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Carcinoma, Non-Small-Cell LungPhase 1NCT00979576

BIBF 1120 in Combination With Pemetrexed in Advanced Non Small Cell Lung Cancer (NSCLC)

A Phase 1 study testing BIBF 1120 M + Pemetrexed, BIBF 1120 H + Pemetrexed and BIBF 1120 RD + Pemetrexed in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 3 sites in Japan.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The objectives of this trial are to estimate the following in Japanese patients with advanced NSCLC of stage IIIB/IV or with recurrence after failure of first-line chemotherapy. Phase I part The objective of the phase I part is to define the Maximum Tolerated Dose (MTD) of BIBF 1120 at a dose level up to twice daily… Read more about this study

Who is it for?
Ages 20 to 74 years
Conditions the study is for
Carcinoma, Non-Small-Cell Lung
What is being tested?
BIBF 1120 M + Pemetrexed, BIBF 1120 H + Pemetrexed and BIBF 1120 RD + Pemetrexed
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
19 participants
Where
3 sitesJapan
Study dates
16 Oct 2009to 16 Feb 2015
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients of age >=20 and <=74 years at informed consent
  • Histologically or cytologically confirmed, Non Small Cell Lung Cancer (NSCLC) of stage IIIB or IV or recurrent NSCLC
  • Relapse or failure of 1 first-line prior chemotherapy
  • Life expectancy of at least 3 months
  • Eastern Cooperative Oncology Group (ECOG) score of 0 or 1
  • Patients who have sufficient baseline organ function over 4 weeks and whose laboratory data meet the following criteria at the enrolment
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  • Haemoglobin >=9.0 g/dL
  • Absolute neutrophil count (ANC) >=1500/mm^3
  • Platelet count >=100 000/mm^3
  • Total bilirubin under the upper limit of normal
  • AST/SGOT and/or ALT/GPT <=1.5 x upper limit of normal (if related to liver metastases <=2.5 x upper limit of normal also)
  • Proteinuria Common Terminology Criteria for Adverse Events (CTCAE) grade 1 or less
  • Calculated creatinine clearance by Cockcroft Gault >=45 mL/min
  • Prothrombin time-international normalized ratio (PT-INR) and/or partial thromboplastin time (PTT) greater than 50% deviation from normal limits
  • arterial oxgen pressure (PaO2) >=60 torr or oxygen saturation by pulse-oximeter SpO2 >=92%
  • Patient has given written informed consent which must be consistent with ICH-GCP and local legislation.

Who cannot join

  • Patients who have received treatment with other investigational drugs or treatment in another clinical trial within the past 4 weeks before start of therapy or concomitantly with this trial or who have not recovered from side effects of such therapy (except for alopecia)
  • Patients who have received chemo-, hormone-, immunotherapy or therapy with monoclonal antibodies or small tyrosine kinase inhibitors within the past 4 weeks prior to treatment with the trial drug or who have not recovered from side effects of such therapy (except for alopecia) .
  • Patients who have received radiotherapy within the following period Phase I part: the past 4 weeks prior to treatment with the trial drug (in case of palliative radiotherapy such as for extremities, within the past 2 weeks prior to treatment with the trial drug)
  • Previous therapy with other vascular endothelial growth factor receptor (VEGFR) inhibitors or vascular endothelial growth factor (VEGF) ligand inhibitors for treatment of NSCLC
  • Previous therapy with BIBF 1120 and/or pemetrexed for treatment of NSCLC and any contraindications for therapy with pemetrexed
  • Patients who have active brain metastases
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  • Leptomeningeal disease
  • Patients with distinct or suspected pulmonary fibrosis or interstitial lung disease by the CT findings, or patients with a previous history of pulmonary fibrosis or interstitial lung disease (except irradiation-pneumonitis appearing radiation field with past radiotherapy).
  • Radiographic evidence of cavitary or necrotic tumors
  • Centrally located tumors with radiographic evidence (CT or MRI) of local invasion of major blood vessels
  • History of clinically significant haemoptysis within the past 3 months
  • History of major thrombotic or clinically relevant major bleeding event in the past 6 months
  • Known inherited predisposition to bleeding or thrombosis
  • Significant cardiovascular diseases
  • Significant weight loss (>10%) within the past 6 weeks prior to treatment in the present trial
  • Current peripheral neuropathy CTCAE grade 2 or greater except due to trauma
  • Pre-existing ascites and/or clinically significant pleural effusion
  • Major injuries and/or surgery within the past 4 weeks prior to randomisation with incomplete wound healing
  • Clinically serious infections
  • Decompensated diabetes mellitus
  • Contraindication to high dose steroid therapy
  • Gastrointestinal disorders or abnormalities that would interfere with absorption of the study drug
  • Patients who have active or chronic hepatitis C and/or B infection and diagnosis of human immunodeficiency virus (HIV) infection
  • Other malignancy other than basal cell skin cancer, carcinoma in situ or intra-mucosal cancer that were judged to be cured by adequate treatment and disease-free interval is more than 5 years
  • History of serious drug hypersensitivity
  • Serious illness or concomitant non-oncological disease such as neurologic-, psychiatric-, infectious disease or active ulcers (gastro-intestinal tract, skin) or laboratory abnormality that may increase the risk associated with study participation
  • Therapeutic anticoagulation (except low dose heparin and/or heparin flush as needed for maintenance of an indwelling intravenous device) or antiplatelet therapy
  • Patients who are sexually active and unwilling to use a medically acceptable method of contraception
  • Pregnancy or breast feeding
  • Active alcohol or drug abuse
  • Patients unable to comply with the protocol
  • Other patients judged ineligible for enrolment in the study by the investigator or subinvestigator.

