Trial Outcomes & Findings for Itacitinib in Advanced Hepatocellular Carcinoma (NCT NCT04358185)

NCT ID: NCT04358185

Last Updated: 2026-05-04

Results Overview

Assessment of adverse events relating to experimental drug intake according to the Common Terminology Criteria for Adverse Events (CTCAE) V4.03. An adverse event (AE) is any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which dose not necessarily have a casual relationship with this treatment. An AE can therefore be any unfavourable and unintended (including an abnormal laboratory finding), symptoms, or disease temporally associated with the use of an investigational medicinal project (IMP), whether or not considered related to the IMP. Treatment-related adverse events (TrAE) are AEs that are possibly, probably, or likely related to the IMP. Here, TrAEs are reported.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

19 participants

Primary outcome timeframe

Throughout study completion, up to 1 year

Results posted on

2026-05-04

Participant Flow

Participant milestones

Participant milestones
Measure
Itacitinib
Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1
Overall Study
STARTED
19
Overall Study
COMPLETED
15
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Itacitinib
n=19 Participants
Itacitinib (INCB039110) - novel and small molecule selective inhibitor of JAK1 Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1
Age, Continuous
66 Years
n=19 Participants
Sex: Female, Male
Female
1 Participants
n=19 Participants
Sex: Female, Male
Male
18 Participants
n=19 Participants
Region of Enrollment
United Kingdom
19 Participants
n=19 Participants
Child-Pugh class
Class A
15 Participants
n=19 Participants
Child-Pugh class
Class B
4 Participants
n=19 Participants
BCLC Stage
Stage B
7 Participants
n=19 Participants
BCLC Stage
Stage C
12 Participants
n=19 Participants
ECOG Performance Score
0
11 Participants
n=19 Participants
ECOG Performance Score
1
8 Participants
n=19 Participants
Cirrhosis
18 Participants
n=19 Participants
Portal Vein Thrombosis (PVT)
7 Participants
n=19 Participants

PRIMARY outcome

Timeframe: Throughout study completion, up to 1 year

Assessment of adverse events relating to experimental drug intake according to the Common Terminology Criteria for Adverse Events (CTCAE) V4.03. An adverse event (AE) is any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which dose not necessarily have a casual relationship with this treatment. An AE can therefore be any unfavourable and unintended (including an abnormal laboratory finding), symptoms, or disease temporally associated with the use of an investigational medicinal project (IMP), whether or not considered related to the IMP. Treatment-related adverse events (TrAE) are AEs that are possibly, probably, or likely related to the IMP. Here, TrAEs are reported.

Outcome measures

Outcome measures
Measure
Itacitinib
n=19 Participants
Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1
To Assess the Safety and Tolerability of Itacitinib in Patients With HCC: Adverse Events
14 Participants

PRIMARY outcome

Timeframe: Throughout study completion, up to 1 year

Population: Four participants did not undergo radiologic evaluation (one patient was withdrawn from the study due to lack of compliance, two experiences severe AE's that led to treatment cessation and one did following cycle 1).

The Response Evaluation Criteria in Solid Tumours (RECIST) criteria v1.1. classifies response based on the assessment of target and non-target lesions on CT scans as: * Complete Response (CR): requires all of: * disappearance of all target and non-target lesions * pathological lymph nodes must have reduced to \<10 mm in short axis * no new lesions * Partial Response (PR): requires all of: * at least 30% decrease in sum of diameters (SOD) of target lesions compared to baseline sum diameters * non-progressive disease of non-target lesions * no new lesions * Progressive Disease (PD): either one of: * any new lesions * at least 20% relative and 5 mm absolute increase of SOD of target lesions compared to smallest SOD ever recorded for the patient * Stable Disease (SD): not meeting criteria for PD or PR.

Outcome measures

Outcome measures
Measure
Itacitinib
n=15 Participants
Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1
To Assess Efficacy of Itacitinib by Overall Response Rate: Objective Response Rate (ORR)
Complete Response
0 Participants
To Assess Efficacy of Itacitinib by Overall Response Rate: Objective Response Rate (ORR)
Partial Response
0 Participants
To Assess Efficacy of Itacitinib by Overall Response Rate: Objective Response Rate (ORR)
Stable Disease
7 Participants
To Assess Efficacy of Itacitinib by Overall Response Rate: Objective Response Rate (ORR)
Progressive Disease
8 Participants

SECONDARY outcome

Timeframe: Throughout study completion, up to 1 year

Progression free survival (PFS), defined as time from study entry to first evidence of disease progression assessed by RECIST or death due to any cause.

Outcome measures

Outcome measures
Measure
Itacitinib
n=19 Participants
Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1
Efficacy of Itacitinib by Progression Free Survival
3.5 months
Interval 2.6 to 4.5

SECONDARY outcome

Timeframe: Throughout study completion, up to 1 year

Overall survival (OS), defined as time from study entry to death due to any cause.

Outcome measures

Outcome measures
Measure
Itacitinib
n=19 Participants
Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1
Efficacy of Itacitinib by Overall Survival
7.4 months
Interval 4.3 to 10.5

OTHER_PRE_SPECIFIED outcome

Timeframe: Throughout study completion, up to 1 year

Correlation of changes in proinflammatory cytokines (multiplex bead array) with treatment response (mRECIST)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Throughout study completion, up to 1 year

Using mRECIST to find the correlation between the presence of predefined JAK1 mutations in tumour tissue with treatment outcome

Outcome measures

Outcome data not reported

Adverse Events

Overall Study

Serious events: 10 serious events
Other events: 14 other events
Deaths: 16 deaths

Serious adverse events

Serious adverse events
Measure
Overall Study
n=19 participants at risk
Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1.
Renal and urinary disorders
Acute kidney injury
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Infections and infestations
Coronavirus infection
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Respiratory, thoracic and mediastinal disorders
Pneumonia
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Nervous system disorders
Spinal cord compression
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Blood and lymphatic system disorders
Thrombocytopenia
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Blood and lymphatic system disorders
Anaemia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Hepatobiliary disorders
Biliary sepsis
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Cardiac disorders
Cardiac failure congestive
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Nervous system disorders
Encephalopathy
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Frequent bowel movements
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Hepatobiliary disorders
Hepatic failure
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Metabolism and nutrition disorders
Hyponatraemia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Hepatobiliary disorders
Liver injury
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Renal and urinary disorders
Urinary tract infection
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.

