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
CompletedPhase 2Results postedLast 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.
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 ReviewPrimary· 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
Group
Value
95% CI
200mg BI 2536 IV on Day 1
0
60mg BI 2536 IV on Day 1-3
0
200mg BI 2536 IV on Day 1
1
60mg BI 2536 IV on Day 1-3
1
200mg BI 2536 IV on Day 1
11
60mg BI 2536 IV on Day 1-3
10
200mg BI 2536 IV on Day 1
22
60mg BI 2536 IV on Day 1-3
25
Unconfirmed best overall response
Group
Value
95% CI
200mg BI 2536 IV on Day 1
0
60mg BI 2536 IV on Day 1-3
0
200mg BI 2536 IV on Day 1
1
60mg BI 2536 IV on Day 1-3
2
200mg BI 2536 IV on Day 1
20
60mg BI 2536 IV on Day 1-3
18
200mg BI 2536 IV on Day 1
13
60mg BI 2536 IV on Day 1-3
16
Tumour Control After the Fourth Treatment CourseSecondary· 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
Group
Value
95% CI
200mg BI 2536 IV on Day 1
7
60mg BI 2536 IV on Day 1-3
4
200mg BI 2536 IV on Day 1
14
60mg BI 2536 IV on Day 1-3
19
200mg BI 2536 IV on Day 1
22
60mg BI 2536 IV on Day 1-3
20
Duration of Overall ResponseSecondary· 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.
Group
Value
95% CI
200mg BI 2536 IV on Day 1
42
± NA
60mg BI 2536 IV on Day 1-3
141
± 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
Group
Value
95% CI
200mg BI 2536 IV on Day 1
47
43 – 87
60mg BI 2536 IV on Day 1-3
46
43 – 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.
Group
Value
95% CI
200mg BI 2536 IV on Day 1
154
103 – 302
60mg BI 2536 IV on Day 1-3
148
81 – 315
Best Objective Response Evaluated According to the RECIST Criteria by Investigator AssessmentSecondary· 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
Group
Value
95% CI
200mg BI 2536 IV on Day 1
0
60mg BI 2536 IV on Day 1-3
0
200mg BI 2536 IV on Day 1
0
60mg BI 2536 IV on Day 1-3
0
200mg BI 2536 IV on Day 1
11
60mg BI 2536 IV on Day 1-3
11
200mg BI 2536 IV on Day 1
28
60mg BI 2536 IV on Day 1-3
32
Unconfirmed best overall response
Group
Value
95% CI
200mg BI 2536 IV on Day 1
0
60mg BI 2536 IV on Day 1-3
0
200mg BI 2536 IV on Day 1
0
60mg BI 2536 IV on Day 1-3
0
200mg BI 2536 IV on Day 1
36
60mg BI 2536 IV on Day 1-3
38
200mg BI 2536 IV on Day 1
3
60mg BI 2536 IV on Day 1-3
5
One-year SurvivalSecondary· 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.
Group
Value
95% CI
200mg BI 2536 IV on Day 1
4
60mg BI 2536 IV on Day 1-3
5
Number of Participants With Carbohydrate Antigen 19-9 (CA19-9) ResponseSecondary· 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
Group
Value
95% CI
200mg BI 2536 IV on Day 1
41
60mg BI 2536 IV on Day 1-3
41
200mg BI 2536 IV on Day 1
2
60mg BI 2536 IV on Day 1-3
2
Improved CA19-9 response
Group
Value
95% CI
200mg BI 2536 IV on Day 1
43
60mg BI 2536 IV on Day 1-3
43
200mg BI 2536 IV on Day 1
0
60mg BI 2536 IV on Day 1-3
0
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.
Group
Value
95% CI
200mg BI 2536 IV on Day 1
32
60mg BI 2536 IV on Day 1-3
27
200mg BI 2536 IV on Day 1
11
60mg BI 2536 IV on Day 1-3
15
Quality of Life Assessment, Including Clinical Benefit Response: Overall HealthSecondary· 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).
Group
Value
95% CI
200mg BI 2536 IV on Day 1
3.8
± 1.17
60mg BI 2536 IV on Day 1-3
4.1
± 1.41
Quality of Life Assessment, Including Clinical Benefit Response: Quality of LifeSecondary· 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).
