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Advanced MalignanciesPhase 1/2NCT04752826

BI-1808 as a Single Agent and With Pembrolizumab (KEYTRUDA® ) in Treatment of Advanced Malignancies(Keynote-D20)

A Phase 1/2 study testing BI-1808, Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection and Paclitaxel 80 mg/m2 weekly in people with Advanced Malignancies and Ovarian Cancer, run by BioInvent International AB at 25 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this first in human clinical trial is to test BI-1808 administered as single agent and in combination with pembrolizumab in subjects with advanced malignancies whose disease has progressed after standard therapy. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
BI-1808, Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection and Paclitaxel 80 mg/m2 weekly
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
250 participants
Where
25 sitesin 7 countries
Study dates
25 Jan 2021to 31 Dec 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Able and willing to provide written informed consent.
  • Aged 18 years or older.
  • Histologically confirmed advanced or metastatic malignancy eligible for an enrolling study cohort.
  • Disease progression following, intolerance of, ineligibility for, or refusal of applicable standard therapy.
  • At least one measurable lesion according to the response criteria specified in the protocol.
  • Eastern Cooperative Oncology Group performance status of 0 or 1.
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  • Life expectancy of at least 12 weeks.
  • Adequate organ function.
  • Willing and medically suitable to provide required tumor or skin biopsies.
  • Meets the disease-specific and treatment-history requirements of the applicable Phase 2a cohort.
  • For Phase 2a Part C: Histologically confirmed platinum-resistant high-grade serous or clear-cell ovarian carcinoma, prior platinum-based treatment as specified in the protocol, and suitability for paclitaxel treatment.

Who cannot join

  • 1. Active central nervous system metastases or carcinomatous meningitis.
  • Active or clinically significant autoimmune disease, immunodeficiency, or use of prohibited immunosuppressive treatment.
  • Prior treatment-related toxicity not recovered to the level specified in the protocol.
  • Prior anticancer therapy, radiotherapy, immunotherapy, investigational treatment, or live vaccine within the protocol-defined washout period.
  • History of clinically significant immune-mediated toxicity, including pneumonitis, associated with previous immune-checkpoint inhibitor treatment.
  • Uncontrolled or clinically significant cardiovascular disease, serious infection, or another condition that could compromise safety or study participation.
Show all 14Show fewer
  • Major surgery without adequate recovery.
  • Prior allogeneic tissue or solid-organ transplantation or active graft-versus-host disease.
  • Pregnancy or breastfeeding, or unwillingness to comply with protocol-defined contraceptive requirements.
  • Known hypersensitivity to a study treatment or its components.
  • Another active malignancy, except for protocol-defined permitted malignancies.
  • Participation in another interventional clinical trial that conflicts with this study.
  • Unable or unlikely to comply with study procedures and requirements.
  • For Phase 2a Part C: Receipt of prohibited colony-stimulating factors within the protocol-defined period before treatment.

Trial locations and contacts

25 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

25 sites in 7 countries

United Kingdom7 sites, 7 recruiting
  • University Hospital Birmingham

    Birmingham

    Julia Scarisbrick, Prof.

    Recruiting
  • University Hospitals of Leicester NHS Trust

    Leicester, LE1 5WW

    Harriet Walter

    Recruiting
  • Guy's and Saint Thomas' NHS Foundation Trust

    London, SE1 9RT

    Stephen Morris

    Recruiting
  • Sarah Cannon Research Institute UK

    London, W1G 6AD

    Anja Williams

    Recruiting
  • The Royal Marsden Hospital NHS Foundation Trust

    London

    Juanita Lopez

    Recruiting
  • The Christie NHS Foundation Trust

    Manchester, M20 4BX

    Richard Cowan

    Recruiting
  • Southampton General Hospital

    Southampton, SO16 6YD

    Sean Lim

    Recruiting

Other trials in United Kingdom

Spain4 sites, 4 recruiting
  • Institut Catala d'oncologia. Hospital Duran I Reynals

    Barcelona, 08907

    Not yet recruiting
  • Hospital Universitario Puerta de Hierro-Majadahonda, Madrid,

    Madrid, 28007

    Not yet recruiting
  • START Madrid - Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040

    Recruiting
  • Hospital Universitario 12 de Octubre

    Madrid, 28041

    Recruiting

Other trials in Spain

United States3 sites, 3 recruiting
  • City of Hope National Medical Center

    Duarte, California, 91010

    Christiane Querfeld

    Recruiting
  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10021

    Jasmine Zain

    Recruiting
  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Stefan Barta

    Recruiting

Other trials in United States

Hungary3 sites, 1 recruiting
  • PRA Health Sciences - Hungary

    Budapest, 1077

    Active, not recruiting
  • Magyar Honvédség-Egészségügyi Központ

    Budapest, 1134

    Zsuzsanna Pápai

    Recruiting
  • Debreceni Egyetem Klinikai Központ

    Debrecen, 4032

    Withdrawn

Other trials in Hungary

Russia3 sites
  • Byudzhetnoye Uchrezhdeniye Zdravookhraneniya Omskoy Oblasti - Klinicheskiy Onkologicheskiy Dispanser

