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NeoplasmsPhase 1NCT02273388

BI 6727 Administered Intravenously Every 3 Weeks in Patients With Solid Tumours

A Phase 1 study testing BI 6727 in people with Neoplasms, run by Boehringer Ingelheim at 2 sites in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this trial is to identify the maximum tolerated dose (MTD) of BI 6727 therapy in terms of drug-related adverse events. Secondary objectives are the collection of overall safety and antitumour efficacy data and the determination of the pharmacokinetic profile of BI 6727. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neoplasms
What is being tested?
BI 6727
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
65 participants
Where
2 sitesBelgium
Study dates
4 Nov 2005to 6 Apr 2021
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with confirmed diagnosis of advanced, non resectable and / or metastatic solid tumours, who have failed conventional treatment, or for whom no therapy of proven efficacy exists, or who are not amenable to established forms of treatment
  • Age 18 years or older
  • Written informed consent consistent with ICH-GCP and local legislation
  • Eastern Cooperative Oncology Group (ECOG, R01-0787) performance score ¿ 2
  • Recovery from CTCAE Grade 2 - 4 therapy-related toxicities from previous chemo-, hormone-, immuno-, or radiotherapies (except alopecia)
  • The 18 additional patients recruited at the MTD must also meet the following criterion:
  • Measurable tumour deposits (RECIST) by one or more techniques (CT, MRI)

Who cannot join

  • Serious illness or concomitant non-oncological disease considered by the investigator to be incompatible with the protocol
  • Pregnancy or breastfeeding
  • Active infectious disease or known chronic Hepatitis B/Hepatitis C infection
  • Clinical evidence of active brain or leptomeningeal disease during the past 12 months
  • Second malignancy currently requiring active therapy
  • Absolute neutrophil count less than 1500 / mm3
Show all 16Show fewer
  • Platelet count less than 100 000 / mm3
  • Bilirubin greater than 1.5 mg / dl (> 26 ¿mol / L, SI unit equivalent)
  • Aspartate amino transferase (AST) and / or alanine amino transferase (ALT) greater than 2.5 times the upper limit of normal (if related to liver metastases greater than five times the upper limit of normal)
  • Serum creatinine greater than 1.5 mg / dl (> 132 ¿mol / L, SI unit equivalent)
  • Known history of relevant QT-prolongation, e.g. long QT-syndrome
  • Women and men who are sexually active and unwilling to use a medically acceptable method of contraception
  • 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)
  • Chemo-, radio or immunotherapy within the past four weeks before start of therapy or concomitantly with this trial. This restriction does not apply to steroids and bisphosphonates.
  • Patients unable to comply with the protocol
  • Active alcohol or drug abuse

Trial locations and contacts

2 sites in 1 country.

Belgium2 sites
  • 1230.1.32002 Boehringer Ingelheim Investigational Site

    Brussels

  • 1230.1.32001 Boehringer Ingelheim Investigational Site

    Leuven

Other trials in Belgium

About this study

Official title: An Open Phase I Single Dose Escalation Study of BI 6727 Administered Intravenously in Patients With Advanced Solid Tumours With Repeated Administration in Patients With Clinical Benefit

The primary objective of this trial is to identify the maximum tolerated dose (MTD) of BI 6727 therapy in terms of drug-related adverse events. Secondary objectives are the collection of overall safety and antitumour efficacy data and the determination of the pharmacokinetic profile of BI 6727.

