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NCT01403974

Phase I Trial of BI 836845 for Various Solid Cancer

Completed Phase 1 Results posted Last updated 25 July 2025
What this trial tests

Phase 1 trial testing BI 836845 in Neoplasms in 61 participants. Completed in 23 December 2015.

Timeline
19 July 2011
Primary endpoint
8 July 2015
23 December 2015

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment61
Start date19 July 2011
Primary completion8 July 2015
Estimated completion23 December 2015
Sites3 locations across Taiwan

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, any sex, with 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.

Part 1: Maximum Tolerated Dose (MTD) of BI 836845 During the First Treatment Course of the Dose Escalation Phase. Primary · During the first course of treatment, up to 21 days

In the absence of MTD, the relevant biological dose (RBD) of BI 836845 during the first treatment course of the dose escalation phase was reported. The MTD was defined as the highest dose level of BI 836845 at which no more than 1 out of 6 patients experienced a drug related dose limiting toxicity (DLT) during the first course of treatment. Starting dose of 10 milligrams (mg) BI 836845, administered thrice every 3 weeks. Dose levels evaluated were: 10 mg, 20 mg, 40 mg, 60 mg, 90 mg, 135 mg, 200 mg, 300 mg, 450 mg, 600 mg, 800 mg, 1050 mg, 1400 mg and 1800 mg. The BI 836845 dose which could ac

GroupValue95% CI
Part 1: BI 8368451000
Part 1: Number of Patients With Dose Limiting Toxicities (DLTs) During the Maximum Tolerated Dose (MTD) Evaluation Period Primary · During the first course of treatment, up to 21 days

Number of participants with DLTs occurring during the first treatment course of the dose escalation part. DLT was defined as drug-related adverse events meeting the criteria summarized below: * Common terminology criteria for adverse events (CTCAE) grade 4 neutropenia for ≥ 7 days (d) * Febrile neutropenia with single temperature of \> 38.3°C/ ≥ 38°C more than 1 hour (h) * Documented infection with high neutrophile count * CTCAE grade 4 thrombocytopenia/CTCAE grade 3 thrombocytopenia associated with bleeding requiring transfusion * AST (Aspartate Amino Transferase)/ALT (Alanine Amino Transfer

GroupValue95% CI
Part 1: BI 836845 10 mg0
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg1
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg0
Part 1: BI 836845 1050 mg0
Objective Tumour Response Based on Response Evaluation Criteria In Solid Tumours (RECIST) Version 1.1 Secondary · First treatment administration until the earliest of disease progression, death, last adequate tumor assessment or the start of subsequent anti-cancer therapy. Up to 72 weeks.

Number of patients with the objective response (OR). Objective response was defined as best overall response of complete response (CR) or partial response (PR) (with no confirmation required) based on Response Evaluation Criteria In Solid Tumours (RECIST) version 1.1. CR was defined by the disappearance of all target lesions and PR was defined by a decrease of at least 30% in the sum of the diameter of target lesions taking the baseline sum diameters as reference. The best overall response was recorded since first administration of the trial medication and until the earliest of disease progres

GroupValue95% CI
Part 1: BI 836845 10 mg0
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg0
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg1
Part 1: BI 836845 1050 mg1
Duration of Objective Response Secondary · First treatment administration until the earliest of disease progression, death, last adequate tumor assessment or the start of subsequent anti-cancer therapy. Up to 72 weeks.

Duration of objective response (days), defined as time from first objective response to the time to progression or death and was only calculated for patients with an objective response (with no confirmation required).

GroupValue95% CI
Part 1: BI 836845 800 mg145NA – NA
Part 1: BI 836845 1050 mg213NA – NA
Best Overall Response Based on Response Evaluation Criteria In Solid Tumours (RECIST) Criteria Version 1.1 Secondary · First treatment administration until disease progression or last evaluable assessment in absence of progression; Up to 72 weeks

Number of patients with best overall response. Best overall response represented the best response (complete response - CR, partial response - PR, stable disease -SD, progressive disease - PD) a patient had during their time in the study from first administration of trial medication until the earliest date of progression, or the last evaluable assessment in the absence of progression or the start of subsequent anti-cancer therapy. CR was defined by the disappearance of all target lesions and PR was defined by a decrease of at least 30% in the sum of the diameter of target lesions taking the ba

CR
GroupValue95% CI
Part1: BI 836845 10 mg0
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg0
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg0
Part 1: BI 836845 1050 mg0
PR
GroupValue95% CI
Part1: BI 836845 10 mg0
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg0
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg1
Part 1: BI 836845 1050 mg1
SD
GroupValue95% CI
Part1: BI 836845 10 mg2
Part 1: BI 836845 20 mg1
Part 1: BI 836845 40 mg2
Part 1: BI 836845 60 mg2
Part 1: BI 836845 90 mg2
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg2
Part 1: BI 836845 300 mg1
Part 1: BI 836845 450 mg3
Part 1: BI 836845 600 mg3
Part 1: BI 836845 800 mg2
Part 1: BI 836845 1050 mg0
SD≥24 weeks
GroupValue95% CI
Part1: BI 836845 10 mg2
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg0
Part 1: BI 836845 600 mg1
Part 1: BI 836845 800 mg0
Part 1: BI 836845 1050 mg0
PD
GroupValue95% CI
Part1: BI 836845 10 mg1
Part 1: BI 836845 20 mg2
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg1
Part 1: BI 836845 90 mg1
Part 1: BI 836845 135 mg2
Part 1: BI 836845 200 mg1
Part 1: BI 836845 300 mg2
Part 1: BI 836845 450 mg3
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg1
Part 1: BI 836845 1050 mg2
Not evaluable
GroupValue95% CI
Part1: BI 836845 10 mg0
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg1
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg1
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg2
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg0
Part 1: BI 836845 1050 mg0
Disease Control Secondary · First treatment administration until the earliest of disease progression, death, last adequate tumor assessment or the start of subsequent anti-cancer therapy. Up to 72 weeks.

Number of patients with Disease control. Disease control was defined as best overall response of CR, PR or SD \>24 week, with no confirmation required.

GroupValue95% CI
Part 1: BI 836845 10 mg2
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg0
Part 1: BI 836845 600 mg1
Part 1: BI 836845 800 mg1
Part 1: BI 836845 1050 mg1
Part 2 - Biopsiable Tumours: Progression-free Survival (PFS) Secondary · First treatment administration until tumour progression or death. Up to 72 weeks

PFS was evaluated only for cohort 2 (Biopsiable tumors) in expansion phase of the study. PFS was defined as the time from first treatment administration until tumour progression according to RECIST 1.1 or death from any cause, whichever occurred earlier. Median duration along with 95% confidence interval is based on Kaplan-Meier method.

GroupValue95% CI
Part 2: Biopsiable Tumours118.018.0 – 504.0
Maximum Measured Concentration of the BI 836845 in Plasma (Cmax) Secondary · Up to 337 hours. Detailed timeframe is in the description.

Maximum measured concentration of the BI 836845 in plasma (Cmax). Geometric mean (gMean) and Geometric coefficient of variation (gCV) is presented for each course. As defined in the CTP, PK data is presented by BI 836845 dose level and was not collected for Course 4 part 2. For Course 1 of part 1 and part 2, Course 2 part 1 and part 2, Course 3 part 2, Course 4 part 1 the following timeframe applies : At 0.083 hour before and 0.5, 1, 2, 4, 7, 24, 72\*, 168, 169, 336 and 337 hours after infusion. \* applies only to part 1 administration courses. In Course 3 of part 1 the following timeframe ap

