En undersøgelse for at teste forskellige doser af BI 1831169 alene og i kombination med Ezabenlimab hos mennesker med forskellige typer avanceret kræft (faste tumorer)
Fase I åbent, dosiseskaleringsforsøg af BI 1831169 monoterapi og i kombination med Ezabenlimab hos patienter med avancerede eller metastatiske solide tumorer
This study is open to adults with different types of advanced cancer (solid tumors) that are accessible for injection and/or biopsy. This is a study for people with a life expectancy of at least 3 months after starting study treatment. The purpose of this study is to find the highest dose of a medicine called BI 1831169 that people with advanced cancer can tolerate when taken with or without a type of antibody called a checkpoint inhibitor (anti-PD-1 antibody). Another purpose is to check whether the study treatment can fight cancer. In this study, BI 1831169 is given to people for the first time.
This study has 2 parts. In Part 1, participants get BI 1831169 alone for up to 3 months. In Part 2, participants get BI 1831169 in combination with a checkpoint inhibitor. Participants who take the combination treatment get BI 1831169 for up to 3 months and a checkpoint inhibitor for up to 1 year. BI 1831169 is given as an injection into the tumor, or as an infusion into the vein, or both (injection and infusion). Checkpoint inhibitors are given as an infusion into a vein. Participants get the medicines about every 3 weeks. This is called a treatment cycle.
Participants visit the site study site regularly. The number of study visits vary based on the study phase and treatment response. Some visits include an overnight stay. The doctors regularly check the participants' health and monitor the tumors. The doctors also take note of any health problems that could have been caused by the study treatment.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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South Australia
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Bedford Park, South Australia, Australien, 5062
- Southern Oncology Clinical Research Unit
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Victoria
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Frankston, Victoria, Australien, 3199
- Peninsula Haematology & Oncology
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Edegem, Belgien, 2650
- Universitair Ziekenhuis Antwerpen
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Leuven, Belgien, 3000
- UZ Leuven
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Ontario
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Toronto, Ontario, Canada, M5G 2M9
- Princess Margaret Cancer Centre
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Arizona
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Gilbert, Arizona, Forenede Stater, 85234
- Banner MD Anderson Cancer Center-Gilbert-55251
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Tucson, Arizona, Forenede Stater, 85719
- University of Arizona
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California
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La Jolla, California, Forenede Stater, 92037
- University of California San Diego
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Santa Monica, California, Forenede Stater, 90404
- Providence St. John's Health Center
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Colorado
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Aurora, Colorado, Forenede Stater, 80045
- University of Colorado Denver
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Florida
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Miami, Florida, Forenede Stater, 33136
- University of Miami
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Orlando, Florida, Forenede Stater, 32806
- Orlando Health Cancer Institute
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Georgia
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Atlanta, Georgia, Forenede Stater, 30322
- Winship Cancer Institute
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Kentucky
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Louisville, Kentucky, Forenede Stater, 40202
- University of Louisville
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Minnesota
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Minneapolis, Minnesota, Forenede Stater, 55455
- M Health Fairview University of Minnesota Medical Center
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New Jersey
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Morristown, New Jersey, Forenede Stater, 07960
- Morristown Medical Center
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North Carolina
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Winston-Salem, North Carolina, Forenede Stater, 27157
- Atrium Health Wake Forest Baptist Comprehensive Cancer Center
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South Carolina
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Greenville, South Carolina, Forenede Stater, 29605
- Prisma Health
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- Tennessee Oncology, PLLC - Elliston Place Plaza DDU
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Texas
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Houston, Texas, Forenede Stater, 77030
- The University of Texas MD Anderson Cancer Center
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Virginia
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Richmond, Virginia, Forenede Stater, 23298
- Virginia Commonwealth University
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Bordeaux, Frankrig, 33000
- INS Bergonie
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Marseille, Frankrig, 13385
- HOP Timone
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Rennes, Frankrig, 35042
- CTR Eugène Marquis
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Villejuif, Frankrig, 94805
- Institut Gustave Roussy
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Milan, Italien, 20162
- ASST Grande Ospedale Metropolitano Niguarda
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Geneva, Schweiz, 1205
- University Hospital Geneva
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L'Hospitalet de Llobregat, Spanien, 08907
- Hospital Duran i Reynals
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Madrid, Spanien, 28040
- Fundación Jiménez Díaz
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Pamplona, Spanien, 31008
- Clínica Universidad de Navarra
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Tübingen, Tyskland, 72076
- Universitätsklinikum Tübingen
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Ulm, Tyskland, 89081
- Universitätsklinikum Ulm
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Innsbruck, Østrig, 6020
- Medical University of Innsbruck
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Salzburg, Østrig, 5020
- Salzburg Cancer Research Institute
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Histologically or cytologically confirmed diagnosis of advanced, unresectable and/or metastatic or relapsed/refractory solid tumors
- At least one or two accessible lesions, one with a minimum lesion diameter for injection of BI 1831169 (where applicable), and one which is amenable to biopsy (where applicable). Lesions must either be easily accessible or, if not easily accessible, patient must be willing to undergo repeated procedures (e.g., image guided procedures) for both biopsies and injections of BI 1831169
- Has failed conventional treatment or for whom no therapy of proven efficacy exists, who is not eligible for established treatment options. Patient must have exhausted available treatment options known to prolong survival for their disease. This criterion does not apply to the specific indications in Part 2.
