- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT06324357
Beamion BCGC-1: En studie for å finne en passende dose av Zongertinib i kombinasjon med Trastuzumab Deruxtecan eller Trastuzumab Emtansine og for å teste om det hjelper mennesker med forskjellige typer HER2+ kreft som har spredt seg
Beamion BCGC-1: En fase Ib-doseeskalering og fase II-doseoptimalisering, randomisert, åpen, multisenterforsøk av oral Zongertinib (BI 1810631) i kombinasjon med intravenøs trastuzumab deruxtecan (T-DXd) eller i kombinasjon med intravenøs emtanstuz T-DM1) for behandling av pasienter med avansert HER2+ metastatisk brystkreft (mBC) og metastatisk gastrisk, gastroøsofageal Junction eller Esophageal Adenocarcinoma (mGEAC)
This study is open to adults aged 18 years and older with different types of HER2+ cancer that has spread and cannot be removed by surgery. People can take part in this study if their tumours show HER2 aberrations and previous treatment was not successful. The purpose of this study is to find a suitable dose of zongertinib that people with different types of HER2+ cancer that has spread can tolerate best when taken alone or together with trastuzumab deruxtecan (T-DXd), with trastuzumab emtansine (T-DM1), with trastuzumab with or without capecitabine, with zanidatamab with or without docetaxel, or with mFOLFOX6 (with or without trastuzumab). Another purpose is to check whether zongertinib alone and in combination with other treatments can make tumours shrink. Zongertinib inhibits HER2. HER2 causes cancer cells to grow.
In this study, participants receive treatment in cycles. Study participants are treated with zongertinib alone or in combination with other treatments. This study has 2 parts. In Part 1, participants in different groups receive increasing doses of zongertinib. In Part 2, participants are put into different groups by chance. Each group receives a different dose of zongertinib. Every participant has an equal chance of being in each group.
During the study, the participants visit the study site regularly. In this study, researchers want to find the highest dose of zongertinib that participants can tolerate when taken alone or together with other treatments. To find this out, researchers look at certain severe health problems that a number of participants have. The doctors regularly check the size of the tumour with imaging methods (CT/MRI) during the study. The doctors also regularly check participants' health and take note of any unwanted effects.
Studieoversikt
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Brussels, Belgia, 1200
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Edegem, Belgia, 2650
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Namur, Belgia, 5000
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Los Angeles, California, Forente stater, 90067
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Los Angeles, California, Forente stater, 90064
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San Diego, California, Forente stater, 92123
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Connecticut
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Tampa, Florida, Forente stater, 33612
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Illinois
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Skokie, Illinois, Forente stater, 60077
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Indiana
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Indianapolis, Indiana, Forente stater, 46250
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Iowa
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Iowa City, Iowa, Forente stater, 52242
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Massachusetts
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Michigan
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New York
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Shirley, New York, Forente stater, 11967
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Pennsylvania
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South Dakota
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Tennessee
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Nashville, Tennessee, Forente stater, 37203
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Nashville, Tennessee, Forente stater, 37203
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Texas
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Houston, Texas, Forente stater, 77030
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Virginia
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Fairfax, Virginia, Forente stater, 22031
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Fairfax, Virginia, Forente stater, 22031
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Washington
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Seattle, Washington, Forente stater, 98109
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Bordeaux, Frankrike, 33000
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Caen, Frankrike, 14076
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Lyon, Frankrike, 69008
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Marseille, Frankrike, 13273
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Paris, Frankrike, 75020
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Rennes, Frankrike, 35042
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Saint-Herblain, Frankrike, 44800
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Strasbourg, Frankrike, 67200
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Toulouse, Frankrike, 31059
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Villejuif, Frankrike, 94805
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Ancona, Italia, 60126
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Candiolo (TO), Italia, 10060
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Meldola (FC), Italia, 47014
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Milan, Italia, 20141
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Milan, Italia, 20132
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Misterbianco (CT), Italia, 95045
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Rozzano, Italia, 20089
