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INCB024360

Phase 3

Microsatellite-instability (MSI) High Colorectal Cancer (CRC) | Small molecule | Oncology |Incyte Corporation|Trials Updated: Sep 29, 2026

INCB024360 development status

Highest phase Phase 3 (NCT03361865)
Phase scored for INCYPhase 1
Registered trials 43 across 15 sponsors since Sep 2010

INCB024360 target and mechanism

ModalitySmall molecule

Also known as Epacadostat, INCMGA00012

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials15
Total Enrollment2,010

FDA Designations

No designations recorded

INCB024360 clinical trials

INCB024360 · 15 trials · 24 indications

Phase 3 4Phase 2 4Phase 1 7
NCT03374488Pembrolizumab + Epacadostat vs Pembrolizumab + Placebo in Recurrent or Progressive Metastatic Urothelial CarcinomaUC (Urothelial Cancer)
COMPLETED84 Analytics
NCT03260894Pembrolizumab (MK-3475) Plus Epacadostat vs Standard of Care in mRCC (KEYNOTE-679/ECHO-302)Renal Cell Carcinoma (RCC)
COMPLETED129 Analytics
NCT03361865Pembrolizumab in Combination With Epacadostat or Placebo in Cisplatin-ineligible Urothelial Carcinoma (KEYNOTE-672/ECHO-307)UC (Urothelial Cancer)
COMPLETED93 Analytics
NCT03358472Pembrolizumab Plus Epacadostat, Pembrolizumab Monotherapy, and the EXTREME Regimen in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (KEYNOTE-669/ECHO-304)Head and Neck Cancer
COMPLETED89 Analytics
PHASE3COMPLETED
Pembrolizumab + Epacadostat vs Pembrolizumab + Placebo in Recurrent or Progressive Metastatic Urothelial Carcinoma
UC (Urothelial Cancer)Unlock trial analytics
PHASE3COMPLETED
Pembrolizumab (MK-3475) Plus Epacadostat vs Standard of Care in mRCC (KEYNOTE-679/ECHO-302)
Renal Cell Carcinoma (RCC)Unlock trial analytics
PHASE3COMPLETED
Pembrolizumab in Combination With Epacadostat or Placebo in Cisplatin-ineligible Urothelial Carcinoma (KEYNOTE-672/ECHO-307)
UC (Urothelial Cancer)Unlock trial analytics
PHASE3COMPLETED
Pembrolizumab Plus Epacadostat, Pembrolizumab Monotherapy, and the EXTREME Regimen in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (KEYNOTE-669/ECHO-304)
Head and Neck CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective Response Rate (ORR) With Pembrolizumab + Epacadostat Versus Pembrolizumab + Placebo
up to 9 weeks +14 days

ORR was defined as the percentage of participants who had a complete response (CR), disappearance of all target lesions or partial response (PR), \>=30% decrease in the sum of the longest diameter of target lesions per RECIST v1.1 by investigator determination.

Objective Response Rate (ORR) of Pembrolizumab + Epacadostat Versus Standard of Care (SOC)
up to approximately 8 months

ORR was defined as the percentage of participants who had complete response (CR) or partial response (PR) per RECIST v1.1 by investigator determination.

Objective Response Rate (ORR) of Pembrolizumab + Epacadostat, Pembrolizumab Monotherapy and the EXTREME Regimen
Minimum Week 9

ORR was defined as the percentage of participants who had a complete response (CR), disappearance of all target lesions or partial response (PR), \>=30% decrease in the sum of the longest diameter of target lesions per RECIST v1.1 by investigator determination. Responses are based on investigator assessments per RECIST 1.1 without confirmation using all available scans.

Kaplan-Meier Estimate of Overall Survival (OS) at 9 Months
At 9 months

Overall survival is defined as the time interval from date of treatment start to date of a documented death event (death due to any cause) or date of censoring. If a patient has not had an event, OS will be censored at the date of last follow up.

Kaplan-Meier Estimate of Overall Survival (OS) at 12 Months
At 12 months

Overall survival is defined as the time interval from date of treatment start to date of a documented death event (death due to any cause) or date of censoring. If a patient has not had an event, OS will be censored at the date of last follow up.

Median Overall Survival (OS)
Through 2 years after completion of treatment (estimated to be 4 years)

Overall survival is defined as the time interval from date of treatment start to date of a documented death event (death due to any cause) or date of censoring. If a patient has not had an event, OS will be censored at the date of last follow up.

