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Clinical Trials/NCT02632721
NCT02632721
Completed
Phase 1

An Open-label, Phase I/II Trial to Determine the Maximum Tolerated Dose and Investigate Safety, Pharmacokinetics and Efficacy of BI 836858 in Combination With Decitabine in Patients With Acute Myeloid Leukemia

Boehringer Ingelheim14 sites in 4 countries49 target enrollmentJune 16, 2016

Overview

Phase
Phase 1
Intervention
Decitabine
Conditions
Leukemia, Myeloid, Acute
Sponsor
Boehringer Ingelheim
Enrollment
49
Locations
14
Primary Endpoint
Phase I: Number of Patients With Dose Limiting Toxicity (DLT(s)) During First Treatment Cycle
Status
Completed
Last Updated
2 years ago

Overview

Brief Summary

Phase I Dose Escalation:

Primary objective is to determine the Maximum Tolerated Dose (MTD) and the recommended dose for Phase I Extension.

Secondary objective is to investigate the safety, pharmacokinetics and efficacy of BI 836858 in combination with decitabine

Phase I Extension:

Primary objective is to collect additional data on safety, pharmacokinetics and efficacy and to define the Recommended Phase II Dose (RP2D) of BI 836858 in combination with decitabine.

Phase II: Primary objective is to investigate efficacy, safety and pharmacokinetics of BI 836858 in combination with decitabine compared to decitabine monotherapy.

Registry
clinicaltrials.gov
Start Date
June 16, 2016
End Date
January 16, 2023
Last Updated
2 years ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Not provided

Exclusion Criteria

  • Not provided

Arms & Interventions

Phase I dose escalation: BI 836858 20 mg + decitabine (intensive)

Dose escalation.

Intervention: Decitabine

Phase I dose escalation: BI 836858 20 mg + decitabine (intensive)

Dose escalation.

Intervention: BI 836858

Phase I dose escalation: BI 836858 40 mg + decitabine (intensive)

Dose escalation.

Intervention: Decitabine

Phase I dose escalation: BI 836858 40 mg + decitabine (intensive)

Dose escalation.

Intervention: BI 836858

Phase I dose escalation: BI 836858 80 mg + decitabine (intensive)

Dose escalation.

Intervention: Decitabine

Phase I dose escalation: BI 836858 80 mg + decitabine (intensive)

Dose escalation.

Intervention: BI 836858

Phase I Extension A: BI 836858 80 mg + decitabine (intensive)

Extension phase.

Intervention: Decitabine

Phase I Extension A: BI 836858 80 mg + decitabine (intensive)

Extension phase.

Intervention: BI 836858

Phase I Extension B: BI 836858 80 mg + decitabine (standard)

Extension phase.

Intervention: Decitabine

Phase I Extension B: BI 836858 80 mg + decitabine (standard)

Extension phase.

Intervention: BI 836858

Outcomes

Primary Outcomes

Phase I: Number of Patients With Dose Limiting Toxicity (DLT(s)) During First Treatment Cycle

Time Frame: Up to 28 days (first treatment cycle).

Number of patients with dose limiting toxicity (DLT(s)) for BI 836858 in combination with decitabine during first treatment cycle (Phase 1). DLT was defined as any non-disease-related non-haematological adverse event (AE) of Common Terminology Criteria for Adverse Events (CTCAE) grade 3 or higher. Expected non-haematological disease-related AEs were not to be regarded as a DLT. These included complications resulting from haematological AEs such as: * Bleeding and complications from bleeding due to thrombocytopenia as defined by the Investigator, * Infection and complications from infections due to neutropenia as defined by the Investigator, * Constitutional symptoms due to anaemia as defined by the Investigator

Phase I: Maximum Tolerated Dose (MTD) of BI 836858 in Combination With Decitabine

Time Frame: From first drug administration until end of treatment, up to 941 days.

The Maximum tolerated dose (MTD) of BI 836858 in combination with decitabine was estimated after the dose escalation part of the trial obtaining on the basis of dose limiting toxicities (DLT(s)) observed during the first treatment cycle. However, for those patients who receive more than one cycle of the combination treatment, all adverse events that constitute a DLT will be considered for re-estimation of the MTD based on the Bayesian logistic regression model (BLRM). The MTD is defined as the highest dose of BI 836858 (in combination with decitabine) with less than 25% risk of the true DLT rate being above 33% during the MTD evaluation period.

Secondary Outcomes

  • Phase 1: Number of Patients With Objective Response (CR + CRi)(From start of treatment until the earliest of progression, death or end of trial, up to 971 days.)

Study Sites (14)

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