Lymphoma, Colorectal Cancer, Head and Neck Cancer, Small Cell Lung Cancer, Skin Cancer, Genitourinary & Gynecologic Cancer, Glioblastoma
A Study of the Safety, Tolerability, and Efficacy of Epacadostat Administered in Combination With Nivolumab in Select Advanced Cancers (ECHO-204)
Results Available
Clinical Study Purpose
This is a Phase 1/2, open label study. Phase 1 consists of 2 parts. Part 1 is a dose-escalation assessment of the safety and tolerability of epacadostat administered with nivolumab in subjects with select advanced solid tumors and lymphomas. Part 2 will evaluate the safety and tolerability of epacadostat in combination with nivolumab and chemotherapy in subjects with squamous cell carcinoma of head and neck (SCCHN) and non-small cell lung cancer (NSCLC).
Phase 2 will include expansion cohorts in 7 tumor types, including melanoma, NSCLC, SCCHN, colorectal cancer, ovarian cancer, glioblastoma and diffuse large B-cell lymphoma (DLBCL).
Clinical Study Summary









Clinical Study Locations
Key Inclusion and Exclusion Criteria
Inclusion Criteria
- Male or female subjects, age 18 years or older
- Subjects with histologically or cytologically confirmed NSCLC, MEL (including I/O relapsed MEL or I/O refractory MEL), CRC, SCCHN, ovarian cancer, recurrent B cell NHL or HL, or glioblastoma
Exclusion Criteria
- Laboratory and medical history parameters not within Protocol-defined range
- Currently pregnant or breastfeeding
Protocol Summary
Phase 1, Part 1: Safety and tolerability of epacadostat and nivolumab assessed by number of subjects with dose limiting toxicities (DLTs)
Timeframe: 42 days
Phase 1, Part 2: Safety and tolerability of epacadostat administered in combination with nivolumab and chemotherapy regimen assessed by number of subjects with DLTs
Timeframe: 42 days
Phase 1, Part 1 and 2: Safety assessed by the frequency of adverse events, serious adverse events, and deaths
Timeframe: From study start up to clinical data cut-off date of 01 Feb 2019
Phase 2: Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 for subjects with solid tumors and per Cheson criteria for subjects with DLBCL
Timeframe: Response is assessed every 8 weeks up to 6 months
Phase 2: Progression free survival (PFS)
Timeframe: Response is assessed every 8 weeks up to 6 months
Phase 2: Overall survival (OS) for subjects with Glioblatoma
Timeframe: Subjects will be followed-up for survival every 12 weeks for a minimum of 9 months.
Phase 1, Part 1: ORR per RECIST v1.1 and mRECIST for subjects with solid tumors; per Cheson and mCheson criteria for subjects with B-cell NHL; and per RANO and mRANO criteria for subjects with GBM
Timeframe: Response will be assessed every 8 weeks during study participation which is estimated to be a minimum of 6 months.
Phase 1, Part 2: ORR per RECIST v1.1 and modified RECIST for subjects with advanced or metastatic SCCHN and advanced or metastatic NSCLC
Timeframe: Response will be assessed every 8 weeks during study participation which is estimated to be a minimum of 6 months.
Phase 1, Part 2: Duration of response (DOR) for subjects with advanced or metastatic SCCHN and advanced or metastatic NSCLC
Timeframe: Response will be assessed every 8 weeks during study participation which is estimated to be a minimum of 6 months.
Phase 1, Part 2: PFS for subjects with advanced or metastatic SCCHN and advanced or metastatic NSCLC
Timeframe: Response will be assessed every 8 weeks during study participation which is estimated to be a minimum of 6 months.
Phase 2: Duration of response (DOR)
Timeframe: Response will be assessed every 8 weeks during study participation which is estimated to be a minimum of 6 months.
Phase 2: Duration of disease control, defined as CR, PR, and stable disease (SD)
Timeframe: Response will be assessed every 8 weeks during study participation which is estimated to be a minimum of 6 months.
Phase 2: Safety and tolerability measured by the frequency of adverse events (AEs), serious adverse events (SAEs), and deaths
Timeframe: AEs are assessed for the duration of the study participation which is estimated to be a minimum of 27 months (24 months +100 day safety FU).