Trial locations and contacts

3 sites in 1 country.

Japan3 sites
  • 1199.28.003 Boehringer Ingelheim Investigational Site

    Chiba,Kashiwa

  • 1199.28.002 Boehringer Ingelheim Investigational Site

    Miyakojima-ku, Osaka

  • 1199.28.001 Boehringer Ingelheim Investigational Site

    Osaka-Sayama, Osaka

Other trials in Japan

About this study

Official title: A Phase I/II Study of Continuous, Concomitant Oral Treatment With BIBF 1120 and Pemetrexed - a Phase I, Open-label, Dose-escalation Study & a Phase II, 2 Arm, Randomized, Double-blind, Placebo-controlled Study in Japanese Patients With Stage IIIB/IV or Recurrent Non-small-cell Lung Cancer After Failure of Chemotherapy

The objectives of this trial are to estimate the following in Japanese patients with advanced NSCLC of stage IIIB/IV or with recurrence after failure of first-line chemotherapy.

Phase I part The objective of the phase I part is to define the Maximum Tolerated Dose (MTD) of BIBF 1120 at a dose level up to twice daily 200 mg with standard dose of pemetrexed (500 mg/m^2) and to determine the Recommended Dose (RD) for the phase II part.

Phase II, to investigate the efficacy and safety of BIBF 1120 in combination with pemetrexed (500 mg/m^2) as compared to pemetrexed (500 mg/m^2) + placebo

Being tested
BIBF 1120 M + Pemetrexed, BIBF 1120 H + Pemetrexed, BIBF 1120 RD + Pemetrexed, BIBF 1120 L + Pemetrexed, BIBF 1120 Placebo + Pemetrexed
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BIBF 1120 M + PemetrexedDrug

    BIBF 1120 medium dose bid+ Pemetrexed 500 mg/m^2

  • BIBF 1120 H + PemetrexedDrug

    BIBF 1120 high dose bid+ Pemetrexed 500 mg/m^2

  • BIBF 1120 RD + PemetrexedDrug

    confirmed dose of BIBF 1120 bid + Pemetrexed 500 mg/m^2

  • BIBF 1120 L + PemetrexedDrug

    BIBF 1120 low dose bid+ Pemetrexed 500 mg/m^2

  • BIBF 1120 Placebo + PemetrexedDrug

    placebo BIBF 1120 bid + Pemetrexed 500 mg/m^2

Study groups in NCT00979576
Study groupRoleWhat they receive
BIBF 1120 BID + PemetrexedExperimentalPhase I part: Find MTD by using low, medium or high BIBF 1120 twice daily and 500mg/m^2 pemetrexed once every 3 weeks
Receives: Drug: BIBF 1120 M + Pemetrexed; Drug: BIBF 1120 H + Pemetrexed; Drug: BIBF 1120 L + Pemetrexed
BIBF 1120 BID (RD) + PemetrexedExperimentalPHase II part: Study arm
Receives: Drug: BIBF 1120 RD + Pemetrexed
BIBF 1120 BID(Placebo) + PemetrexedExperimentalPhase II part: Comparator arm
Receives: Drug: BIBF 1120 Placebo + Pemetrexed

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Limiting Toxicities

    Number of participants with dose limiting toxicity (DLT) in combination therapy of BIBF 1120 and pemetrexed during the first course

    Measured: During the first course, 21 days

  2. Adverse Events According to Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0 for All Courses

    Number of patients with adverse events according to worst Common Terminology Criteria for Adverse Events (CTCAE), version 3.0 for all courses.

    CTCAE grades are: 1 (mild AE), 2 (moderate AE), 3 (severe AE), 4 (life-threatening or disabling AE) or 5 (death related to AE).

    Measured: Between first administration of pemetrexed and 28 days after last administration of pemetrexed and/or BIBF 1120, up to 1020 days

Secondary outcomes (8)
  1. Overall Response Rate

    Number of participants with complete response (CR) or partial response (PR) according to the Response Evaluation Criteria In Solid Tumors (RECIST) 1.0

    Measured: Every 6 weeks after start of study treatment until end of treatment, up to 992 days

  2. Disease Control Rate

    Number of participants with complete response (CR), partial response (PR) or stable disease (SD) according to the Response Evaluation Criteria In Solid Tumors (RECIST) 1.0

    Measured: Every 6 weeks after start of study treatment until end of treatment, up to 992 days

  3. Duration of Disease Control

    Duration of disease control was defined as the time period from the first study drug administration to the progressive disease (PD) or death of patients, whichever occurred earlier.

    Measured: From first study drug administration until PD or death, up to 1003 days

  4. Number of Participants With Clinically Relevant Abnormalities in Laboratory Parameters

    Number of participants with clinically relevant abnormalities in laboratory parameters reported as adverse events which occurred in >= 20% of patients

    Measured: Between first administration of pemetrexed and 28 days after last administration of pemetrexed and/or BIBF 1120, up to 1020 days

  5. AUC0-inf of Nintedanib

    Area under the concentration-time curve of nintedanib in plasma over the time interval from 0 extrapolated to infinity (AUC0-inf)

    Measured: 5 minutes (min) before nintedanib administration and 1h, 2h, 3h, 4h, 6h, 7h, 10h and 23h 55min after nintedanib administration in cycle 1

  6. Cmax of Nintedanib

    Maximum measured concentration of nintedanib in plasma (Cmax)

    Measured: 5 minutes (min) before nintedanib administration and 1h, 2h, 3h, 4h, 6h, 7h, 10h and 23h 55min after nintedanib administration in cycle 1

  7. AUC0-inf of Pemetrexed

    Area under the concentration-time curve of pemetrexed in plasma over the time interval from 0 extrapolated to infinity (AUC0-inf)

    Measured: 5 minutes (min) before pemetrexed administration and 10min, 40min, 1 hour (h), 2h, 4h, 6h, 23h 55min, 47h 55min after pemetrexed administration in cycles 1 and 2

  8. Cmax of Pemetrexed

    Maximum measured concentration of pemetrexed in plasma (Cmax)

    Measured: 5 minutes (min) before pemetrexed administration and 10min, 40min, 1 hour (h), 2h, 4h, 6h, 23h 55min, 47h 55min after pemetrexed administration in cycles 1 and 2

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Sep 2009 (estimated)
  2. Study start16 Oct 2009
  3. Primary completion16 Feb 2015
  4. Study completion16 Feb 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00979576
Sponsor's protocol ID
1199.28
Status last verified
Mar 2025
First submitted
17 Sep 2009
Last updated
6 Mar 2025
Individual data sharing
No: 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.mystudywindow.com/msw/datatransparency

Publications

  • Daga H, Takeda K, Okada H, Miyazaki M, Ueda S, Kaneda H, Okamoto I, Yoh K, Goto K, Konishi K, Sarashina A, Tanaka T, Kaiser R, Nakagawa K. Phase I study of nintedanib in combination with pemetrexed as second-line treatment of Japanese patients with advanced non-small cell lung cancer. Cancer Chemother Pharmacol. 2015 Dec;76(6):1225-33. doi: 10.1007/s00280-015-2896-3. Epub 2015 Nov 11.

    PubMed 26560486

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BIBF 1120 M + Pemetrexed, BIBF 1120 H + Pemetrexed and BIBF 1120 RD + Pemetrexed in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 3 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 6 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Nov 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose Limiting Toxicities (time frame: During the first course, 21 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00979576, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Mar 2025.

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