Course 1
GroupValue95% CI
Part 1: BI 836845 10 mg2.87± 23.8
Part 1: BI 836845 20 mg6.53± 14.9
Part 1: BI 836845 40 mg13.8± 26.6
Part 1: BI 836845 60 mg22.2± 3.78
Part 1: BI 836845 90 mg28.2± 28.7
Part 1: BI 836845 135 mg36.6± 20.6
Part 1: BI 836845 200 mg70.8± 26.7
Part 1: BI 836845 300 mg81.9± 42.2
Part 1: BI 836845 450 mg151± 16.7
Part 1: BI 836845 600 mg199± 10.8
Part 1: BI 836845 800 mg200± 38.1
Part 1: BI 836845 1050 mg270± 38.9
Course 2
GroupValue95% CI
Part 1: BI 836845 10 mg3.34± 31.9
Part 1: BI 836845 20 mg7.92± 24.8
Part 1: BI 836845 40 mg22.4± 23.9
Part 1: BI 836845 60 mg26.9± 17.1
Part 1: BI 836845 90 mg36.6± 19.4
Part 1: BI 836845 135 mg55.2± 29.8
Part 1: BI 836845 200 mg99.2± 28.5
Part 1: BI 836845 300 mg100± 21.8
Part 1: BI 836845 450 mg193± 18.0
Part 1: BI 836845 600 mg285± 11.7
Part 1: BI 836845 800 mg282± 40.3
Part 1: BI 836845 1050 mg393± 39.1
Course 3
GroupValue95% CI
Part 1: BI 836845 10 mgNA± NA
Part 1: BI 836845 20 mgNA± NA
Part 1: BI 836845 40 mgNA± NA
Part 1: BI 836845 60 mgNA± NA
Part 1: BI 836845 90 mgNA± NA
Part 1: BI 836845 135 mgNA± NA
Part 1: BI 836845 200 mgNA± NA
Part 1: BI 836845 300 mgNA± NA
Part 1: BI 836845 450 mgNA± NA
Part 1: BI 836845 600 mgNA± NA
Part 1: BI 836845 800 mgNA± NA
Part 1: BI 836845 1050 mgNA± NA
Course 4
GroupValue95% CI
Part 1: BI 836845 10 mg3.96± 53.9
Part 1: BI 836845 20 mg5.27± NA
Part 1: BI 836845 40 mg18.8± 1.88
Part 1: BI 836845 60 mg28.5± NA
Part 1: BI 836845 90 mg39.6± 15.2
Part 1: BI 836845 200 mg86.8± NA
Part 1: BI 836845 450 mg201± 10.9
Part 1: BI 836845 600 mg279± 28.6
Part 1: BI 836845 800 mg253± 36.3
Part 1: BI 836845 1050 mg615± NA
Part 1: BI 836845 1400 mg612± NA
Part 1: BI 836845 1800 mg739± NA
Time to Maximum Measured Concentration BI 836845 in Plasma (Tmax) Secondary · Up to 337 hours. Detailed timeframe is in the description.

Time to maximum measured concentration of the BI 836845 in plasma (tmax). As defined in the CTP, PK data is presented by BI 836845 dose level and was not collected for Course 4 part 2. For Course 1 of part 1 and part 2, Course 2 part 1 and part 2, Course 3 part 2, Course 4 part 1 the following timeframe applies : At 0.083 hour before and 0.5, 1, 2, 4, 7, 24, 72\*, 168, 169, 336 and 337 hours after infusion. \* applies only to part 1 administration courses. In Course 3 of part 1 the following timeframe applies: At 0.083 hour before and 0.5, 1, 168, 169, 336 and 337 hours after infusion.

Course 1
GroupValue95% CI
BI 836845 10 mg2.101.15 – 4.00
BI 836845 20 mg2.021.75 – 6.38
BI 836845 40 mg2.032.00 – 2.03
BI 836845 60 mg1.131.03 – 1.92
BI 836845 90 mg2.001.80 – 7.00
BI 836845 135 mg1.051.03 – 1.92
BI 836845 200 mg2.002.00 – 3.77
BI 836845 300 mg2.252.07 – 2.28
BI 836845 450 mg1.181.02 – 7.00
BI 836845 600 mg2.001.92 – 2.25
BI 836845 800 mg1.251.07 – 2.00
BI 836845 1050 mg1.171.02 – 4.02
Course 2
GroupValue95% CI
BI 836845 10 mg0.9670.967 – 2.03
BI 836845 20 mg7.000.967 – 24.1
BI 836845 40 mg1.501.00 – 2.00
BI 836845 60 mg2.000.983 – 2.00
BI 836845 90 mg2.151.00 – 4.00
BI 836845 135 mg2.891.03 – 4.75
BI 836845 200 mg2.972.00 – 7.00
BI 836845 300 mg1.451.05 – 2.02
BI 836845 450 mg1.121.05 – 2.02
BI 836845 600 mg2.071.12 – 5.95
BI 836845 800 mg1.831.40 – 2.00
BI 836845 1050 mg4.003.95 – 4.00
Course 3
GroupValue95% CI
BI 836845 10 mgNANA – NA
BI 836845 20 mgNANA – NA
BI 836845 40 mgNANA – NA
BI 836845 60 mgNANA – NA
BI 836845 90 mgNANA – NA
BI 836845 135 mgNANA – NA
BI 836845 200 mgNANA – NA
BI 836845 300 mgNANA – NA
BI 836845 450 mgNANA – NA
BI 836845 600 mgNANA – NA
BI 836845 800 mgNANA – NA
BI 836845 1050 mgNANA – NA
Course 4
GroupValue95% CI
BI 836845 10 mg3.331.75 – 4.90
BI 836845 20 mg2.23NA – NA
BI 836845 40 mg1.541.08 – 2.00
BI 836845 60 mg1.02NA – NA
BI 836845 90 mg3.092.18 – 4.00
BI 836845 200 mg1.22NA – NA
BI 836845 450 mg2.001.63 – 7.00
BI 836845 600 mg2.001.17 – 3.97
BI 836845 800 mg1.001.00 – 1.00
BI 836845 1050 mg4.00NA – NA
BI 836845 1400 mg2.00NA – NA
BI 836845 1800 mg2.00NA – NA
Area Under the Plasma Concentration-time Curve of BI 836845 From Time 0 to 168 Hours (AUC 0-168) Secondary · Up to 337 hours. Detailed timeframe is in the description.

Area under the plasma concentration-time curve from time 0 to 168 hours (AUC 0-168) of the BI 836845. As defined in the CTP, PK data is presented by BI 836845 dose level and was not collected for Course 4 part 2. For Course 1 of part 1 and part 2, Course 2 part 1 and part 2, Course 3 part 2, Course 4 part 1 the following timeframe applies : At 0.083 hour before and 0.5, 1, 2, 4, 7, 24, 72\*, 168, 169, 336 and 337 hours after infusion. \* applies only to part 1 administration courses. In Course 3 of part 1 the following timeframe applies: At 0.083 hour before and 0.5, 1, 168, 169, 336 and 337

Course 1
GroupValue95% CI
BI 836845 10 mg249± 37.2
BI 836845 20 mg390± 32.9
BI 836845 40 mg752± 66.3
BI 836845 60 mg1300± 42.5
BI 836845 90 mg2250± 16.7
BI 836845 135 mg3050± 17.7
BI 836845 200 mg5950± 26.9
BI 836845 300 mg5680± 23.1
BI 836845 450 mg10600± 12.6
BI 836845 600 mg15600± 7.09
BI 836845 800 mg14500± 45.6
BI 836845 1050 mg31100± 64.9
Course 2
GroupValue95% CI
BI 836845 10 mg265± 49.6
BI 836845 20 mg627± 41.8
BI 836845 40 mg1950± NA
BI 836845 60 mg1790± NA
BI 836845 90 mg3390± 27.7
BI 836845 135 mg5150± 52.2
BI 836845 200 mg9490± 11.1
BI 836845 300 mg9480± 3.39
BI 836845 450 mg15997± 24.1
BI 836845 600 mg21400± 13.0
BI 836845 800 mg22000± 46.3
BI 836845 1050 mg38600± 34.0
Course 3
GroupValue95% CI
BI 836845 10 mgNA± NA
BI 836845 20 mgNA± NA
BI 836845 40 mgNA± NA
BI 836845 60 mgNA± NA
BI 836845 90 mgNA± NA
BI 836845 135 mgNA± NA
BI 836845 200 mgNA± NA
BI 836845 300 mgNA± NA
BI 836845 450 mgNA± NA
BI 836845 600 mgNA± NA
BI 836845 800 mgNA± NA
BI 836845 1050 mgNA± NA
Course 4
GroupValue95% CI
BI 836845 10 mg309± 132
BI 836845 20 mg337± NA
BI 836845 40 mg1780± NA
BI 836845 60 mg4010± NA
BI 836845 90 mg3620± 3.91
BI 836845 200 mg10300± NA
BI 836845 450 mg14300± NA
BI 836845 600 mg17900± NA
BI 836845 800 mg19000± 78.8
BI 836845 1050 mg56600± NA
BI 836845 1400 mg52400± NA
BI 836845 1800 mg67400± NA
Incidence and Intensity of Adverse Events (AEs) According to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Secondary · First treatment administration until end of treatment plus residual effect period; Up to 74 weeks

Number of patients with adverse events (AEs) according to the grading as per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. The intensity of AEs was defined based on: * Grade 1 - Mild AE; awareness of sign(s) or symptom(s) which is/are easily tolerated. * Grade 2 - Moderate AE; enough discomfort to cause interference with usual activity. * Grade 3 - Severe AE; incapacitating or causing inability to work or to perform usual activities. * Grade 4 - Life-threatening or disabling AE. * Grade 5 - Death related to AE.

Grade 1
GroupValue95% CI
Part 1: BI 836845 10 mg0
Part 1: BI 836845 20 mg1
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg1
Part 1: BI 836845 135 mg2
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg1
Part 1: BI 836845 450 mg2
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg0
Part 1: BI 836845 1050 mg1
Grade 2
GroupValue95% CI
Part 1: BI 836845 10 mg2
Part 1: BI 836845 20 mg1
Part 1: BI 836845 40 mg1
Part 1: BI 836845 60 mg1
Part 1: BI 836845 90 mg1
Part 1: BI 836845 135 mg1
Part 1: BI 836845 200 mg1
Part 1: BI 836845 300 mg1
Part 1: BI 836845 450 mg4
Part 1: BI 836845 600 mg2
Part 1: BI 836845 800 mg2
Part 1: BI 836845 1050 mg1
Grade 3
GroupValue95% CI
Part 1: BI 836845 10 mg0
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg1
Part 1: BI 836845 60 mg1
Part 1: BI 836845 90 mg1
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg2
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg2
Part 1: BI 836845 600 mg1
Part 1: BI 836845 800 mg1
Part 1: BI 836845 1050 mg1
Grade 4
GroupValue95% CI
Part 1: BI 836845 10 mg1
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg0
Part 1: BI 836845 60 mg0
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg1
Part 1: BI 836845 450 mg0
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg1
Part 1: BI 836845 1050 mg0
Grade 5
GroupValue95% CI
Part 1: BI 836845 10 mg0
Part 1: BI 836845 20 mg0
Part 1: BI 836845 40 mg1
Part 1: BI 836845 60 mg1
Part 1: BI 836845 90 mg0
Part 1: BI 836845 135 mg0
Part 1: BI 836845 200 mg0
Part 1: BI 836845 300 mg0
Part 1: BI 836845 450 mg0
Part 1: BI 836845 600 mg0
Part 1: BI 836845 800 mg0
Part 1: BI 836845 1050 mg0

Adverse events — posted to ClinicalTrials.gov

Time frame: First treatment administration until end of treatment plus residual effect period; Up to 74 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: BI 836845 10 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 20 mg
Serious: 0/3 (0%)
Deaths:
Part 1: BI 836845 40 mg
Serious: 2/3 (67%)
Deaths:
Part 1: BI 836845 60 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 90 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 135 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 200 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 300 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 450 mg
Serious: 3/8 (38%)
Deaths:
Part 1: BI 836845 600 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 800 mg
Serious: 2/4 (50%)
Deaths:
Part 1: BI 836845 1050 mg
Serious: 0/3 (0%)
Deaths:
Part 1: BI 836845 1400 mg
Serious: 1/3 (33%)
Deaths:
Part 1: BI 836845 1800 mg
Serious: 2/3 (67%)
Deaths:
Part 2: Ewing's Sarcoma Family of Tumours
Serious: 0/1 (0%)
Deaths:
Part 2: Biopsiable Tumours
Serious: 4/12 (33%)
Deaths:

Serious adverse events (38 terms)

ReactionSystemPart 1: BI 836845 10 mgPart 1: BI 836845 20 mgPart 1: BI 836845 40 mgPart 1: BI 836845 60 mgPart 1: BI 836845 90 mgPart 1: BI 836845 135 mgPart 1: BI 836845 200 mgPart 1: BI 836845 300 mgPart 1: BI 836845 450 mgPart 1: BI 836845 600 mgPart 1: BI 836845 800 mgPart 1: BI 836845 1050 mgPart 1: BI 836845 1400 mgPart 1: BI 836845 1800 mgPart 2: Ewing's Sarcoma Fa…Part 2: Biopsiable Tumours
Abdominal painGastrointestinal disorders
PyrexiaGeneral disorders
Hepatic function abnormalHepatobiliary disorders
Device related infectionInfections and infestations
PneumoniaInfections and infestations
Urinary tract infectionInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Diabetes insipidusEndocrine disorders
DysphagiaGastrointestinal disorders
Gastrointestinal mucosal disorderGastrointestinal disorders
IleusGastrointestinal disorders
HyperbilirubinaemiaHepatobiliary disorders
Jaundice cholestaticHepatobiliary disorders
BacteraemiaInfections and infestations
CellulitisInfections and infestations
InfectionInfections and infestations
Liver abscessInfections and infestations
PeritonitisInfections and infestations
Septic shockInfections and infestations
Subdural haemorrhageInjury, poisoning and procedural complications
Weight decreasedInvestigations
Other adverse events (136 terms — click to expand)

