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A First-in-human Phase Ia/b, Open Label, Multicentre, Dose Escalation Study of BI 905711 in Patients With Advanced Gastrointestinal Cancers

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ClinicalTrials.gov Identifier: NCT04137289
Recruitment Status : Recruiting
First Posted : October 24, 2019
Last Update Posted : October 23, 2020
Sponsor:
Information provided by (Responsible Party):
Boehringer Ingelheim

Brief Summary:

Phase Ia - Explore safety and establish the maximum tolerated dose (MTD)/recommended dose levels for phase Ib expansion phase of BI 905711 based on the frequency of patients experiencing dose limiting toxicities (DLTs) during the MTD evaluation period. The MTD evaluation period is defined as the first two treatment cycles (from first dose administration until the day preceding the third dose administration or end of REP in case of discontinuation before start of Cycle 3).

Phase Ia - Explore pharmacokinetics/pharmacodynamics, and efficacy to guide the determination of a potentially effective dose range for phase Ib in the absence of MTD.

Phase Ib - Evaluate efficacy and safety of BI 905711 at a potentially effective dose range and determine the Recommended Phase 2 Dose (RP2D)


Condition or disease Intervention/treatment Phase
Gastrointestinal Neoplasms Cholangiocarcinoma Pancreatic Neoplasms Drug: BI 905711 Phase 1

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 140 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A First-in-human Phase Ia/b, Open Label, Multicentre, Dose Escalation Study of BI 905711 in Patients With Advanced Gastrointestinal Cancers
Actual Study Start Date : March 11, 2020
Estimated Primary Completion Date : February 3, 2023
Estimated Study Completion Date : March 1, 2023

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: BI 905711 Drug: BI 905711
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Primary Outcome Measures :
  1. Phase Ia - Maximum tolerated dose (MTD) defined as the highest dose with less than 25% risk of the true DLT rate being equal or above 33% during the MTD evaluation period [ Time Frame: Up to 28 days ]
  2. Phase Ia - Number of patients with DLTs in the MTD evaluation period [ Time Frame: Up to 28 days ]
  3. Phase Ib - Objective response based on RECIST 1.1 criteria [ Time Frame: Up to 107 days ]
    Objective response is defined as best overall response of complete response or partial response, where best overall response is the best response recorded from the start of the study treatment until the earliest of disease progression, death or last evaluable tumor assessment and before start of subsequent anti-cancer therapy


Secondary Outcome Measures :
  1. Phase Ia - Cmax: maximum measured concentration of BI 905711 in plasma [ Time Frame: Up to day 1 and up to day 19 ]
  2. Phase Ia - AUC0-t2: area under the concentration-time curve of BI 905711 in plasma [ Time Frame: Up to day 1 and up to day 19 ]
  3. Phase Ia - Objective response based on RECIST 1.1 criteria in patients with measurable disease [ Time Frame: Up to 107 days ]
  4. Phase Ib - Radiological (CT Scan) tumor shrinkage, defined as the difference between the minimum post-baseline sum of longest diameters of target lesions and the baseline sum of longest diameters of the same set of target lesions according to RECIST 1.1 [ Time Frame: Up to 107 days ]
  5. Phase Ib -The duration of overall response is measured from the time measurement criteria are first met for CR/PR until the first date that recurrent or progressive disease is objectively documented according to RECIST 1.1 [ Time Frame: Up to 107 days ]
  6. Phase Ib - Progression-free survival (PFS) is defined as the time from first treatment administration until tumor progression according to RECIST 1.1 or death from any cause, whichever occurs earlier [ Time Frame: Up to 107 days ]
  7. Phase Ib - Disease control, defined as CR, PR, or stable disease according to RECIST 1.1 from the start of treatment until the earliest of progression disease, death or last evaluable tumor assessment and before start of subsequent anti-cancer therapy [ Time Frame: Baseline and up to 107 days ]
  8. Phase Ib - Cmax: maximum measured concentration of BI 905711 in plasma [ Time Frame: Up to day 1 and up to day 19 ]
  9. Phase Ib - AUC0-t2: area under the concentration-time curve of BI 905711 in plasma [ Time Frame: Up to day 1 and up to day 19 ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologically or cytologically confirmed, advanced unresectable or metastatic gastrointestinal cancers of following histologies:

    • Colorectal adenocarcinoma
    • Gastric adenocarcinoma
    • Esophageal adenocarcinoma
    • Pancreatic adenocarcinoma
    • Cholangiocarcinoma and gallbladder carcinoma
  • Patient who has failed all available conventional therapies known to confer clinical benefit for their disease based on local approved standards. For patients with colorectal cancer, prior treatment with regorafenib or TAS-102 is optional.
  • Phase Ia (dose escalation) only: Patient with either measurable or non-measurable/non-evaluable disease.
  • Phase Ia (expanded cohort) and Phase Ib (expansion phase) only: At least one target lesion that can be accurately measured per RECIST v.1.1
  • Availability and willingness to undergo tumor biopsy before treatment to provide tumor tissue. Pre-treatment fresh tumor biopsy collections for biomarker analyses are considered optional in phase Ia and mandatory in phase Ib. However, fresh tumor biopsies will NOT be considered if significant risk procedures are required including (but not limited to) biopsies of the pancreas, or endoscopic procedures extending beyond the esophagus, stomach or bowel. Only non-significant risk procedures per the investigator's judgment will be used to obtain any biopsies specified in this study. In case a fresh tumor biopsy cannot be obtained due to before mentioned reasons an archived tumor tissue specimen needs to be submitted.
  • Adequate hepatic, renal and bone marrow functions as defined by all of the below:

    • Total bilirubin ≤ 1.5 x institutional Upper Level of Normal (ULN) (≤ 3 x institutional ULN for patient with Gilbert's syndrome)
    • ALT and AST ≤2.5 x institutional ULN (≤5 x institutional ULN for patients with known liver metastases)
    • Serum creatinine ≤1.5x institutional ULN. If creatinine is > 1.5 x ULN, patient is eligible if concurrent creatinine clearance ≥ 50 ml/min (measured or calculated by CKD-EPI formula or Japanese version of CKD-EPI formula for Japanese patients).
    • ANC ≥ 1.0x 10^9/L
    • Platelets ≥ 100x10^9/ L
    • Hb ≥9.0 g/dl (without transfusion within previous week)
    • Serum lipase ≤ 1.5 institutional ULN
  • Recovery from any adverse events according to Common Terminology Criteria for Adverse Events (CTCAE) v5.0 of previous anti-cancer therapies to baseline or CTCAE grade 1, except for alopecia CTCAE grade 2, sensory peripheral neuropathy CTCAE grade ≤ 2 or considered not clinically significant.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
  • Life expectancy ≥ 3 months in the opinion of the investigator
  • Of legal adult age (according to local legislation) at screening
  • Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
  • Male or female patients. Women of childbearing potential (WOCBP) and men able to father a child must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly.

Exclusion Criteria:

  • Treatment with a systemic anti-cancer therapy or investigational drug within 14 days or 5 half-lives (whichever is shorter) of the first treatment with the study medication.
  • Radiation therapy with extensive large field involving parenchymal organs in chest, abdomen or pelvis within 3 weeks of the first treatment in the study. There is no restriction for minor small field radiotherapy.
  • Any serious concomitant disease or medical condition affecting compliance with Trial requirements or which are considered relevant for the evaluation of the efficacy or safety of the trial drug, such as neurologic, psychiatric, infectious disease or active ulcers (gastro-intestinal (GI) tract, skin) or laboratory abnormality that may increase the risk associated with trial participation or trial drug administration, and in the judgment of the Investigator, would make the patient inappropriate for entry into the trial.
  • Known pathological condition of GI tract, liver and pancreas, excluding the disease under study, that may interfere with assessment of drug safety or may increase the risk of toxicity:

    • inflammatory bowel disease
    • chronic pancreatitis
    • other serious GI pathological conditions by judgment of the investigator e.g. autoimmune disease with GI involvement, unexplained active diarrhea CTCAE grade ≥2 according to CTCAE v5.0.
  • Known history of human immunodeficiency virus infection.
  • Any of the following laboratory evidence of hepatitis virus infection. Test results obtained in routine diagnostics are acceptable if done within 14 days before the informed consent date:

    • Positive results of hepatitis B surface (HBs) antigen
    • Presence of HBc antibody together with HBV-DNA
    • Presence of hepatitis C RNA
  • Active concomitant malignancies, other than the one treated in this trial.
  • Chronic alcohol or drug abuse or any condition that, in the investigator's opinion, makes the patient an unreliable trial participant or unlikely to comply with the protocol requirements or not expected to complete the trial as scheduled.
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial; female patients who do not agree to the interruption of breast feeding from the start of study treatment to within 30 days after the last study treatment.
  • Presence of uncontrolled or symptomatic brain or subdural metastases. Inclusion of patients with brain metastases who have completed local therapy and are considered stable by the investigator, or with newly identified asymptomatic brain metastases at screening will be allowed. Use of corticosteroids is allowed if the dose was stable for at least 1 week before the baseline MRI.
  • Patients who are under judicial protection and patients who are legally institutionalized
  • Major surgery (major according to the investigator's assessment) performed within 3 weeks prior to treatment start or planned within 3 months after screening, e.g. hip replacement.
  • Any of the following cardiac criteria:

    • Resting corrected QT interval (QTc) >470 msec
    • Any clinically important abnormalities (as assessed by the Investigator) in rhythm, conduction, or morphology of resting ECGs, e.g., complete left bundle branch block, third degree heart block
    • Patients with an ejection fraction (EF) <50% or the lower limit of normal of the institutional standard will be excluded. Only in cases where the Investigator (or the treating physician or both) suspects cardiac disease with negative effect on the EF, will the EF be measured during screening using an appropriate method according to local standards to confirm eligibility (e.g., echocardiogram, multi-gated acquisition scan). A historic measurement of EF no older than 6 months prior to first administration of study drug can be accepted provided that there is clinical evidence that the EF value has not worsened since this measurement in the opinion of the Investigator or of the treating physician or both.
  • Known hypersensitivity to the trial medication and/or its components i.e. polysorbate 20, sodium citrate, lysine hydrochloride, sucrose, citric acid.

Information from the National Library of Medicine

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): NCT04137289


Contacts
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Contact: Boehringer Ingelheim 1-800-243-0127 clintriage.rdg@boehringer-ingelheim.com

Locations
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United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10022
Contact: James Harding    +001 (646) 888-4314    hardinj1@mskcc.org   
United States, Texas
The University of Texas MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Contact: Shubham Pant    +001 (713) 791-2828    SPant@mdanderson.org   
START South Texas Accelerated Research Therapeutics, LLC Recruiting
San Antonio, Texas, United States, 78229
Contact: Drew Rasco    +001 (210) 593-5250    Drew.Rasco@startsa.com   
Germany
Universitätsklinikum Mannheim GmbH Recruiting
Mannheim, Germany, 68167
Contact: Ralf-Dieter Hofheinz    +49 (621) 3832855    ralf.hofheinz@umm.de   
Japan
National Cancer Center Hospital East Recruiting
Chiba, Kashiwa, Japan, 277-8577
Contact: Yasutoshi Kuboki    +81 47 1331111    ykuboki@east.ncc.go.jp   
Spain
Hospital Vall d'Hebron Recruiting
Barcelona, Spain, 08035
Contact: Elena Élez Fernández    +34932746085    meelez@vhio.net   
Sponsors and Collaborators
Boehringer Ingelheim
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Boehringer Ingelheim
ClinicalTrials.gov Identifier: NCT04137289    
Other Study ID Numbers: 1412-0001
2018-003268-29 ( EudraCT Number )
First Posted: October 24, 2019    Key Record Dates
Last Update Posted: October 23, 2020
Last Verified: October 2020
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.boehringeringelheim. 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

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Neoplasms
Cholangiocarcinoma
Gastrointestinal Neoplasms
Pancreatic Neoplasms
Digestive System Neoplasms
Adenocarcinoma
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Endocrine Gland Neoplasms
Pancreatic Diseases
Endocrine System Diseases