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NCT05218499

Brightline-1: A Study to Compare Brigimadlin (BI 907828) With Doxorubicin in People With a Type of Cancer Called Dedifferentiated Liposarcoma

Completed Phase 2, PHASE3 Results posted Last updated 2 March 2026
What this trial tests

Phase 2, PHASE3 trial testing Brigimadlin in Liposarcoma, Dedifferentiated in 400 participants. Completed in 26 January 2026.

Timeline
31 March 2022
Primary endpoint
16 April 2024
26 January 2026

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 2, PHASE3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment400
Start date31 March 2022
Primary completion16 April 2024
Estimated completion26 January 2026
Sites109 locations across Hong Kong, Italy, Finland, Japan, Taiwan, Denmark, Netherlands, Belgium

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, any sex, with Liposarcoma, Dedifferentiated. 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.

Progression-free Survival (PFS) Primary · Up to 20.6 months.

Progression-free survival (PFS) based on blinded central independent review. For each patient, PFS was defined as the time interval from randomization until tumor progression according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (solely based on blinded central independent review) or death from any cause, whichever occurs first. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at l

GroupValue95% CI
Brigimadlin 30 mg q3w8.182.96 – 16.66
Brigimadlin 45 mg q3w8.383.94 – NA
Doxorubicin7.162.63 – 11.33
Objective Response (OR) Secondary · Up to 20.6 months.

Objective response (OR), defined as a best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST version 1.1 (based on blinded central independent review) from the date of randomization until disease progression, death, or last evaluable tumor assessment before start of subsequent anti-cancer therapy, loss to follow-up, or withdrawal of consent, whichever occurs first. Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Parti

GroupValue95% CI
Brigimadlin 30 mg q3w13
Brigimadlin 45 mg q3w33
Doxorubicin14
Duration of Objective Response (DOR) Secondary · Up to 20.6 months.

Duration of objective response (DOR), defined as the time interval from first documented confirmed OR until disease progression or death among patients with confirmed OR (based on blinded central independent review), whichever occurs first.

GroupValue95% CI
Brigimadlin 30 mg q3wNA8.51 – NA
Brigimadlin 45 mg q3w9.929.72 – NA
Doxorubicin9.999.89 – 15.41
Disease Control (DC) Secondary · Up to 20.6 months.

Disease control (DC), defined as a best overall response of CR, PR, or stable disease (SD) according to RECIST version 1.1 (based on blinded central independent review). Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.

GroupValue95% CI
Brigimadlin 30 mg q3w71
Brigimadlin 45 mg q3w128
Doxorubicin117
Change in Health-Related Quality of Life at Week 6 and 18 Secondary · Baseline (cycle 1 day 1), week 6 and week 18.

Mean change from baseline to week 6 and 18 in the following European Organization for Research and Treatment on Cancer (EORTC) Quality of Life Core Questionnaire 30 items (QLQ-C30) scores: * Physical functioning (higher score is better) * Pain (higher score is worse) * Fatigue (higher score is worse) * Global health status / QoL (higher score is better) and the following scores obtained using items from the EORTC QLQ-C30 and EORTC Item Library (higher score is worse): * Fatigue symptoms * Fatigability * Fatigue impact * Pain descriptors * Pain impact All of the scales and single-item measu

Physical functioning - Change from baseline at Week 6
GroupValue95% CI
Brigimadlin 45 mg q3w-2.1± 17.4
Doxorubicin-5.5± 17.9
Physical functioning - Change from baseline at Week 18
GroupValue95% CI
Brigimadlin 45 mg q3w-5.9± 20.8
Doxorubicin-7.5± 16.3
Pain - Change from baseline at Week 6
GroupValue95% CI
Brigimadlin 45 mg q3w-3.7± 20.2
Doxorubicin0.8± 25.2
Pain - Change from baseline at Week 18
GroupValue95% CI
Brigimadlin 45 mg q3w1.4± 26.0
Doxorubicin-1.0± 26.7
Fatigue - Change from baseline at Week 6
GroupValue95% CI
Brigimadlin 45 mg q3w3.4± 21.2
Doxorubicin10.5± 23.5
Fatigue - Change from baseline at Week 18
GroupValue95% CI
Brigimadlin 45 mg q3w8.1± 27.5
Doxorubicin14.1± 27.5
Global health status / quality of life - Change from baseline at Week 6
GroupValue95% CI
Brigimadlin 45 mg q3w-0.6± 18.6
Doxorubicin-8.9± 22.4
Global health status / quality of life - Change from baseline at Week 18
GroupValue95% CI
Brigimadlin 45 mg q3w-5.8± 24.5
Doxorubicin-8.0± 20.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to approximately 20.8 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Brigimadlin 30 mg q3w
Serious: 27/89 (30%)
Deaths: 31/89
Brigimadlin 45 mg q3w
Serious: 57/147 (39%)
Deaths: 40/147
Doxorubicin
Serious: 42/154 (27%)
Deaths: 15/154
Doxorubicin - Brigimadlin 30 mg q3w
Serious: 1/7 (14%)
Deaths: 5/7
Doxorubicin - Brigimadlin 45 mg q3w
Serious: 22/70 (31%)
Deaths: 22/70

Serious adverse events (126 terms)

ReactionSystemBrigimadlin 30 mg q3wBrigimadlin 45 mg q3wDoxorubicinDoxorubicin - Brigimadlin …Doxorubicin - Brigimadlin …
Febrile neutropeniaBlood and lymphatic system disorders
Platelet count decreasedInvestigations
AnaemiaBlood and lymphatic system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
PyrexiaGeneral disorders
EmbolismVascular disorders
Abdominal painGastrointestinal disorders
PneumoniaInfections and infestations
White blood cell count decreasedInvestigations
Deep vein thrombosisVascular disorders
NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Disease progressionGeneral disorders
FatigueGeneral disorders
PainGeneral disorders
Clostridium difficile infectionInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Cerebral infarctionNervous system disorders
SyncopeNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Other adverse events (65 terms — click to expand)

ReactionSystemBrigimadlin 30 mg q3wBrigimadlin 45 mg q3wDoxorubicinDoxorubicin - Brigimadlin …Doxorubicin - Brigimadlin …
NauseaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
AlopeciaSkin and subcutaneous tissue disorders
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
ThrombocytopeniaBlood and lymphatic system disorders
AstheniaGeneral disorders
DysgeusiaNervous system disorders
ConstipationGastrointestinal disorders
StomatitisGastrointestinal disorders
Abdominal painGastrointestinal disorders
Mucosal inflammationGeneral disorders
LeukopeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
White blood cell count decreasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
InsomniaPsychiatric disorders
HiccupsRespiratory, thoracic and mediastinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Weight decreasedInvestigations
HeadacheNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
MalaiseGeneral disorders
Oedema peripheralGeneral disorders
Lymphocyte count decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
DyspepsiaGastrointestinal disorders
Urinary tract infectionInfections and infestations
Blood creatinine increasedInvestigations
DizzinessNervous system disorders
HypertensionVascular disorders
COVID-19Infections and infestations
HypoalbuminaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Abdominal pain upperGastrointestinal disorders

Most-reported serious reactions: Febrile neutropenia, Platelet count decreased, Anaemia, Pulmonary embolism, Thrombocytopenia, Neutrophil count decreased, Pyrexia, Embolism.

Data from ClinicalTrials.gov NCT05218499 adverse events section.

Sponsor's own description

This study is open to people with a type of cancer called dedifferentiated liposarcoma. People with advanced liposarcoma aged 18 or older who are not receiving any other cancer treatment can participate. The purpose of this study is to compare a medicine called brigimadlin (BI 907828) with doxorubicin in people with liposarcoma. Brigimadlin (BI 907828) is a so-called MDM2 inhibitor that is being developed to treat cancer. Doxorubicin is a medicine already used to treat cancer including liposarcoma. During the study, participants get either brigimadlin (BI 907828) or doxorubicin. Every 3 weeks, participants take brigimadlin (BI 907828) as tablets or doxorubicin as an infusion into a vein. Participants can switch to brigimadlin (BI 907828) treatment if they did not benefit from doxorubicin treatment. Participants can continue treatment in the study as long as they benefit from it and can tolerate it. Doctors regularly check the size of the tumour and check whether it has spread to other parts of the body. The doctors also regularly check participants' health and take note of any unwanted effects.

Publications & conference data

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

  1. Targeting p53 pathways: mechanisms, structures, and advances in therapy.
    Wang H, Guo M, Wei H, Chen Y. · · 2023 · cited 580× · PMID 36859359 · DOI 10.1038/s41392-023-01347-1
  2. Recent advances in targeting the "undruggable" proteins: from drug discovery to clinical trials.
    Xie X, Yu T, Li X, Zhang N, et al · · 2023 · cited 246× · PMID 37669923 · DOI 10.1038/s41392-023-01589-z
  3. MDM2 Inhibitors for Cancer Therapy: The Past, Present, and Future.
    Wang W, Albadari N, Du Y, Fowler JF, et al · · 2024 · cited 85× · PMID 38697854 · DOI 10.1124/pharmrev.123.001026
  4. The MDM2-p53 Antagonist Brigimadlin (BI 907828) in Patients with Advanced or Metastatic Solid Tumors: Results of a Phase Ia, First-in-Human, Dose-Escalation Study.
    LoRusso P, Yamamoto N, Patel MR, Laurie SA, et al · · 2023 · cited 67× · PMID 37269344 · DOI 10.1158/2159-8290.cd-23-0153
  5. Ubiquitin and Ubiquitin-like Proteins in Cancer, Neurodegenerative Disorders, and Heart Diseases.
    Hwang JT, Lee A, Kho C. · · 2022 · cited 49× · PMID 35563444 · DOI 10.3390/ijms23095053
  6. Targeting the MDM2-p53 pathway in dedifferentiated liposarcoma.
    Traweek RS, Cope BM, Roland CL, Keung EZ, et al · · 2022 · cited 42× · PMID 36439412 · DOI 10.3389/fonc.2022.1006959
  7. MDM2 Inhibition in the Treatment of Glioblastoma: From Concept to Clinical Investigation.
    Pellot Ortiz KI, Rechberger JS, Nonnenbroich LF, Daniels DJ, et al · · 2023 · cited 26× · PMID 37509518 · DOI 10.3390/biomedicines11071879
  8. Brightline-1: phase II/III trial of the MDM2-p53 antagonist BI 907828 versus doxorubicin in patients with advanced DDLPS.
    Schöffski P, Lahmar M, Lucarelli A, Maki RG. · · 2023 · cited 26× · PMID 36987836 · DOI 10.2217/fon-2022-1291

Verify or expand the search:

Other trials of Brigimadlin

Trials testing the same drug.

Other recruiting trials for Liposarcoma, Dedifferentiated

Currently open trials in the same condition.

Other Boehringer Ingelheim trials

Trials by the same sponsor.

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