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NCT02514239

Phase I Dose Escalation of i.v. BI 836909 Monotherapy in Last Line Multiple Myeloma Patients

Completed Phase 1 Results posted Last updated 24 February 2022
What this trial tests

Phase 1 trial testing BI 836909 in Multiple Myeloma in 43 participants. Completed in 2 July 2020.

Timeline
8 July 2015
Primary endpoint
17 July 2018
2 July 2020

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment43
Start date8 July 2015
Primary completion17 July 2018
Estimated completion2 July 2020
Sites5 locations across France, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

Adults 18 to 100, any sex, with Multiple Myeloma. 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.

The Maximum Tolerated Dose (MTD) of BI 836909 Primary · Cycle 1, up to 6 weeks.

The Maximum tolerated dose (MTD) of BI 836909, which was defined as the highest dose of the dose level tested where ≤1 patient out of 6 developed a Dose-limiting toxicity (DLT). The MTD was defined based on DLTs observed during Cycle 1. However, all Adverse Events corresponding to the definition of a DLT (see below) were to be considered for confirming the MTD. A DLT was defined as any drug-related non-haematological Adverse Event of Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 Grade 3 or higher.

GroupValue95% CI
Intravenous Infusion of BI 836909 (Total Dose Escalation)400
The Number of Patients With Dose-limiting Toxicities (DLTs) Primary · Cycle 1, up to 6 weeks.

The number of patients with Dose-limiting toxicities (DLTs) in cycle 1. A Dose-limiting toxicity was defined as any drug-related non-haematological Adverse Event of Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 Grade 3 or higher.

GroupValue95% CI
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)0
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)0
Intravenous Infusion of BI 836909 (400 μg/d)1
Intravenous Infusion of BI 836909 (800 μg/d)2
Number of Participants With an Objective Response Secondary · On-treatment: From start of treatment till end of trial (EOT) visit, up to 61 weeks. Extended follow-up: From start of treatment till the last extended follow-up visit which was scheduled at 12 months after end of treatment, up to 113 weeks.

Objective responses: Stringent complete response (sCR): CR + normal Free light chain (FLC) ratio and no clonal cells in bone marrow by immunohistochemistry or immunofluorescence. CR: negative immunofixation on serum and urine, disappearance of soft tissue plasmacytomas, and \<5% plasma cells in bone marrow. Very good partial response (VGPR): serum and urine M protein detectable by immunofixation but not on electrophoresis or \>90% reduction in serum M protein plus urine M protein level \<100 mg/24h. PR: \>50% reduction of serum and 24 h urinary M protein by \>90% or to \<200mg/24h. If unmeasur

On treatment
GroupValue95% CI
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)0
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)1
Intravenous Infusion of BI 836909 (400 μg/d)5
Intravenous Infusion of BI 836909 (800 μg/d)0
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)1
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)1
Intravenous Infusion of BI 836909 (200 μg/d)0
Intravenous Infusion of BI 836909 (400 μg/d)0
Intravenous Infusion of BI 836909 (800 μg/d)0
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)0
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)0
Intravenous Infusion of BI 836909 (400 μg/d)1
Intravenous Infusion of BI 836909 (800 μg/d)1
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)0
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)1
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)0
Intravenous Infusion of BI 836909 (400 μg/d)1
Intravenous Infusion of BI 836909 (800 μg/d)1
On treatment + extended follow-up visits (follow-up
GroupValue95% CI
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)0
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)1
Intravenous Infusion of BI 836909 (400 μg/d)5
Intravenous Infusion of BI 836909 (800 μg/d)0
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)1
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)1
Intravenous Infusion of BI 836909 (200 μg/d)0
Intravenous Infusion of BI 836909 (400 μg/d)0
Intravenous Infusion of BI 836909 (800 μg/d)1
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)0
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)0
Intravenous Infusion of BI 836909 (400 μg/d)1
Intravenous Infusion of BI 836909 (800 μg/d)1
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)0
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)1
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)0
Intravenous Infusion of BI 836909 (400 μg/d)1
Intravenous Infusion of BI 836909 (800 μg/d)0
Duration of Objective Response - on Treatment Secondary · From start of treatment till end of trial (EOT) visit, up to 61 weeks.

For patients with objective response, the duration of response was calculated from the time of first recorded achievement of a response (sCR, CR, PR, or VGPR) until documented progression or death. The Kaplan-Meier method was used to calculate the estimates.

GroupValue95% CI
Intravenous Infusion of BI 836909 (6.5 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (50 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (100 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (200 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (400 μg/d)NA4.63 – NA
Intravenous Infusion of BI 836909 (800 μg/d)NANA – NA
Duration of Objective Response - Including Extended Follow up Visits Secondary · From start of treatment till the last extended follow-up visit which is scheduled at 12 months after end of treatment, up to 113 weeks.

For patients with objective response, the duration of response was calculated from the time of first recorded achievement of a response (sCR, CR, PR, or VGPR) until documented progression or death. The Kaplan-Meier method was used to calculate the estimates.

GroupValue95% CI
Intravenous Infusion of BI 836909 (6.5 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (50 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (100 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (200 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (400 μg/d)23.624.63 – 24.18
Intravenous Infusion of BI 836909 (800 μg/d)NANA – NA
Number of Participants With a Minimal Residual Disease (MRD) Response Secondary · On-treatment: From start of treatment till end of trial (EOT) visit, up to 61 weeks. Follow-up: From start of treatment till the last extended follow-up visit which was scheduled at 12 months after end of treatment, up to 113 weeks.

Minimal residual disease (MRD) response was defined as \<1 tumour cell within 10000 normal cells in bone marrow. MRD was determined using Fluorescence-activated cell sorting (FACS) analysis.

On treatment
GroupValue95% CI
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)1
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)1
Intravenous Infusion of BI 836909 (400 μg/d)6
Intravenous Infusion of BI 836909 (800 μg/d)0
On treatment + extended follow-up visits (follow-up)
GroupValue95% CI
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)0
Intravenous Infusion of BI 836909 (3.2 μg/d)0
Intravenous Infusion of BI 836909 (6.5 μg/d)1
Intravenous Infusion of BI 836909 (13 μg/d)0
Intravenous Infusion of BI 836909 (25 μg/d)0
Intravenous Infusion of BI 836909 (50 μg/d)0
Intravenous Infusion of BI 836909 (100 μg/d)0
Intravenous Infusion of BI 836909 (200 μg/d)1
Intravenous Infusion of BI 836909 (400 μg/d)6
Intravenous Infusion of BI 836909 (800 μg/d)0
Duration of Minimal Residual Disease (MRD) Response - on Treatment Secondary · From start of treatment till end of trial (EOT) visit, up to 61 weeks.

Duration of MRD response was calculated from the time of first recorded achievement of a MRD response to documented progression or death. The Kaplan-Meier method was used to calculate the estimates.

GroupValue95% CI
Intravenous Infusion of BI 836909 (6.5 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (200 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (400 μg/d)NA9.00 – NA
Duration of Minimal Residual Disease (MRD) Response - Including Extended Follow up Visits Secondary · From start of treatment till the last extended follow-up visit which was scheduled at 12 months after end of treatment, up to 113 weeks.

Duration of MRD response was calculated from the time of first recorded achievement of a MRD response to documented progression or death. The Kaplan-Meier method was used to calculate the estimates.

GroupValue95% CI
Intravenous Infusion of BI 836909 (6.5 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (200 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (400 μg/d)20.709.00 – 22.77
Progression-free Survival (PFS) - on Treatment Secondary · From start of treatment till end of trial (EOT) visit, up to 61 weeks.

PFS was defined as time from first treatment with BI 836909 till disease progression or death. Progression was defined according to International Myeloma Working Group (IMWG 2006) response criteria as an increase \>25% from lowest response value in any of the following parameters: -Serum M protein (absolute increase had to be \>0.5 gram/ deciliters (dL)) -Urine M protein (absolute increase had to be \>200 milligram (mg)/24 hour) -Only in patients without measurable serum and urine M protein levels The difference between involved and uninvolved FLC levels. Absolute increase had to be \>10 mg/dL

GroupValue95% CI
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (3.2 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (6.5 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (13 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (25 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (50 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (100 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (200 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (400 μg/d)5.550.95 – NA
Intravenous Infusion of BI 836909 (800 μg/d)NANA – NA
Progression-free Survival (PFS) - Including Extended Follow up Visits Secondary · From start of treatment till the last extended follow-up visit which was scheduled at 12 months after end of treatment, up to 113 weeks.

