Trial Outcomes & Findings for INCMGA00012 in Patients With Previously Treated Unresectable or Metastatic Adenosquamous Pancreatic or Ampullary Cancer (NCT NCT04116073)

NCT ID: NCT04116073

Last Updated: 2025-07-29

Results Overview

Disease control rate (DCR) is defined as the proportion of subjects with complete response, partial response and stable disease based on RECIST 1.1 criteria. CR = disappearance of all target lesions, PR is =\>30% decrease in sum of diameters of target lesions. SD=Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. Subjects who discontinue due to toxicity prior to post-baseline tumor assessments will be evaluable and considered treatment failures.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

25 participants

Primary outcome timeframe

4 months

Results posted on

2025-07-29

Participant Flow

Participant milestones

Participant milestones
Measure
INCMGA00012 (PD-1 Antibody)
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Overall Study
STARTED
25
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
INCMGA00012 (PD-1 Antibody)
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Overall Study
Withdrawal by Subject
2
Overall Study
failed to maintained eligibility
1

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
INCMGA00012 (PD-1 Antibody)
n=22 Participants
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Age, Categorical
<=18 years
0 Participants
n=39 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=39 Participants
Age, Categorical
>=65 years
17 Participants
n=39 Participants
Sex: Female, Male
Female
10 Participants
n=39 Participants
Sex: Female, Male
Male
12 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
3 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
Race (NIH/OMB)
White
18 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=39 Participants
Region of Enrollment
United States
22 Participants
n=39 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG 0
6 Participants
n=39 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG 1
16 Participants
n=39 Participants

PRIMARY outcome

Timeframe: 4 months

Population: One subject didnt have a follow up scan after receiving a dose of the study drug.

Disease control rate (DCR) is defined as the proportion of subjects with complete response, partial response and stable disease based on RECIST 1.1 criteria. CR = disappearance of all target lesions, PR is =\>30% decrease in sum of diameters of target lesions. SD=Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. Subjects who discontinue due to toxicity prior to post-baseline tumor assessments will be evaluable and considered treatment failures.

Outcome measures

Outcome measures
Measure
INCMGA00012 (PD-1 Antibody)
n=21 Participants
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Disease Control Rate (DCR) at 4 Months Using RECIST 1.1
2 Participants

SECONDARY outcome

Timeframe: 4 years

Population: One subject didnt have a follow up scan after receiving a dose of the study drug.

ORR is defined as the proportion subjects with partial response (PR) or complete response (CR) according to RECIST 1.1. Subjects who discontinue due to toxicity or clinical progression prior to post-baseline tumor assessments will be considered as non-responders

Outcome measures

Outcome measures
Measure
INCMGA00012 (PD-1 Antibody)
n=21 Participants
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Objective Response Rate (ORR) Using RECIST 1.1.
0 Participants

SECONDARY outcome

Timeframe: 34 months

Progression-free survival (PFS) is defined as the number of months from the first dose of retifanlimab to radiographic disease progression (PD or relapse from CR as assessed using RECIST 1.1 criteria), documented clinical progression as assessed by the treating provider, or death due to any cause. PFS will be censored at the date of the last scan for subjects without documentation of disease progression at the time of analysis.

Outcome measures

Outcome measures
Measure
INCMGA00012 (PD-1 Antibody)
n=22 Participants
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Progression-free Survival (PFS)
1.8 months
Interval 1.6 to 2.0

SECONDARY outcome

Timeframe: 26 months

Number of participants experiencing study drug-related adverse events Grade 3 or higher as defined by CTCAE v5.0.

