A study to test BI 754091 alone or in combination with BI 836880 in people who have advanced anal cancer
- Conditions
- metastatic squamous cell carcinoma of the anal canalMedDRA version: 21.1Level: PTClassification code 10055096Term: Anal cancer metastaticSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2019-004749-33-DE
- Lead Sponsor
- Boehringer Ingelheim Pharma GmbH & Co. KG
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 120
- Signed and dated written Informed Consent Form (ICF) in accordance with ICH-GCP and local legislation prior to admission to the trial.
- 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 ICF.
- Patients must have histologically or cytologically documented surgically unresectable locally-advanced or metastatic SCCA.
- Patients with loco-regional anal cancer as initial diagnosis must have unresectable progressive locally advanced or metastatic SCCA after failure of at least one line (but not more than two lines) of previous systemic treatment unless ineligible for or intolerant to this systemic therapy.
- Patients with metastatic anal cancer as initial diagnosis must have failed one line of previous systemic treatment (chemotherapy ± radiotherapy) for the metastatic anal cancer unless ineligible for or intolerant to this systemic treatment.
- All patients must have at least one measurable lesion according to RECIST v1.1 criteria.
- Eastern Cooperative Oncology Group performance status [ECOG, R01-0787] score 0 to 1
- Patients must be willing to allow PD-L1 status assessment by one of following options. Preference is given to fresh tumour biopsy sample collection at baseline before receiving first trial medication. In case a fresh tumour biopsy cannot be obtained (e.g. inaccessible lesions or patient safety concern), archival tissue will be requested. If neither is available any previous historical information regarding PD-L1 status should be collected via eCRF.
- Further criteria apply.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 103
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 17
- Current or prior treatment with any systemic anti-cancer therapy or any investigational product (or device) either within 28 days or less than 5 half-lives (whichever is shorter) before start of trial treatment.
- Major injuries and/or surgery or bone fracture within 4 weeks of start of treatment, or planned surgical procedures during the trial period.
- Significant cardiovascular/cerebrovascular diseases (i.e. uncontrolled hypertension, unstable angina, history of infarction within past 6 months, congestive heart failure > NYHA II).
- Known inherited predisposition to bleeding or to thrombosis in the opinion of the investigator.
- History of severe hemorrhagic or thromboembolic event in the past 12 months (excluding central venous catheter thrombosis and peripheral deep vein thrombosis).
- Patients who require full-dose anticoagulation (according to local guidelines). No Vitamin K antagonist and other anticoagulation allowed; LMWH and acetylsalicylic acid (ASA) allowed only for prevention not for curative treatment.
- Prior treatment with anti-PD-1, anti-PD-L1, or anti CTLA-4 treatment
- Prior treatment with any antiangiogenic agent (e.g. bevacizumab, cediranib, aflibercept, vandetanib, XL-184, sunitinib, etc.)
- Severe infection requiring parenteral antibiotic treatment, systemic infection within last 4 weeks, and active tuberculosis
- History of prior allogenic stem cell or solid organ transplantation
- Not recovered from all reversible adverse events of previous anti-cancer therapies to
baseline or CTCAE grade 1, except for alopecia (any grade) and sensory peripheral neuropathy which must be = CTCAE grade 2 or considered not clinically significant
- Serious concomitant disease, especially those affecting compliance with trial requirements or which are considered relevant for the evaluation of the endpoints of the trial drug, such as neurologic, psychiatric, infectious disease or active ulcers (gastrointestinal tract, skin) or laboratory abnormality that may increase the risk associated with trial participation or trial drug administration, and in the judgment of the investigator would make the patient inappropriate for entry into the trial.
Specifically:
a) History of abdominal or tracheoesophageal fistula, gastrointestinal perforation,
intra-abdominal abscess, peptic ulcer disease, diverticulitis or colitis, or active gastrointestinal bleeding within 6 months prior to initiation of study treatment
b) Clinical signs or symptoms of gastrointestinal obstruction or requirement for routine parenteral hydration, parenteral nutrition, or tube feeding
c) Evidence of abdominal free air not explained by paracentesis or recent surgical procedure
d) Serious, non-healing or dehiscing wound, active skin ulcer, or untreated bone
fracture
- Further criteria apply.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: The objective of this trial is to assess anti-tumour activity of BI 754091 as a monotherapy and<br>of BI 754091 in combination with BI 836880 in patients with unresectable or metastatic<br>squamous cell carcinoma of the anal canal who progressed on or after chemotherapy.;Secondary Objective: Provide secondary measures of clinical efficacy of BI 754091 as a monotherapy and of BI 754091 in combination with BI 836880.<br><br>Evaluate safety of BI 754091 as a monotherapy and of BI 754091 in combination with BI 836880.;Primary end point(s): 1) Objective response (OR);Timepoint(s) of evaluation of this end point: 1) up to 3.5 years
- Secondary Outcome Measures
Name Time Method Secondary end point(s): 1) Duration of objective response (DoR) <br>2) Progression-free survival (PFS)<br>3) Overall survival (OS)<br>4) Disease control (DC)<br>5) Adverse events (AEs) from the time of treatment initiation until the end of the REP<br>6) Drug related AEs from the time of treatment initiation until the end of the REP<br>7) Drug related AEs leading to dose reduction of BI 836880 and/or<br>discontinuation of study treatment;Timepoint(s) of evaluation of this end point: 1) up to 3.5 years<br>2) up to 3.5 years<br>3) up to 3.5 years<br>4) up to 3.5 years<br>5) up to 3.5 years<br>6) up to 3.5 years<br>7) up to 3.5 years