month 9
Eligibility criteria
Inclusion Criteria: * Male or female subjects, age 18 years or older * Subjects with histologically or cytologically confirmed NSCLC, MEL (including I/O relapsed MEL or I/O refractory MEL), CRC, SCCHN, ovarian cancer, recurrent B cell NHL or HL, or glioblastoma * Presence of measurable disease by RECIST v1.1 for solid tumors or Cheson criteria for B cell NHL (including DLBCL) or HL. For subjects with glioblastoma, presence of measurable disease is not required. * Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1 * Fresh baseline tumor biopsies (defined as a biopsy specimen taken since completion of the most recent prior chemotherapy regimen) are required for all cohorts except glioblastoma Exclusion Criteria: * Laboratory and medical history parameters not within Protocol-defined range * Currently pregnant or breastfeeding * Subjects who have received prior immune checkpoint inhibitors or an IDO inhibitor (except select Phase 2 cohorts evaluating I/O relapsed or I/O refractory MEL). Subjects who have received experimental vaccines or other immune therapies should be discussed with the medical monitor to confirm eligibility * Untreated central nervous system (CNS) metastases or CNS metastases that have progressed * Subjects with any active or inactive autoimmune process * Evidence of interstitial lung disease or active, noninfectious pneumonitis * Subjects with any active or inactive autoimmune process * Ocular MEL
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 307, 'type': 'ACTUAL'}}
Updated at
2023-04-26

1 organization

3 products

8 indications

Indication
Ovarian Cancer
Indication
Glioblastoma
Organization
Incyte
Indication
B-cell Lymphoma
Indication
lung cancer
Indication
lymphoma
Indication
Melanoma
Product
Nivolumab