Other adverse events

Other adverse events
Measure
Overall Study
n=19 participants at risk
Itacitinib (INCB039110): Novel and small molecule selective inhibitor of JAK1.
Gastrointestinal disorders
Vomiting
26.3%
5/19 • Number of events 8 • Throughout study completion, up to 1 year.
Nervous system disorders
Dysgeusia
26.3%
5/19 • Number of events 7 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Constipation
21.1%
4/19 • Number of events 6 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Diarrhoea
15.8%
3/19 • Number of events 6 • Throughout study completion, up to 1 year.
General disorders
Mucosal inflammation
26.3%
5/19 • Number of events 6 • Throughout study completion, up to 1 year.
Skin and subcutaneous tissue disorders
Rash
21.1%
4/19 • Number of events 5 • Throughout study completion, up to 1 year.
Nervous system disorders
Palmar-plantar erythrodysaesthesia syndrome
21.1%
4/19 • Number of events 4 • Throughout study completion, up to 1 year.
Blood and lymphatic system disorders
Anaemia
15.8%
3/19 • Number of events 3 • Throughout study completion, up to 1 year.
Musculoskeletal and connective tissue disorders
Arthralgia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Cardiac disorders
Dyspnoea
15.8%
3/19 • Number of events 3 • Throughout study completion, up to 1 year.
Infections and infestations
Lower respiratory tract infection
10.5%
2/19 • Number of events 3 • Throughout study completion, up to 1 year.
General disorders
Pyrexia
10.5%
2/19 • Number of events 3 • Throughout study completion, up to 1 year.
General disorders
Swelling
10.5%
2/19 • Number of events 3 • Throughout study completion, up to 1 year.
Renal and urinary disorders
Urinary tract infection
15.8%
3/19 • Number of events 3 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Abdominal pain
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Investigations
Aspartate aminotransferase increased
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
General disorders
Chest pain
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Nervous system disorders
Dizziness
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Vascular disorders
Epistaxis
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Renal and urinary disorders
Haematuria
5.3%
1/19 • Number of events 2 • Throughout study completion, up to 1 year.
Hepatobiliary disorders
Hyperbilirubinaemia
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Nervous system disorders
Hypoaesthesia
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
General disorders
Oedema peripheral
10.5%
2/19 • Number of events 2 • Throughout study completion, up to 1 year.
Respiratory, thoracic and mediastinal disorders
Productive cough
5.3%
1/19 • Number of events 2 • Throughout study completion, up to 1 year.
Renal and urinary disorders
Acute kidney injury
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Investigations
Alanine aminotransferase increase
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Skin and subcutaneous tissue disorders
Alopecia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Musculoskeletal and connective tissue disorders
Back pain
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Investigations
Blood bilirubin increased
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Investigations
Blood creatinine increased
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Investigations
Blood triglycerides increased
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Skin and subcutaneous tissue disorders
Cellulitis
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Hepatobiliary disorders
Cholangitis
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Infections and infestations
Coronavirus infection
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Skin and subcutaneous tissue disorders
Erythema
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Gingival bleeding
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Musculoskeletal and connective tissue disorders
Gout
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Hepatobiliary disorders
Hepatic pain
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Endocrine disorders
Hyperglycaemia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Metabolism and nutrition disorders
Hyponatraemia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Nervous system disorders
Insomnia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Cardiac disorders
Left ventricular dysfunction
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Nervous system disorders
Lethargy
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Lip ulceration
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Psychiatric disorders
Mood swings
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Blood and lymphatic system disorders
Neutropenia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Renal and urinary disorders
Nocturia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Oral candidiasis
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Investigations
Oxygen saturation
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Musculoskeletal and connective tissue disorders
Pain in extremity
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Investigations
Platelet count decreased
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Renal and urinary disorders
Polyuria
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Skin and subcutaneous tissue disorders
Pruritus
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Immune system disorders
Psoriasis
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Skin and subcutaneous tissue disorders
Rash maculo-papular
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Cardiac disorders
Supraventricular tachycardia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Reproductive system and breast disorders
Testicular pain
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Blood and lymphatic system disorders
Thrombocytopenia
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Tooth abscess
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Investigations
Weight decreased
5.3%
1/19 • Number of events 1 • Throughout study completion, up to 1 year.
Respiratory, thoracic and mediastinal disorders
Cough
47.4%
9/19 • Number of events 10 • Throughout study completion, up to 1 year.
General disorders
Pain
26.3%
5/19 • Number of events 10 • Throughout study completion, up to 1 year.
Gastrointestinal disorders
Nausea
31.6%
6/19 • Number of events 8 • Throughout study completion, up to 1 year.
General disorders
Fatigue
57.9%
11/19 • Number of events 15 • Throughout study completion, up to 1 year.
Metabolism and nutrition disorders
Decreased appetite
42.1%
8/19 • Number of events 13 • Throughout study completion, up to 1 year.
Vascular disorders
Hypertension
42.1%
8/19 • Number of events 13 • Throughout study completion, up to 1 year.

Additional Information

Professor Rohini Sharma

Imperial College London

Phone: 02033131362

Results disclosure agreements

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