Outcome measures

Outcome measures
Measure
INCMGA00012 (PD-1 Antibody)
n=22 Participants
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Grade 3 and Higher Study Drug-related Toxicities.
Any grade 3 and higher related AE
3 Participants
Grade 3 and Higher Study Drug-related Toxicities.
ALT increased
2 Participants
Grade 3 and Higher Study Drug-related Toxicities.
AST increased
1 Participants
Grade 3 and Higher Study Drug-related Toxicities.
Hypophosphatemia
1 Participants

Adverse Events

INCMGA00012 (PD-1 Antibody)

Serious events: 9 serious events
Other events: 21 other events
Deaths: 17 deaths

Serious adverse events

Serious adverse events
Measure
INCMGA00012 (PD-1 Antibody)
n=25 participants at risk
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Gastrointestinal disorders
Abdominal pain
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Investigations
Alanine Aminotransferase Increased
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Investigations
Aspartate Aminotransferase Increased
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Cardiac disorders
Atrial Fibrillation
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Hepatobiliary disorders
Bile Duct Stenosis
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Cardiac disorders
Cardiac Arrest
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
General disorders
Disease Progression
20.0%
5/25 • Number of events 5 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Musculoskeletal and connective tissue disorders
Generalized Muscle Weakness
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Infections and infestations
Lung Infection
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Infections and infestations
Sepsis
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Gastrointestinal disorders
Small Intestinal Obstruction
4.0%
1/25 • Number of events 1 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.

Other adverse events

Other adverse events
Measure
INCMGA00012 (PD-1 Antibody)
n=25 participants at risk
All participants received the interventional study drug; INCMGA00012. INCMGA00012 (PD-1 antibody): 500 mg, 30 min IV infusion on Day 1 of each cycle (every 28 days)
Blood and lymphatic system disorders
Anemia
16.0%
4/25 • Number of events 10 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Endocrine disorders
Hypothyroidism
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Gastrointestinal disorders
Abdominal Pain
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Gastrointestinal disorders
Nausea
8.0%
2/25 • Number of events 2 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Gastrointestinal disorders
Vomiting
8.0%
2/25 • Number of events 2 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
General disorders
Chills
8.0%
2/25 • Number of events 2 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
General disorders
Edema Limbs
16.0%
4/25 • Number of events 4 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
General disorders
Fatigue
32.0%
8/25 • Number of events 8 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
General disorders
Fever
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Infections and infestations
Thrush
16.0%
4/25 • Number of events 4 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Infections and infestations
Urinary Tract Infection
8.0%
2/25 • Number of events 4 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Injury, poisoning and procedural complications
Bruising
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Injury, poisoning and procedural complications
Fall
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Investigations
Alanine Aminotransferase Increased
8.0%
2/25 • Number of events 6 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Investigations
Alkaline Phosphatase Increased
12.0%
3/25 • Number of events 4 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Injury, poisoning and procedural complications
Aspartate Aminotransferase Increased
12.0%
3/25 • Number of events 5 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Injury, poisoning and procedural complications
Lymphocyte Count Decreased
8.0%
2/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Investigations
Weight Gain
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Investigations
Weight Loss
32.0%
8/25 • Number of events 11 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Metabolism and nutrition disorders
Anorexia
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Metabolism and nutrition disorders
Hypoalbuminemia
8.0%
2/25 • Number of events 4 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Metabolism and nutrition disorders
Hypokalemia
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Musculoskeletal and connective tissue disorders
Arthralgia
12.0%
3/25 • Number of events 3 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Musculoskeletal and connective tissue disorders
Flank pain
8.0%
2/25 • Number of events 2 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Nervous system disorders
Headache
8.0%
2/25 • Number of events 2 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Skin and subcutaneous tissue disorders
Dry skin
8.0%
2/25 • Number of events 2 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Skin and subcutaneous tissue disorders
Pruritus
12.0%
3/25 • Number of events 4 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Skin and subcutaneous tissue disorders
Rash Acneiform
8.0%
2/25 • Number of events 2 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.
Vascular disorders
Thromboembolic Event
20.0%
5/25 • Number of events 5 • Adverse events were collected for up to 26 months. Subjects were followed for survival for up 56 months.

Additional Information

Nilo Azad

Sidney Kimmel Comprehensive Center at Johns Hopkins

Phone: 410-614-9169

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place