A Study to Find the Best Dose of BI 1387446 Alone or in Combination With BI 754091 in Patients With Different Types of Advanced or Metastatic Cancer (Solid Tumors)
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ClinicalTrials.gov Identifier: NCT04147234 |
Recruitment Status :
Recruiting
First Posted : November 1, 2019
Last Update Posted : January 12, 2021
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Neoplasms | Drug: BI 1387446 Drug: BI 754091 | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 266 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Phase I, First in Human Trial Evaluating BI 1387446 Alone and in Combination With BI 754091 in Solid Tumors |
Actual Study Start Date : | March 9, 2020 |
Estimated Primary Completion Date : | February 2, 2023 |
Estimated Study Completion Date : | December 3, 2023 |
Arm | Intervention/treatment |
---|---|
Experimental: Arm A: BI 1387446
superficial lesions
|
Drug: BI 1387446
intratumoral injection |
Experimental: Arm B: BI 1387446 in combination with BI 754091
superficial lesions
|
Drug: BI 1387446
intratumoral injection Drug: BI 754091 intravenous infusion |
Experimental: Arm C: BI 1387446 in combination with BI 754091
deep lesions
|
Drug: BI 1387446
intratumoral injection Drug: BI 754091 intravenous infusion |
- Maximum tolerated dose (MTD) based on number of Dose-limiting toxicities (DLTs) [ Time Frame: 3 weeks ]
- Number of patients with Dose limiting Toxicity (DLT) in the Maximum tolerated dose (MTD) evaluation period [ Time Frame: 3 weeks ]
- Objective response [ Time Frame: An average of 1 year ]
- Best percentage change from baseline in size of injected lesions [ Time Frame: An average of 1 year ]
- Best percentage change from baseline in size of target lesions [ Time Frame: An average of 1 year ]

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion criteria
- Histologically or cytologically confirmed diagnosis of an advanced, unresectable and/or metastatic malignant solid tumor and indication for treatment
- Patient must have exhausted established treatment options known to prolong survival for the malignant disease, or is not eligible for established treatment options.
- Medically fit and willing to undergo all mandatory trial procedures.
- At least one tumor lesion which is suitable for injection (Screening/initial administration), appropriate for the allocated treatment arm, and measurable.
- At least 1 discrete lesion, in addition to the lesion proposed for injection, which is amenable to biopsy and is not located in the brain, mediastinum or pancreas.
- Adequate organ function or bone marrow reserve
- Further inclusion criteria apply
Exclusion criteria:
- Any investigational or antitumour treatment (including antibodies targeting Programmed Cell Death-1 (PD1) - or programmed Death-Ligand 1 (PDL1)) within 4 weeks or 5 half-life periods (whichever is shorter) prior to the initial administration of BI 1387446 or BI 754091.
- Persistent toxicity from previous treatments (including Immune-related Adverse Events (irAEs)) that has not resolved to ≤ Grade 1, except for alopecia, xerostomia, and immunotherapy related endocrinopathies which may be included if clinically stable on hormone supplements or antidiabetic drugs as per Investigator judgement
- History or evidence of active, non-treatment related autoimmune disease, except for endocrinopathies which may be included if clinically stable on hormone supplements or antidiabetic drugs.
- History or evidence of pneumonitis related to prior immunotherapy
- Immunosuppressive corticosteroid doses (>10 mg prednisone daily or equivalent) within 2 weeks prior to the first dose of BI 1387446 or BI 754091.
- The tumor at the projected injection site has a high risk for local complications, e.g. bleeding related to encasement/infiltration of major blood vessels or contact with liver capsule, compression of vital structures in case of swelling of injected lesion, in the opinion of the Investigator.
- Active infection requiring systemic therapy at the start of treatment in the trial, including active viral hepatitis infection or active tuberculosis infection.
- Cardiac insufficiency New York Heart Association (NYHA) III or IV
- Left ventricular ejection fraction < 50% measured by echocardiography or Multigated Acquisition (MUGA) scan
- Mean resting corrected QT interval (QTc) >470 msec
- Arm C: Patients on therapeutic doses of anticoagulants.
- Further exclusion criteria apply

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04147234
Contact: Boehringer Ingelheim | 1-800-243-0127 | clintriage.rdg@boehringer-ingelheim.com |
United States, New York | |
Columbia University Medical Center-New York Presbyterian Hospital | Recruiting |
New York, New York, United States, 10032 | |
Contact: Matthew Ingham +001 (646) 317-7141 mi2337@cumc.columbia.edu | |
United States, Wisconsin | |
Froedtert and The Medical College of Wisconsin | Suspended |
Milwaukee, Wisconsin, United States, 53226 | |
Spain | |
Hospital Vall d'Hebron | Recruiting |
Barcelona, Spain, 08035 | |
Contact: Guzmán Alonso +34934894332 galonso@vhio.net | |
CIO Clara Campal | Recruiting |
Madrid, Spain, 28050 | |
Contact: Emiliano Calvo +34902107469 emiliano.calvo@startmadrid.com | |
Hospital Clínico de Valencia | Recruiting |
Valencia, Spain, 46010 | |
Contact: Andres Manuel Cervantes Ruiperez +34961973527 andres.cervantes@uv.es | |
United Kingdom | |
The Royal Marsden Hospital | Recruiting |
London, United Kingdom, SW3 6JJ | |
Contact: Kevin Harrington 0207 153 5157 kevin.harrington@icr.ac.uk | |
Churchill Hospital | Recruiting |
Oxford, United Kingdom, OX3 7LE | |
Contact: Eileen Parkes 01865 741841 eileen.parkes@oncology.ox.ac.uk |
Responsible Party: | Boehringer Ingelheim |
ClinicalTrials.gov Identifier: | NCT04147234 |
Other Study ID Numbers: |
1426-0001 2019-001082-32 ( EudraCT Number ) |
First Posted: | November 1, 2019 Key Record Dates |
Last Update Posted: | January 12, 2021 |
Last Verified: | January 2021 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https:// trials.boehringer-ingelheim.com/trial_results/ clinical_submission_documents.html to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link http://trials.boehringer-ingelheim.com/ to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets. |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Clinical Study Report (CSR) |
Time Frame: | After all regulatory activities are completed in the US and EU for the product and indication, and after the primary manuscript has been accepted for publication. |
Access Criteria: | For study documents - upon signing of a 'Document Sharing Agreement'. For study data - 1. after the submission and approval of the research proposal (checks will be performed by both the independent review panel and the sponsor, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a 'Data Sharing Agreement'. |
URL: | https://trials.boehringer-ingelheim.com |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |