Phase
Condition
Neoplasms
Treatment
ezabenlimab
BI 907828
BI 754111
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
All cohorts:
Provision of signed and dated, written informed consent form ICF in accordance withInternational Council on Harmonization-Good Clinical Practice (ICH-GCP)and locallegislation prior to any trial-specific procedures, sampling, or analyses.
Male or female ≥18 years old at the time of signature of the ICF.
ECOG performance status of 0 or 1.
Life expectancy of at least 12 weeks after the start of the treatment according tothe Investigator's judgement.
Patients with radiologically documented disease progression or relapse during orafter all standard of care treatments. Patients who are not eligible to receivestandard of care treatments, and for whom no proven treatments exist, are eligible.
Previous treatment with an anti-PD-1/PD-L1 mAb is allowed as long as the lastadministration of the anti-PD-1/PD-L1 mAb on the previous treatment occurred aminimum of 28 days prior to the first administration of study treatment.
Patient must be willing to participate in the blood sampling for thePharmacokinetics (PK), Pharmacodynamics (PD), biomarker, and PGx analyses.
Adequate organ function defined as all of the following (all screening labs shouldbe performed locally within 10 days of treatment initiation):
Hematological
Absolute neutrophil count - ≥1.5 x 10^9/L
Platelets - ≥100 x 10^9/L
Hemoglobin 0 ≥8.5 g/dL or ≥5.3 mmol/L or ≥ 85 g/L
Hepatic
Total bilirubin ≤ 1,5 times the upper limit of normal (ULN), (patientswith Gilbert's syndrome, total bilirubin must be < 3 x ULN)
Aspartate Transaminase (AST) and Alanine Aminotransferase (ALT) ≤2.5 x ULNOR ≤5 x ULN for patients with liver metastases
Renal --- Creatinine - ≤1.5 x ULN - Patients may enter if creatinine is >1.5 x ULNand estimated glomerular filtration rate (eGFR) >50 mL/min (assessed by ChronicKidney Disease Epidemiology [CKDEPI] Collaboration equation); confirmation ofeGFR is only required when creatinine is >1.5 X ULN
Coagulation --- International Normalised Ratio (INR) or Prothrombin Time (PT).Activated Partial Thromboplastin Time (aPTT) - ≤1.5 x institutional ULN.Patients taking low dose warfarin must have their INR followed closely andaccording to institutional guidelines
Women of childbearing potential (WOCBP, defined as female patients who arepremenopausal or who had no cessation of menses within 12 months without analternative medical cause, but not including female patients who are permanentlysterilized) and men able to father a child must be ready and able to use twomedically acceptable methods of birth control per ICH M3 (R2) that result in a lowfailure rate of less than 1% per year when used consistently and correctly beginningat screening, during trial participation. A list of contraception methods meetingthese criteria is provided in the patient information.
Phase Ia (dose escalation part):
Patients with a confirmed diagnosis of unresectable, advanced and/or metastaticsolid tumors (any type) irrespective of the TP53 mutation status,
Patient with either evaluable or non-evaluable disease.
Availability and willingness to provide a sample of archival Formalin-fixed paraffinembedded (FFPE) tumor tissue material
Phase Ia (Expansion Cohort):
Patients with MDM2 amplified tumors and TP53 wild type status confirmed on tumortissue
At least one target lesion that can be accurately measured per RECIST 1.1. Inpatients who only have one target lesion, the baseline imaging must be performed atleast two weeks after any biopsy of the target lesion.
Phase Ib (dose expansion part):
At least one target lesion that can be accurately measured per RECIST 1.1. Inpatients who only have one target lesion, the baseline imaging must be performed atleast two weeks after any biopsy of the target lesion.
Patients with TP53 wild-type status confirmed on tumor tissue. Provision of freshtissue biopsy at screening (may be omitted if patient has archival tissue within 12months prior to enrolment) and willingness to provide fresh tissue biopsy on study,if safe and feasible on either occasion
Expansion cohorts:
Cohort 1: Patients with unresectable, advanced and/or metastatic TP53 wt oneline of systemic medical treatment in the advanced and/or metastatic setting:Liposarcoma excluding dedifferentiated liposarcoma, Undifferentiatedpleomorphic sarcoma, Myxofibrosarcoma, Synovial sarcoma, Leiomyosarcoma
Cohort 2: Patients with unresectable, advanced and/or metastatic TP53 wtMDM2-amplified tumors as listed below, who received at least one line ofsystemic medical treatment in the advanced and/or metastatic setting: NSCLC (patients with NSCLC harboring genomic aberrations for which approved targetedtherapy is approved and available, must have received such prior treatment),Gastric adenocarcinoma, Urothelial carcinoma, Biliary tract carcinoma (including cholangiocarcinoma, intra-and extrahepatic biliary tree, gallbladder and ampulla of vater)
Exclusion
Exclusion criteria:
Previous administration of BI 907828 or any other MDM2-p53 or MDMX (MDM4)-p53antagonist
In Phase Ib (expansion phase) and Phase Ia expansion cohort only: a documentedamino-acid altering mutation in TP53 occurring in the patient's tumor.
Symptomatic brain metastases. Note: Patients with previously treated brainmetastases may participate but treated lesions should not be used as target lesions
Active bleeding, significant risk of haemorrhage (e.g. previous severegastrointestinal bleeding, previous haemorrhagic stroke at any time), or currentbleeding disorder (e.g. haemophilia, von Willebrand disease)
Major surgery (major according to the Investigator's assessment) performed within 12weeks prior to start of study treatment, or planned within 12 months after screening (e.g. hip replacement).
Any other documented active or suspected malignancy or history of malignancy within 3 years prior to screening, except appropriately treated basal cell carcinoma of theskin or in situ carcinoma of uterine cervix, or other local tumors considered curedby local treatment.
Patients who must or wish to continue the intake of restricted medications or anydrug considered likely to interfere with the safe conduct of the trial.
Currently enrolled in another investigational device or drug trial, or less than 4weeks since receiving other investigational treatments. Patients who are infollow-up/observation for another clinical trial are eligible.
Patients who have not recovered from all clinically significant adverse events fromtheir most recent therapy or intervention prior to study enrolment
Known history of human immunodeficiency virus (HIV) infection
Any of the following laboratory evidence of hepatitis virus infection:
Positive results of hepatitis B surface (HBs) antigen
Presence of HBc antibody together with HBV-DNA
Presence of hepatitis C RNA
Known hypersensitivity to the trial drugs or their excipients.
Serious concomitant disease or medical condition affecting compliance with trialrequirements or which are considered relevant for the evaluation of the efficacy orsafety of the trial drug, such as neurologic, psychiatric, infectious disease oractive ulcers (gastro-intestinal tract, skin) or laboratory abnormality that mayincrease the risk associated with trial participation or trial drug administration,and in the judgment of the Investigator, would make the patient inappropriate forentry into the trial.
Chronic alcohol or drug abuse or any condition that, in the Investigator's opinion,makes them an unreliable trial patient or unlikely to complete the trial.
Women who are pregnant, nursing, or who plan to become pregnant while in the trial;female patients who do not agree to the interruption of breast feeding from thestart of study treatment to within 30 days after the last study treatment.
History (including current) of interstitial lung disease or pneumonitis within thelast 5 years.
History of severe hypersensitivity reactions to other monoclonal antibodies
Immunosuppressive corticosteroid doses (>10 mg prednisone daily or equivalent)within 4 weeks prior to the first dose of study treatment.
Active autoimmune disease or a documented history of autoimmune disease, disease,that requires systemic treatment, i.e. corticosteroids or immunosuppressive drugs,except vitiligo or resolved childhood asthma/atopyatopy, alopecia, or any chronicskin condition that does not require systemic therapy; patients withautoimmune-related hypothyroidism on a stable dose of thyroid replacement hormoneand/or controlled Type 1 diabetes mellitus on a stable insulin regimen are eligible.
Active infection requiring systemic treatment (antibacterial, antiviral, orantifungal therapy) at start of treatment in this trial.
Any of the following cardiac criteria:
Mean resting corrected QT interval (QTc) >470 msec
Any clinically important abnormalities (as assessed by the Investigator) inrhythm, conduction, or morphology of resting ECGs, e.g., complete left bundlebranch block, third degree heart block
Any factor that increases the risk of QTc prolongation or risk of arrhythmicevents such as heart failure, hypokalaemia, congenital long QT syndrome, familyhistory of long QT syndrome or unexplained sudden death under 40 years-of-age,or any concomitant medication known to prolong the QT interval
Patients with an ejection fraction (EF) <50% or the lower limit of normal ofthe institutional standard will be excluded. Only in cases where theInvestigator (or the treating physician or both) suspects cardiac disease withnegative effect on the EF, will the EF be measured during screening using anappropriate method according to local standards to confirm eligibility (e.g.,echocardiogram, multi-gated acquisition scan). A historic measurement of EF noolder than 6 months prior to first administration of study drug can be acceptedprovided that there is clinical evidence that the EF value has not worsenedsince this measurement in the opinion of the Investigator or of the treatingphysician or both.
Study Design
Connect with a study center
Linear Clinical Research
Nedlands, Western Australia 6009
AustraliaSite Not Available
UZ Leuven
Leuven, 3000
BelgiumSite Not Available
INS Bergonie
Bordeaux, 33000
FranceSite Not Available
CTR Leon Berard
Lyon, 69373
FranceSite Not Available
INS Gustave Roussy
Villejuif, 94805
FranceSite Not Available
Universitätsklinikum Frankfurt
Frankfurt, 60590
GermanySite Not Available
Universitätsklinikum Frankfurt
Frankfurt am Main, 60590
GermanySite Not Available
Universitätsklinikum Ulm
Ulm, 89081
GermanySite Not Available
Central Hospital of Northern Pest - Military Hospital
Budapest, 1062
HungarySite Not Available
HUN Defence Forces HC Institute
Budapest, 1062
HungaryActive - Recruiting
National Cancer Center Hospital
Tokyo, Chuo-ku, 104-0045
JapanSite Not Available
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
NetherlandsSite Not Available
National Cancer Centre Singapore
Singapore, 168583
SingaporeSite Not Available
Hospital Vall d'Hebron
Barcelona, 08035
SpainSite Not Available
Hospital Vall d'Hebron-Barcelona-47683
Barcelona, 08035
SpainSite Not Available
Hospital Clínico San Carlos
Madrid, 28040
SpainSite Not Available
Velindre Cancer Centre
Cardiff, CF14 2TL
United KingdomSite Not Available
The Royal Marsden Hospital
London, SW3 6JJ
United KingdomActive - Recruiting
The Royal Marsden Hospital, Chelsea
London, SW3 6JJ
United KingdomSite Not Available
Sarcoma Oncology Center
Santa Monica, California 90403
United StatesSite Not Available
Yale Cancer Center
New Haven, Connecticut 06511
United StatesSite Not Available
University Cancer and Blood Center
Athens, Georgia 30607
United StatesSite Not Available
Washington University School of Medicine
Saint Louis, Missouri 63110
United StatesSite Not Available
Memorial Sloan-Kettering Cancer Center
New York, New York 10065
United StatesSite Not Available
The University of Texas MD Anderson Cancer Center
Houston, Texas 77030
United StatesSite Not Available
NEXT Oncology
Irving, Texas 75039
United StatesSite Not Available
NEXT Oncology-Irving-69444
Irving, Texas 75039
United StatesSite Not Available
NEXT Oncology
San Antonio, Texas 78229
United StatesSite Not Available
NEXT Oncology-San Antonio-65273
San Antonio, Texas 78229
United StatesSite Not Available
NEXT Virginia
Fairfax, Virginia 22031
United StatesSite Not Available
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