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Aichi, Nagoya, Japan, 464-8681
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Isehara, Japan, 259-1193
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Kagoshima, Japan, 892-0833
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Kanagawa, Yokohama, Japan, 241-8515
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Kashiwa-shi, Japan, 277-8577
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Kyoto, Japan, 606-8507
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Osaka, Japan, 541-8567
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Tokyo, Koto-ku, Japan, 135-8550
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Changchun, Kina, 130021
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Changchun, Kina, 130012
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Hangzhou, Kina, 310000
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Harbin, Kina, 150081
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Nanjing, Kina, 210029
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Shanghai, Kina, 200032
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Tianjin, Kina, 300060
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Zhengzhou, Kina, 450003
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A Coruña, Spania, 15006
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Barcelona, Spania, 08035
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Barcelona, Spania, 08003
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Barcelona, Spania, 08036
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L'Hospitalet de Llobregat, Spania, 8906
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Madrid, Spania, 28041
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Madrid, Spania, 28046
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Madrid, Spania, 28007
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Madrid, Spania, 28040
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Madrid, Spania, 28050
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Madrid, Spania, 28040
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Madrid, Spania, 28022
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Seville, Spania, 41009
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Valencia, Spania, 46009
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Cardiff, Storbritannia, CF14 2TL
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Leeds, Storbritannia, LS9 7TF
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London, Storbritannia, NW3 2QG
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London, Storbritannia, EC1A 7BE
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London, Storbritannia, NW1 2BU
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London, Storbritannia, SW3 6JJ
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Manchester, Storbritannia, M20 4BX
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Newcastle upon Tyne, Storbritannia, NE7 7DN
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Nottingham, Storbritannia, NG5 1PB
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Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08000514022
- E-post: unitedkingdom@bitrialsupport.com
-
Sutton, Storbritannia, SM2 5PT
- Rekruttering
- The Royal Marsden Hospital, Sutton
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08000514022
- E-post: unitedkingdom@bitrialsupport.com
-
-
-
-
-
Seongnam-si, Sør -Korea, 13620
- Rekruttering
- Seoul National University Bundang Hospital
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
Seongnam-si, Sør -Korea, 13496
- Rekruttering
- CHA Bundang Medical Center
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
Seoul, Sør -Korea, 05505
- Rekruttering
- Asan Medical Center
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
Seoul, Sør -Korea, 03080
- Rekruttering
- Seoul National University Hospital
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
Seoul, Sør -Korea, 03722
- Rekruttering
- Severance Hospital, Yonsei University Health System
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
Seoul, Sør -Korea, 2841
- Rekruttering
- Korea University Anam Hospital
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
Seoul, Sør -Korea, 6591
- Rekruttering
- Severance Hospital, Yonsei University Health System
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
Seoul, Sør -Korea, 6273
- Rekruttering
- The Catholic University of Korea, Seoul St.Mary's Hospital
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 0808802084
- E-post: namhan@bitrialsupport.com
-
-
-
-
-
Dresden, Tyskland, 01307
- Rekruttering
- Universitätsklinikum Carl Gustav Carus Dresden
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08007234742
- E-post: deutschland@bitrialsupport.com
-
Erlangen, Tyskland, 91054
- Rekruttering
- Universitätsklinikum Erlangen
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08007234742
- E-post: deutschland@bitrialsupport.com
-
Essen, Tyskland, 45136
- Har ikke rekruttert ennå
- Evang. Kliniken Essen-Mitte gGmbh
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08007234742
- E-post: deutschland@bitrialsupport.com
-
Hamburg, Tyskland, 22763
- Rekruttering
- Asklepios Kliniken GmbH & Co. KGaA
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08007234742
- E-post: deutschland@bitrialsupport.com
-
Mannheim, Tyskland, 68167
- Rekruttering
- Universitätsklinikum Mannheim GmbH
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08007234742
- E-post: deutschland@bitrialsupport.com
-
Ulm, Tyskland, 89075
- Rekruttering
- Universitätsklinikum Ulm
-
Ta kontakt med:
- Boehringer Ingelheim
- Telefonnummer: 08007234742
- E-post: deutschland@bitrialsupport.com
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion criteria:
- Patients ≥18 years of age or over the legal age of consent in countries where that is greater than 18 years at the time of signature of the informed consent form (ICF)
- Cohorts A to K and Cohort O and P: Documented Human epidermal growth factor receptor 2 overexpressing and/or amplified (HER2+), metastatic breast cancer (mBC) or metastatic gastric adenocarcinoma, gastroesophageal junction adenocarcinoma, or esophageal adenocarcinoma (mGEAC).
- Cohorts L (L-ext), M, and N (metastatic colorectal cancer (mCRC)): Documented Human epidermal growth factor receptor 2 (HER2) overexpression/amplification
- For (Phase II): Patient must provide tumor tissue
- History of prior treatment lines in palliative setting: For cohorts A, B, C, D, E, F, G, H, I, I-ext, J, J-ext, K, O and P documented investigator assessed progression
- Presence of at least one measurable lesion according to RECIST 1.1
- Eastern Cooperative Oncology Group (ECOG) score of 0 or 1
- Adequate organ function based on laboratory values Further inclusion criteria apply.
Exclusion criteria:
- Mean resting corrected QT interval (QT interval corrected for heart rate by Fridericia´s formula (QTcF)) >470 msec.
- Any factors that increase the risk of QT interval corrected for heart rate (QTc) prolongation or risk of arrhythmic events such as heart failure, hypokalemia, congenital long QT syndrome, personal or family history of long QT syndrome or unexplained sudden death under 40 years-of-age.
- Ejection fraction <50% or the lower limit of normal of the institutional standard within 28 days prior to randomization
- History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening Further exclusion criteria apply.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Sekvensiell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Phase Ib - Cohort A: zongertinib + Trastuzumab emtansine
Dose escalation (Phase Ib) |
Zongertinib
Andre navn:
Trastuzumab emtansine
Andre navn:
|
|
Eksperimentell: Phase Ib - Cohort B: zongertinib + Trastuzumab deruxtecan
Dose escalation (Phase Ib) |
Zongertinib
Andre navn:
Trastuzumab deruxtecan
Andre navn:
|
|
Eksperimentell: Phase Ib - Cohort C: zongertinib + Trastuzumab deruxtecan
Dose escalation (Phase Ib) |
Zongertinib
Andre navn:
Trastuzumab deruxtecan
Andre navn:
|
|
Eksperimentell: Phase II - Cohort D: zongertinib + Trastuzumab emtansine
Dose optimization (Phase II). |
Zongertinib
Andre navn:
Trastuzumab emtansine
Andre navn:
|
|
Eksperimentell: Phase II - Cohort E: zongertinib + Trastuzumab deruxtecan
Dose optimization (Phase II). |
Zongertinib
Andre navn:
Trastuzumab deruxtecan
Andre navn:
|
|
Eksperimentell: Phase II - Cohort F: zongertinib + Trastuzumab deruxtecan
Dose optimization (Phase II). |
Zongertinib
Andre navn:
Trastuzumab deruxtecan
Andre navn:
|
|
Eksperimentell: Phase Ib - Cohort G: zongertinib + trastuzumab + capecitabine
Dose escalation (Phase Ib) |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
Capecitabine |
|
Eksperimentell: Phase Ib - Cohort K: zongertinib + trastuzumab
Dose escalation (Phase Ib) |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
|
|
Eksperimentell: Phase II - Cohort H: zongertinib + trastuzumab + capecitabine
Dose optimization (Phase II). |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
Capecitabine |
|
Eksperimentell: Phase II - Cohort I: zongertinib
Dose optimization (Phase II). |
Zongertinib
Andre navn:
|
|
Eksperimentell: Phase II - Cohort J: zongertinib + trastuzumab
Dose optimization (Phase II). |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
|
|
Eksperimentell: Phase II - Cohort I-ext: zongertinib
Extension Phase II |
Zongertinib
Andre navn:
|
|
Eksperimentell: Phase II - Cohort J-ext: zongertinib + trastuzumab
Extension Phase II |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
|
|
Eksperimentell: Phase Ib - Cohort M: zongertinib + mFOLFOX6
Dose escalation (Phase Ib) |
Zongertinib
Andre navn:
mFOLFOX6 (oxaliplatin, calcium folinate, 5-fluorouracil) |
|
Eksperimentell: Phase Ib - Cohort N: zongertinib + trastuzumab + mFOLFOX6
Dose escalation (Phase Ib) |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