Conditions
Neoplasms
Being tested
BI 6727
Medical subject headings
Neoplasms

What participants receive

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

  • BI 6727Drug

    Also called Volasertib

    BI 6727

Study groups in NCT02273388
Study groupRoleWhat they receive
12 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
24 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
48 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
75 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
125 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
200 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
300 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
300 mg BI 6727 1h2hExperimentalInfusion over 1 hour (1h) in course 1 and over 2 hours (2h) in course 2.
Receives: Drug: BI 6727
300 mg BI 6727 2h1hExperimentalInfusion over 2 hours (2h) in course 1 and over 1 hours (1h) in course 2.
Receives: Drug: BI 6727
350 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
400 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727
450 mg BI 6727ExperimentalNot described
Receives: Drug: BI 6727

What is being measured

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

  1. Maximum Tolerated Dose (MTD)

    MTD is defined as: the dose of BI 6727 which is one dose tier below that dose at which two or more out of a maximum of six patients experienced dose-limiting toxicity (DLT). At the maximum tolerated dose, no more than one patient out of six patients may experience DLT, i.e. MTD is defined as the highest dose studied for which the incidence of dose-limiting toxicity is no more than 17% (i.e. 1/6 patients) during the first course.

    DLT is defined as drug related common terminology criteria for adverse events (CTCAE) grade 3 or 4 non haematological toxicity (except emesis or diarrhoea responding to supportive treatment), or drug related CTCAE grade 4 neutropenia for seven or more days and / or complicated by infection, or CTCAE Grade 4 thrombocytopenia .

    Measured: 21 days (first treatment course).

Secondary outcomes (24)
  1. Number of Participants With Adverse Events (AEs)

    Number of participants with adverse events. The events were graded according to the Common Terminology Criteria for Adverse Events (CTCAE) v.3.0.

    Grade refers to the severity of adverse event. Grade 1: Mild AE; Grade 2: Moderate AE; Grade 3: Severe AE; Grade 4: Life-threatening or disabling AE; Grade 5: Death related to AE.

    Measured: From first drug administration until last drug administration plus 21 days, up to 835 days.

  2. Number of Participants With Clinically Relevant Abnormalities

    Number of participants with clinically relevant abnormalities, occurring in >5% of the total number of participants, is reported.

    Clinically relevant post baseline values with Common Terminology Criteria for Adverse Events (CTCAE) grades:

    • CTCAE grade ≥4 for White blood cell count (WBC) , Neutrophils (NEUT), NEUABS Lymphocytes (LMPH) if baseline CTCAE grade is not 4
    • CTCAE grade ≥3 for Haemoglobin (HGB), Platelets count (PLTCT), Alkaline phosphatase (ALKP), serum glutamic-oxaloacetic-transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), total bilirubin (TBILI), if baseline CTCAE grade is ≥3 increases of one grade
    • CTCAE grade ≥2 for other parameters, if baseline CTCAE grade is ≥2 increases of at least one grade

    Measured: From baseline to the last value on treatment, up to 814 days.

  3. Number of Participants With Change in Eastern Cooperative Oncology Group (ECOG) Patient Performance Score

    ECOG score: The scale of ECOG score is defined as a six point categorical scale as described ranging from 0 (asymptomatic) to 5 (death). ECOG score change from baseline to end of treatment is calculated, and defined as

    = ECOG score at end of treatment - ECOG score at baseline.

    Scale of ECOG score change:

    The ECOG score changes from baseline score are categorized on a three point categorical scale: Improved, unchanged, and deteriorated. Improvement or deterioration of performance status required a decrease or an increase from baseline, respectively, of at least one point on the ECOG scale. The number of patients per category ("improved", "unchanged", "deteriorated" "unknown") is reported.

    Measured: At baseline and at end of treatment (up to 814 days).

  4. Electrocardiogram (ECG) - QTcF Change From Baseline

    Electrocardiogram (ECG) - QTcF change from baseline. QTcF intervals form the ECGs were analysed for changes during and after intravenous infusion of BI 300 mg dose over 1 hours and over 2 hours. For baseline ECG, the combined baseline, defined as the mean of the 2 triplicates at the time-point closest to but prior to the start of the infusion of both treatment courses, i.e. a common baseline is used for both treatment courses, was used. Mean is adjusted mean.