Objective Radiographic Response (ORR)
26 months

Per modified response assessment in neuro-oncology (RANO) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=50% decrease in the sum of the products of the perpendicular diameters of target lesions; Overall Response (OR) = CR + PR.

Objective Response Rate (ORR) of Pembrolizumab + Chemotherapy + Epacadostat Versus Pembrolizumab + Chemotherapy + Placebo
Assessed every 12 weeks up to 24 months

ORR is defined as the percentage of participants who have a confirmed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) based on blinded independent central review (BICR).

Objective Response Rate (ORR) of Pembrolizumab Plus Epacadostat Versus Pembrolizumab Plus Placebo
Up to approximately 6 months

ORR is defined as the proportion of participants who have a confirmed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 based on blinded independent central review (BICR).

To Determine the Safety and Evaluate Toxicity of Fixed Doses for Phase I Patients
28 days

To determine the safety of fixed doses of DEC205mAb-NY-ESO-1 fusion protein with adjuvant poly-ICLC given as a vaccine in combination with INCB024360 300mg, number of Participants with Dose Limiting Toxicities is reported

Progression Free Survival (PFS) Based on Immune Related Response Criteria (irRC) for Phase II Patients
Up to 6 months

Percentage of Participants with Progression Free Survival Using irRC Criteria for Phase II Patients are reported. irRC criteria disease progression is defined as at least 25% increase in tumor burden compared with nadir (at any single time point) in two consecutive observations at least 4 weeks apart.

To Evaluate Toxicity as Defined by NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0.
Up to 12 months

All patients enrolled in this study will be eligible for the analysis of toxicity. The toxicity rate will be estimated using a one-sided, 95%, exact binomial confidence interval (Clopper-Pearson).

Phase I only: Recommended phase II dose (RP2D) of epacadostat with standard of care radiation and chemotherapy in preoperative treatment of locally advanced rectal cancer
Completion of the first 2 cycles of treatment for all patients (estimated to be 86 months)

The recommended phase 2 dose (RP2D) is defined as the dose level immediately below the maximally administered dose at which 0 or 1 of a cohort of 3 to 6 patients experienced a dose-limiting toxicity (DLT) during first 2 cycles.

Phase II Treatment Cohort only: Neoadjuvant Rectal (NAR) Score
At the time of surgery (approximately week 28)

Neoadjuvant Rectal Score (NAR Score) is calculated by following formula: NAR = (\[5pN \- 3(cT - pT) + 12\]2)/9.61 (with higher scores representing poorer prognosis), where cT=clinical tumor stage, pT=pathologic tumor stage, and pN=pathologic nodal stage.

Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
Up to 21 months

A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of epacadostat, pembrolizumab, or chemotherapy. Serious adverse event is defined as an event that meets 1 of the following criteria: is fatal or life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability, incapacity, or a substantial disruption of a person's ability to conduct normal life functions, constitutes a congenital anomaly or birth defect,is a medically important event that may jeopardize the participant or may require medical or surgical intervention to prevent 1 of the outcomes listed above.

Phases 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs)
28 days

A DLT was defined as the occurrence of any of the protocol-specified toxicities occurring up to and including Day 28 for the cohorts where mFOLFOX6 and nab-paclitaxel/gemcitabine are administered and Day 21 for all other chemotherapy regimens in Phase 1, except those with a clear alternative explanation (eg, disease progression) or transient (≤ 72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination.

Phases 1 and 2: Objective Response Rate (ORR)
Up to Week 18

ORR was defined as the percentage of participants having a complete response (CR) or partial response (PR) as determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Phase 1 : Number of Treatment-Emergent Adverse Events (TEAE)
Duration of study treatment and up to 90 days after the last dose [approximately 3 years]

Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug/treatment

Phase 2: Objective Response Rate (ORR) as Determined by Radiographic Disease Assessments Per Modified Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Measured every 8 weeks for duration of study treatment [approximately 12 months]

ORR was defined as the percentage of participants having a complete response (CR) or partial response (PR) as determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Phase 1, Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
Day 42

