New cancer drug INCA32459 enters early human testing
NCT ID NCT05577182
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tested a new drug called INCA32459 in 46 people with advanced cancers that had spread. The main goals were to check safety, find the right dose, and see how the body handles the drug. It is too early to know if the drug works, but the results will guide future studies.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- INCA32459
- What this could lead to
- If successful, this could point toward a new treatment option for certain advanced cancers.
- What could go wrong
- This is a very early Phase 1 trial with only 46 people, focused on safety and dosing. It is too soon to know if the drug works, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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46 people
The number who actually took part.
- Started
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Jan 2023
- Finished
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Oct 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically or cytologically confirmed advanced malignancies as follows: 1. Part 1 only: Participants with the select advanced malignancies as specified in the protocol. 2. Part 2 only: * Cohort 1 only: Participants with Stage III (unresectable) or Stage IV (metastatic) melanoma that is considered nonamenable to curative treatments or procedures. * Cohort 2 only: Participants with histologically or cytologically confirmed recurrent/metastatic SCCHN that is PD-L1 positive (CPS ≥ 1) which is not amenable to local therapy with curative intent. * Participants must have experienced disease progression after treatment with standard therapies, or are intolerant to or ineligible for standard treatment: 1. Part 1: All available standard therapies, including anti-PD-(L)1 and platinum-based therapy, if applicable, that are known to confer clinical benefit. Prior anti-PD-(L)1 therapy should not have been discontinued because of intolerance. 2. Part 2: Available standard therapies, including anti-PD-(L)1 and platinum-based therapy, if applicable, that are known to confer clinical benefit. Prior anti-PD-(L)1 therapy should not have been discontinued because of intolerance. Part 2 participants may have received up to 2 prior systemic therapies in the a advanced/metastatic setting. * ECOG performance status of 0 or 1 * Part 2 only: Measurable disease according to RECIST v1.1. * Part 2 only: Willingness to undergo a fresh tumor biopsy at screening (core or excisional). * Part 2 only: Willingness to undergo a fresh tumor biopsy at screening and on-treatment in selected participant. * Willingness to avoid pregnancy or fathering children Exclusion Criteria: * Prior treatment with any LAG-3- or MHC Class II-directed therapy for current malignancy, or any prior malignancy. * Treatment with anticancer therapies or participation in another interventional clinical study within 28 days before the first administration of study treatment (this includes curative radiation to the thorax or systemic anticancer therapies). * Not recovered to ≤ Grade 1 or baseline from residual toxicities of prior therapy (with exceptions specified in the protocol). * Not recovered adequately from toxicities and/or complications from surgical intervention before starting study treatment. * Palliative radiation therapy administered within 1 week of first dose of study treatment or radiation therapy in the thoracic region that is \> 30 Gy within 6 months of the first dose of study treatment. * Any known additional malignancy that is progressing or requires active treatment; history of other malignancy within 3 years of the first dose of study treatment (with exceptions specified in the protocol). * Evidence of interstitial lung disease or history of interstitial lung disease, or active, noninfectious pneumonitis. * Active autoimmune disease requiring systemic immunosuppression with corticosteroids (\> 10 mg/day of prednisone or equivalent) or immunosuppressive drugs within 2 years before the first dose of study treatment. * Untreated brain or CNS metastases or brain or CNS metastases that have progressed (eg, evidence of new or enlarging brain metastasis or new neurological symptoms attributable to brain or CNS metastases). * Chronic treatment with systemic steroids (\> 10 mg/day of prednisone or equivalent).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Centro Integral Oncologico Clara Campal
Madrid, 28050, Spain
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Centro Ricerche Cliniche Di Verona (Crc)
Verona, 37134, Italy
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Chu Ucl Namur University Hospital Mont-Godinne
Yvoir, 05530, Belgium
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Cliniques Universitaires Ucl Saint-Luc
Brussels, 01200, Belgium
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Hospital Quironsalud Barcelona
Barcelona, 08023, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Quironsalud Madrid
Pozuelo de Alarcón, 28223, Spain
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Ico Institut Catala D Oncologia
L'Hospitalet de Llobregat, 08906, Spain
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The Angeles Clinic and Research Institute
Los Angeles, California, 90025, United States
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Universitair Ziekenhuis Antwerpen (Uza)
Edegem, 02650, Belgium
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Universitair Ziekenhuis Brussel
Jette, 01090, Belgium
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Universitair Ziekenhuis Gent
Ghent, 09000, Belgium
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University of Texas Md Anderson Cancer Center
Houston, Texas, 77030, United States
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