PFS was defined as time from first treatment with BI 836909 till disease progression or death. Progression was defined according to International Myeloma Working Group (IMWG 2006) response criteria as an increase \>25% from lowest response value in any of the following parameters: -Serum M protein (absolute increase had to be \>0.5 gram/ deciliters (dL)) -Urine M protein (absolute increase had to be \>200 milligram (mg)/24 hour) -Only in patients without measurable serum and urine M protein levels The difference between involved and uninvolved FLC levels. Absolute increase had to be \>10 mg/dL

GroupValue95% CI
Intravenous Infusion of BI 836909 (Overall in the 4 Lowest Dose Cohorts 0.2, 0.4, 0.8, 1.6 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (3.2 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (6.5 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (13 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (25 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (50 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (100 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (200 μg/d)NANA – NA
Intravenous Infusion of BI 836909 (400 μg/d)7.740.95 – 24.41
Intravenous Infusion of BI 836909 (800 μg/d)NANA – NA
Serum Concentration at Steady State of BI 836909 (Css) Secondary · Pharmacokinetic samples were collected at 48:00 hours (h):minutes (min), 168:00, 336:00, 504:00 and 671:50 h after the start of infusion of BI 836909 of the first cycle.

Serum concentration at steady state of BI 836909 (Css).

GroupValue95% CI
Intravenous Infusion of BI 836909 (0.2 μg/d)NA± NA
Intravenous Infusion of BI 836909 (0.4 μg/d)86.5± NA
Intravenous Infusion of BI 836909 (0.8 μg/d)90.8± 41.1
Intravenous Infusion of BI 836909 (1.6 μg/d)184± NA
Intravenous Infusion of BI 836909 (3.2 μg/d)526± 34.7
Intravenous Infusion of BI 836909 (6.5 μg/d)1070± 67.3
Intravenous Infusion of BI 836909 (13 μg/d)2180± 34.6
Intravenous Infusion of BI 836909 (25 μg/d)4130± 30.7
Intravenous Infusion of BI 836909 (50 μg/d)10700± 55.4
Intravenous Infusion of BI 836909 (100 μg/d)9810± 47.6
Intravenous Infusion of BI 836909 (200 μg/d)14100± 121
Intravenous Infusion of BI 836909 (400 μg/d)29900± 54.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events collected from start of treatment till the last day of treatment + 30 Residual Effect Period, up to 436 days. All-cause Mortality collected from start of treatment till the last follow up visit, up to 113 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Intravenous Infusion of BI 836909 (0.2 μg/d)
Serious: 1/1 (100%)
Deaths: 0/1
Intravenous Infusion of BI 836909 (0.4 μg/d)
Serious: 0/1 (0%)
Deaths: 0/1
Intravenous Infusion of BI 836909 (0.8 μg/d)
Serious: 1/2 (50%)
Deaths: 0/2
Intravenous Infusion of BI 836909 (1.6 μg/d)
Serious: 0/1 (0%)
Deaths: 0/1
Intravenous Infusion of BI 836909 (3.2 μg/d)
Serious: 1/3 (33%)
Deaths: 0/3
Intravenous Infusion of BI 836909 (6.5 μg/d)
Serious: 3/3 (100%)
Deaths: 0/3
Intravenous Infusion of BI 836909 (13 μg/d)
Serious: 1/3 (33%)
Deaths: 0/3
Intravenous Infusion of BI 836909 (25 μg/d)
Serious: 1/3 (33%)
Deaths: 0/3
Intravenous Infusion of BI 836909 (50 μg/d)
Serious: 3/5 (60%)
Deaths: 1/5
Intravenous Infusion of BI 836909 (100 μg/d)
Serious: 2/4 (50%)
Deaths: 0/4
Intravenous Infusion of BI 836909 (200 μg/d)
Serious: 3/3 (100%)
Deaths: 0/3
Intravenous Infusion of BI 836909 (400 μg/d)
Serious: 8/10 (80%)
Deaths: 1/10
Intravenous Infusion of BI 836909 (800 μg/d)
Serious: 3/3 (100%)
Deaths: 0/3
Intravenous Infusion of BI 836909 (Total Dose Escalation)
Serious: 27/42 (64%)
Deaths: 2/42

Serious adverse events (23 terms)

ReactionSystemIntravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…
Cytokine release syndromeImmune system disorders
PneumoniaInfections and infestations
Vascular device infectionInfections and infestations
Catheter site infectionInfections and infestations
Device related infectionInfections and infestations
InfluenzaInfections and infestations
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cardiac failureCardiac disorders
Disease progressionGeneral disorders
Generalised oedemaGeneral disorders
PyrexiaGeneral disorders
Bile duct obstructionHepatobiliary disorders
Hepatic failureHepatobiliary disorders
Aspergillus infectionInfections and infestations
InfectionInfections and infestations
Lung infectionInfections and infestations
MalnutritionMetabolism and nutrition disorders
OsteonecrosisMusculoskeletal and connective tissue disorders
Peripheral motor neuropathyNervous system disorders
PolyneuropathyNervous system disorders
Spinal cord compressionNervous system disorders
Renal failureRenal and urinary disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Other adverse events (150 terms — click to expand)

ReactionSystemIntravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…Intravenous Infusion of BI…
Lymphocyte count decreasedInvestigations
White blood cell count decreasedInvestigations
AnaemiaBlood and lymphatic system disorders
HeadacheNervous system disorders
Cytokine release syndromeImmune system disorders
PyrexiaGeneral disorders
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
Blood creatinine increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Oedema peripheralGeneral disorders
Respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
C-reactive protein increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
AstheniaGeneral disorders
Device related infectionInfections and infestations
InfluenzaInfections and infestations
NasopharyngitisInfections and infestations
Otitis mediaInfections and infestations
RhinitisInfections and infestations
SinusitisInfections and infestations
Staphylococcal infectionInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
Blood immunoglobulin G decreasedInvestigations
HyperuricaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
LymphopeniaBlood and lymphatic system disorders

Most-reported serious reactions: Cytokine release syndrome, Pneumonia, Vascular device infection, Catheter site infection, Device related infection, Influenza, Basal cell carcinoma, Cardiac failure.

Data from ClinicalTrials.gov NCT02514239 adverse events section.

Sponsor's own description

The primary objective of this trial is to determine the maximum tolerated dose (MTD) of BI 836909 administered by continuous i.v. infusion in patients with relapsed and/or refractory multiple myeloma. If the MTD is not reached based on safety findings, a recommended dose for further development will be determined. This will depend on the safety data, pharmacokinetic/pharmacodynamics data and potentially preliminary efficacy data. Secondary objectives are to document the safety and tolerability of BI 836909, to perform pharmacokinetic and pharmacodynamic analyses and to evaluate relevant biological effects in terms of parameters of efficacy.

Publications & conference data

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

  1. B-cell maturation antigen (BCMA) in multiple myeloma: rationale for targeting and current therapeutic approaches.
    Shah N, Chari A, Scott E, Mezzi K, et al · · 2020 · cited 347× · PMID 32055000 · DOI 10.1038/s41375-020-0734-z
  2. Bispecific T cell engagers: an emerging therapy for management of hematologic malignancies.
    Tian Z, Liu M, Zhang Y, Wang X. · · 2021 · cited 194× · PMID 33941237 · DOI 10.1186/s13045-021-01084-4
  3. The landscape of bispecific T cell engager in cancer treatment.
    Zhou S, Liu M, Ren F, Meng X, et al · · 2021 · cited 172× · PMID 34039409 · DOI 10.1186/s40364-021-00294-9
  4. BCMA-targeted immunotherapy for multiple myeloma.
    Yu B, Jiang T, Liu D. · · 2020 · cited 165× · PMID 32943087 · DOI 10.1186/s13045-020-00962-7
  5. Immunogenic Cell Death and Immunotherapy of Multiple Myeloma.
    Serrano-Del Valle A, Anel A, Naval J, Marzo I. · · 2019 · cited 152× · PMID 31041312 · DOI 10.3389/fcell.2019.00050
  6. Monitoring, prophylaxis, and treatment of infections in patients with MM receiving bispecific antibody therapy: consensus recommendations from an expert panel.
    Raje N, Anderson K, Einsele H, Efebera Y, et al · · 2023 · cited 120× · PMID 37528088 · DOI 10.1038/s41408-023-00879-7
  7. T cell engaging bispecific antibody (T-BsAb): From technology to therapeutics.
    Wu Z, Cheung NV. · · 2018 · cited 115× · PMID 28834699 · DOI 10.1016/j.pharmthera.2017.08.005
  8. How to Train Your T Cells: Overcoming Immune Dysfunction in Multiple Myeloma.
    Cohen AD, Raje N, Fowler JA, Mezzi K, et al · · 2020 · cited 90× · PMID 31672768 · DOI 10.1158/1078-0432.ccr-19-2111

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