A DLT was defined as occurrence of any treatment-emergent adverse event (TEAE) in Phase 1 Parts 1 and 2. DLT included all TEAE of specified grades such as 1) Hematologic toxicities - any Grade 4 thrombocytopenia or neutropenia, anemia, febrile neutropenia, ≥ Grade 3 hemolysis, thrombocytopenia and 2) Nonhematologic toxicities - Grade 4 AE, nausea, vomiting, or diarrhea, electrolyte abnormality, ≥ Grade 3 aspartate aminotransferase (AST), alanine aminotransferase (ALT), or total bilirubin elevation, Grade 2 AST/ALT with symptomatic liver inflammation, AST or ALT \> 3 × upper limit of normal (ULN) and concurrent total bilirubin \> 2 × ULN without initial findings of cholestasis, and any other ≥ Grade 3 toxicity. A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and up to 100 days after last dose of study drug.

Phase 1, Part 2: Number of Participants With Dose Limiting Toxicities (DLTs)
Day 42

A DLT was defined as occurrence of any treatment-emergent adverse event (TEAE) in Phase 1 Parts 1 and 2. DLT included all TEAE of specified grades such as 1) Hematologic toxicities - any Grade 4 thrombocytopenia or neutropenia, anemia, febrile neutropenia, ≥ Grade 3 hemolysis, thrombocytopenia and 2) Nonhematologic toxicities - Grade 4 AE, nausea, vomiting, or diarrhea, electrolyte abnormality, ≥ Grade 3 aspartate aminotransferase (AST), alanine aminotransferase (ALT), or total bilirubin elevation, Grade 2 AST/ALT with symptomatic liver inflammation, AST or ALT \> 3 × upper limit of normal (ULN) and concurrent total bilirubin \> 2 × ULN without initial findings of cholestasis, and any other ≥ Grade 3 toxicity. A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and up to 100 days after last dose of study drug.

Phase 1, Parts 1 and 2: Number of Participants With At Least One Treatment-Emergent Adverse Event (TEAE)
up to approximately 39 months

An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (e.g., a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and up to 100 days after last dose of study drug.

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)

ORR was defined as the percentage of participants having a complete response (CR) or partial response (PR) as determined by investigator assessment of radiographic disease per RECIST v1.1. CR per RECIST v 1.1 was defined as disappearance of all target lesions. PR per RECIST v 1.1 was defined as At least a 30% decrease in the sum of diameters (SOD) of target lesions, taking as reference the Baseline sum diameters. Data is reported as per dose received by the participants with a particular cancer type. CR per Cheson criteria was defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms. PR per Cheson criteria was defined as at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses.

Phase 2: Progression Free Survival (PFS)
From first dose up end of the study (up to approximately 6 years)

PFS is defined as the time from randomization to the first documented progressive disease per RECIST v1.1 or death due to any cause, whichever occurs first.

Phase 2: Overall Survival (OS) Rate of Proportion With Glioblastoma
Month 9

OS rate is defined as the proportion of participants alive 9 months after the start of treatment.

Phase 1: Percentage of Participants With Treatment-Emergent Adverse Events (TEAE) and Serious Treatment-Emergent Adverse Events
Approximately 54 months

An adverse event is defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occur after a participant provides informed consent. A TEAE is any adverse event either reported for the first time or worsening of a pre-existing event after first dose of study drug. Serious adverse event (SAE) is defined as an event that meets 1 of the following criteria: is fatal or life threatening, results in persistent or significant disability or incapacity, constitutes a congenital anomaly or birth defect, is clinically meaningful (i.e. defined as an event that jeopardizes the participant or requires potential medical or surgical intervention to prevent 1 of the outcomes listed above) or requires inpatient hospitalization or prolongation of existing hospitalization.

Phase 2: Objective Response Rate (ORR)
Approximately 54 months

ORR was percentage of participants with best overall response \[complete response (CR) or partial response (PR)\], per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Safety and tolerability as measured by adverse events and dose limiting toxicities
Measured from baseline through follow-up period (measured during cycle 1 weekly and bi monthly thereafter)

Secondary Endpoints

Safety and Tolerability of Pembrolizumab + Epacadostat Versus Pembrolizumab + Placebo as Measured by Number of Participants Experiencing Adverse Events (AEs)
Up to 8 months
Safety and Tolerability of Pembrolizumab + Epacadostat Versus Pembrolizumab + Placebo as Measured by Number of Participants Discontinuing Study Treatment Due to AE
Up to 8 months
Safety and Tolerability of Pembrolizumab + Epacadostat Versus SOC as Measured by the Number of Participants Experiencing Adverse Events (AEs)
Data reported from start of study to data cutoff 28-Feb-2019, up to 15 months.
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Pembrolizumab 200 mg + Epacadostat 100 mg BIDEXPERIMENTALPembrolizumab + epacadostat
Pembrolizumab 200 mg + placebo BIDACTIVE_COMPARATORPembrolizumab + placebo
Pembrolizumab + EpacadostatEXPERIMENTAL -
SoC (Sunitinib or Pazopanib)ACTIVE_COMPARATORStandard of care (SoC) (sunitinib or pazopanib monotherapy).
PembrolizumabEXPERIMENTAL -
EXTREMEACTIVE_COMPARATOREXTREME regimen includes cetuximab + cisplatin or carboplatin + 5-fluorouracil.
Regimen A: Retifanlimab+RT+bevacizumabEXPERIMENTAL* Retifanlimab will be given intravenously over the course of 30 to 60 minutes at a dose of 500 mg on Day 1 of each 28-day cycle. * Bevacizumab will be given intravenously at a dose of 10 mg/kg on Days 1 and 15 of each 28-day cycle. * Ten fractions of radiation therapy will be given at a dose of 3.5 Gy per fraction * Retifanlimab and bevacizumab will be started approximately two weeks before the first day of radiation therapy * Treatment may continue for up to two years.
Regimen B: Retifanlimab+RT+bevacizumab+epacadostatEXPERIMENTAL* Retifanlimab will be given intravenously over the course of 30 to 60 minutes at a dose of 500 mg on Day 1 of each 28-day cycle. * Bevacizumab will be given intravenously at a dose of 10 mg/kg on Days 1 and 15 of each 28-day cycle. * Ten fractions of radiation therapy will be given at a dose of 3.5 Gy per fraction * Retifanlimab and bevacizumab will be started approximately two weeks before the first day of radiation therapy * Epacadostat will be administered orally at 400 mg BID. * Treatment may continue for up to two years.
Cohort AEXPERIMENTALSubjects in this arm (N=16) receive a single priming dose of both INCMGA00012 (500mg) and INCAGN01876 (300mg) prior to stereotactic radiosurgery (SRS), then undergo SRS (8 Gy x 3 fractions). Following SRS, INCMGA00012 (500mg IV every 4 weeks) and INCAGN01876 (300mg IV every 2 weeks) are resumed and continued until disease progression, unacceptable toxicity, or for 2 years, whichever occurs first.
Cohort B sub-arm #1EXPERIMENTALSubjects in this arm (N=8) receive neoadjuvant immunotherapy INCMGA00012 (500mg) + INCAGN01876 (300mg) + SRS. Subjects then undergo surgery. Postoperatively, the immunotherapy combination of INCMGA00012 (500 mg IV every 4 weeks) and INCAGN01876 (300mg IV every 2 weeks) is resumed and continued until disease progression, unacceptable toxicity, or for 2 years, whichever occurs first.
Cohort B sub-arm #2EXPERIMENTALSubjects in this arm (N=8) receive neoadjuvant immunotherapy INCMGA00012 + INCAGN01876 (without SRS). Subjects then undergo surgery. Postoperatively, the immunotherapy combination of INCMGA00012 (IV every 4 weeks) and INCAGN01876 (IV every 2 weeks) is resumed and continued until disease progression, unacceptable toxicity, or for 2 years, whichever occurs first.
Pembrolizumab + Chemotherapy + EpacadostatEXPERIMENTALParticipant received pembrolizumab 200 mg intravenous (IV) infusion, every 3 weeks (Q3W) on Day 1 of each 21 day cycle for up to 35 cycles + epacadostat 100 mg tablets, orally, twice daily (BID) in each 21 day cycle for up to 35 cycles + platinum-doublet chemotherapy (pemetrexed 500 mg/m\^2 IV infusion, Q3W + cisplatin 75 mg/m\^2 IV infusion, Q3W or carboplatin 5-6 mg/mL/min IV infusion Q3W for 4 cycles followed by pemetrexed maintenance; or paclitaxel 200 mg /m\^2 IV infusion, Q3W + carboplatin 5-6 mg/mL/min IV infusion Q3W for 4 cycles).
Pembrolizumab + Chemotherapy + PlaceboEXPERIMENTALParticipant received pembrolizumab 200 mg IV infusion, Q3W on Day 1 of each 21 day cycle for up to 35 cycles + epacadostat matching placebo tablets, orally, BID in each 21 day cycle for up to 35 cycles + platinum-doublet chemotherapy (pemetrexed 500 mg/m\^2 IV infusion, Q3W + cisplatin 75 mg/m\^2 IV infusion, Q3W or carboplatin 5-6 mg/mL/min IV infusion Q3W for 4 cycles followed by pemetrexed maintenance; or paclitaxel 200 mg /m\^2 IV infusion, Q3W + carboplatin 5-6 mg/mL/min IV infusion Q3W for 4 cycles).
Pembrolizumab + PlaceboACTIVE_COMPARATORParticipants received pembrolizumab 200 mg by IV infusion, Q3W starting on Day 1 of each cycle for up to 35 administrations in combination with matching placebo orally, twice daily. Placebo administration was discontinued after the implementation of protocol amendment 05.
Arm I (CDX-1401, poly ICLC)EXPERIMENTALPatients receive DEC-205/NY-ESO-1 fusion protein CDX-1401 and poly ICLC as in Phase I.
Arm II (CDX-1401, poly ICLC, IDO1 inhibitor INCB024360)EXPERIMENTALPatients receive DEC-205/NY-ESO-1 fusion protein CDX-1401, poly ICLC, and IDO1 inhibitor INCB024360 as in Phase I.
Dose Escalation Cohort (Phase I): Epacadostat + SCRT + Chemotherapy + SurgeryEXPERIMENTAL* Epacadostat at the designated dose level starting on the 1st day of radiation therapy and continuing throughout chemotherapy until the day of surgery. * Standard of care preoperative therapy will consist of a total of approximately 20-24 weeks of short-course pelvic radiation and chemotherapy: * Cycle 0 Days 1-7(Week 1): Short-course pelvic radiation therapy (SCRT), 5 fractions over 1 week * Cycle 0 Days 8-21 or 8-28 (Weeks 2-4): Treatment break for 2 to 3 weeks; for patients enrolled at Washington University and Dana Farber only, tumor biopsy will be obtained between the end of RT and prior to chemotherapy (target Days 14-28) * Cycles 1-6: (6) 21-day cycles of CAPOX for a total of 18 weeks. CAPOX is typically capecitabine at 1000 mg/m\^2 PO BID (days 1-14 of each cycle) and oxaliplatin 130 mg/m\^2 IV Q3W. * Surgery will follow approximately 4 to 6 weeks after completion of CAPOX
Phase II Treatment Cohort: Epacadostat + SCRT + Chemotherapy + SurgeryEXPERIMENTAL* Epacadostat 400 mg BID 1st day of radiation therapy and continuing for \~28 days, until biopsy (with the exception of patients enrolling to dose expansion and starting on epacadostat with neoadjuvant chemotherapy prior to approval of post-sIRB A2) * Preoperative therapy approximately 20-24 weeks of chemoradiation: * Week 1: SCRT, typically 5 Gy x 5 fractions over 1 week, with epacadostat 400 mg BID starting on D1 of SCRT * Weeks 2-4: Epacadostat monotherapy 400 mg BID \& continued for a minimum of 21 days, until the day prior to chemotherapy * For patients enrolled at Washington University and Dana Farber Cancer Institute ONLY, tumor biopsy between the end of RT and prior to initiation of chemotherapy. Tumor biopsy target of between Days 15-28 * Weeks 3-6: 4-5 weeks after completion of SCRT \& after completion of approximately 21-35 days of epacadostat, SOC neoadjuvant chemotherapy of CAPOX or FOLFOX will be initiated * Surgery will occur approximately 4-6 weeks after chemotherapy
Phase II Biomarker Cohort: SCRT + Chemotherapy + SurgeryACTIVE_COMPARATORWashington University and Dana Farber only: Patients enrolled to this cohort will not receive epacadostat. Patients will undergo standard of care preoperative therapy consisting of approximately 20 to 24 weeks of chemoradiation. All treatment will be administered in this cohort as per institutional standard. The expected schedule for these patients will consist of 1 week of short-course pelvic radiation therapy, followed by a treatment break, followed by neoadjuvant chemotherapy. Approximately 4 to 6 weeks after completion of neoadjuvant chemotherapy, patients may undergo surgery. Tumor biopsy may occur at screening and after completion of RT, prior to starting neoadjuvant chemotherapy.
Treatment Group AEXPERIMENTALEpacadostat + pembrolizumab + mFOLFOX6 (oxaliplatin, leucovorin, 5-fluorouracil)
Treatment Group BEXPERIMENTALEpacadostat + pembrolizumab + gemcitabine and nab-paclitaxel
Treatment Group CEXPERIMENTALEpacadostat + pembrolizumab + carboplatin and paclitaxel
Treatment Group DEXPERIMENTALEpacadostat + pembrolizumab + pemetrexed and investigators choice of platinum agent
Treatment Group EEXPERIMENTALEpacadostat + pembrolizumab + cyclophosphamide
Treatment Group FEXPERIMENTALEpacadostat + pembrolizumab + gemcitabine and investigators choice of platinum agent
Treatment Group GEXPERIMENTALEpacadostat + pembrolizumab + investigators choice of platinum agent and 5-fluorouracil
MEDI4736 + INCB024360EXPERIMENTALMEDI4736 at selected dose levels every 2 weeks + INCB024360 25 mg BID as starting dose, followed by dose escalations until MTD or PAD is identified
Phase 1 Part 1 Epacadostat 25mg BID +NivolumabEXPERIMENTALEpacadostat 25mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab administered intravenously (IV) at 3mg/kg Q2W
Phase 1 Part 1 Epacadostat 50mg BID +NivolumabEXPERIMENTALEpacadostat 50mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab administered intravenously (IV) at 3mg/kg Q2W
Phase 1 Part 1 Epacadostat 100mg BID +NivolumabEXPERIMENTALEpacadostat 100mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab administered intravenously (IV) at 3mg/kg Q2W.
Phase 1 Part 1 Epacadostat 300mg BID +NivolumabEXPERIMENTALEpacadostat 300mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab administered intravenously (IV) at 3mg/kg Q2W.
Phase 1 Part 2 Epacadostat 100mg BID +Nivolumab +5-FU/PlatinumEXPERIMENTALEpacadostat 100mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab 360mg Q3W and 5-FU/Platinum( Carboplatin or Cisplatin+5-Fluorouracil) administered intravenously (IV).
Phase 1 Part 2 Epacadostat 100mg BID +Pemetrexed/PlatinumEXPERIMENTALEpacadostat 100mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab 360 mg Q3W and Pemetrexed/Platinum (Carboplatin orCisplatin+Pemetrexed) administered intravenously (IV).
Phase 1 Part 2 Epacadostat 100mg BID +Paclitaxel/PlatinumEXPERIMENTALEpacadostat 100mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab 360 mg Q3W and Paclitaxel/Platinum(Carboplatin+Cisplatin+Paclitaxel)administered intravenously (IV).
Phase 2 Epacadostat 100mg BID + NivolumabEXPERIMENTALEpacadostat 100mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab 240mg Q2W or 480 mg Q4W based on tumor type administered intravenously (IV).
Phase 2 Epacadostat 300mg BID + NivolumabEXPERIMENTALEpacadostat 300mg oral twice daily (BID) continuous daily dosing in combination with Nivolumab 240mg Q2W administered intravenously (IV).
Phase 1: MK-3475 + INCB024360EXPERIMENTALPhase 1: MK-3475 + INCB024360 25 mg twice a day (BID) as starting dose, followed by dose escalations (Phase 1) until recommended phase 2 dose of INCB024360 is determined
Phase 2: MK-3475 + INCB024360EXPERIMENTAL(recommended phase 2 dose)
INCB024360EXPERIMENTAL -

