A study to test long-term treatment with brigimadlin in people with solid tumours who took part in a previous study with this medicine

2024-514177-21-00 Protocol 1403-0032 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 2 Dec 2024 · Status Ongoing, recruiting · 11 EU/EEA countries · 27 sites · Protocol 1403-0032

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 93
Countries 11
Sites 27

Solid tumours

The primary objective of the trial is to evaluate the long-term safety and tolerability of brigimadlin monotherapy in a group of patients who have previously participated in another trial in the brigimadlin programme by assessing the incidence of treatment-emergent Adverse Events (AEs) and to characterise the severity,…

Key facts

Sponsor
Boehringer Ingelheim International GmbH, Boehringer Ingelheim Espana S.A.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
2 Dec 2024 → ongoing
Decision date (initial)
2024-10-29
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514177-21-00
WHO UTN
U1111-1305-3484

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety

The primary objective of the trial is to evaluate the long-term safety and tolerability of brigimadlin monotherapy in a group of patients who have previously participated in another
trial in the brigimadlin programme by assessing the incidence of treatment-emergent Adverse Events (AEs) and to characterise the severity, frequency, seriousness, relationship, and outcome of treatment emergent AEs.

Conditions and MedDRA coding

Solid tumours

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patient is ongoing on brigimadlin treatment in any trial sponsored by Boehringer Ingelheim (hereafter referred to as the ‘parent trial’).
  2. Provision of signed and dated, written informed consent form (ICF) in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use - Good Clinical Practice (ICH-GCP) and local legislation prior to any trial-specific procedures, sampling, or analyses.
  3. Women of childbearing potential (WOCBP) and men able to father a child must be ready and able to use 2 medically acceptable methods of birth control per ICH M3 (R2) that result in a low failure rate of <1% per year when used consistently and correctly beginning at Screening, during trial participation, and until 6 months and 12 days after the last dose for women and 102 days after the last dose for men. A list of contraception methods meeting these criteria and instructions on the duration of use is provided in the participant information.
  4. Participants must be willing and able to comply with the scheduled visits, treatment plan, lifestyle, laboratory tests, contraceptive guidelines, and other study procedures.
  5. Adequate organ function.
  6. Patient is eligible to receive continued treatment according to the clinical trial protocol of the parent trial they are currently participating in. Patients currently experiencing a dose delay in the parent trial due to adverse events are eligible if recovery from the adverse event takes place within the allowed time window in the parent trial.

Exclusion criteria 8

  1. Any medical condition which in the opinion of the investigator should exclude the patient from receiving treatment with brigimadlin.
  2. Participants who must receive or intend to receive restricted medications or any drug considered likely to interfere with the safe conduct of the trial.
  3. Patient unable to swallow the trial medication.
  4. Women who are pregnant, nursing, or who plan to become pregnant while in the trial. Female patients who do not agree to the interruption of breastfeeding from the start of study treatment until 6 months and 12 days after the last dose of study treatment.
  5. Patient has unacceptable toxicity on brigimadlin at the time of transition into this trial.
  6. Patient has an AE which has caused a dose delay and has not recovered within the allowed time window in the parent trial.
  7. Patient who has already required 2 dose reductions and would require a third dose reduction at trial entry, unless the investigator deems treatment continuation beneficial, and the third dose reduction is agreed in writing between the investigator and the sponsor.
  8. Further exclusion criteria apply.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Occurrence of treatment-emergent AEs according to CTCAE Version 5.0 during the entire treatment period

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

BI 907828

PRD10565901 · Product

Active substance
(3S3S3AS10AS-6-CHLORO-3-3-CHLORO-2-FLUOROPHENYL-1-CYCLOPROPYLMETHYL-6-METHYL-2-OXO-1233A1010A-HEXAHYDRO-1H-SPIROINDOLE-32-PYRROLO2345PYRROLO12-BINDAZOLE-7-CARBOXYLIC Acid
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
30 mg milligram(s)
Max total dose
2610 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Not Authorised
MA holder
BOEHRINGER INGELHEIM INTERNATIONAL
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/23/2792

BI 907828

PRD10565907 · Product

Active substance
(3S3S3AS10AS-6-CHLORO-3-3-CHLORO-2-FLUOROPHENYL-1-CYCLOPROPYLMETHYL-6-METHYL-2-OXO-1233A1010A-HEXAHYDRO-1H-SPIROINDOLE-32-PYRROLO2345PYRROLO12-BINDAZOLE-7-CARBOXYLIC Acid
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
30 mg milligram(s)
Max total dose
2610 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Not Authorised
MA holder
BOEHRINGER INGELHEIM INTERNATIONAL
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/23/2792

BI 907828

PRD10565911 · Product

Active substance
(3S3S3AS10AS-6-CHLORO-3-3-CHLORO-2-FLUOROPHENYL-1-CYCLOPROPYLMETHYL-6-METHYL-2-OXO-1233A1010A-HEXAHYDRO-1H-SPIROINDOLE-32-PYRROLO2345PYRROLO12-BINDAZOLE-7-CARBOXYLIC Acid
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
45 mg milligram(s)
Max total dose
3915 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Not Authorised
MA holder
BOEHRINGER INGELHEIM INTERNATIONAL
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/23/2792

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Boehringer Ingelheim International GmbH

Sponsor organisation
Boehringer Ingelheim International GmbH
Address
Binger Strasse 173
City
Ingelheim Am Rhein
Postcode
55216
Country
Germany

Scientific contact point

Organisation
Boehringer Ingelheim International GmbH
Contact name
CT Disclosure & Data Transparency

Public contact point

Organisation
Boehringer Ingelheim International GmbH
Contact name
CT Disclosure & Data Transparency

Boehringer Ingelheim Espana S.A.

Sponsor organisation
Boehringer Ingelheim Espana S.A.
Address
Carrer Prat De La Riba 50, Sant Cugat Del Valles Sant Cugat Del Valles
City
Barcelona
Postcode
08174
Country
Spain

Sponsor responsibilities

Article 77 compliance
Boehringer Ingelheim International GmbH
Contact point sponsor
Boehringer Ingelheim International GmbH
Article 77 implementation
Boehringer Ingelheim International GmbH

Locations

11 EU/EEA countries · 27 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 2 3
Czechia Ongoing, recruiting 1 1
Denmark Ongoing, recruitment ended 2 1
France Ongoing, recruitment ended 3 2
Germany Ongoing, recruiting 5 2
Hungary Ongoing, recruiting 3 1
Italy Ongoing, recruiting 3 2
Norway Ended 1 1
Poland Ongoing, recruiting 2 1
Spain Ongoing, recruiting 8 12
Sweden Ongoing, recruitment ended 1 1
Rest of world
Canada, Japan, United States, China, United Kingdom, Australia, Argentina, Taiwan
62

Investigational sites

Belgium

3 sites · Ongoing, recruitment ended
UZ Leuven
Department of General Medical Oncology, Herestraat 49, 3000, Leuven
Antwerp University Hospital
NA, Drie Eikenstraat 655, 2650, Edegem
Cliniques Universitaires Saint-Luc
Service d'oncologie medicale, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe

Czechia

1 site · Ongoing, recruiting
University Hospital Olomouc
Department of Comprehensive Oncology Care, Zdravotniku 248/7, 779 00, Olomouc

Denmark

1 site · Ongoing, recruitment ended
Rigshospitalet
Department of Oncology, Blegdamsvej 9, 2100, Copenhagen Oe

France

2 sites · Ongoing, recruitment ended
Centre De Lutte Contre Le Cancer Eugene Marquis
Service d'Oncologie Médicale, Avenue La Bataille Flandre Dunkerque, Cs 44229, Rennes Cedex
Centre Leon Berard
Oncologie Médicale, 28 Rue Laennec, 69008, Lyon

Germany

2 sites · Ongoing, recruiting
HELIOS Klinikum Berlin-Buch GmbH
Onkologie und Palliativmedizin, Schwanebecker Chaussee 50, Buch, Berlin
Universitaetsklinikum Tuebingen AöR
Innere Medizin VIII - Medizinische Onkologie und Pneumologie, Otfried-Mueller-Strasse 10, Nordstadt, Tuebingen

Hungary

1 site · Ongoing, recruiting
Clinexpert Kft.
Dept of Oncology, Dozsa Gyorgy Utca 15, 3200, Gyongyos

Italy

2 sites · Ongoing, recruiting
Fondazione IRCCS Istituto Nazionale Dei Tumori
Not applicable, Via Giacomo Venezian 1, 20133, Milan
Istituto Oncologico Veneto
Not applicable, Via Gattamelata 64, 35128, Padova

Norway

1 site · Ended
Oslo University Hospital HF
Radiumhospitalet, Montebello, Ullernchausséen 70, Oslo

Poland

1 site · Ongoing, recruiting
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Department of Early Phase Trials, Ul. Wilhelma Konrada Roentgena 5, 02-781, Warsaw

Spain

12 sites · Ongoing, recruiting
Hospital Quironsalud Barcelona
Medicina Interna, Placa D'alfonso Comin 5-7, 08023, Barcelona
Hospital Universitario 12 De Octubre
Servicio de Oncologia, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Universitario Quironsalud Madrid
Unidad Fases I Next Oncology, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital Universitario Hm Sanchinarro
Centro Integral Oncologico Clara Campal, Calle Ona 10, 28050, Madrid
Hospital Clinico Universitario De Valencia
Servicio de Oncología Médica, Avenida Blasco Ibanez 17, 46010, Valencia
Complexo Hospitalario Universitario De Santiago
Servicio de Oncología Médica, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Clinico San Carlos
Servicio de Oncología Médica, Calle Del Profesor Martín Lagos S/n, 28040, Madrid
Hospital Del Mar
Servicio de Oncologia, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Institut Catala D'oncologia
Unidad de Sarcoma y Cáncer Genitourinario, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitario Fundacion Jimenez Diaz
Servicio de Oncología, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario Miguel Servet
Servicio Oncología, Paseo De Isabel La Catolica 1-3, 50009, Zaragoza
Hospital Universitari Vall D Hebron
Oncologia, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona

Sweden

1 site · Ongoing, recruitment ended
Karolinska University Hospital
Comprehensive Cancer Center, Norrbacka S3 02, 171 76, Stockholm

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2025-06-06 2025-06-23 2025-06-26
Czechia 2025-11-13 2025-11-21
Denmark 2025-08-05 2025-08-21 2025-08-28
France 2025-08-25 2025-09-01 2025-09-25
Germany 2025-07-14 2025-07-15
Hungary 2024-12-02 2024-12-30
Italy 2025-08-19 2025-08-19
Norway 2025-06-16 2025-08-21 2025-08-20
Poland 2025-11-10 2025-11-12
Spain 2025-04-02 2025-04-07
Sweden 2025-06-16 2025-07-29 2025-07-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 98 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol-2024-514177-21-00-public 2
Recruitment arrangements (for publication) K1_ Recruitment arrangements-BE 1
Recruitment arrangements (for publication) K1_ Recruitment arrangements-ES 1
Recruitment arrangements (for publication) K1_ Recruitment arrangements-HU 1
Recruitment arrangements (for publication) k1_recruitment-arrangements-additional-document-fr-public 1
Recruitment arrangements (for publication) k1_recruitment-arrangements-cz 1
Recruitment arrangements (for publication) k1_recruitment-arrangements-de 1
Recruitment arrangements (for publication) k1_recruitment-arrangements-dk 2
Recruitment arrangements (for publication) k1_recruitment-arrangements-fr 2
Recruitment arrangements (for publication) k1_recruitment-arrangements-it-public 1
Recruitment arrangements (for publication) k1_recruitment-arrangements-no 1
Recruitment arrangements (for publication) k1_recruitment-arrangements-pl 1
Recruitment arrangements (for publication) k1_recruitment-arrangements-se 1
Subject information and informed consent form (for publication) L1_ ICF-BE-dut-public 1
Subject information and informed consent form (for publication) L1_ ICF-BE-eng-public 1
Subject information and informed consent form (for publication) L1_ ICF-BE-fre-public 3
Subject information and informed consent form (for publication) L1_ ICF-BE-ger-public 1
Subject information and informed consent form (for publication) L1_ ICF-disease-progression-BE-dut-public 1
Subject information and informed consent form (for publication) L1_ ICF-disease-progression-BE-eng-public 1
Subject information and informed consent form (for publication) L1_ ICF-disease-progression-BE-fre-public 1
Subject information and informed consent form (for publication) L1_ ICF-disease-progression-BE-ger-public 1
Subject information and informed consent form (for publication) L1_ ICF-disease-progression-ES-spa 1
Subject information and informed consent form (for publication) L1_ ICF-disease-progression-HU-hun 1
Subject information and informed consent form (for publication) L1_ ICF-ES-spa-public 3
Subject information and informed consent form (for publication) L1_ ICF-HU-hun-public 3-2
Subject information and informed consent form (for publication) L1_ ICF-pregnant-partner-BE-dut-public 1
Subject information and informed consent form (for publication) L1_ ICF-pregnant-partner-BE-eng-public 1
Subject information and informed consent form (for publication) L1_ ICF-pregnant-partner-BE-fre-public 1
Subject information and informed consent form (for publication) L1_ ICF-pregnant-partner-BE-ger-public 1
Subject information and informed consent form (for publication) L1_ ICF-pregnant-partner-ES-spa 1
Subject information and informed consent form (for publication) L1_ ICF-pregnant-partner-HU-hun-public 2
Subject information and informed consent form (for publication) L1_ ICF-reimbursement-ES-spa-public 4
Subject information and informed consent form (for publication) L1_ ICF-reimbursement-privacy-policy-ES-spa-public 2
Subject information and informed consent form (for publication) L1_ Patient-reimbursement-form 1
Subject information and informed consent form (for publication) l1_icf-disease-progression-cz-cze 1
Subject information and informed consent form (for publication) l1_icf-disease-progression-cz-eng 1
Subject information and informed consent form (for publication) l1_icf-disease-progression-de-public 1-2
Subject information and informed consent form (for publication) l1_icf-disease-progression-dk 1-2
Subject information and informed consent form (for publication) l1_icf-disease-progression-fr-public 1-3
Subject information and informed consent form (for publication) l1_icf-disease-progression-it-public 1
Subject information and informed consent form (for publication) l1_icf-disease-progression-no 1-2
Subject information and informed consent form (for publication) l1_icf-disease-progression-pl-eng 1
Subject information and informed consent form (for publication) l1_icf-disease-progression-pl-pol 1
Subject information and informed consent form (for publication) l1_icf-disease-progression-se 1-2
Subject information and informed consent form (for publication) l1_icf-main-cz-cze-public 3
Subject information and informed consent form (for publication) l1_icf-main-cz-eng 2
Subject information and informed consent form (for publication) l1_icf-main-de-public 3
Subject information and informed consent form (for publication) l1_icf-main-dk-public 3
Subject information and informed consent form (for publication) l1_icf-main-fr-public 3
Subject information and informed consent form (for publication) l1_icf-main-gdpr-cz-cze 1
Subject information and informed consent form (for publication) l1_icf-main-gdpr-cz-eng 1
Subject information and informed consent form (for publication) l1_icf-main-it-public 2-2
Subject information and informed consent form (for publication) l1_icf-main-no-public 2-2
Subject information and informed consent form (for publication) l1_icf-main-pl-eng 2
Subject information and informed consent form (for publication) l1_icf-main-pl-pol-public 3
Subject information and informed consent form (for publication) l1_icf-main-se-public 3
Subject information and informed consent form (for publication) l1_icf-newborn-de-public 1-3
Subject information and informed consent form (for publication) l1_icf-parents-pregnancy-fr-public 3
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-cz-cze 1
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-cz-eng 1
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-de-public 1-3
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-dk 1
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-fr-public 1-3
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-it-public 1-2
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-no 1-2
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-pl-eng 1
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-pl-pol 1
Subject information and informed consent form (for publication) l1_icf-pregnant-partner-se 1
Subject information and informed consent form (for publication) l1_icf-re-consent-be-fre 3
Subject information and informed consent form (for publication) l1_icf-re-consent-de-public 3-2
Subject information and informed consent form (for publication) l1_icf-re-consent-it-public 2
Subject information and informed consent form (for publication) l1_icf-re-consent-pl 3
Subject information and informed consent form (for publication) l1_icf-re-consent-se 3
Subject information and informed consent form (for publication) l1_icf-reconsent-es 3
Subject information and informed consent form (for publication) l1_icf-reconsent-hu 3-2
Subject information and informed consent form (for publication) L2_ List-submitted-documents-HU 1
Subject information and informed consent form (for publication) L2_ Trial-id-card-accompanying-letter-HU-public 1
Subject information and informed consent form (for publication) L2_ Trial-id-card-HU-public 1
Subject information and informed consent form (for publication) l2_gp-letter-it-public 2
Subject information and informed consent form (for publication) l2_patient-rights-leaflet 1
Subject information and informed consent form (for publication) l2_subject-participation-card-cz-cze 1
Subject information and informed consent form (for publication) l2_subject-participation-card-it-public 1
Subject information and informed consent form (for publication) l2_subject-participation-card-pl-pol 1
Synopsis of the protocol (for publication) D1_ Protocol synopsis_BE-dut-2024-514177-21-00 2
Synopsis of the protocol (for publication) D1_ Protocol synopsis_BE-fre-2024-514177-21-00 2
Synopsis of the protocol (for publication) D1_ Protocol synopsis_BE-ger-2024-514177-21-00 2
Synopsis of the protocol (for publication) D1_ Protocol synopsis_eng-2024-514177-21-00 2
Synopsis of the protocol (for publication) D1_ Protocol synopsis_ES-spa-2024-514177-21-00 2
Synopsis of the protocol (for publication) D1_ Protocol synopsis_HU-hun-2024-514177-21-00 2
Synopsis of the protocol (for publication) d1_protocol-extended-synopsis_it-ita-2024-514177-21-00-public 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_cz-cze-2024-514177-21-00-public 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_de-ger-2024-514177-21-00-public 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_dk-dan-2024-514177-21-00-public 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_fr-fre-2024-514177-21-00-public 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_it-ita-2024-514177-21-00-public 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_no-nor-2024-514177-21-00-public 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_pl-pol- 2024-514177-21-00 2
Synopsis of the protocol (for publication) d1_protocol-synopsis_se-swe-2024-514177-21-00-public 2

