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NCT00710710

Open, Randomized Phase II Trial to Investigate the Efficacy and Safety of the PLK-1 Inhibitor BI 2536 in Patients With Advanced, Unresectable Pancreatic Cancer

Completed Phase 2 Results posted Last updated 4 May 2022
What this trial tests

Phase 2 trial testing BI 2536 in Pancreatic Neoplasms in 89 participants. Completed in 14 October 2008.

Timeline
1 August 2006
Primary endpoint
14 October 2008
14 October 2008

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment89
Start date1 August 2006
Primary completion14 October 2008
Estimated completion14 October 2008
Sites10 locations across Austria, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, any sex, with Pancreatic Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Best Objective Response Evaluated According to the RECIST Criteria by Independent Review Primary · Tumour measurements performed at screening (day -21 to -1), at the end of every other treatment period (2x 3 weeks), and at the end of the trial or when a patient concluded the trial, up to 357 days.

Best objective response: Tumour assessment by independent review of tumour imaging by an external contract research organization (CRO) according to Response Evaluation Criteria In Solid Tumours (RECIST) after every second treatment course, including imaging (e.g. Computed tomography (CT), Magnetic resonance imaging (MRI)) and submission of image(s) to central imaging unit. Complete remission (CR): Disappearance of all target lesions for at least 4 weeks from the documentation of CR. Partial remission (PR): At least a 30% decrease in the sum of LD of target lesions taking as reference the bas

Confirmed best overall response
GroupValue95% CI
200mg BI 2536 IV on Day 10
60mg BI 2536 IV on Day 1-30
200mg BI 2536 IV on Day 11
60mg BI 2536 IV on Day 1-31
200mg BI 2536 IV on Day 111
60mg BI 2536 IV on Day 1-310
200mg BI 2536 IV on Day 122
60mg BI 2536 IV on Day 1-325
Unconfirmed best overall response
GroupValue95% CI
200mg BI 2536 IV on Day 10
60mg BI 2536 IV on Day 1-30
200mg BI 2536 IV on Day 11
60mg BI 2536 IV on Day 1-32
200mg BI 2536 IV on Day 120
60mg BI 2536 IV on Day 1-318
200mg BI 2536 IV on Day 113
60mg BI 2536 IV on Day 1-316
Tumour Control After the Fourth Treatment Course Secondary · Tumour measurements performed at screening (day -21 to -1) and at the end of of the fourth 3-week treatment cycle, up to 105 days.

Tumour control rate was defined as the number of patients in a treatment arm who had completed 4 courses of treatment and presented with Stable Disease (SD), Partial Response (PR), or Complete Remission (CR). Tumour assessment by independent review of tumour imaging according to RECIST after every second treatment course, including imaging (e.g. CT, MRI) and submission of image(s) to central imaging unit. Complete remission (CR): Disappearance of all target lesions for at least 4 weeks from the documentation of CR. Partial remission (PR): At least a 30% decrease in the sum of LD of target le

GroupValue95% CI
200mg BI 2536 IV on Day 17
60mg BI 2536 IV on Day 1-34
200mg BI 2536 IV on Day 114
60mg BI 2536 IV on Day 1-319
200mg BI 2536 IV on Day 122
60mg BI 2536 IV on Day 1-320
Duration of Overall Response Secondary · Tumour measurements performed at screening (day -21 to -1), at the end of every other treatment period (2x 3 weeks), and at the end of the trial or when a patient concluded the trial, up to 357 days.

The duration of overall response was measured from the time measurement criteria were met for complete remission (CR) or partial remission (PR) (whichever was first recorded) until the first date that recurrent or progressive disease was objectively documented, taking as reference for progressive disease the smallest measurements recorded since the treatment started. Tumour assessment by independent review of tumour imaging by an external CRO according to RECIST after every second treatment course, including imaging (e.g. CT, MRI) and submission of image(s) to central imaging unit.

GroupValue95% CI
200mg BI 2536 IV on Day 142± NA
60mg BI 2536 IV on Day 1-3141± 138.59
Progression Free Survival (PFS) Secondary · Tumour measurements performed at screening (day -21 to -1), at the end of every other treatment period (2x 3 weeks), and at the end of the trial or when a patient concluded the trial, up to 357 days.

Progression free survival (PFS) was defined as the duration of time from randomisation to time of progression or death. For patients without documented progression at the time of analysis, PFS was censored as the total observation time without new anti-cancer therapy. PFS was analysed with the Kaplan-Meier method for each of the treatment arms. Kaplan-Meier estimates and confidence intervals were tabulated at specific points in time. Greenwood's variance estimate was used to form confidence intervals. Progressive disease: At least a 20% increase in the sum of Longest Diameter (LD) of target l

GroupValue95% CI
200mg BI 2536 IV on Day 14743 – 87
60mg BI 2536 IV on Day 1-34643 – 56
Overall Survival (OS) Secondary · From first treatment till the end of the trial or when a patient concluded the trial, up to 336 days.

Overall survival (OS) was the time from first treatment until death. If there was no occurrence of death or progression until the last follow-up of the trial, the time was to be censored at the date of last trial visit. OS was analysed with the Kaplan-Meier method for each of the treatment arms. Kaplan-Meier estimates and confidence intervals were tabulated at specific points in time. Greenwood's variance estimate was used to form confidence intervals. The secondary endpoint "One-year survival" was integrated into the secondary endpoint overall survival.

GroupValue95% CI
200mg BI 2536 IV on Day 1154103 – 302
60mg BI 2536 IV on Day 1-314881 – 315
Best Objective Response Evaluated According to the RECIST Criteria by Investigator Assessment Secondary · Tumour measurements performed at screening (day -21 to -1), at the end of every other treatment period (2x 3 weeks), and at the end of the trial or when a patient concluded the trial, up to 357 days.

Best objective response: Tumour assessment by investigator assessment of tumour imaging according to Response Evaluation Criteria In Solid Tumours (RECIST) after every second treatment course, including imaging (e.g. Computed tomography (CT), Magnetic resonance imaging (MRI)) and submission of image(s) to central imaging unit. Complete remission (CR): Disappearance of all target lesions for at least 4 weeks from the documentation of CR. Partial remission (PR): At least a 30% decrease in the sum of LD of target lesions taking as reference the baseline sum Longest Diameter (LD). Stable diseas

Confirmed best overall response
GroupValue95% CI
200mg BI 2536 IV on Day 10
60mg BI 2536 IV on Day 1-30
200mg BI 2536 IV on Day 10
60mg BI 2536 IV on Day 1-30
200mg BI 2536 IV on Day 111
60mg BI 2536 IV on Day 1-311
200mg BI 2536 IV on Day 128
60mg BI 2536 IV on Day 1-332
Unconfirmed best overall response
GroupValue95% CI
200mg BI 2536 IV on Day 10
60mg BI 2536 IV on Day 1-30
200mg BI 2536 IV on Day 10
60mg BI 2536 IV on Day 1-30
200mg BI 2536 IV on Day 136
60mg BI 2536 IV on Day 1-338
200mg BI 2536 IV on Day 13
60mg BI 2536 IV on Day 1-35
One-year Survival Secondary · 1 year, see description for detailed definition of the time frame.

One-year survival was defined as survival at 1 year after randomisation. For the cohort of first line patients, this time point coincided with the beginning of treatment with the Trial drug. For second line patients, 1 year survival was defined as 1 year after the start of the previous first line treatment for pancreatic cancer.

GroupValue95% CI
200mg BI 2536 IV on Day 14
60mg BI 2536 IV on Day 1-35
Number of Participants With Carbohydrate Antigen 19-9 (CA19-9) Response Secondary · Blood samples for CA19-9 analysis were collected on Days 1, 2, and 5 of each treatment period, up to 357 days.

Number of participants with carbohydrate antigen 19-9 (CA19-9) response rate was defined as the proportion of patients with a decrease in CA19-9 serum levels of ≥25% from baseline in 2 consecutive measurements performed ≥4 weeks apart. Additionally, the proportion of patients with an improved response was assessed, i.e. a decrease in CA19-9 of ≥75% at 2 consecutive measurements ≥4 weeks apart. By definition, a positive CA19-9 response could not occur in patients with normal baseline CA19-9 levels.

CA19-9 response
GroupValue95% CI
200mg BI 2536 IV on Day 141
60mg BI 2536 IV on Day 1-341
200mg BI 2536 IV on Day 12
60mg BI 2536 IV on Day 1-32
Improved CA19-9 response
GroupValue95% CI
200mg BI 2536 IV on Day 143
60mg BI 2536 IV on Day 1-343
200mg BI 2536 IV on Day 10
60mg BI 2536 IV on Day 1-30
Number of Participants With Dose Limiting Toxicity (DLT) Secondary · Tumour measurements performed at screening (day -21 to -1), at the end of every other treatment period (2x 3 weeks), and at the end of the trial or when a patient concluded the trial, up to 357 days.

Dose limiting toxicity (DLT) was defined as drug-related CTCAE (Common Terminology Criteria for Adverse Events, version 3.0) grade ≥3 non-haematological toxicity (excluding untreated nausea, vomiting or diarrhoea), drug related CTCAE grade 4 neutropenia for ≥7 days and / or complicated by infection of CTCAE grade 4, or drug related CTCAE grade 4 haematological toxicity other than neutropenia.

GroupValue95% CI
200mg BI 2536 IV on Day 132
60mg BI 2536 IV on Day 1-327
200mg BI 2536 IV on Day 111
60mg BI 2536 IV on Day 1-315
Quality of Life Assessment, Including Clinical Benefit Response: Overall Health Secondary · Data from the last available questionnaire for each patient. Questionnaires were taken at screening (day -21 to -1), at the beginning (Day 1) and end (Day 22 ± 3) of every treatment period (3 weeks), and at the end of the trial, up to 357 days.

Quality of life (QOL) was measured using the widely used and validated measure the European Organization for Research and Treatment - Quality of Life Questionnaire (EORTC QLQ-C30), based on questions 29 "How would you rate your overall health during the past week?" and 30 "How would you rate your overall quality of life during the past week?", scored between 1 (very poor) to 7 (Excellent).

GroupValue95% CI
200mg BI 2536 IV on Day 13.8± 1.17
60mg BI 2536 IV on Day 1-34.1± 1.41
Quality of Life Assessment, Including Clinical Benefit Response: Quality of Life Secondary · Data from the last available questionnaire for each patient. Questionnaires were taken at screening (day -21 to -1), at the beginning (Day 1) and end (Day 22 ± 3) of every treatment period (3 weeks), and at the end of the trial, up to 357 days.

Quality of life (QOL) was measured using the widely used and validated measure the European Organization for Research and Treatment - Quality of Life Questionnaire (EORTC QLQ-C30), based on questions 29 "How would you rate your overall health during the past week?" and 30 "How would you rate your overall quality of life during the past week?", scored between 1 (very poor) to 7 (Excellent).

GroupValue95% CI
200mg BI 2536 IV on Day 13.8± 1.29
60mg BI 2536 IV on Day 1-34.2± 1.45
Number of Participants With Incidence and Intensity of Adverse Events Graded According to Common Terminology Criteria for Adverse Events (CTCAE) Secondary · From first administration until 21 days after the day of last administration, up to 16 cycles, up to 357 days.

Number of participants with incidence and intensity of Adverse Events (AE) graded according to CTCAE. Intensity of AEs was scaled according to US-NCI CTCAE, version 3.0. Severity grades 1 to 5 were based on the following general guidelines, with unique clinical descriptions of severity for each AE: * Grade 1 Mild * Grade 2 Moderate * Grade 3 Severe * Grade 4 Life-threatening or disabling * Grade 5 Death

GroupValue95% CI
200mg BI 2536 IV on Day 15
60mg BI 2536 IV on Day 1-35
200mg BI 2536 IV on Day 17
60mg BI 2536 IV on Day 1-34
200mg BI 2536 IV on Day 112
60mg BI 2536 IV on Day 1-316
200mg BI 2536 IV on Day 19
60mg BI 2536 IV on Day 1-39

Adverse events — posted to ClinicalTrials.gov

Time frame: from first administration until 21 days after the day of last administration, up to 16 cycles, up to 357 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

200mg BI 2536 IV on Day 1
Serious: 22/43 (51%)
Deaths: 32/43
60mg BI 2536 IV on Day 1-3
Serious: 23/43 (53%)
Deaths: 35/43

Serious adverse events (67 terms)

ReactionSystem200mg BI 2536 IV on Day 160mg BI 2536 IV on Day 1-3
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Abdominal painGastrointestinal disorders
PneumoniaInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
SubileusGastrointestinal disorders
PyrexiaGeneral disorders
InfectionInfections and infestations
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Abdominal pain upperGastrointestinal disorders
AscitesGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
IleusGastrointestinal disorders
NauseaGastrointestinal disorders
StomatitisGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
CholestasisHepatobiliary disorders
SomnolenceNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
ThrombosisVascular disorders
Anal fissureGastrointestinal disorders
ConstipationGastrointestinal disorders
Duodenal obstructionGastrointestinal disorders
Other adverse events (45 terms — click to expand)

ReactionSystem200mg BI 2536 IV on Day 160mg BI 2536 IV on Day 1-3
FatigueGeneral disorders
NauseaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
AnorexiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Abdominal painGastrointestinal disorders
Haemoglobin decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
ThrombocytopeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
DyspepsiaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders
Abdominal pain upperGastrointestinal disorders
Oedema peripheralGeneral disorders
PainGeneral disorders
Weight decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
Dry mouthGastrointestinal disorders
HyperglycaemiaMetabolism and nutrition disorders
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
InsomniaPsychiatric disorders
HypertensionVascular disorders
AnaemiaBlood and lymphatic system disorders
AscitesGastrointestinal disorders
DysphagiaGastrointestinal disorders
AstheniaGeneral disorders
Urinary tract infectionInfections and infestations
Drug administration errorInjury, poisoning and procedural complications
Blood alkaline phosphatase increasedInvestigations
Muscular weaknessMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
PolyneuropathyNervous system disorders
Sleep disorderPsychiatric disorders

Most-reported serious reactions: Malignant neoplasm progression, Abdominal pain, Pneumonia, Febrile neutropenia, Leukopenia, Subileus, Pyrexia, Infection.

Data from ClinicalTrials.gov NCT00710710 adverse events section.

Sponsor's own description

The trial is conducted in order to evaluate the efficacy, safety and pharmacokinetics of BI 2536 in the treatment of unresectable advanced pancreatic cancer as first line or second line therapy. A secondary aim is to identify the most suitable dosage regimen for the further phase II and III clinical programme of BI 2536. To achieve this objective, two dosage regimens are compared in patients receiving first line therapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The two sides of chromosomal instability: drivers and brakes in cancer.
    Hosea R, Hillary S, Naqvi S, Wu S, et al · · 2024 · cited 102× · PMID 38553459 · DOI 10.1038/s41392-024-01767-7
  2. Epigenetic treatment of pancreatic cancer: is there a therapeutic perspective on the horizon?
    Hessmann E, Johnsen SA, Siveke JT, Ellenrieder V. · · 2017 · cited 100× · PMID 27811314 · DOI 10.1136/gutjnl-2016-312539
  3. Development of synthetic lethality in cancer: molecular and cellular classification.
    Li S, Topatana W, Juengpanich S, Cao J, et al · · 2020 · cited 82× · PMID 33077733 · DOI 10.1038/s41392-020-00358-6
  4. Targeting Plk1 Sensitizes Pancreatic Cancer to Immune Checkpoint Therapy.
    Zhang Z, Cheng L, Li J, Qiao Q, et al · · 2022 · cited 63× · PMID 35950917 · DOI 10.1158/0008-5472.can-22-0018
  5. Evolving Therapeutic Strategies to Exploit Chromosome Instability in Cancer.
    Thompson LL, Jeusset LM, Lepage CC, McManus KJ. · · 2017 · cited 55× · PMID 29104272 · DOI 10.3390/cancers9110151
  6. Dual-target inhibitors of bromodomain and extra-terminal proteins in cancer: A review from medicinal chemistry perspectives.
    Feng L, Wang G, Chen Y, Chen Y, et al · · 2022 · cited 43× · PMID 34633088 · DOI 10.1002/med.21859
  7. Second-Generation Antimitotics in Cancer Clinical Trials.
    Novais P, Silva PMA, Amorim I, Bousbaa H. · · 2021 · cited 37× · PMID 34371703 · DOI 10.3390/pharmaceutics13071011
  8. An updated patent review of BRD4 degraders.
    Ma Z, Zhang C, Bolinger AA, Zhou J. · · 2024 · cited 17× · PMID 39219068 · DOI 10.1080/13543776.2024.2400166

Verify or expand the search:

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Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00710710.

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