Description:
To determine the maximum tolerated dose(s) (MTD) or the Recommended Dose for Expansion (RDE)
and dosing regimen for further development of BI 764532. The MTDs will be defined based on
the frequency of patients experiencing dose limiting toxicities (DLTs) during the MTD
evaluation period in studied regimens. The RDE will be guided by overall safety, efficacy,
Pharmacokinetics (PK) and Pharmacodynamics (PD) assessments.
Additional objectives are to document the safety and tolerability of BI 764532, to
characterise pharmacokinetics and pharmacodynamics, and to evaluate efficacy signals.
Phase Ib will further explore BI 764532 in selected patients populations based on data from
phase Ia.
The Phase Ib objectives, endpoints and design will be specified in a study protocol amendment
after availability of phase Ia results.
Title
- Brief Title: A Study to Test Different Doses of BI 764532 in Patients With Small Cell Lung Cancer and Other Neuroendocrine Tumours That Are Positive for Delta-Like Ligand 3 (DLL3).
- Official Title: A First -in Human Phase I, Non-randomized, Open-label, Multi-center Dose Escalation Trial of BI 764532 Administered by Repeated Intravenous Infusions in Patients With Small Cell Lung Carcinoma and Other Neuroendocrine Neoplasms Expressing DLL3
Clinical Trial IDs
- ORG STUDY ID:
1438-0001
- SECONDARY ID:
2019-000729-31
- NCT ID:
NCT04429087
Conditions
- Patients With Small Cell Lung Carcinoma and Other Neoplasms
Interventions
Drug | Synonyms | Arms |
---|
BI 764532 | | BI 764532 |
Purpose
To determine the maximum tolerated dose(s) (MTD) or the Recommended Dose for Expansion (RDE)
and dosing regimen for further development of BI 764532. The MTDs will be defined based on
the frequency of patients experiencing dose limiting toxicities (DLTs) during the MTD
evaluation period in studied regimens. The RDE will be guided by overall safety, efficacy,
Pharmacokinetics (PK) and Pharmacodynamics (PD) assessments.
Additional objectives are to document the safety and tolerability of BI 764532, to
characterise pharmacokinetics and pharmacodynamics, and to evaluate efficacy signals.
Phase Ib will further explore BI 764532 in selected patients populations based on data from
phase Ia.
The Phase Ib objectives, endpoints and design will be specified in a study protocol amendment
after availability of phase Ia results.
Trial Arms
Name | Type | Description | Interventions |
---|
BI 764532 | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Signed and dated, written informed consent form (ICF2) in accordance with
International Council for Harmonisation of Technical Requirements for Pharmaceuticals
for Human Use (ICH) - Good Clinical Practice (GCP) and local legislation prior to any
trial-specific procedures, sampling, or analyses.
- Locally advanced or metastatic cancer not amenable to curative treatment; of following
histologies:
- Small cell lung carcinoma (SCLC)
- Large cells neuroendocrine lung carcinoma(LCNEC)
- Neuroendocrine carcinoma (NEC) or small cell carcinoma of any other origin
- Tumours must be positive for DLL3 expression (on archived tissue or instudy fresh
biopsy) according to central pathology review in order to start BI 764532
- Patients with tumours with mixed histologies for any above type are eligible only
if neuroendocrine carcinoma/small tumor cells component is predominant and
represent at least 50% of the overall tumour tissue.
- For back-fill cohorts only: patient has agreed to and signed an IC to provide
mandatory pre-treatment and on-treatment fresh tumor biopsy.
- Patient has failed or is not eligible for available standard therapies according to
local guidelines. Standard therapies should include at least one line of chemotherapy
that should include platinum for patients with small cells carcinoma tumors
histologies.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
- At least one evaluable lesion outside of CNS as defined per modified Response
Evaluation Criteria In Solid Tumors (RECIST) 1.1
- Subjects with brain metastases are eligible provided they meet the following criteria:
- Radiotherapy or surgery for brain metastases was completed at least 2 weeks prior
to the first administration of BI 764532
- Patient is off steroids for at least 7 days (physiologic doses of steroids are
permitted), and the patient is off anti-epileptic drugs for at least 7 days or on
stable doses of anti-epileptic drugs for malignant Central Nervous System (CNS)
disease.
- Adequate liver, bone marrow and renal organ function Futher inclusion criteria apply
Exclusion Criteria:
- Previous treatment with T cell Engager (TcE) or cell therapies targeting Delta-Like
Ligand 3 (DLL3).
- Anticoagulant treatment that cannot be safely interrupted based on opinion of the
investigator if medically needed (e.g. biopsy).
- Persistent toxicity from previous treatments that has not resolved to ≤ Common
Terminology Criteria for Adverse Events (CTCAE) Grade 1 (except for alopecia, CTCAE
Grade 2 neuropathy, asthenia/fatigue or grade 2 endocrinopathies controlled by
replacement therapy).
- Patient has a diagnosis of immunodeficiency or is receiving systemic steroid therapy
or any other form of immunosuppressive therapy within 7 days prior to the first dose
of BI 764532. Physiological replacement of steroids is allowed.
- Prior anti-cancer therapy:
- Patients who have been treated with any other anti-cancer drug within 3 weeks or
within 5 half-life periods (whichever is shorter) prior to first administration
of BI 764532.
- Patients who have been treated with extensive field radiotherapy including whole
brain irradiation within 2 weeks prior to first administration of BI 764532.
- Other active malignancy that could interfere with the prognosis and treatment of the
disease of the study.
- Major surgery within 28 days of first dose BI 764532.
- Women who are pregnant, nursing/breast feeding or who plan to become pregnant or nurse
while in the trial or within 3 months after the last dose of study treatment.
- Active infection that requires medical therapy or other clinically significant
intervention or within 2 weeks prior to study entry confirmed (PCR test or other
applicable test as per local requirments) or suspected SARS-CoV-2 infection or close
contact with an individual with confirmed SARS-CoV-2 infection.
Further exclusion criteria apply
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum tolerated dose (MTD) |
Time Frame: | up to 36 months |
Safety Issue: | |
Description: | Maximum tolerated dose (MTD) in any studied regimen defined as the highest dose with less than 25% risk of the true Dose Limiting Toxicity (DLT) rate being equal or above 33% during the MTD evaluation period. Separate MTDs will be determined for each Regimen. |
Secondary Outcome Measures
Measure: | Cmax: maximum measured concentration of BI 764532 |
Time Frame: | up to 36 months |
Safety Issue: | |
Description: | |
Measure: | AUCτ: area under the concentration-time curve of the analyte over a uniform dosing interval τ |
Time Frame: | up to 36 months |
Safety Issue: | |
Description: | |
Measure: | Objective response based on RECIST 1.1 criteria in patients with measurable disease |
Time Frame: | up to 36 months |
Safety Issue: | |
Description: | Objective response based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria in patients with measurable disease |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Boehringer Ingelheim |
Last Updated
August 10, 2021