mFOLFOX6 (oxaliplatin, calcium folinate, 5-fluorouracil) |
|
Eksperimentell: Phase Ib - Cohort O: zongertinib + zanidatamab
Dose escalation (Phase Ib) - is not conducted in China or South Korea |
Zongertinib
Andre navn:
zanidatamab |
|
Eksperimentell: Phase Ib - Cohort P: zongertinib + zanidatamab + docetaxel
Dose escalation (Phase 1b) - is not conducted in China or South Korea |
Zongertinib
Andre navn:
zanidatamab Docetaxel |
|
Eksperimentell: Phase II - Cohort L: zongertinib + trastuzumab
Dose justification (Phase II) |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
|
|
Eksperimentell: Phase II - Cohort L-ext: zongertinib + trastuzumab
Extension Phase II |
Zongertinib
Andre navn:
Trastuzumab
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Dose escalation (Phase Ib): Occurrence of dose-limiting toxicities (DLTs) in the maximum tolerated dose (MTD) evaluation period
Tidsramme: up to 21 days
|
The MTD evaluation period is defined as the first 21 days of the first treatment cycle for Cohorts A, B, C, G, K, O and P. The MTD evaluation period is defined as the first 28 days after the first administration of any trial medication for Cohorts M and N. |
up to 21 days
|
|
Dose optimization and justification (Phase II): Objective response (OR)
Tidsramme: up to 50 months
|
Objective response (OR) is defined as the best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST 1.1 from the date of treatment start until the earliest date of disease progression, death, or last evaluable tumor assessment before start of subsequent anti-cancer therapy, or treatment discontinuation as assessed by investigator review. |
up to 50 months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Doseeskalering (fase Ib): Objektiv respons (OR)
Tidsramme: opptil 50 måneder
|
opptil 50 måneder
|
|
|
Doseeskalering (fase Ib): Forekomst av dosebegrensende toksisiteter (DLT) under hele behandlingsperioden
Tidsramme: opptil 50 måneder
|
opptil 50 måneder
|
|
|
Doseoptimalisering og begrunnelse (fase II): Forekomst av behandlingsrelaterte bivirkninger som fører til dose-reduksjon av zongertinib (BI 1810631) i løpet av behandlingsperioden
Tidsramme: opptil 50 måneder
|
opptil 50 måneder
|
|
|
Doseoptimalisering og -begrunnelse (Fase II): Maksimalt målt konsentrasjon (ved stabil tilstand) (Cmax,(ss))
Tidsramme: opptil 50 måneder
|
opptil 50 måneder
|
|
|
Doseoptimalisering og begrunnelse (fase II): Areal under konsentrasjon–tids-kurven over tidsintervallet fra 0 til det siste kvantifiserbare datapunktet ved likevektstilstand (AUC0-tz,ss)
Tidsramme: opptil 50 måneder
|
opptil 50 måneder
|
|
|
Dose escalation (Phase Ib): Maximum measured concentration of zongertinib (at steady state) (Cmax,(ss))
Tidsramme: up to 2 days
|
For cycle 2 only. |
up to 2 days
|
|
Dose escalation (Phase Ib): Area under the concentration-time curve of zongertinib over the time interval from 0 to 4h at steady state (AUC0-4h,ss)
Tidsramme: up to 2 days
|
For cycle 2 only. |
up to 2 days
|
|
Dose escalation (Phase Ib): Area under the concentration-time curve of zongertinib over the time interval from 0 to the last quantifiable data point at steady state (AUC0-tz,ss)
Tidsramme: up to 2 days
|
For cycle 2 only. |
up to 2 days
|
|
Dose optimization and justification (Phase II): Progression-free survival (PFS)
Tidsramme: up to 50 months
|
PFS is defined as the time from treatment start until the earliest date of tumor progression according RECIST 1.1 based on investigator review or death from any cause, whichever occurs first. |
up to 50 months
|
|
Dose optimization and justification (Phase II): Disease control (DC)
