Phase I/II Trial to Investigate BI 836858 in Myelodysplastic Syndromes

NCT ID: NCT02240706

Last Updated: 2020-12-21

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE2
• Total Enrollment: 27 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-01-22
• Study Completion Date: 2019-11-18

Brief Summary

Phase I: To investigate maximum tolerated dose (MTD), safety and tolerability, pharmacokinetics, exploratory biomarker and efficacy of BI 836858 monotherapy in patients with low or intermediate-1 risk myelodysplastic syndromes (MDS) with symptomatic anemia. Phase II: To investigate safety and efficacy of BI 836858 plus Best Supportive Care compared to Best Supportive Care alone in low or intermediate-1 risk MDS patients with symptomatic anemia.

Conditions

Myelodysplastic Syndromes

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Arm B

Best Supportive Care Alone

Group Type: ACTIVE_COMPARATOR

Best Supportive Care

Intervention Type: PROCEDURE

At Discretion of the Investigator (Transfusions)

Arm A

BI 836858 plus Best Supportive Care

Group Type: EXPERIMENTAL

Best Supportive Care

Intervention Type: PROCEDURE

At Discretion of the Investigator (Transfusions)

BI 836858

Intervention Type: DRUG

Monotherapy with BI 836858

Interventions

Best Supportive Care

At Discretion of the Investigator (Transfusions)

Intervention Type: PROCEDURE

BI 836858

Monotherapy with BI 836858

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Documented diagnosis of Myelodysplastic Syndromes (MDS) according to World Health Organization (WHO) criteria that meets International Prognostic Scoring System (IPSS) classification of low or intermediate-1 risk disease at screening as determined by microscopic and standard cytogenetic analyses of the bone marrow and peripheral complete blood count (CBC).

• Phase I dose escalation: patients who experienced Erythropoiesis-Stimulating Agents (ESA) treatment failure or do not qualify (serum erythropoietin level > 500 U) for ESA treatment, and are refractory to or not amenable or eligible for established MDS therapy (Hypomethylating Agents (HMA), lenalidomide)
• Phase I expansion:

• Expansion cohort 1 ("pre-treated"): patients who experienced ESA treatment failure or do not qualify (serum erythropoietin level > 500 U) for ESA treatment and are refractory to established MDS therapy (HMA and /or lenalidomide)
• Expansion cohort 2 ("untreated"): patients who experienced ESA treatment failure or do not qualify (serum erythropoietin level > 500 U) for ESA treatment and who have not received prior HMA and/or lenalidomide (because not amenable or eligible for these treatments).
• Phase II: patients who experienced ESA treatment failure or do not qualify (serum erythropoietin level > 500 U) for ESA treatment. For definition of further details of the phase II patients to be included the protocol will be amended based on Phase I results
• Patient is non-responsive to, refractory to, or intolerant of ESAs, or ESAs are contraindicated or unavailable, or a documented serum erythropoietin level of > 500 U/L.
• Eastern Cooperative Oncology Group (ECOG) Performance Status <=2.
• Age >= 18 years.
• Written informed consent which is consistent with International Conference on Harmonization - Good Clinical Practice (ICH-GCP) guidelines and local legislation.

Exclusion Criteria

• Patient with IPSS category of Int-2 or high-risk MDS.
• Phase II only: Patients with a deletion 5q cytogenetic abnormality.
• Treatment within 28 days prior to Cycle 1 Day 1 with: i) long acting erythropoiesis stimulating agents, ii) long acting Granulocyte colony-stimulating factor (G-CSF), iii) granulocyte- macrophage colony stimulating factor (GM-CSF), iv) 5-aza, lenalidomide or decitabine, or v) iron chelation and within 14 days prior to Cycle 1 Day 1 with short acting erythropoiesis stimulating agents and short acting G-CSF.
• Patient previously received allogeneic bone marrow or stem cell transplantation.
• Second malignancy currently requiring active therapy (except for hormonal/antihormonal treatment, e.g. in prostate or breast cancer).
• Aspartate amino transferase (AST) or alanine amino transferase (ALT) > 2.5 times the upper limit of normal (ULN).
• Bilirubin >1.5 mg/dL, except for Gilbert's Syndrome or hemolysis.
• Serum creatinine >2.0 mg/dL.
• Known human immunodeficiency virus (HIV) infection and/or active hepatitis B infection (defined as presence of Hep B DNA), active hepatitis C infection (defined as presence of Hep C RNA).
• Presence of concomitant intercurrent illness, or any condition which in the opinion of the Investigator, would compromise safe participation in the study, e.g. active severe infection, unstable angina pectoris, new onset of exacerbation of a cardiac arrhythmia.
• Psychiatric illness or social situation which in the opinion of the Investigator would limit compliance with trial requirements.
• Patient receiving concomitant therapy, which in the opinion of the Investigator is considered relevant for the evaluation of the efficacy or safety of the trial drug.
• Female patients of childbearing potential who are sexually active and unwilling to use a medically acceptable method of contraception during the trial and for 6 months after the last administration of BI 836858, i.e. combination of two forms of effective contraception (defined as hormonal contraception, intrauterine device, transdermal patch, implantable or injectable contraceptive, bilateral tubal ligation etc.).

Women of childbearing potential are defined as females who:

• Have experienced menarche and
• Are not postmenopausal (12 months with no menses without an alternative medical cause) and
• Are not permanently sterilized (e.g. hysterectomy, bilateral oophorectomy or bilateral salpingectomy

• Male patients with partners of childbearing potential who are unwilling to use condoms in combination with a second effective method of contraception (defined as hormonal contraception, intrauterine device, condom with spermicide, etc.) during the trial and for 6 months after the last administration of BI 836858.
• Pregnant or nursing female patients.
• Treatment with another investigational agent under the following conditions:
• Within two weeks (4 weeks for biologics) of first administration of BI 836858, or if the half-life of the previous product is known, within 5 times the half-life, whichever is longer.
• Patient has persistent toxicities from prior MDS therapies which are determined to be relevant by the Investigator.
• Concomitant treatment with another investigational agent while participating this trial.

• Chronic use, as defined by > 2 weeks of a corticosteroid agent that is >= 20 mg/day of prednisone or its equivalent, within 4 weeks prior to first administration of BI 836858.
• Treatment with an immunomodulatory agent within 4 weeks prior to first administration of BI 836858.
• Patient received prior treatment with a CD33 antibody.
• In the opinion of the Investigator patient is unable or unwilling to comply with the protocol.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Boehringer Ingelheim

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

Mayo Clinic Cancer Center

Jacksonville, Florida, United States

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Cleveland Clinic

Cleveland, Ohio, United States

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, , Germany

Universitätsklinikum Düsseldorf

Düsseldorf, , Germany

Countries

United States; Germany

Provided Documents

Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Related Links

https://trials.boehringer-ingelheim.com/

Related Info

Other Identifiers

2018-002177-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1315.7

Identifier Type: -

Identifier Source: org_study_id