Group
Value
95% CI
200mg BI 2536 IV on Day 1
3.8
± 1.29
60mg BI 2536 IV on Day 1-3
4.2
± 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
Group
Value
95% CI
200mg BI 2536 IV on Day 1
5
60mg BI 2536 IV on Day 1-3
5
200mg BI 2536 IV on Day 1
7
60mg BI 2536 IV on Day 1-3
4
200mg BI 2536 IV on Day 1
12
60mg BI 2536 IV on Day 1-3
16
200mg BI 2536 IV on Day 1
9
60mg BI 2536 IV on Day 1-3
9
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)
Reaction
System
200mg BI 2536 IV on Day 1
60mg BI 2536 IV on Day 1-3
Malignant neoplasm progression
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
Abdominal pain
Gastrointestinal disorders
—
—
Pneumonia
Infections and infestations
—
—
Febrile neutropenia
Blood and lymphatic system disorders
—
—
Leukopenia
Blood and lymphatic system disorders
—
—
Subileus
Gastrointestinal disorders
—
—
Pyrexia
General disorders
—
—
Infection
Infections and infestations
—
—
Neutropenia
Blood and lymphatic system disorders
—
—
Thrombocytopenia
Blood and lymphatic system disorders
—
—
Abdominal pain upper
Gastrointestinal disorders
—
—
Ascites
Gastrointestinal disorders
—
—
Diarrhoea
Gastrointestinal disorders
—
—
Ileus
Gastrointestinal disorders
—
—
Nausea
Gastrointestinal disorders
—
—
Stomatitis
Gastrointestinal disorders
—
—
Vomiting
Gastrointestinal disorders
—
—
Fatigue
General disorders
—
—
Cholestasis
Hepatobiliary disorders
—
—
Somnolence
Nervous system disorders
—
—
Dyspnoea
Respiratory, thoracic and mediastinal disorders
—
—
Thrombosis
Vascular disorders
—
—
Anal fissure
Gastrointestinal disorders
—
—
Constipation
Gastrointestinal disorders
—
—
Duodenal obstruction
Gastrointestinal disorders
—
—
Other adverse events (45 terms — click to expand)
Reaction
System
200mg BI 2536 IV on Day 1
60mg BI 2536 IV on Day 1-3
Fatigue
General disorders
—
—
Nausea
Gastrointestinal disorders
—
—
Neutropenia
Blood and lymphatic system disorders
—
—
Leukopenia
Blood and lymphatic system disorders
—
—
Vomiting
Gastrointestinal disorders
—
—
Anorexia
Metabolism and nutrition disorders
—
—
Constipation
Gastrointestinal disorders
—
—
Alopecia
Skin and subcutaneous tissue disorders
—
—
Diarrhoea
Gastrointestinal disorders
—
—
Flatulence
Gastrointestinal disorders
—
—
Abdominal pain
Gastrointestinal disorders
—
—
Haemoglobin decreased
Investigations
—
—
Back pain
Musculoskeletal and connective tissue disorders
—
—
Dizziness
Nervous system disorders
—
—
Thrombocytopenia
Blood and lymphatic system disorders
—
—
Pyrexia
General disorders
—
—
Dyspepsia
Gastrointestinal disorders
—
—
Cough
Respiratory, thoracic and mediastinal disorders
—
—
Hyperhidrosis
Skin and subcutaneous tissue disorders
—
—
Abdominal pain upper
Gastrointestinal disorders
—
—
Oedema peripheral
General disorders
—
—
Pain
General disorders
—
—
Weight decreased
Investigations
—
—
Hypokalaemia
Metabolism and nutrition disorders
—
—
Dry mouth
Gastrointestinal disorders
—
—
Hyperglycaemia
Metabolism and nutrition disorders
—
—
Tumour pain
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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):
NCT00412880 — BI 2536 Second Line Monotherapy in SCLC
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· completed
NCT00376623 — Efficacy and Safety of BI 2536 in Advanced or Metastatic Non Small Cell Lung Cancer
· Phase 2
· completed
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Boehringer Ingelheim
Last refreshed: 4 May 2022
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.