ReactionSystemPart 1: BI 836845 10 mgPart 1: BI 836845 20 mgPart 1: BI 836845 40 mgPart 1: BI 836845 60 mgPart 1: BI 836845 90 mgPart 1: BI 836845 135 mgPart 1: BI 836845 200 mgPart 1: BI 836845 300 mgPart 1: BI 836845 450 mgPart 1: BI 836845 600 mgPart 1: BI 836845 800 mgPart 1: BI 836845 1050 mgPart 1: BI 836845 1400 mgPart 1: BI 836845 1800 mgPart 2: Ewing's Sarcoma Fa…Part 2: Biopsiable Tumours
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Abdominal distensionGastrointestinal disorders
NauseaGastrointestinal disorders
Weight decreasedInvestigations
Oedema peripheralGeneral disorders
AnaemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Chest painGeneral disorders
Upper respiratory tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Epigastric discomfortGastrointestinal disorders
AstheniaGeneral disorders
Blood creatine phosphokinase increasedInvestigations
Platelet count decreasedInvestigations
CachexiaMetabolism and nutrition disorders
ParaesthesiaNervous system disorders
Pelvic painReproductive system and breast disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Dry mouthGastrointestinal disorders
ProctalgiaGastrointestinal disorders
Chest discomfortGeneral disorders
FatigueGeneral disorders
MalaiseGeneral disorders
PyrexiaGeneral disorders
HyperbilirubinaemiaHepatobiliary disorders
Catheter site infectionInfections and infestations
Oral candidiasisInfections and infestations
Urinary tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
HyperkalaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders

Most-reported serious reactions: Abdominal pain, Pyrexia, Hepatic function abnormal, Device related infection, Pneumonia, Urinary tract infection, Dyspnoea, Pneumonia aspiration.

Data from ClinicalTrials.gov NCT01403974 adverse events section.

Sponsor's own description

This study is a phase I, open-label, dose escalation trial to determine the maximum tolerated dose (MTD) or the relevant biological dose (RBD) in the absence if a MTD of a new drug BI 836845 which blocks the insulin-like growth factor (IGF) pathway believed to be involved in cancer growth. BI 836845 will be administered for the very first time into cancer patients. The study will also look at the overall safety of the drug, and examine the drug levels in the body at specific timepoints during the trial (pharmacokinetic profile); the effect the drug may have on tumours will also be examined (pharmacodynamics).

Publications & conference data

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

  1. Clinical potential of novel therapeutic targets in breast cancer: CDK4/6, Src, JAK/STAT, PARP, HDAC, and PI3K/AKT/mTOR pathways.
    Hosford SR, Miller TW. · · 2014 · cited 109× · PMID 25206307 · DOI 10.2147/pgpm.s52762
  2. Present Advances and Future Perspectives of Molecular Targeted Therapy for Osteosarcoma.
    Shaikh AB, Li F, Li M, He B, et al · · 2016 · cited 89× · PMID 27058531 · DOI 10.3390/ijms17040506
  3. Strategies for modern biomarker and drug development in oncology.
    Smith AD, Roda D, Yap TA. · · 2014 · cited 89× · PMID 25277503 · DOI 10.1186/s13045-014-0070-8
  4. Obesity and endocrine-related cancer: The important role of IGF-1.
    Zhong W, Wang X, Wang Y, Sun G, et al · · 2023 · cited 44× · PMID 36755926 · DOI 10.3389/fendo.2023.1093257
  5. Two first-in-human studies of xentuzumab, a humanised insulin-like growth factor (IGF)-neutralising antibody, in patients with advanced solid tumours.
    de Bono J, Lin CC, Chen LT, Corral J, et al · · 2020 · cited 34× · PMID 32161368 · DOI 10.1038/s41416-020-0774-1
  6. Enhanced anti-metastatic bioactivity of an IGF-TRAP re-engineered to improve physicochemical properties.
    Vaniotis G, Moffett S, Sulea T, Wang N, et al · · 2018 · cited 15× · PMID 30478273 · DOI 10.1038/s41598-018-35407-2

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