Description:
This is a study in adults with advanced cancer (solid tumours) in whom previous chemotherapy
was not successful. Only people who have a tumour with a KRAS mutation can participate in the
study. A KRAS mutation makes cancer grow faster.
The study tests 2 medicines called BI 1701963 and trametinib. BI 1701963 prevents
reactivation of KRAS. In this study, BI 1701963 is given to humans for the first time.
Trametinib is an approved medicine (MEK inhibitor).
The purpose of this study is to find out the highest dose of BI 1701963 alone and in
combination with trametinib the participants can tolerate. Another purpose is to check
whether BI 1701963 in combination with trametinib is able to make tumours shrink.
Participants can stay in the study as long as they benefit from treatment and can tolerate
it.
During this time, they get tablets of BI 1701963 and trametinib once daily. The doctors
regularly monitor the size of the tumour. Doctors also regularly record any unwanted effects
and check participants' health.
Title
- Brief Title: A Study to Test Different Doses of BI 1701963 Alone and Combined With Trametinib in Patients With Different Types of Advanced Cancer (Solid Tumours With KRAS Mutation)
- Official Title: A Phase I Open-label Dose Escalation Trial of BI 1701963 as Monotherapy and in Combination With Trametinib in Patients With KRAS Mutated Advanced or Metastatic Solid Tumours
Clinical Trial IDs
- ORG STUDY ID:
1432-0001
- SECONDARY ID:
2018-004757-24
- NCT ID:
NCT04111458
Conditions
- Solid Tumors, KRAS Mutation; SOS1
Interventions
Drug | Synonyms | Arms |
---|
BI 1701963 | | BI 1701963 + Trametinib |
Trametinib | | BI 1701963 + Trametinib |
Purpose
This is a study in adults with advanced cancer (solid tumours) in whom previous chemotherapy
was not successful. Only people who have a tumour with a KRAS mutation can participate in the
study. A KRAS mutation makes cancer grow faster.
The study tests 2 medicines called BI 1701963 and trametinib. BI 1701963 prevents
reactivation of KRAS. In this study, BI 1701963 is given to humans for the first time.
Trametinib is an approved medicine (MEK inhibitor).
The purpose of this study is to find out the highest dose of BI 1701963 alone and in
combination with trametinib the participants can tolerate. Another purpose is to check
whether BI 1701963 in combination with trametinib is able to make tumours shrink.
Participants can stay in the study as long as they benefit from treatment and can tolerate
it.
During this time, they get tablets of BI 1701963 and trametinib once daily. The doctors
regularly monitor the size of the tumour. Doctors also regularly record any unwanted effects
and check participants' health.
Trial Arms
Name | Type | Description | Interventions |
---|
BI 1701963 monotherapy | Experimental | | |
BI 1701963 + Trametinib | Experimental | | |
Eligibility Criteria
Inclusion criteria:
All parts
- Previously-identified activating Kirsten rat sarcoma viral oncogene homologue (KRAS)
mutation in tumour tissue or blood prior to screening
- At least one target lesion that can be measured per Response Evaluation Criteria In
Solid Tumours (RECIST) version 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Adequate organ function
- Age ≥18 years of age, or over the legal age of consent as required by local
legislation.
- Signed and dated written informed consent in accordance with GCP and local legislation
prior to admission to the trial.
- Women of childbearing potential who are not surgically sterilized must have a negative
serum pregnancy test completed during the Screening period
- Further inclusion criteria apply
Monotherapy and combination therapy dose escalation and monotherapy dose confirmation part
- Documented disease progression despite appropriate prior standard therapies or for whom
no standard therapy exists for their tumour type and disease stage
Combination dose confirmation and expansion cohort
- Pathologically confirmed diagnosis of adenocarcinoma of the lung. Patients with mixed
histology are eligible if adenocarcinoma is the predominant histology.
- Locally advanced stage IIIb or metastatic stage IV Non-small cell lung cancer (NSCLC)
- Patients must have received both chemotherapy and immunotherapy
Exclusion criteria:
All parts
- Previous anticancer chemotherapy within 3 weeks of the first administration of trial
drug.
- Previous treatment with RAS, Mitogen-activated protein kinase (MAPK) or Son of
sevenless 1 (SOS1) targeting agents
- Major surgery performed within 4 weeks prior to start of treatment
- Uncontrolled hypertension, congestive heart failure NYHA classification of ≥3,
unstable angina or poorly controlled arrhythmia. Myocardial infarction within 6 months
prior to start of treatment
- Left ventricular ejection fraction (LVEF) <50 %
- Congenital long QT prolongation syndrome
- Mean resting corrected QT interval (QTcF) >470 msec
- Leptomeningeal carcinomatosis
- Presence or history of uncontrolled or symptomatic brain metastases
- Known pre-existing interstitial lung disease
- Known active hepatitis B infection (defined as presence of Hep B sAg and/or Hep B
Deoxyribonucleic acid (DNA)), active hepatitis C infection (defined as presence of Hep
C Ribonucleic acid (RNA))
- Active infectious disease
- Any history or presence of uncontrolled gastrointestinal disorders that could affect
the intake and/or absorption of the trial drug
- History of retinal vein occlusion (RVO) or retinal pigment epithelial detachment
(RPED)
- Further exclusion criteria apply
Combination part
- Hypersensitivity to any of the excipients listed in the current Summary of Product
Characteristics (SmPC)/Package insert (PI) of trametinib
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose escalation (Part A) - Maximum tolerated dose (MTD) based on number of dose-limiting toxicities (DLTs) |
Time Frame: | 4 weeks |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Dose escalation (Part A), confirmation (Part B) and expansion (Part C) - Pharmacokinetic parameters of BI 1701963: Cmax (maximum measured concentration of the analyte in plasma) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose escalation (Part A), confirmation (Part B) and expansion (Part C) - Pharmacokinetic parameters of BI 1701963: AUCτ (area under the concentration-time curve over a uniform dosing interval τ) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose escalation (Part A), confirmation (Part B) and expansion (Part C) - Pharmacokinetic parameters of trametinib: Cmax (maximum measured concentration of the analyte in plasma) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose escalation (Part A), confirmation (Part B) and expansion (Part C) - Pharmacokinetic parameters of trametinib: AUCτ (area under the concentration-time curve over a uniform dosing interval τ) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) - Pharmacokinetic parameters of BI 1701963: Cmax (maximum measured concentration of the analyte in plasma) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) - Pharmacokinetic parameters of BI 1701963: AUC0-tz (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) - Pharmacokinetic parameters of midazolam: Cmax (maximum measured concentration of the analyte in plasma) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) - Pharmacokinetic parameters of midazolam: AUC0-tz (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point) |
Time Frame: | Up to 5 weeks |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) - Number of patients with Grade ≥3 treatment-related adverse events observed during the on-treatment period |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) and expansion (Part C) - Duration of Objective response (OR) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) and expansion (Part C) - Tumour shrinkage (in millimetres) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) and expansion (Part C) - Progression-free survival |
Time Frame: | 6 months |
Safety Issue: | |
Description: | |
Measure: | Dose confirmation (Part B) and expansion (Part C) - Number of patients with Grade ≥3 treatment-related adverse events observed during the on-treatment period |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Boehringer Ingelheim |
Trial Keywords
Last Updated
August 10, 2021