A Study to Evaluate the Safety, Tolerability of INCB160058 in Participants With Myeloproliferative Neoplasms

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorIncyte Corporation

About this trial

This study is being conducted to assess the Safety, Tolerability, and Pharmacokinetics of INCB160058 in Participants With Myeloproliferative Neoplasms.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years

Intermediate-1 or higher risk PMF, post-PV MF, or post-ET MF with evidence of minimum burden of disease based on splenomegaly, and for the monotherapy cohort, participants must have been previously treated with at least 1 JAK inhibitor for ≥ 12 weeks and resistant, refractory, intolerant to, or have lost response to JAK inhibitor treatment.

For the MF SubOpt R cohort: Therapeutic regimen prior to enrollment as defined in the protocol and unlikely to benefit from further monotherapy in the opinion of the investigator.

PV: Confirmed diagnosis of PV and previously treated with at least 1 prior standard cytoreductive therapy and are resistant, refractory, intolerant to, or have lost response to treatment.

Disqualifiers

Presence of a hematological malignancy requiring treatment, other than PMF, post-PV MF, post-ET MF, PV, or ET.

Prior history of major bleeding or thrombosis within the 3 months prior to study enrollment.

Participants with abnormal hematologic, hepatic, or renal function based on laboratory evaluation.

Has undergone prior allogenic or autologous stem-cell transplantation or allogenic stem-cell transplantation is planned

Trial design

Design model

Sequential

Treatments tested in this trial

  • INCB160058

    Drug

    Oral; Tablet

  • Standard disease-directed therapy

    Drug

    A standard disease-directed therapy will be administered according to Prescribing Information/SmPC.

Treatment groups

186 Participants
are divided into 4 treatment groups
Group A: Part 1 Dose Escalation - with MF, PV or ETExperimental treatment 1 intervention
Group B: Part 1 Dose Escalation - with MF SubOpt RExperimental treatment 2 interventions
Group C: Part 2 Dose Expansion - with MF, PV or ETExperimental treatment 1 intervention
Group D: Part 2 Dose Expansion - with MF SubOpt RExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Number of participants with Dose Limiting Toxicities (DLTs)

Dose-limiting toxicity will be defined as the occurrence of any of the toxicities as per protocol.

Time frame
Up to 28 days
2

Number of participants with Treatment-emergent Adverse Events (TEAEs)

Defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug.

Time frame
Up to 2 years and 30 days
3

Number of participants with TEAEs leading to dose modification or discontinuation

Number of participants with TEAEs leading to dose modification or discontinuation.

Time frame
Up to 2 years and 30 days

Secondary outcomes

1

INCB160058 and a standard disease-directed therapy pharmacokinetic (PK) in Plasma

INCB160058 and the protocol defined standard disease-directed therapy concentration in plasma.

Time frame
Up to Day 57
2

For participants with MF: Response using the revised IWG-MRT and ELN response criteria for MF

Defined as the percentage of participants with Response using the revised International Working Group for Myelofibrosis Research and Treatment (IWG-MRT) and European LeukemiaNet (ELN) response criteria.

Time frame
Week 12 and 24 and then every 24 weeks up to 2 years
3

For participants with MF: Percentage of participants achieving spleen volume reduction as defined in the protocol

Defined as percentage of participants with a protocol defined Spleen Volume Reduction.

Time frame
Week 12 and Week 24
4

For participants with PV: Response using revised IWG-MRT and ELN response criteria for PV

Defined as the percentage of participants with Response using the revised International Working Group for Myelofibrosis Research and Treatment (IWG-MRT) and European LeukemiaNet (ELN) response criteria.

Time frame
Week 12 and 24 and then every 24 weeks up to 2 years

Other outcomes

Sponsors and contacts

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