Phase 1
N=172
This Study Tests the New Medicine BI 754111 Alone or in Combination With Another New Substance BI 754091 in Patients With Advanced Cancer. The Study Tests Different Doses to Find the Best Dose for Continuous Treatment.
Neoplasms · Carcinoma, Non-Small-Cell Lung
Bottom Line
View on ClinicalTrials.gov: NCT03156114 ↗Enrolled (actual)
172
Serious AEs
37.8%
Results posted
Jan 2026
Primary outcome: Primary: Dose Escalation: Maximum-tolerated Dose (MTD) of the BI 754111 Plus Ezabenlimab Combination — NA Milligram
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Ezabenlimab (Drug); BI 754111 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Boehringer Ingelheim
- Primary completion
- Mar 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Dose Escalation: Maximum-tolerated Dose (MTD) of the BI 754111 Plus Ezabenlimab Combination |
NA | — |
| PRIMARY Dose Escalation: Number of Patients Experiencing DLTs During the Combination MTD Evaluation Period |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Dose Expansion: Number of Patients With Objective Response (OR) - Confirmed Complete Response (CR) and Partial Response (PR) |
0; 3; 4; 3 | — |
| SECONDARY Dose Escalation: Number of Patients With Objective Response (OR) - Confirmed Complete Response (CR) and Partial Response (PR) |
0; 0; 0; 2; 0; 1 | — |
| SECONDARY Dose Escalation: Number of Patients Experiencing DLTs |
0; 0; 0; 0; 0; 1 | — |
| SECONDARY Dose Expansion: Duration of Response |
41.14; 45.93; 21.57 | — |
| SECONDARY Dose Expansion: Percentage of Patients With Disease Control |
44.4; 38.9; 43.2; 86.7 | — |
| SECONDARY Dose Expansion: Progression-free Survival (PFS) |
2.3; 1.4; 1.5; 5.5 | — |
| SECONDARY Dose Expansion: Number of Patients Experiencing DLTs |
1; 0; 0; 0 | — |
| SECONDARY Dose Escalation: AUC0-504: Area Under the Concentration-time Curve of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours |
12300; 15700; 14300; 15500; 13600; 15600 | — |
| SECONDARY Dose Escalation: AUC0-504 Steady State: Area Under the Concentration-time Curve of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours |
NA; 23800; NA; 27800; 27000; 22400 | — |
| SECONDARY Dose Escalation: AUC0-504: Area Under the Concentration-time Curve of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours |
NA; NA; 3180; 10000; 18500; 30700 | — |
| SECONDARY Dose Escalation: AUC0-504 Steady State: Area Under the Concentration-time Curve of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours |
NA; NA; NA; 14300; 25600; 44900 | — |
| SECONDARY Dose Escalation: Cmax: Maximum Measured Concentration of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours |
67.2; 76.8; 69.9; 85.5; 71.2; 76.2 | — |
| SECONDARY Dose Escalation: Cmax Steady State: Maximum Measured Concentration of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours |
NA; 90.6; 96.3; 108; 110; 94.2 | — |
| SECONDARY Dose Escalation: Cmax: Maximum Measured Concentration of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours |
1.05; 6.23; 23.5; 67.9; 114; 177 | — |
| SECONDARY Dose Escalation: Cmax Steady State: Maximum Measured Concentration of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours |
NA; 3.98; 26.5; 72.2; 142; 220 | — |
Summary
This is a study in adults with advanced solid tumors including non-small cell lung cancer.
The study tests the combination of two medicines called BI 754111 and BI 754091 that may help the immune system to fight the cancer. Such medicines are called immune checkpoint inhibitors.
The study has two parts. In the first part, doctors want to find out the highest dose of 2 medicines that people with solid tumors can tolerate. This dose is then used for the second part of the study.
In the second part, the combination of the two medicines is tested in patients with non-small cell lung cancer and other types of solid cancer. These patients had gotten treatment with anti-PD-1 or anti-PD-L1 medicines but their tumors have come back. The doctors check whether the combination of BI 754111 and BI 754091 makes tumors shrink.
Both medicines are given as an infusion into the vein every 3 weeks. If there is benefit for the patients and if they can tolerate it, the treatment is given for maximum of 1 year. During the entire study doctors will regularly check the health of the patients.
Eligibility Criteria
Inclusion Criteria
- Provision of signed and dated, written Informed consent form (ICF) prior to any trial-specific procedures, sampling, or analyses
- Patients ≥18 years of age at the time of signature of the ICF
- Part I (dose escalation):
--Patients with a confirmed diagnosis of advanced, unresectable, and/or metastatic solid tumours (any type)
- For whom no therapy of proven efficacy exists, or who are not amenable to standard therapies.
- Must have measurable lesions according to Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
- Previous treatment with an anti-programmed cell death 1 (receptor) (PD-1) monoclonal antibody (mAb) is allowed as long as the last administration of the anti-PD-1 mAb on the previous treatment is a minimum of 60 days prior to starting treatment in this trial.
- Part II (dose expansion):
- Patients must have measurable disease per RECIST v1.1 criteria, must have at least 1 tumour lesion amenable to biopsy, and must be medically fit and willing to undergo a biopsy before first treatment (if adequate archival tissue is not available) and, unless clinically contraindicated, after 6 weeks on therapy.
- Dose Expansion Cohorts: Patients with a confirmed diagnosis of advanced, unresectable, and/or metastatic solid tumours of one of the following types:
- Second and 3rd line Non-small cell lung cancer (NSCLC) patients:
- Must have progressed on anti-PD-1 or anti-programmed cell death ligand 1 (PD-L1) treatment after having achieved radiologically confirmed benefit (minimum of stable disease)
- Must have had a minimum duration of benefit of 4 months and minimum treatment duration of 2 months on the previous anti- PD-1 or anti-PD-L1 treatment without experiencing disease progression during that period.
- The anti-PD-1- or anti-PD-L1-containing treatment must have been the latest treatment regimen prior to enrolling in this trial
- Must be within >4 and 470 msec
- Any clinically important abnormalities (as assessed by the Investigator) in rhythm, conduction, or morphology of resting ECGs, e.g., complete left bundle branch block, third degree heart block
- Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, hypokalaemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years-of-age, or any concomitant medication known to prolong the QT interval
- Patients with an ejection fraction (EF) 10 mg prednisone daily or equivalent) within 4 weeks prior to the first dose of study treatment.
- Active autoimmune disease or a documented history of autoimmune disease, except vitiligo or resolved childhood asthma/atopy
- Active infection requiring systemic treatment (antibacterial, antiviral, or antifungal therapy) at start of treatment in this trial
- Known history of human immunodeficiency virus infection or an active hepatitis B or C virus infection
- Interstitial lung disease
- Chronic alcohol or drug abuse or any condition that, in the Investigator's opinion, makes him/her an unreliable trial subject, unlikely to complete the trial, or unable to comply with the protocol procedures.
Data sourced from ClinicalTrials.gov (NCT03156114). 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.