This Study Aims to Find the Best Dose of BI 907828 (Brigimadlin) in Patients With Different Types of Advanced Cancer (Solid Tumors)

NCT ID: NCT03449381

Last Updated: 2025-11-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

266 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-20

Study Completion Date

2025-11-13

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study is open to adults with different types of advanced cancer (solid tumors). The purpose of this study is to find out the most suitable dose of BI 907828 (brigimadlin) the participants can tolerate. The most suitable dose is used in the second part to find out whether brigimadlin makes tumors shrink.

In this study, brigimadlin is given to humans for the first time. Brigimadlin is a so-called MDM2 inhibitor that is being developed to treat cancer. Brigimadlin is taken as a tablet. Participants either take a dose of brigimadlin on one day every 3 weeks or on two days every 4 weeks.

The participants are in the study for as long as they benefit from and can tolerate treatment. The doctors regularly check the participants' general health during the study.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Neoplasms

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Dose Escalation

Group Type EXPERIMENTAL

BI 907828

Intervention Type DRUG

Film-coated tablet

Dose Expansion

Group Type EXPERIMENTAL

BI 907828

Intervention Type DRUG

Film-coated tablet

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

BI 907828

Film-coated tablet

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

brigimadlin

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Provision of signed and dated, written informed consent form ICF in accordance with ICH-GCP and local legislation prior to any trial-specific procedures, sampling, or analyses.
* Pathologically documented, advanced solid tumors.
* Patients fulfilling one or more of the following criteria:

* Radiologically documented disease progression or relapse
* Patients who are not eligible to receive standard of care treatments, and for whom no proven treatments exist.
* Patients with MDM2 amplified sarcomas who require first line treatment (for Ph Ib/dose expansion - Cohort 1 only).
* Patients with MDM2 amplified sarcomas may fulfil any one of the above three criteria to be considered eligible.
* Phase Ia (dose escalation) only:
* Patient has a tumor with either a known TP53 wild type status, or unknown TP53 status, and regardless of MDM2 amplification status, at the time of study entry.
* Phase Ib (expansion phase) only:
* Cohort 1: TP53 wt and MDM2-amplified sarcoma with advanced/metastatic disease at any line of therapy. If TP53 status is not available during screening, the patient may be included with unknown TP53 status if a tissue sample is submitted for central laboratory assessment. If TP53 status cannot be evaluated, the patient may be included if agreed between the Investigator and Sponsor.
* Cohort 2: TP53 wt and MDM2- amplified NSCLC, urothelial, gastric, biliary tract (including cholangiocarcinoma, intra- and extrahepatic biliary tree, gall blander and ampulla of vater) or pancreatic solidPDAC tumors who have had at least one previous line of therapy for advanced/metastatic disease. If TP53 status cannot be evaluated the patient may be included if agreed between the Investigator and Sponsor
* Phase Ia (dose escalation) only:
* Patient with either measurable or non-measurable disease.
* Non-evaluable disease allowed.
* Phase Ib (expansion phase) only:
* At least one target lesion that can be accurately measured per RECIST v.1.1.
* Phase Ia:
* Patient must be willing to undergo blood sampling for PK, pharmacodynamic, biomarker, and PGx analyses.
* Phase Ib:
* Patient must be willing to undergo tumor biopsy sampling for pharmacodynamic analyses and blood sampling for PK, pharmacodynamics, and biomarker analyses.
* Willingness to provide a fresh tumor tissue sample obtained after relapse/ progression during or after prior therapy. In case a fresh biopsy cannot be obtained (e.g. inaccessible lesions or patient safety concern), an archived specimen, collected before screening within 12 months of enrollment, may be submitted. If these requirements cannot be met, then the patient may be allowed to enter the study at Sponsor discretion, after agreement between the Investigator and Sponsor.

Exclusion Criteria

* Previous administration of BI 907828 (brigimadlin) or any other MDM2-p53 or MDMX (MDM4)-p53 antagonist.
* Known TP53 mutant tumor.
* Symptomatic metastases from non-brain tumors. Note: Patients with previously treated brain metastases may participate provided they are stable, without evidence of progression by imaging (using the identical imaging modality for each assessment, either MRI or computed tomography (CT) scan), for at least four weeks prior to the first dose of trial treatment, and any neurologic symptoms have returned to baseline; have no evidence of new or enlarging brain metastases. Patients on corticosteroids must have a stable dose for at least 5 days prior to baseline MRI.
* Patients with history of bleeding diathesis.
* Major surgery (major according to the Investigator's assessment) performed within 12 weeks 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 the skin or in situ carcinoma of uterine cervix, or other local tumors considered cured by local treatment.
* Patients who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Sarcoma Oncology Center

Santa Monica, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Florida Cancer Specialists-Sarasota-61670

Sarasota, Florida, United States

Site Status

Norton Cancer Institute, Downtown

Louisville, Kentucky, United States

Site Status

START Midwest

Grand Rapids, Michigan, United States

Site Status

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status

SCRI Oncology Partners

Nashville, Tennessee, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

The Ottawa Hospital

Ottawa, Ontario, Canada

Site Status

Rigshospitalet, København

København Ø, , Denmark

Site Status

Helios Klinikum Berlin-Buch

Berlin, , Germany

Site Status

Universitätsklinikum Köln (AöR)

Cologne, , Germany

Site Status

Universitätsmedizin Göttingen, Georg-August-Universität

Göttingen, , Germany

Site Status

Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Sourasky Medical Center

Tel Aviv, , Israel

Site Status

National Cancer Center Hospital

Tokyo, Chuo-ku, , Japan

Site Status

MED POLONIA SP Z O O, Clinical Trials Department,Poznan

Poznan, , Poland

Site Status

Oncology Center-Maria Sklodowska-Curie Institute

Warsaw, , Poland

Site Status

Severance Hospital

Seoul, , South Korea

Site Status

Hospital Universitari Vall D Hebron

Barcelona, , Spain

Site Status

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status

Fundación Jiménez Díaz

Madrid, , Spain

Site Status

Hospital Clínico de Santiago

Santiago de Compostela, , Spain

Site Status

Karolinska Comprehensive Cancer Center

Stockholm, , Sweden

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Belgium Canada Denmark Germany Israel Japan Poland South Korea Spain Sweden

References

Explore related publications, articles, or registry entries linked to this study.

LoRusso P, Yamamoto N, Patel MR, Laurie SA, Bauer TM, Geng J, Davenport T, Teufel M, Li J, Lahmar M, Gounder MM. The MDM2-p53 Antagonist Brigimadlin (BI 907828) in Patients with Advanced or Metastatic Solid Tumors: Results of a Phase Ia, First-in-Human, Dose-Escalation Study. Cancer Discov. 2023 Aug 4;13(8):1802-1813. doi: 10.1158/2159-8290.CD-23-0153.

Reference Type DERIVED
PMID: 37269344 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2017-003210-95

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1403-0001

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.