Tidsramme: up to 50 months
|
DC is defined as best overall response of confirmed complete response (CR) or confirmed partial response (PR) or stable disease (SD) where best overall response is defined according to RECIST 1.1 from first treatment administration until the earliest of disease progression, death, or last evaluable tumor assessment before start of subsequent anti-cancer therapy, or treatment discontinuation, as assessed by investigator review. |
up to 50 months
|
|
Dose optimization and justification (Phase II): Patient-reported outcome (PRO) - PRO-CTCAE
Tidsramme: up to 24 weeks
|
The Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) item library was developed to elicit symptomatic toxicity information directly from patients in cancer clinical trials. The items selected for this trial are: Mouth/throat sores, Taste changes, Decreased appetite, Nausea, Vomiting, Constipation, Diarrhoea, Shortness of breath, Cough, Rash, Skin dryness, Hair loss, Itching, Numbness & Tingling, Fatigue, Nosebleed, Headache. PRO-CTCAE responses are scored from 0 (=none) to 4 (=very severe) (or 0/1 for absent/present). |
up to 24 weeks
|
|
Dose optimization and justification (Phase II): Patient-reported outcome (PRO) - EORTC IL46
Tidsramme: up to 48 weeks
|
The EORTC IL46 is a single question that assesses bother (burden) of treatment. It is rated on a scale from 1 to 4, ranging from "not at all" to "very much". |
up to 48 weeks
|
|
Dose optimization and justification (Phase II): Patient-reported outcome (PRO) - EORTC IL19
Tidsramme: up to 48 weeks
|
The EORTC IL19 consists of five physical functioning scale items. It is rated on a scale from 1 to 4, ranging from "not at all" to "very much". |
up to 48 weeks
|
Samarbeidspartnere og etterforskere
Sponsor
Publikasjoner og nyttige lenker
Hjelpsomme linker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Neoplasmer etter nettsted
- Neoplasmer
- Tarmsykdommer
- Gastrointestinale neoplasmer
- Neoplasmer i fordøyelsessystemet
- Sykdommer i fordøyelsessystemet
- Gastrointestinale sykdommer
- Intestinale neoplasmer
- Rektale sykdommer
- Kolonsykdommer
- Hudsykdommer
- Bryst sykdommer
- Hud- og bindevevssykdommer
- Kolorektale neoplasmer
- Brystneoplasmer
- Adenokarsinom i spiserøret
- Aminosyrer, peptider og proteiner
- Proteiner
- Organiske kjemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Nukleinsyrer, nukleotider og nukleosider
- Hydrokarboner
- Cycloparaffins
- Hydrokarboner, alicyklisk
- Hydrokarboner, syklisk
- Terpener
- Polysykliske forbindelser
- Antistoffer, monoklonalt, humanisert
- Antistoffer, monoklonalt
- Antistoffer
- Immunoglobuliner
- Immunoproteiner
- Blodproteiner
- Serumglobuliner
- Globuliner
- Taxoider
- Cyclodecanes
- Diterpenes
- Deoxycytidine
- Cytidin
- Pyrimidin -nukleosider
- Pyrimidiner
- Makrolider
- Laktoner
- Nukleosider
- Uracil
- Pyrimidinoner
- Laktams, makrosyklisk
- Makrosykliske forbindelser
- Deoxyribonucleosides
- Fluorouracil
- Maytansine
- Docetaxel
- Trastuzumab
- Capecitabin
- Ado-Trastuzumab Emtansine
- trastuzumab deruxtecan
- Zanidatamab
Andre studie-ID-numre
- 1479-0012
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
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-delingstidsramme
One year after the approval has been granted by major Regulatory Authorities and after the primary manuscript has been accepted for publication, or after termination of the development program.
Tilgangskriterier for IPD-deling
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-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
- CSR
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .