Early Phase 1
N=146
This Study Aims to Find a Safe and Effective Dose of BI 754091. The Study Also Aims to Find Safe and Effective Doses of BI 754091 and BI 754111 in Combination. This Study is Done in Asian Patients With Different Types of Cancer
Neoplasms
Bottom Line
View on ClinicalTrials.gov: NCT03433898 ↗Enrolled (actual)
146
Serious AEs
27.8%
Results posted
Dec 2025
Primary outcome: Primary: Part I: Maximum Tolerated Dose (MTD) of Ezabenlimab — NA Milligram
Study Design & Population
- Study type
- Interventional
- Phase
- Early Phase 1
- Interventions
- Ezabenlimab (Drug); BI 754111 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Boehringer Ingelheim
- Primary completion
- Jul 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part I: Maximum Tolerated Dose (MTD) of Ezabenlimab |
NA | — |
| PRIMARY Part I: Number of Patients Experiencing DLTs During the MTD Evaluation Period (First Cycle of Treatment) |
— | — |
| PRIMARY Part II: MTD of the Ezabenlimab Plus BI 754111 Combination Therapy |
NA | — |
| PRIMARY Part II: Number of Patients Experiencing DLTs During the MTD Evaluation Period (First Cycle of Treatment) |
0; 0; 0 | — |
| PRIMARY Part III: Number of Patients With Objective Response (OR) - Confirmed Complete Response (CR) or Partial Response (PR) According to Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 as Assessed by the Investigator |
4; 8; 0; 2 | — |
| SECONDARY Part III: Duration of Response |
478.0; 148.0; 44.0; 209.0 | — |
| SECONDARY Part III: Number of Patients With Disease Control |
15; 16; 9; 7 | — |
| SECONDARY Part I: Number of Patients With OR: Confirmed CR or PR According to RECIST v1.1 as Assessed by the Investigator |
— | — |
| SECONDARY Part II: Number of Patients With OR: Confirmed CR or PR According to RECIST v1.1 as Assessed by the Investigator |
0; 0; 1 | — |
| SECONDARY Part I: Maximum Measured Concentration of Ezabenlimab in Plasma (Cmax) in the First Cycle of Treatment |
78.6 | — |
| SECONDARY Part II: Maximum Measured Concentration of Ezabenlimab in Plasma (Cmax) in the First Cycle of Treatment |
88.6; 164; 93.3 | — |
| SECONDARY Part II: Maximum Measured Concentration of BI 754111 in Plasma (Cmax) in the First Cycle of Treatment |
127; 256; 252 | — |
| SECONDARY Part I: Area Under the Concentration-time Curve of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours (AUC0-504) in the First Cycle of Treatment |
15300 | — |
| SECONDARY Part II: Area Under the Concentration-time Curve of Ezabenlimab in Plasma Over the Time Interval From 0 to 504 Hours (AUC0-504) in the First Cycle of Treatment |
17500; 26400; 18300 | — |
| SECONDARY Part II: Area Under the Concentration-time Curve of BI 754111 in Plasma Over the Time Interval From 0 to 504 Hours (AUC0-504) in the First Cycle of Treatment |
19900; 39400; 44200 | — |
Summary
The main objectives of the BI 754091 monotherapy dose-finding part (Part I) of the trial are to investigate the following items in advanced solid tumours:
* Safety, tolerability, and pharmacokinetics (PK) of BI 754091 as monotherapy.
* Maximum tolerated dose (MTD) and/or recommended dose (RD) of BI 754091 monotherapy.
The main objectives of the Combination dose-finding part (Part II) of the trial are to investigate the following items in advanced solid tumours:
* Safety, tolerability, and PK of the combination treatment of BI 754091 and BI 754111.
* MTD and/or RD of the combination treatment of BI 754091 and BI 754111.
The main objectives of the expansion part (Part III) of the trial are:
* To further investigate the safety, tolerability, and PK of the RD of BI 754091 and BI 754111 combination in patients with gastric/esophagogastric junction cancer, esophageal cancer, hepatocellular cancer or non-small cell lung cancer (NSCLC)
* To explore the efficacy of the RD of the combination of BI 754091 and BI 754111 in patients with gastric/esophagogastric junction cancer, esophageal cancer, hepatocellular cancer or NSCLC
Eligibility Criteria
Inclusion Criteria
- Of full age (according to local legislation) at the time of signing of the informed consent form (ICF)
- Women of childbearing potential (WOCBP)1 with negative serum pregnancy test at screening and men able to father a child, who agree to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information. The requirement of contraception does not apply to women of no childbearing potential but they must have an evidence of such at screening
- Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial
- Patients with measurable lesions according to RECIST v1.1
- Conditions specific to respective part of the trial:
- Part I (BI 754091 dose-finding part):
- 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.
- Previous treatment with an anti-PD-1 mAb is allowed as long as the last administration of the anti PD-1 mAb on the previous treatment is a minimum of 28 days prior to the first BI 754091 treatment.
- Part II (Combination dose-finding part):
- 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.
- Previous treatment with an anti-PD-1 mAb is allowed as long as the last administration of the anti PD-1 mAb on the previous treatment is a minimum of 28 days prior to the first BI 754091 treatment.
- Part III (Expansion part):
- Cohort A: Patients with gastric/esophagogastric junction cancer, with no prior treatment with anti-PD-1/PD-L1 antibody, and who received at least one line of systemic medical treatment excluding adjuvant therapy
- Cohort B: Patients with esophageal cancer with no prior treatment with anti-PD-1/PD-L1 antibody, and who received at least one line of systemic medical treatment excluding adjuvant therapy
- Cohort C: Patients with hepatocellular cancer with no prior treatment with anti-PD-1/PD-L1 antibody, who received at least one line of systemic medical treatment excluding adjuvant therapy, and whose Child-Pugh score is 7 or less
- Cohort D: Patients with gastric/esophagogastric junction cancer, esophageal cancer, or hepatocellular cancer with a prior treatment with anti-PD-1/PD-L1 antibody
- Cohort E: First line squamous or non-squamous NSCLC patients:
- Without EGFR mutations or ALK rearrangements
- PD-L1 expression level 2.5 times the upper limit of normal (ULN) if no demonstrable liver lesion(s) (primary or metastases) or >5 times ULN in the presence of liver lesion(s)
- Aspartate aminotransferase (AST) >2.5 times ULN if no demonstrable liver lesion(s) or >5 times ULN in the presence of liver lesion(s)
- Total bilirubin >1.5 times ULN, except for patients with Gilbert's syndrome who are excluded if total bilirubin >3.0 times ULN or direct bilirubin >1.5 times ULN
- Serum creatinine (measured by enzymatic assay, Isotope dilution mass spectroscopy [IDMS] standardized Jaffe assay, or non-IDMS Jaffe assay) >1.5 times ULN or estimated glomerular filtration rate (eGFR) 1.5 X ULN
- International normalized ratio (INR) (only tested if clinically indicated) >1.5 times ULN (if treated with anticoagulants, prolonged INR is acceptable)
- Any of the following cardiac criteria:
- Mean resting corrected QT interval (QTc) >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
Data sourced from ClinicalTrials.gov (NCT03433898). 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.