Interventions

NameTypeDescription
PembrolizumabDRUGPembrolizumab administered intravenously Day 1 of each cycle every 3 weeks.
EpacadostatDRUGEpacadostat administered orally twice daily.
PlaceboDRUGMatching placebo administered orally twice daily.
SunitinibDRUGSunitinib 50 mg administered orally once daily; 4 weeks on, 2 weeks off for 6-wk cycle.
PazopanibDRUGPazopanib 800 mg administered orally once daily.
CetuximabDRUGCetuximab administered intravenously on Cycle 1 Day 1 followed by administration every week.
CisplatinDRUGCisplatin administered intravenously every 3 weeks for \</= 6 cycles.
CarboplatinDRUGCarboplatin administered intravenously every 3 weeks for \</= 6 cycles.
5-FluorouracilDRUG5-Fluorouracil administered intravenously every 3 weeks for \</= 6 cycles.
BevacizumabDRUG-The first infusion will be over the course of 90 minutes; if tolerated, the second infusion will be over the course of 60 minutes; if tolerated, all subsequent infusions will be over 30 minutes
Radiation therapyRADIATION-The gross tumor maximum diameter (to be irradiated) to be \</= 6 cm in the first 6 patients. If more than 1 target is irradiated, then the sum of all the target maximum diameters should be \</= 6 cm. No more than 3 separate targets for RT is allowed.
RetifanlimabDRUG-Will be supplied by Incyte
INCMGA00012DRUG500mg IV neoadjuvant treatment; 500 mg adjuvant treatment
INCAGN01876DRUG300mg IV neoadjuvant treatment; 300 mg adjuvant treatment
SRSDRUGadministered over the course of 3 consecutive business days (8 Gy x 3 fractions, one fraction per day, total dose 24 Gy).
Brain surgeryPROCEDUREmaximal safe surgical resection of the tumor.
Platinum-based chemotherapyDRUGInvestigator selected one of the following regimens: pemetrexed + cisplatin, pemetrexed + carboplatin, or paclitaxel + carboplatin, depending on histology.
DEC-205/NY-ESO-1 Fusion Protein CDX-1401BIOLOGICALGiven via intracutaneous injection
Laboratory Biomarker AnalysisOTHERCorrelative studies
Pharmacological StudyOTHERCorrelative studies
Poly ICLCDRUGGiven SC
Short-course radiation therapyRADIATIONShort-course pelvic radiation therapy, 5 Gy x 5 fractions over 1 week
CAPOX chemotherapyDRUGStandard of care
FOLFOX chemotherapyDRUGStandard of care
OxaliplatinDRUGOxaliplatin
LeucovorinDRUGLeucovorin
GemcitabineDRUGGemcitabine
nab-PaclitaxelDRUGnab-Paclitaxel
PaclitaxelDRUGPaclitaxel
PemetrexedDRUGPemetrexed
CyclophosphamideDRUGCyclophosphamide
Investigator's choice of platinum agentDRUGInvestigator's choice of platinum agent: carboplatin or cisplatin
MEDI4736DRUGMEDI4736 administered intravenously (IV) every two weeks (q2w)
INCB024360DRUGINCB024360: Oral daily dosing
NivolumabDRUGspecified dose and dosing schedule
ChemotherapyDRUGSpecified dose on specified days
MK-3475DRUGIV infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites135

Inclusion Criteria: * Histologically-confirmed diagnosis of urothelial carcinoma of the renal pelvis, ureter, bladder, or urethra, that is transitional cell, or mixed transitional/non-transitional (predominantly transitional) cell type. * Progression or recurrence of urothelial carcinoma following ...

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Frequently asked questions about INCB024360

What is INCB024360?

INCB024360 is an investigational small molecule developed by Incyte Corporation for oncology. It has been studied in Phase 1 clinical trials in patients with advanced solid tumors and hematologic malignancies, including microsatellite-instability high colorectal cancer. It is not approved for any indication.

What is INCB024360 used for in microsatellite-instability high colorectal cancer?

INCB024360 has been studied in Phase 1 trials for microsatellite-instability high colorectal cancer, along with other advanced solid tumors such as endometrial, head and neck, hepatocellular, gastric, lung, renal cell, ovarian, urothelial, bladder, melanoma, triple negative breast cancer, and lymphoma. It remains investigational and is not approved for any use.

Who makes INCB024360?

INCB024360 is developed by Incyte Corporation, which trades on the Nasdaq under the ticker INCY. Incyte is the sponsor of the clinical trials evaluating this small molecule in oncology indications.

What phase is INCB024360 in?

INCB024360 is in Phase 1 clinical development. All completed trials of INCB024360 were Phase 1 studies, and no later-phase trials are recorded. It is an investigational agent and has not been approved by the FDA for any indication.

What clinical trials is INCB024360 in?

INCB024360 has been evaluated in three completed Phase 1 trials: NCT02318277 (ECHO-203) in combination with durvalumab in advanced solid tumors, NCT02178722 in combination with MK-3475 in selected cancers, and NCT01195311, a dose-escalation study in advanced malignancies. All three trials are completed.