    Abbreviations:

    QTcF: QT interval, corrected for heart rate according to Fridericia's formula (seconds) = measured QT / (cube root of preceding RR interval) QT: Interval from the beginning of the Q wave to the end of the T wave on an ECG (seconds).

    CfB: Change from baseline.

    Measured: At baseline and 5 minutes before infusion end, 1 hour after end of infusion and at 4 and 12 hours after start of infusion, at course 1.

  5. Vital Signs - Blood Pressure

    Systolic blood pressure and diastolic blood pressure are reported.

    Measured: At baseline.

  6. Vital Signs - Pulse Rate

    Pulse rate is reported.

    Measured: At baseline.

  7. Number of Participants With Unconfirmed Best Overall Response

    For solid tumours, evaluation of tumour response was assessed according to the Response Evaluation Criteria in Solid Tumours (RECIST) definition. The overall response of target and non-target lesions together with or without the appearance of new lesions as reported by the investigator was assessed on a four point categorical scale as complete response (CR), partial response (PR), stable disease (SD), and progressive disease (PD) according to the RECIST criteria. In order to best handle measurements that were non-evaluable (NEV) a modified version of the RECIST criteria was used. If a RECIST overall response was deemed NEV, it could be further classified into non-evaluable clinically progressive disease (NEVCPD ) or non-evaluable clinically non-progressive disease (NEVCNPD), depending on the subjective assessment of the investigator.

    Measured: Up to 814 days.

  8. Number of Participants With Progression

    Number of participants with progression of disease.

    Progressive disease is defined according to the Response Evaluation Criteria in Solid Tumours (RECIST) as: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeter.

    Measured: Up to 814 days.

  9. Maximum Concentration of BI 6727 in Plasma (Cmax)

    Maximum concentration of BI 6727 in plasma (Cmax).

    Different time frame for dose groups 300 mg BI 6727 1h2h and 300 mg BI 6727 2h1h:

    For 300mg BI 6727 1h2h: At course 1: 0.083 hours before drug administration and at 1*, 2, 4, 8, 24 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

    For 300mg BI 6727 2h1h: At course 1: 0.083 hours before drug administration and at 1*, 2, 3, 4 and 24 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  10. Time From Dosing to Maximum Concentration (Tmax)

    Time from dosing to maximum concentration (tmax).

    Different time frame for dose groups 300 mg BI 6727 1h2h and 300 mg BI 6727 2h1h:

    For 300mg BI 6727 1h2h: At course 1: 0.083 hours before drug administration and at 1*, 2, 4, 8, 24 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

    For 300mg BI 6727 2h1h: At course 1: 0.083 hours before drug administration and at 1*, 2, 3, 4 and 24 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  11. Area Under the Concentration-time Curve of BI 6727 in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-inf)

    Area under the concentration-time curve of BI 6727 in plasma over the time interval from 0 extrapolated to infinity (AUC0-inf).

    Measured: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 and 504 hours after start of infusion. (*Immediately prior to end of infusion of BI 6727).

  12. Area Under the Concentration-time Curve of BI 6727 in Plasma Over the Time Interval From 0 to the Last Quantifiable Time Point tz (AUC0-tz)

    Area under the concentration-time curve of BI 6727 in plasma over the time interval from 0 to the last quantifiable time point tz (AUC0-tz).

    Different time frame for dose groups 300 mg BI 6727 1h2h and 300 mg BI 6727 2h1h:

    For 300mg BI 6727 1h2h: At course 1: 0.083 hours before drug administration and at 1*, 2, 4, 8, 24 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

    For 300mg BI 6727 2h1h: At course 1: 0.083 hours before drug administration and at 1*, 2, 3, 4 and 24 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

    Measured: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 and 504 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  13. Terminal Rate Constant in Plasma (λz)

    Terminal rate constant in plasma (λz).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  14. Terminal Half-life of the Analyte in Plasma (t1/2)

    Terminal half-life of the analyte in plasma (t1/2).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  15. Mean Residence Time of BI 6727 in the Body After Intravenous Administration (MRT)

