Phase 1
Completed N=61
BI 6727 (Volasertib) in Combination With Cisplatin or Carboplatin in Patients With Advanced or Metastatic Solid Tumour
Neoplasms
Source: ClinicalTrials.gov NCT00969761 ↗
Enrolled (actual)
61
Serious AEs
39.3%
Results posted
Jan 2019
Primary outcomePrimary: Maximum Tolerated Dose — 0; 0; 0; 0 Units on a scale
Summary
The primary objective of this trial is to identify the maximum tolerated dose (MTD) of BI 6727 therapy in terms of drug-related adverse events when combined with a platinum therapy (cisplatin or carboplatin).
Secondary objectives are the collection of overall safety and antitumour efficacy data and the determination of the pharmacokinetic profile of BI 6727 combination treatment with cisplatin and carboplatin.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum Tolerated Dose |
0; 0; 0; 0; 1; 0 | — |
| SECONDARY Percentage of Participants With Dose Limiting Toxicities |
0.0; 0.0; 0.0; 0.0; 25.0; 33.3 | — |
| SECONDARY Objective Response Rate |
0.0; 33.3; 0.0; 33.3; 0.0; 0.0 | — |
| SECONDARY Duration of Objective Response |
298; 359; 282; 207 | — |
| SECONDARY Best Overall Response |
0.0; 0.0; 0.0; 0.0; 0.0; 0.0 | — |
| SECONDARY Disease Control Rate |
66.7; 100.0; 33.3; 66.7; 25.0; 33.3 | — |
| SECONDARY Duration of Disease Control |
196.5; 309.0; 264.0; 268.0; 155.0; 103.5 | — |
| SECONDARY Progression-free Survival |
123.0; 309.0; 37.0; 100.0; 49.5; 69.5 | — |
| SECONDARY Incidence and Intensity of Adverse Events According to CTCAE Version 3.0 |
0.0; 0.0; 0.0; 0.0; 8.3; 0.0 | — |
| SECONDARY Percentage of Participants With Serious Adverse Events |
66.7; 33.3; 0.0; 33.3; 50.0; 50.0 | — |
| SECONDARY Percentage of Participants With Significant Adverse Events |
0.0; 0.0; 0.0; 66.7; 25.0; 33.3 | — |
| SECONDARY Total Plasma Clearance After Intravascular Administration (CL) |
852; 1130; 1090; 1050; 971; 1010 | — |
| SECONDARY Apparent Volume of Distribution at Steady State Following Intravascular Administration (Vss) |
6580; 11100; 5570; 7140; 5880; 7270 | — |
| SECONDARY Change From Baseline in Pulse Rate |
10.0; 23.3; 6.7; -11.7; 10.3; 5.2 | — |
| SECONDARY Change From Baseline in Neutrophils |
7.6; 3.3; 3.4; 3.0; 6.0; 5.2 | — |
| SECONDARY Change From Baseline in Platelets |
57; 65; 96; 71; 67; 89 | — |
| SECONDARY Frequency of Participants (%) With Possible Clinically Significant Abnormalities for Neutrophils |
33.0; 100.0; 0.0; 66.7; 75.0; 50.0 | — |
| SECONDARY Frequency of Participants (%) With Possible Clinically Significant Abnormalities for Platelets |
0.0; 0.0; 0.0; 33.0; 41.7; 83.3 | — |
| SECONDARY Frequency of Participants With Transitions Relative to the Baseline CTC Grade for Platelets Based on Last Value on Treatment |
33.3; 66.7; 100.0; 100.0; 83.3; 100.0 | — |
| SECONDARY Frequency of Participants With Transitions Relative to the Baseline CTC Grade for Neutrophils Based on Last Value on Treatment |
100.0; 66.7; 100.0; 66.7; 91.7; 66.7 | — |
| SECONDARY Frequency of Participants With Transitions Relative to the Baseline CTC Grade for Platelets Based on Worst Value on Treatment |
33.3; 66.7; 66.7; 0.0; 25.0; 16.7 | — |
| SECONDARY Frequency of Participants With Transitions Relative to the Baseline CTC Grade for Neutrophils Based on Worst Value on Treatment |
33.3; 0.0; 100.0; 0.0; 16.7; 16.7 | — |
| SECONDARY Worst CTCAE Grade on Treatment for Platelets |
1; 1; 1; 2; 3; 3 | — |
| SECONDARY Worst CTCAE Grade on Treatment for Neutrophils |
2; 3; 0; 4; 4; 4 | — |
Eligibility Criteria
Inclusion criteria
- Patients with confirmed diagnosis of advanced, non resectable and / or metastatic solid tumours, who have failed conventional treatment, or for whom no therapy of proven efficacy exists, or who are not amenable to established forms of treatment
- Indication for a treatment with platinum therapy as judged by the investigator
- Age 18 years or older
- Written informed consent consistent with ICH-GCP and local legislation
- ECOG performance score lower or equal 2
- Recovery from CTCAE Grade 2 - 4 therapy-related toxicities from previous systemic anti-cancer therapies or radiotherapies (except alopecia grade 2)
Exclusion criteria
- Serious illness or concomitant non-oncological disease considered by the investigator to be incompatible with the protocol
- Pregnancy or breastfeeding
- Active infectious disease or known chronic Hepatitis B/Hepatitis C infection and HIV I/II
- Clinical evidence of symptomatic progressive brain or leptomeningeal disease during the past 6 months
- Second malignancy currently requiring another anti-cancer therapy
- ANC less than 1500 / mm3
- Platelet count less than 100 000 / mm3
- Bilirubin greater than 1.5 mg / dl (> 26 micromol / L, SI unit equivalent) (except Gilbert's syndrome)
- Aspartate amino transferase (AST) and / or alanine amino transferase (ALT) greater than 2.5 times the upper limit of normal (if related to liver metastases greater than five times the upper limit of normal)
- Serum creatinine greater than 1.5 mg / dl (> 132 micromol / L, SI unit equivalent) or creatinine clearance <70ml/min (as calculated according to Cockcroft-Gault formula for GFR estimate)
- Known history of relevant QT-prolongation, e.g. long QT-syndrome
- Pre-existing clinically relevant hearing loss
- Women and men who are sexually active and unwilling to use a medically acceptable method of contraception
- Treatment with other investigational drugs or participation in another clinical interventional trial within the past four weeks before start of therapy or concomitantly with this trial
- Systemic anti-cancer therapy or radiotherapy within the past four weeks before start of therapy or concomitantly with this trial. This restriction does not apply to steroids and bisphosphonates.
- Patients unable to comply with the protocol
- Active alcohol or drug abuse
Data sourced from ClinicalTrials.gov (NCT00969761). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.