Application history

15 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-19 Spain Acceptable
2024-10-23
2024-10-23
2 SUBSTANTIAL MODIFICATION SM-1 2025-01-13 Spain Acceptable
2025-02-26
2025-02-26
3 SUBSEQUENT ADDITION OF MSC APP-3 2025-03-31 Acceptable
2025-02-26
2025-06-16
4 SUBSEQUENT ADDITION OF MSC APP-4 2025-03-31 Acceptable
2025-02-26
2025-06-24
5 SUBSEQUENT ADDITION OF MSC APP-5 2025-03-31 Acceptable
2025-02-26
2025-06-18
6 SUBSEQUENT ADDITION OF MSC APP-6 2025-03-31 Acceptable
2025-02-26
2025-06-25
7 SUBSEQUENT ADDITION OF MSC APP-7 2025-03-31 Acceptable
2025-02-26
2025-06-13
8 SUBSEQUENT ADDITION OF MSC APP-8 2025-03-31 Acceptable
2025-02-26
2025-06-13
9 SUBSEQUENT ADDITION OF MSC APP-9 2025-03-31 Acceptable
2025-02-26
2025-05-14
10 SUBSEQUENT ADDITION OF MSC APP-10 2025-03-31 Acceptable
2025-02-26
2025-06-30
11 SUBSTANTIAL MODIFICATION SM-2 2025-03-31 Acceptable 2025-05-08
12 SUBSTANTIAL MODIFICATION SM-3 2025-04-30 Spain 2025-06-16
13 NON SUBSTANTIAL MODIFICATION NSM-2 2025-07-01 2025-07-01
14 SUBSTANTIAL MODIFICATION SM-4 2025-11-03 Spain Acceptable
2026-03-02
2026-03-03
15 NON SUBSTANTIAL MODIFICATION NSM-3 2026-03-13 Spain Acceptable
2026-03-02
2026-03-13