    Omsk, 644013

    Terminated
  • National Medical Research Center VA Almazov

    Saint Petersburg, 197022

    Withdrawn
  • N.N. Petrov National Medical Research Center of Oncology

    Saint Petersburg, 197758

    Withdrawn

Other trials in Russia

Sweden3 sites, 3 recruiting
  • Sahlgrenska University Hospital

    Gothenburg, 41345

    Edvard Abel

    Recruiting
  • Skanes University Hospital

    Lund, 223 70

    Ana Carnerio

    Recruiting
  • Karolinska University Hospital, Solna

    Stockholm, 17176

    Jeffrey Yachnin

    Recruiting

Other trials in Sweden

Denmark2 sites, 2 recruiting
  • Rigshospitalet

    Copenhagen

    Kristoffer Staal Rohrberg

    Recruiting
  • Herlev Hospital

    Herlev, 2730

    Rikke Løvendahl Eefsen

    Recruiting

Other trials in Denmark

About this study

Official title: Phase 1/2a Open-Label, Dose-Escalation, Multicenter, FIH, Consecutive-Cohort, Clinical Trial of BI-1808, a Monoclonal Antibody to TNFR 2 as a Single Agent and in Combination With Pembrolizumab (MK-3475-D20) in Subjects With Advanced Malignancies

The goal of this first in human clinical trial is to test BI-1808 administered as single agent and in combination with pembrolizumab in subjects with advanced malignancies whose disease has progressed after standard therapy.

The main questions it aims to answer are:

Read more
  • how safe and tolerable is BI-1808
  • what is maximum tolerated or administrated dose
  • to determine recommended dose for further clinical trials. Participants will receive infusions of with BI-1808 as a single agent, BI-1808 in combination with pembrolizumab and BI-1808 in combination with pembrolizumab and paclitaxel every 3 weeks.

For the purpose of this study, subjects with advanced malignancies includes subjects with advanced solid tumors and subjects with T-cell lymphoma (TCL),

Read the detailed description

This is a Phase 1/2a, dose-escalation, multicenter, first-in-human, consecutive-cohort, open-label study of BI-1808, as a single agent, in combination with pembrolizumab, and in BI-1808 in combination with pembrolizumab and paclitaxel in subjects with advanced malignancies, whose disease has progressed after standard therapy.

The study will consist of 2 phases: a Phase 1 with Parts A and B, and a Phase 2a with Parts A , B and C.

Phase 1 Part A consists of a dose escalation of BI-1808 as a single agent to evaluate safety and tolerability and to determine the RP2D as a single agent (sRP2D) in subjects with advanced malignancies whose disease has progressed after standard therapy.

Phase 1 Part B consists of a dose escalation of BI-1808 in combination with pembrolizumab to evaluate the safety and tolerability of the combination treatment and to allow selection of the RP2D for BI-1808 in combination with pembrolizumab (cRP2D) in subjects with advanced malignancies whose disease has progressed after standard therapy.

Phase 2a will assess BI-1808 administered as a single agent (Part A), in combination with pembrolizumab (Part B), and in combination with pembrolizumab and paclitaxel (Part C) at the respective hypothesized RP2D(s) determined in Phase 1. Phase 2a expansion will be conducted in indication specific signal seeking cohorts and indication specific Dose Optimization Cohorts) of subjects. The Phase 2a study aims to further evaluate the safety and tolerability of BI-1808 as monotherapy (Part A), in combination with pembrolizumab (Part B), and in combination with pembrolizumab and paclitaxel (Part C). Including characterization of the PK and PD profiles of BI-1808, evaluation of preliminary antitumor activity based on ORR, DoR, and progression-free survival (PFS) as assessed by RECIST v1.1 and iRECIST, and determination of the recommended Phase 2 dose (RP2D).

Being tested
BI-1808, Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection, Paclitaxel 80 mg/m2 weekly
Keywords
Advanced Malignancies, T-cell Lymphoma
Medical subject headings
Ovarian Neoplasms, Lymphoma, T-Cell, Melanoma

What participants receive

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

  • BI-1808Drug

    BI-1808 administered as a flat-dose IV infusion once every 3 weeks

  • Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for InjectionDrug

    Pembrolizumab administered as a flat-dose IV infusion once every 3 weeks.

  • Paclitaxel 80 mg/m2 weeklyDrug

    Paclitaxel administered as a flat-dose IV infusion weekly.

Study groups in NCT04752826
Study groupRoleWhat they receive
Phase I, Part A - Dose escalation and safety of BI-1808 as single agentExperimentalDose escalation of BI-1808 administrated a single agent
Receives: Drug: BI-1808
Phase I, Part B - Dose escalation and Safety of BI-1808 in combination with pembrolizumabExperimentalDose escalation of BI-1808 in combination with pembrolizumab.
Receives: Drug: BI-1808; Drug: Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection
Phase 2a - Part A dose expansion of BI-1808 as a single agentExperimentalBI-1808 administered as a single agent at the hypothesized recommended phase 2 dose determined in Phase 1
Receives: Drug: BI-1808
Phase 2a, Part B - Dose expansion of BI-1808 in combination with pembrolizumabExperimentalBI-1808 administered in combination with pembrolizumab at the respective hypothesized recommended phase 2 doses determined in Phase 1
Receives: Drug: BI-1808; Drug: Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection
Phase 2a, Part C - Dose expansion of BI-1808 in combination with pembrolizumab and paclitaxelExperimentalBI-1808 administered in combination with pembrolizumab and paclitaxel at the respective hypothesized recommended phase 2 doses determined in Phase 1.
Receives: Drug: BI-1808; Drug: Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection; Drug: Paclitaxel 80 mg/m2 weekly

What is being measured

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

  1. Occurrence of adverse events (AEs)

    AEs will be assessed by the investigators by severity and will be graded according to the NCI CTCAE v5.0 or higher and causality between AEs and the exposure to the study treatment.

    Measured: From the start of the study treatment for up to 2 years and 90 days.

  2. Identify DLTs, determine the maximum tolerated dose and select a recommended Phase 2 dose (RP2D) of BI-1808, given via intravenous (IV) infusion, as a single agent (Phase 1, Part A), and in combination with pembrolizumab (Phase 1, Part B)

    Determine the hypothesized RP2D dose for BI-1808 Phase 2a according to mTPI-2 design

    Measured: Up to 104 weeks (2 years)

  3. Occurrence of serious adverse events (SAEs)

    SAEs will be assessed by the investigators by severity and will be graded according to the NCI CTCAE v5.0 or higher and causality between SAEs and the exposure to the study treatment

    Measured: Up to 104 weeks (2 years)

  4. To identify the recommended Phase 2 dose (RP2D) of BI-1808,

    Select the RP2D dose for BI-1808 derived from the totality of PK, PD, clinical response, safety,and tolerability observed in signal seeking and dose optimization cohorts.

    Measured: up to 104 weeks (2 years)

Secondary outcomes (3)
  1. Evaluation of PK parameters for BI-1808. Maximum observed plasma concentration (Cmax)

    Study the PK profile of BI-1808 according to a non-compartmental analysis using a validated software

    Measured: Up to 104 weeks (2 years)

  2. Evaluation of ADA response to BI-1808 in serum with validated method

    The detection and characterization of antibodies to BI-1808 will be performed using a validated method and will be evaluated for BI-1808 serum concentration to enable interpretation of the antibody data

    Measured: Up to 104 weeks (2 years)

  3. Measurement of TNFR2 receptor occupancy on CD14+ and/CD16+ cells in serum with validated method

    evaluate the receptor occupancy of BI-1808 as a single agent and in combination with pembrolizumab or pembrolizumab and paclitaxel on T-cells expressing TNFR2 in absolute value

    Measured: Up to 104 weeks (2 years)

Timeline

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

  1. First posted12 Feb 2021
  2. Study start25 Jan 2021
  3. Primary completion31 Jan 2028 (estimated)
  4. Study completion31 Dec 2028 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Phase 1/2a, dose escalation, consecutive-cohort, open-label study trial of BI-1808 as a Single Agent in Combination with Pembrolizumab and in combination with Pembrolizumab and Paclitaxel in Subjects with advanced malignancies.
Masking
None (open label)
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04752826
Sponsor's protocol ID
19-BI-1808-01
Other IDs
2023-509847-29-00, MK3475-D20, 2023
Status last verified
Sep 2026
First submitted
15 Dec 2020
Last updated
18 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BI-1808, Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection and Paclitaxel 80 mg/m2 weekly in people with Advanced Malignancies and Ovarian Cancer, run by BioInvent International AB at 25 sites in 7 countries.

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 11 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United Kingdom, Spain, United States, Hungary, Russia and 2 more countries. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Susanne Gertsson (+46462868550, susanne.gertsson@bioinvent.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of adverse events (AEs) (time frame: From the start of the study treatment for up to 2 years and 90 days.). The study lists 4 primary outcomes in all. 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 18 Sep 2026.

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