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DAREON™-5: A Study to Test Whether Different Doses of BI 764532 Help People With Small Cell Lung Cancer or Other Neuroendocrine Cancers

Phase 2
Recruiting
Conditions
Small Cell Lung Carcinoma
Neuroendocrine Neoplasms
Extra-pulmonary Neuroendocrine Carcinoma
Interventions
Drug: BI 764532, dose 1
Drug: BI 764532, dose 2
Registration Number
NCT05882058
Lead Sponsor
Boehringer Ingelheim
Brief Summary

This study is open to adults with small cell lung cancer and other neuroendocrine tumours. The study is in people with advanced cancer for whom previous treatment was not successful or no standard treatment exists.

The purpose of this study is to find a suitable dose of BI 764532 that people with advanced cancer can tolerate. 2 different doses of BI 764532 are tested in this study. Another purpose is to check whether BI 764532 can make tumours shrink. BI 764532 is an antibody-like molecule (DLL3/CD3 bispecific) that may help the immune system fight cancer.

The study has 2 parts. In Part 1, participants are put into 2 groups randomly, which means by chance. Participants have an equal chance of being in either group. One group gets dose 1 of BI 764532 and the other group gets dose 2 of BI 764532. In Part 2, all participants receive the same dose of BI 764532. Part 2 is open to people with a certain kind of tumour called extrapulmonary neuroendocrine carcinoma.

All participants receive BI 764532 as an infusion into a vein when starting treatment. If there is benefit for the participants and if they can tolerate it, the treatment is given up to the maximum duration of the study. During this time, participants visit the study site regularly. The total number of visits depends on how they respond to and tolerate the treatment.

The first study visits include an overnight stay to monitor participants´ safety. Doctors record any unwanted effects and regularly check the general health of the participants.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
174
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part 1: Dose group 1BI 764532, dose 1-
Part 1: Dose group 2BI 764532, dose 2-
Part 2: Expansion cohortBI 764532, dose 1-
Primary Outcome Measures
NameTimeMethod
Part 1: Objective response (OR), defined as a best overall response of confirmed complete response (CR) or confirmed partial response (PR)up to 26 months

according to RECIST v 1.1 by investigator assessment from the date of treatment start until the earliest date of disease progression, death, or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up, or withdrawal of consent.

Part 2: Objective response (OR)up to 27 months

Objective response is defined as a best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST v 1.1 by blinded independent central review from the date of treatment start until the earliest date of disease progression, death, or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up, or withdrawal of consent

Part 1: Occurrence of treatment-emergent adverse events (TEAEs) during the on-treatment periodup to 26 months
Secondary Outcome Measures
NameTimeMethod
Part 1: Change from baseline in EORTC QLQ-C30 physical functioning domain scoreat baseline, at month 26

European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) The QLQ-C30 is comprised of 30 questions. It incorporates both multi-item scales and single-item measures. These include

* one global health status/Quality of Life (QoL) scale,

* five functional scales (physical, role, cognitive, emotional, and social),

* three symptom scales (fatigue, pain, and nausea and vomiting),

* and six single items to assess dyspnea, insomnia, appetite loss, constipation, diarrhoea and financial difficulties.

All scales and single-item measures range in score from 0 to 100.

* A high score for a functional scale represents a high/healthy level of functioning.

* A high score for the global health status/QoL represents a high QoL.

* A high score for a symptom scale/item represents a high level of symptomatology/problems.

Part 2: Duration of objective response (DOR) based on blinded independent central reviewup to 27 months
Part 2: Progression-free survival (PFS) based on blinded independent central reviewup to 27 months
Part 2: Disease control (DC) based on blinded independent central reviewup to 27 months
Part 2: Overall survival (OS), defined as the time from treatment start until death from any causeup to 27 months
Part 2: Change from baseline in EORTC QLQ-C30 physical functioning domain scoreup to 27 months
Part 2: Change from baseline in EORTC QLQ-C30 role functioning domain scoreup to 27 months
Part 2: Occurrence of treatment-emergent AEs leading to study drug discontinuation during the on-treatment periodup to 27 months
Part 1: Disease control (DC), defined as best overall response of CR or PR or stable disease (SD) based on investigator assessmentup to 26 months

where best overall response is defined according to RECIST v 1.1, from first treatment administration until the earliest of disease progression, death, or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up or withdrawal of consent

Part 1: Overall survival (OS), defined as the time from treatment start until death from any causeup to 26 months
Part 1: Duration of objective response (DOR) based on investigator assessmentup to 26 months

DOR is defined as the time from first documented confirmed OR until the earliest date of disease progression or death among patients with confirmed OR.

Part 1: Progression-free survival (PFS) based on investigator assessmentup to 26 months

PFS is defined as the time from treatment start until the earliest date of tumour progression according RECIST v 1.1 or death from any cause, whichever occurs first.

Part 1: Change from baseline in EORTC QLQ-C30 role functioning domain scoreat baseline, at month 26
Part 1: Occurrence of treatment-emergent AEs leading to study drug discontinuation during the on-treatment periodup to 26 months
Part 2: Occurrence of treatment-emergent adverse events (TEAEs) during the on-treatment periodup to 27 months

Trial Locations

Locations (60)

West China Hospital of Sichuan University

🇨🇳

Chengdu, China

Infirmary Cancer Care

🇺🇸

Mobile, Alabama, United States

Mayo Clinic-Arizona

🇺🇸

Phoenix, Arizona, United States

Valkyrie Clinical Trials

🇺🇸

Los Angeles, California, United States

University of California San Francisco

🇺🇸

San Francisco, California, United States

Mayo Clinic Cancer Center

🇺🇸

Jacksonville, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

H. Lee Moffitt Cancer Center and Research Institute

🇺🇸

Tampa, Florida, United States

Indiana University

🇺🇸

Indianapolis, Indiana, United States

Kansas University Medical Center

🇺🇸

Fairway, Kansas, United States

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West China Hospital of Sichuan University
🇨🇳Chengdu, China
Boehringer Ingelheim
Contact
4001200553
china@bitrialsupport.com
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