A Study to Find a Suitable Dose of BI 765883 and to Test Whether it Helps People With Advanced Pancreatic Cancer When Taken Alone or Together With Chemotherapy
A First-in-human Open Label Phase Ia/Ib, Multicenter/Multiregional, Dose Escalation Study of BI 765883 Administered Intravenously as Monotherapy and in Combination With Gemcitabine and Nab-paclitaxel in Unselected Patients With Metastatic Pancreatic Ductal Adenocarcinoma (mPDAC) or Patients With PDAC Who Have Relapsed After Post-surgery Adjuvant Therapy
This study is open to adults with advanced pancreatic cancer for whom previous treatment was not successful or no treatment exists.
The purpose of this study is to find the highest dose of BI 765883 that people with advanced pancreatic cancer can tolerate when taken alone or together with chemotherapy. Another purpose is to check whether BI 765883 helps people with advanced pancreatic cancer. In this study, BI 765883 is given to humans for the first time.
Participants receive either BI 765883 alone or BI 765883 in combination with chemotherapy. Participants can stay in the study as long as they benefit from treatment and can tolerate it. At study visits, doctors collect information on any health problems of the participants and check the severity of participants' cancer.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Boehringer Ingelheim
- Phone Number: 1-800-243-0127
- Email: clintriage.rdg@boehringer-ingelheim.com
Study Locations
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Brussels, Belgium, 1200
- Cliniques universitaires Saint-Luc
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Leuven, Belgium, 3000
- UZ Leuven
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Lyon, France, 69373
- CTR Leon Berard
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Rennes, France, 35042
- CTR Eugène Marquis
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Villejuif, France, 94805
- Institut Gustave Roussy
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Hamburg, Germany, 20246
- Universitätsklinikum Hamburg, Eppendorf
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Heidelberg, Germany, 69120
- Universitatsklinikum Heidelberg
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München, Germany, 81377
- Klinikum der Universität München AÖR
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Chiba, Kashiwa, Japan, 277-8577
- National Cancer Center Hospital East
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Tokyo, Chuo-ku, Japan, 104-0045
- National Cancer Center Hospital
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Barcelona, Spain, 08036
- Hospital Clinic de Barcelona
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Madrid, Spain, 28034
- Hospital Universitario Ramon Y Cajal
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Colorado
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Denver, Colorado, United States, 80218
- HealthONE
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Connecticut
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New Haven, Connecticut, United States, 06510
- Yale Cancer Center
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Florida
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Sarasota, Florida, United States, 34232
- Florida Cancer Specialists-Sarasota-61670
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Tennessee
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Nashville, Tennessee, United States, 37203
- SCRI Oncology Partners
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Texas
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Houston, Texas, United States, 77030
- The University of Texas MD Anderson Cancer Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial
- Of legal adult age (according to local legislation) at screening
- Male or female patients. Women of childbearing potential (WOCBP) and men able to father a child must be willing 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.
- Histologically or cytologically confirmed Pancreatic ductal adenocarcinoma (PDAC)
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- Life expectancy ≥3 months in the opinion of the investigator
- Archived tumor tissue from a tissue core biopsy (e.g. paraffin-embedded formalin-fixed tissue blocks), OR fresh tumor tissue available for retrospective biomarker analysis; in both cases, a minimum of at least two core needle biopsies (18 gauge or greater) is required. Only non-significant risk procedures per the investigator's judgment will be used to obtain any biopsies specified in this study in cases where a fresh tumor biopsy is required.
- Patients with at least 1 target lesion that can be accurately measured per RECIST version 1.1 Further inclusion criteria apply.
Exclusion Criteria:
- Previous exposure to trial drug (BI 765883)
- Any prior gemcitabine and/or paclitaxel therapy (for combination therapy cohorts)
- Known hypersensitivity to the study medications or their excipients (including gemcitabine and nab-paclitaxel)
- Any contraindications to gemcitabine or nab-paclitaxel according to the current approved local labels (combination therapy)
- Currently enrolled in another investigational device or drug trial, or less than 28 days since ending another investigational device or drug trial(s) or receiving other investigational treatment(s)
- 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, active ulcers (gastrointestinal tract, skin), inflammatory bowel disease or bowel infection, 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.
- Prior radiotherapy or systemic therapy within 14 days prior to treatment start
- History or presence of cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure NYHA classification of ≥III or IV, unstable angina or poorly controlled arrhythmia which are considered as clinically relevant by the Investigator Further exclusion criteria apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: BI 765883 0.4 mg/kg, monotherapy
Participants received BI 765883 at a dose of 0.4 mg/kg, administered intravenously over a 30-minute infusion on Day 1 of each 2-week cycle.
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Participants received BI 765883 at doses of 0.4 mg/kg or 1.3 mg/kg, administered intravenously.
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Experimental: BI 765883 1.3 mg/kg, monotherapy
Participants received BI 765883 at a dose of 1.3 mg/kg, administered intravenously over a 30-minute infusion on Day 1 of each 2-week cycle.
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Participants received BI 765883 at doses of 0.4 mg/kg or 1.3 mg/kg, administered intravenously.
