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NCT02624492

To Determine the Dose of BI 836826-GemOx and the Efficacy of BI 836826-GemOx Versus R-GemOx in Patients With Relapsed/Refractory DLBCL

Completed Phase 2 Results posted Last updated 17 June 2019
What this trial tests

Phase 2 trial testing BI 836826 in Lymphoma, Large B-Cell, Diffuse in 21 participants. Completed in 16 March 2018.

Timeline
28 January 2016
Primary endpoint
16 March 2018
16 March 2018

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment21
Start date28 January 2016
Primary completion16 March 2018
Estimated completion16 March 2018
Sites7 locations across Belgium, Italy, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, any sex, with Lymphoma, Large B-Cell, Diffuse. 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.

Number of Patients With Dose Limiting Toxicities (DLTs) in the Maximum Tolerated Dose (MTD) Evaluation Period- Phase 1b Primary · 14 days from first trial medication

DLT definition included both non-haematologic and haematologic drug-related Adverse events (AEs). Non-haematologic AEs of Common Toxicity Criteria for Adverse Events (CTCAE) Grade 3 or higher qualified for DLTs with the following exceptions: laboratory abnormalities that could be corrected with treatment within 48 h; nausea, vomiting, or diarrhoea which resolved within 48 h with adequate treatment; neuropathy considered related to oxaliplatin; or an infusion-related reactions (IRR). For haematologic AEs, the following were considered DLTs: Grade 4 neutropenia lasting \>7 days (d) despite growt

GroupValue95% CI
BI 836826 25 Milligram (mg) + GemOx0
BI 836826 50 mg + GemOx1
BI 836826 100 mg + GemOx1
Overall Response Based on Investigator's Assessment- Phase 1b Secondary · up to 32 weeks from first trial medication administration.

Overall response based on investigator's assessment, i.e. partial remission (PR) and complete remission (CR) by investigator assessment; CR: Disappearance of all evidence of disease PR: Regression of measurable disease and no new sites

CR
GroupValue95% CI
BI 836826 25 Milligram (mg) + GemOx1
BI 836826 50 mg + GemOx0
BI 836826 100 mg + GemOx1
PR
GroupValue95% CI
BI 836826 25 Milligram (mg) + GemOx2
BI 836826 50 mg + GemOx3
BI 836826 100 mg + GemOx1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events that started from the first administration of any trial medication to 30 days after the last administration; up to 114 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BI 836826 25 Milligram (mg) + GemOx
Serious: 4/5 (80%)
Deaths: 0/5
BI 836826 50 mg + GemOx
Serious: 5/8 (63%)
Deaths: 2/8
BI 836826 100 mg + GemOx
Serious: 3/8 (38%)
Deaths: 1/8

Serious adverse events (14 terms)

ReactionSystemBI 836826 25 Milligram (mg…BI 836826 50 mg + GemOxBI 836826 100 mg + GemOx
ThrombocytopeniaBlood and lymphatic system disorders
PneumoniaInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
Tumour lysis syndromeMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
PancytopeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Aspergillus infectionInfections and infestations
Device related infectionInfections and infestations
Febrile nonhaemolytic transfusion reactionInjury, poisoning and procedural complications
White blood cell count decreasedInvestigations
HaemoptysisRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Other adverse events (71 terms — click to expand)

ReactionSystemBI 836826 25 Milligram (mg…BI 836826 50 mg + GemOxBI 836826 100 mg + GemOx
NeutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
LymphopeniaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
Infusion related reactionInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
White blood cell count decreasedInvestigations
DyspepsiaGastrointestinal disorders
StomatitisGastrointestinal disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
Gamma-glutamyltransferase increasedInvestigations
Weight decreasedInvestigations
HypoalbuminaemiaMetabolism and nutrition disorders
HypocalcaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
ParaesthesiaNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
LeukocytosisBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
TachycardiaCardiac disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
MelaenaGastrointestinal disorders
Oral dysaesthesiaGastrointestinal disorders
ChillsGeneral disorders
FatigueGeneral disorders
Infusion site extravasationGeneral disorders
Oedema peripheralGeneral disorders
Hepatic function abnormalHepatobiliary disorders
Drug hypersensitivityImmune system disorders
Cytomegalovirus infectionInfections and infestations
InfluenzaInfections and infestations

Most-reported serious reactions: Thrombocytopenia, Pneumonia, Infusion related reaction, Tumour lysis syndrome, Anaemia, Neutropenia, Pancytopenia, Atrial fibrillation.

Data from ClinicalTrials.gov NCT02624492 adverse events section.

Sponsor's own description

Part 1 (Phase Ib) Primary objective: To establish the maximum tolerated dose (MTD) of BI 836826 in combination with GemOx. Secondary objectives: To evaluate pharmacokinetics of BI 836826 when given in combination with GemOx and to investigate preliminary efficacy in terms of the overall response rate based on investigator's assessment. Part 2 (Phase II randomized) Primary objective: To investigate the efficacy by means of the overall response rate (PR+ CR) based on central review assessment in patients with relapsed DLBCL treated with BI 836826-GemOx compared to R-GemOx. Secondary objective: To investigate the efficacy by means of the complete remission rate based on central review assessment in patients with relapsed DLBCL treated with BI 836826-GemOx compared to Rituximab + gemcitabine + oxaliplatin (RGemOx).

Publications & conference data

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

  1. Modulating Cytotoxic Effector Functions by Fc Engineering to Improve Cancer Therapy.
    Kellner C, Otte A, Cappuzzello E, Klausz K, et al · · 2017 · cited 81× · PMID 29070978 · DOI 10.1159/000479980
  2. Fc-Engineered Antibodies with Enhanced Fc-Effector Function for the Treatment of B-Cell Malignancies.
    van der Horst HJ, Nijhof IS, Mutis T, Chamuleau MED. · · 2020 · cited 56× · PMID 33086644 · DOI 10.3390/cancers12103041
  3. Monoclonal Antibody Therapies for Hematological Malignancies: Not Just Lineage-Specific Targets.
    Cuesta-Mateos C, Alcaraz-Serna A, Somovilla-Crespo B, Muñoz-Calleja C. · · 2017 · cited 39× · PMID 29387053 · DOI 10.3389/fimmu.2017.01936
  4. Enhancing Fc-mediated effector functions of monoclonal antibodies: The example of HexaBodies.
    van der Horst HJ, Mutis T. · · 2024 · cited 10× · PMID 39275983 · DOI 10.1111/imr.13394
  5. A phase Ib, open-label, dose-escalation trial of the anti-CD37 monoclonal antibody, BI 836826, in combination with gemcitabine and oxaliplatin in patients with relapsed/refractory diffuse large B-cell lymphoma.
    Balzarotti M, Magagnoli M, Canales MÁ, Corradini P, et al · · 2021 · cited 5× · PMID 33523334 · DOI 10.1007/s10637-020-01054-6

Verify or expand the search:

Other trials of BI 836826

Trials testing the same drug.

Other recruiting trials for Lymphoma, Large B-Cell, Diffuse

Currently open trials in the same condition.

Other Boehringer Ingelheim trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT02624492.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing