An Dose Escalation Study of BIBF 1120 Administered in Patients With Relapsed or Refractory Multiple Myeloma
An Open Label Dose Escalation Study of BIBF 1120 Administered Orally for Four Weeks in Patients With Relapsed or Refractory Multiple Myeloma With Repeated Administration in Patients With Clinical Benefit
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with confirmed diagnosis of multiple myeloma, who did not respond to or relapsed after either anthracyclines and pulsed glucocorticoids or high-dose therapy and who are currently not eligible for transplant modalities.
- Age 18 years or older
- Life expectancy of at least six months
- Patients have to give written informed consent (which must be consistent with ICH-GCP and local legislation)
- Eastern Cooperative Oncology Group (ECOG) performance score <2.
- Recovery from all therapy-related toxicities from previous chemo-, immuno- or radiotherapies.
Exclusion Criteria:
- History of relevant surgical procedures during the last four weeks prior to treatment with the trial drug, or active ulcers, fractures or injuries with incomplete healing
- Active infectious disease
- Uncontrolled, severe hypertension
- Gastrointestinal disorders anticipated to interfere with the resorption of the study drug
- Serious illness or concomitant non-oncological disease considered by the investigator to be incompatible with the protocol
- Absolute neutrophil count less than 1000 / mm³.
- Platelet count less than 30 000 / mm³
- Conjugated Bilirubin greater than 2 mg / dl (> 34 μmol/L, SI unit equivalent)
- Aspartate amino transferase (AST) and / or alanine amino transferase (ALT) greater than three times the upper limit of normal
- Endogenous creatinine clearance (ECC) <20 ml/min
- Women and men who are sexually active and unwilling to use a medically acceptable method of contraception
- Pregnancy or breastfeeding
- Treatment with other investigational drugs or participation in another clinical trial within the past four weeks before start of therapy or concomitantly with this trial (except for present trial drug)
- Patients unable to comply with the protocol
- Active alcohol or drug abuse
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: BIBF 1120
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Maximum tolerated dose (MTD)
Time Frame: Up to 11 months
|
Up to 11 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence and intensity of adverse events according to Common Toxicity Criteria (CTC) associated with increasing doses of BIBF 1120
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Change from baseline in laboratory parameters
Time Frame: Baseline, up to 11 months
|
Baseline, up to 11 months
|
|
Objective tumor response in surrogate markers
Time Frame: Baseline, up to 11 month
|
Baseline, up to 11 month
|
|
Concentration at 2h (C2,1)
Time Frame: 2 hours after first administration
|
2 hours after first administration
|
|
Change from baseline in cellular protein tyrosine kinase inhibition
Time Frame: Baseline, up to 11 months
|
Baseline, up to 11 months
|
|
Change from baseline in Eastern Cooperative Oncology Group (ECOG) performance score
Time Frame: Baseline, up to 11 months
|
Baseline, up to 11 months
|
|
Change in vital signs
Time Frame: up to 11 months
|
up to 11 months
|
|
Change from baseline in electrocardiogram (ECG)
Time Frame: Baseline, up to 11 months
|
Baseline, up to 11 months
|
|
Predose concentration immediately before administration of the Nth dose over the dosing interval τ (Cpre,N)
Time Frame: Up to day 28
|
Up to day 28
|
|
Area under the plasma concentration-time curve during the dosing interval τ (24 h) at steady state (AUCτ,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Plasma concentration at the time point immediately before dosing at steady state (Cpre,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Minimum plasma concentration during the dosing interval τ at steady state (Cmin,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Maximum plasma concentration during the dosing interval τ at steady state (Cmax,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Time to reach minimum plasma concentration during the dosing interval τ at steady state (tmin,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Time to reach maximum plasma concentration during the dosing interval τ at steady state (tmax,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Terminal half-life at steady state (t1/2,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Apparent plasma clearance at steady state (CL/F,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Mean residence time at steady state (MRTpo,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Apparent volume of distribution during the terminal phase at steady state (Vz/F,ss)
Time Frame: Up to 11 months
|
Up to 11 months
|
|
Tumor response assessed according to the European Group for Blood and Marrow Transplantation (EBMT) criteria
Time Frame: Up to 11 months
|
Up to 11 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Multiple Myeloma
- Neoplasms, Plasma Cell
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Nintedanib
Other Study ID Numbers
Other Study ID Numbers
- 1199.2
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