Further inclusion criteria apply.
Exclusion Criteria:
- Previous treatment with Vesicular stomatitis virus (VSV)-based agents
- Concomitant medication or condition considered a high risk for complications from injection or biopsy as per the Investigator's judgement
- Presence of brain metastases
- Presence of Human Immunodeficiency Virus (HIV) meeting certain criteria, active autoimmune disease or chronic active infection (Hepatitis C or B virus (HCV/HBV))
- Chronic steroid use, regardless of daily dose Further exclusion criteria apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Del 1 (Monoterapi): Arm A
|
BI 1831169 |
|
Eksperimentel: Del 1 (Monoterapi): Arm B
|
BI 1831169 |
|
Eksperimentel: Del 1 (Monoterapi): Arm C
|
BI 1831169 |
|
Eksperimentel: Del 2 (Kombinationsterapi): Arm D
|
BI 1831169 anti-PD-1 antibody |
|
Eksperimentel: Del 2 (Kombinationsterapi): Arm E
|
BI 1831169 anti-PD-1 antibody |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Part 1.1, Dose escalation/Confirmation: Occurrence of Dose limiting toxicities (DLTs) during the mono Maximum tolerated dose (MTD) evaluation period
Tidsramme: up to 21 days
|
Part 1 (Monotherapy). |
up to 21 days
|
|
Part 1.2, Dose expansion: Objective response (OR) defined as best overall response (BOR) of confirmed intratumoral immunotherapy complete response (itCR) or confirmed intratumoral immunotherapy partial response (itPR)
Tidsramme: up to 49 months
|
BOR is defined according to Response Criteria for Intratumoral Immunotherapy in Solid Tumors (itRECIST). BOR will consider all tumor assessments from first administration of trial medication until disease progression or death (whichever occurs first) or last evaluable tumor assessment before start of subsequent anti-cancer therapy, loss to follow-up, or withdrawal of consent. |
up to 49 months
|
|
Part 2.1, Dose escalation/Confirmation: Occurrence of Dose limiting toxicities (DLTs) during the combination Maximum tolerated dose (MTD) evaluation period
Tidsramme: up to 21 days
|
Part 2 (Combination Therapy). |
up to 21 days
|
|
Part 2.2, Dose Expansion: Objective response (OR) defined as best overall response (BOR) of confirmed immunotherapy complete response (iCR) or confirmed partial response (iPR)
Tidsramme: up to 49 months
|
BOR is defined according to Response Criteria for Intratumoral Immunotherapy in Solid Tumors (itRECIST) by Investigator's assessment. BOR will consider all tumor assessments from first administration of trial medication until disease progression, death, last evaluable tumor assessment before start of subsequent anti-cancer therapy, loss to follow-up, or withdrawal of consent (whichever occurs first). |
up to 49 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Del 1.1, Dosiseskalering/Bekræftelse: Forekomst af DLT'er i løbet af behandlingen
Tidsramme: op til 49 måneder
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op til 49 måneder
|
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Del 1.1, Dosiseskalering/Bekræftelse: Forekomst af uønskede hændelser i løbet af behandlingen
Tidsramme: op til 49 måneder
|
op til 49 måneder
|
|
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Del 1.2, Dosisudvidelse: Forekomst af uønskede hændelser i løbet af behandlingen
Tidsramme: op til 49 måneder
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op til 49 måneder
|
|
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Del 1.2, Dosisudvidelse: Forekomst af DLT'er under mono MTD-evalueringsperioden
Tidsramme: op til 49 måneder
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op til 49 måneder
|
|
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Del 2.1, Dosiseskalering/Bekræftelse: Forekomst af DLT'er i løbet af behandlingen
Tidsramme: op til 49 måneder
|
op til 49 måneder
|
|
|
Del 2.1, Dosiseskalering/Bekræftelse: Forekomst af uønskede hændelser i løbet af behandlingen
Tidsramme: op til 49 måneder
|
op til 49 måneder
|
|
|
Del 2.2 - Dosisudvidelse ved indikation, alle arme: Forekomst af uønskede hændelser i løbet af behandlingen
Tidsramme: op til 49 måneder
|
op til 49 måneder
|
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Part 2.2 - Dose Expansion by Indication, Arms D and E: Duration of objective response (DoR)
Tidsramme: up to 49 months
|
DoR is defined as the time from first documented iCR or iPR according to iRECIST until the earliest of disease progression by Investigator's assessment or death among patients with OR. |
up to 49 months
|
|
Part 2.2, Dose Expansion by Indication, Arms D and E: Disease control (DC)
Tidsramme: up to 49 months
|
DC is defined as a BOR of iCR, iPR or immunotherapy stable disease (iSD), with BOR defined according to iRECIST by Investigator's assessment. |
up to 49 months
|
|
Part 2.2, Dose Expansion by Indication, Arm E: Progression-Free Survival (PFS) rate at 4 months (PFS-4)
Tidsramme: up to 4 months
|
PFS-4 is defined as the proportion of patients who are alive and without progression by 4 months from the start of treatment. PFS is assessed by the Investigator using iRECIST. |
up to 4 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 1456-0001
- 2020-003902-30 (EudraCT nummer)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization).
For more details refer to: https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing
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