    Mean residence time of BI 6727 in the body after intravenous administration (MRT).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  16. Total Clearance of BI 6727 in the Plasma After Intravascular Adminstration (CL)

    Total clearance of BI 6727 in the plasma after intravascular adminstration (CL).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  17. Apparent Volume of Distribution at Steady State Following Intravascular Administration (Vss)

    Apparent volume of distribution at steady state following intravascular administration (Vss).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  18. Apparent Volume of Distribution During the Terminal Phase λz Following an Intravascular Dose (Vz)

    Apparent volume of distribution during the terminal phase λz following an intravascular dose (Vz).

    Measured: At course 1: 0.083 hours before drug administration and at 0.25, 0.5, 075, 1*, 1.5, 2, 4, 8, 24, 48, 96, 168, 336 hours after start of infusion (*immediately prior to end of infusion of BI 6727).

  19. Amount of BI 6727 That is Eliminated in Urine From the Time Point 0 to Time Point 24 Hours (Ae0-24)

    Amount of BI 6727 that is eliminated in urine from the time point 0 to time point 24 hours (Ae0-24).

    Measured: 5 minutes prior to the infusion on day 1, course 1 and up to 24 hours after the infusion.

  20. Amount of BI 6727 That is Eliminated in Urine From the Time Point 0 to Time Point 48 Hours (Ae0-48)

    Amount of BI 6727 that is eliminated in urine from the time point 0 to time point 48 hours (Ae0-48).

    Measured: 5 minutes prior to the infusion on day 1, course 1 and up to 48 hours after the infusion.

  21. Fraction of BI 6727 Eliminated in Urine From Time Point 0 to Time Point 24 Hours (Fe0-24)

    Fraction of BI 6727 (percentage of dose) eliminated in urine from time point 0 to time point 24 hours (Fe0-24).

    Measured: 5 minutes prior to the infusion on day 1, course 1 and up to 24 hours after the infusion.

  22. Fraction of BI 6727 Eliminated in Urine From Time Point 0 to Time Point 48 Hours (Fe0-48)

    Fraction of BI 6727 (percentage of dose) eliminated in urine from time point 0 to time point 48 hours (Fe0-48).

    Measured: 5 minutes prior to the infusion on day 1, course 1 and up to 48 hours after the infusion.

  23. Renal Clearance of BI 6727 From the Time Point 0 to Time Point 24 Hours (CLr,0-24)

    Renal clearance of BI 6727 from the time point 0 to time point 24 hours (CLr,0-24).

    Measured: 5 minutes prior to the infusion on day 1, course 1 and up to 24 hours after the infusion.

  24. Renal Clearance of BI 6727 From the Time Point 0 to Time Point 48 Hours (CLr,0-48)

    Renal clearance of BI 6727 from the time point 0 to time point 48 hours (CLr,0-48).

    Measured: 5 minutes prior to the infusion on day 1, course 1 and up to 48 hours after the infusion.

Timeline

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

  1. First posted24 Oct 2014 (estimated)
  2. Study start4 Nov 2005
  3. Primary completion19 Jan 2009
  4. Study completion6 Apr 2021

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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02273388
Sponsor's protocol ID
1230.1
Other IDs
2005-002500-42, 1230-0001, 2005
Status last verified
Dec 2022
First submitted
23 Oct 2014
Last updated
3 Oct 2023
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, except for the following exclusions: 1. studies in products where Boehringer Ingelheim is not the license holder; 2. studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; 3. studies conducted in a single center or targeting rare diseases (because of limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datasharing

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BI 6727 in people with Neoplasms, run by Boehringer Ingelheim at 2 sites in Belgium.

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 7 inclusion and 16 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: finished, as of the sponsor's last update on 3 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Belgium. 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 3 Oct 2023). 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?

Maximum Tolerated Dose (MTD) (time frame: 21 days (first treatment course).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Oct 2023.

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