Status:

COMPLETED

INCMGA00012 in Patients With Previously Treated Unresectable or Metastatic Adenosquamous Pancreatic or Ampullary Cancer

Lead Sponsor:

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Collaborating Sponsors:

Incyte Corporation

National Cancer Institute (NCI)

Conditions:

Pancreatic Cancer Non-resectable

Pancreatic Cancer Metastatic

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Phase 2 study to evaluate the clinical activity of INCMGA00012 in patients with Unresectable or metastatic Adenosquamous Pancreatic or Ampullary Cancer.

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Age ≥18 years.
  • Have histologically or cytologically - proven adenosquamous carcinoma of the pancreas or ampulla.
  • Has unresectable or metastatic measurable disease.
  • Has received (or been intolerant to or ineligible for) at least 1 prior line of cytotoxic chemotherapy and received no more than 2 prior systemic treatments.
  • Presence of at least one lesion with measurable disease.
  • Accept to have a tumor biopsy of an accessible lesion at baseline and on treatment.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • If HIV-positive, then all of the following criteria must also be met: cluster of differentiation (CD) 4+ count ≥ 350/μL, undetectable viral load, and receiving highly active antiretroviral therapy.
  • Life expectancy of greater than 3 months.
  • Patients must have adequate organ and marrow function defined by study-specified laboratory tests prior to initial study drug.
  • Woman of childbearing potential must have a negative pregnancy test and follow contraceptive guidelines as defined per protocol.
  • Men must use acceptable form of birth control while on study.
  • Ability to understand and willingness to sign a written informed consent document.
  • Exclusion Criteria
  • Known history or evidence of brain metastases.
  • Has had chemotherapy, radiation, or biological cancer therapy within 14 days prior to the first dose of study drug.
  • Has received an investigational agent or used an investigational device within 28 days of the first dose of study drug.
  • Expected to require any other form of systemic or localized antineoplastic therapy while on study.
  • Has had major surgery within 28 days of dosing of investigational agent, excluding minor procedures.
  • Has received a live vaccine within 28 days prior to the first dose of study drug.
  • Prior treatment with immunotherapy agents (including, anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA4, anti-OX40 and LAG-3 antibodies)
  • Have used any systemic steroids within 14 days of study treatment.
  • Hypersensitivity reaction to any monoclonal antibody.
  • Evidence of clinical or radiographic ascites.
  • Have clinically significant and/or malignant pleural effusion.
  • Uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, symptomatic congestive heart failure, unstable angina, cardiac arrhythmia, metastatic cancer, or psychiatric illness/social situations that would limit compliance with study requirements.
  • History of autoimmune disease requiring systemic immunosuppression within the last 2 years.
  • Presence of any tissue or organ allograft, regardless of need for immunosuppression, including corneal allograft. Patients with a history of allogeneic hematopoeitic stem cell transplant will be excluded.
  • All toxicities attributed to prior anti-cancer therapy other than alopecia and fatigue must have resolved to a grade 1 or baseline before administration of study drug.
  • Infection with Hepatitis A, B or C.
  • Patient has a pulse oximetry of \<92% on room air.
  • Patient is on supplemental home oxygen.
  • Has an unhealed surgical wound or ulcer, or a bone fracture considered non-healing.
  • Patient has clinically significant heart disease.
  • Patient is, at the time of signing informed consent, a regular user (including "recreational use") of any illicit drugs or other substance abuse.
  • Unwilling or unable to follow the study schedule for any reason.
  • Patient has history of non-infectious pneumonitis.
  • Serum albumin level less than 2.8 g/dL.

Exclusion

    Key Trial Info

    Start Date :

    April 9 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 3 2024

    Estimated Enrollment :

    25 Patients enrolled

    Trial Details

    Trial ID

    NCT04116073

    Start Date

    April 9 2020

    End Date

    December 3 2024

    Last Update

    July 29 2025

    Active Locations (1)

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    Sidney Kimmel Comprehensive Cancer Center

    Baltimore, Maryland, United States, 21231