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
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.
Investigators
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.)