A Study to Test Different Doses of BI 1701963 Alone and Combined With Trametinib in Patients With Different Types of Advanced Cancer (Solid Tumours With KRAS Mutation)

NCT ID: NCT04111458

Last Updated: 2026-01-12

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: PHASE1
• Total Enrollment: 71 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-11-04
• Study Completion Date: 2027-12-31

Brief Summary

This is a study in adults with advanced cancer (solid tumours) in whom previous chemotherapy was not successful. Only people who have a tumour with a KRAS mutation can participate in the study. A KRAS mutation makes cancer grow faster.

The study tests 2 medicines called BI 1701963 and trametinib. BI 1701963 prevents reactivation of KRAS. In this study, BI 1701963 is given to humans for the first time. Trametinib is an approved medicine (MEK inhibitor).

The purpose of this study is to find out the highest dose of BI 1701963 alone and in combination with trametinib the participants can tolerate. Another purpose is to check whether BI 1701963 in combination with trametinib is able to make tumours shrink.

Participants can stay in the study as long as they benefit from treatment and can tolerate it.

During this time, they get tablets of BI 1701963 and trametinib once daily. The doctors regularly monitor the size of the tumour. Doctors also regularly record any unwanted effects and check participants' health.

Conditions

Solid Tumors, KRAS Mutation; SOS1

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

BI 1701963 monotherapy

Group Type: EXPERIMENTAL

BI 1701963

Intervention Type: DRUG

Tablet

BI 1701963 + Trametinib

Group Type: EXPERIMENTAL

BI 1701963

Intervention Type: DRUG

Tablet

Trametinib

Intervention Type: DRUG

Tablet

Interventions

BI 1701963

Tablet

Intervention Type: DRUG

Trametinib

Tablet

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

All parts

• Previously-identified activating Kirsten rat sarcoma viral oncogene homologue (KRAS) mutation in tumour tissue or blood prior to screening
• At least one target lesion that can be measured per Response Evaluation Criteria In Solid Tumours (RECIST) version 1.1.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
• Adequate organ function
• Age ≥18 years of age, or over the legal age of consent as required by local legislation.
• Signed and dated written informed consent in accordance with GCP and local legislation prior to admission to the trial.
• Women of childbearing potential who are not surgically sterilized must have a negative serum pregnancy test completed during the Screening period

Monotherapy and combination therapy dose escalation and monotherapy dose confirmation part

• Documented disease progression despite appropriate prior standard therapies or for whom no standard therapy exists for their tumour type and disease stage

Combination dose confirmation and expansion cohort

• Pathologically confirmed diagnosis of adenocarcinoma of the lung. Patients with mixed histology are eligible if adenocarcinoma is the predominant histology.
• Locally advanced stage IIIb or metastatic stage IV Non-small cell lung cancer (NSCLC)
• Patients must have received both chemotherapy and immunotherapy

Exclusion Criteria

All parts

• Previous anticancer chemotherapy within 3 weeks of the first administration of trial drug.
• Previous treatment with RAS, Mitogen-activated protein kinase (MAPK) or Son of sevenless 1 (SOS1) targeting agents
• Major surgery performed within 4 weeks prior to start of treatment
• Uncontrolled hypertension, congestive heart failure NYHA classification of ≥3, unstable angina or poorly controlled arrhythmia. Myocardial infarction within 6 months prior to start of treatment
• Left ventricular ejection fraction (LVEF) <50 %
• Congenital long QT prolongation syndrome
• Mean resting corrected QT interval (QTcF) >470 msec
• Leptomeningeal carcinomatosis
• Presence or history of uncontrolled or symptomatic brain metastases
• Known pre-existing interstitial lung disease
• Known active hepatitis B infection (defined as presence of Hep B sAg and/or Hep B Deoxyribonucleic acid (DNA)), active hepatitis C infection (defined as presence of Hep C Ribonucleic acid (RNA))
• Active infectious disease
• Any history or presence of uncontrolled gastrointestinal disorders that could affect the intake and/or absorption of the trial drug
• History of retinal vein occlusion (RVO) or retinal pigment epithelial detachment (RPED)

Combination part

• Hypersensitivity to any of the excipients listed in the current Summary of Product Characteristics (SmPC)/Package insert (PI) of trametinib

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

Sponsors

Boehringer Ingelheim

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Levine Cancer Institute

Charlotte, North Carolina, United States

Sarah Cannon Research Institute-Nashville-48456

Nashville, Tennessee, United States

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Universitätsklinikum Köln (AöR)

Cologne, , Germany

Universitätsklinikum Frankfurt

Frankfurt am Main, , Germany

Erasmus Medisch Centrum-ROTTERDAM-50697

Rotterdam, , Netherlands

Universitair Medisch Centrum Utrecht

Utrecht, , Netherlands

Countries

United States; Germany; Netherlands

Related Links

https://www.mystudywindow.com

Related Info

Other Identifiers

2018-004757-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1432-0001

Identifier Type: -

Identifier Source: org_study_id