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Experimental: BI 765883 0.4 mg/kg + chemotherapy
Participants received BI 765883 at 0.4 mg/kg intravenously every 2 weeks as a 30-minute infusion.
In addition, gemcitabine (1000 mg/m²) and nab-paclitaxel (125 mg/m²) were administered intravenously as 30-minute infusions on Day 1 of each 2-week cycle.
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Participants received BI 765883 at doses of 0.4 mg/kg or 1.3 mg/kg, administered intravenously.
Participants received gemcitabine at a dose of 1000 mg/m², administered intravenously
Participants received Nab-paclitaxel at a dose of 125 mg/m², administered intravenously
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Occurrence of Dose-Limiting Toxicities (DLTs) in the Maximum Tolerated Dose (MTD) Evaluation Period for the Determination of the Maximum Tolerated Dose (MTD)
Time Frame: The MTD evaluation period corresponds to the first two treatment cycles (28 days), with extension up to 35 days in cases of early discontinuation, based on the residual effect period.
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All Dose-Limiting Toxicities (DLTs) were agreed upon by the Dose-Escalation Committee (DEC) after review of the data from each cohort. Only Dose-Limiting Toxicities (DLTs) occurring in the first 2 cycles were considered necessary for dose-escalation decisions made by the Dose-Escalation Committee (DEC). Dose-Limiting Toxicities (DLTs) observed during the Maximum Tolerated Dose (MTD) evaluation period were considered for Maximum Tolerated Dose (MTD) determination. The MTD evaluation period was defined as the first two treatment cycles; i.e. from Cycle 1 Day 1 (C1D1) up to and including the day before C3D1, or to the end of the REP in case of discontinuation before the start of C3. |
The MTD evaluation period corresponds to the first two treatment cycles (28 days), with extension up to 35 days in cases of early discontinuation, based on the residual effect period.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Best Overall Response as Defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time Frame: From the first trial drug administration until 35 days (the Residual Effect Period) after the last trial drug administration, covering a total duration of up to 134 days.
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Objective Response is defined as the best overall response of complete response (CR) or partial response (PR), 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.
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From the first trial drug administration until 35 days (the Residual Effect Period) after the last trial drug administration, covering a total duration of up to 134 days.
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Disease Control as Defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time Frame: From the first trial drug administration until 35 days (the Residual Effect Period) after the last trial drug administration, covering a total duration of up to 134 days.
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Disease control (DC) was defined as complete response (CR), partial response (PR), or stable disease (SD) according to the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) from the start of treatment until the earliest of progressive disease (PD), death, or the last evaluable tumor assessment and before the start of subsequent anti-cancer therapy.
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From the first trial drug administration until 35 days (the Residual Effect Period) after the last trial drug administration, covering a total duration of up to 134 days.
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Objective Response (OR) as Assessed by the Investigator Defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time Frame: From the first trial drug administration until 35 days (the Residual Effect Period) after the last trial drug administration, covering a total duration of up to 134 days.
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Objective response (OR) is defined as the best overall response of complete response (CR) or partial response (PR), recorded from the start of the study treatment until the earliest of progressive disease (PD), death, or the last evaluable tumor assessment, and before the start of subsequent anti-cancer therapy.
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From the first trial drug administration until 35 days (the Residual Effect Period) after the last trial drug administration, covering a total duration of up to 134 days.
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Maximum Measured Concentration of BI 765883 in Serum (Cmax)
Time Frame: Pharmacokinetic samples were collected predose (336 hrs after infusion start, prior to the next dose), at the start of infusion (0 hrs), after the end of infusion (0.5 hrs), and at 5, 24, 48, and 168 hrs after infusion start in Cycle 1 and Cycle 4.
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The maximum measured concentration of the BI 765883 in serum is reported.
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Pharmacokinetic samples were collected predose (336 hrs after infusion start, prior to the next dose), at the start of infusion (0 hrs), after the end of infusion (0.5 hrs), and at 5, 24, 48, and 168 hrs after infusion start in Cycle 1 and Cycle 4.
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Area Under the Concentration-Time Curve of BI 765883 From Time 0 to 336 Hours (AUC₀-336)
Time Frame: Pharmacokinetic samples were collected predose (336 hrs after infusion start, prior to the next dose), at the start of infusion (0 hrs), after the end of infusion (0.5 hrs), and at 5, 24, 48, and 168 hrs after infusion start in Cycle 1 and Cycle 4.
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The area under the serum concentration time curve of BI 765883 from time 0 to 336 hours is reported.
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Pharmacokinetic samples were collected predose (336 hrs after infusion start, prior to the next dose), at the start of infusion (0 hrs), after the end of infusion (0.5 hrs), and at 5, 24, 48, and 168 hrs after infusion start in Cycle 1 and Cycle 4.
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- 1505-0001
- 2023-508998-85-00 (Registry Identifier: CTIS)
- U1111-1300-7624 (Other Identifier: WHO)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement".
Furthermore, researchers can 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.
IPD Sharing Time Frame
IPD Sharing 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 the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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