The primary objective of this trial is: Part A \- To determine the Maximum tolerated dose (MTD) and/or the recommended dose (RD) of BI 891065 monotherapy for further development in Asian patients with advanced solid tumours Part B \- To determine the MTD and/or the RD of BI 891065 in combination with a fixed dose of BI 754091 at 240 mg for further development in Asian patients with advanced solid tumours The secondary objectives are: Part A \- To document the safety and tolerability, and characterise pharmacokinetics (PK) of BI 891065 as monotherapy in Asian patients with advanced solid tumours Part B \- To document the safety and tolerability, and characterise PK of the combination therapy of BI 891065 and BI 754091 in Asian patients with advanced solid tumours
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
film-coated tablets
National Cancer Center Hospital
Tokyo, Chuo-ku, Japan
Part A: Number of Patients With Dose Limiting Toxicities (DLTs) in the MTD Evaluation Period
Any of the following adverse events (AEs) were classified as DLTs: Haematologic toxicities: * Any Grade 5 toxicity. * Neutropenia ≥ Grade 4 lasting for \>7 days. * Febrile neutropenia of any duration (absolute neutrophil count (ANC) \<1.0 X 10\^9 cells/Liter (L) and fever ≥38.5°Celsius (C)). * Neutropenia ≥ Grade 3 with documented infection. * Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia with bleeding. * Thrombocytopenia of any Grade which requires platelet transfusions. * Grade 4 anaemia unexplained by underlying disease. * Anaemia of any Grade which requires blood transfusions. Non-haematological toxicities: * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>3 times upper level of normal (ULN) and concurrent total bilirubin \>2 times ULN without initial findings of cholestasis. * ≥Grade 4 AST or ALT of any duration. * Any ≥Grade 3 non-haematologic toxicity some exceptions as defined in the protocol.
Time frame: First treatment cycle, 21 days from first administration of BI 891065.
Part A: Maximum Tolerated Dose (MTD) of BI 891065
Maximum tolerated dose (MTD) of BI 891065 in the Part A of the trial is reported. MTD was defined as the highest dose with less than 25% risk of the true DLT rate being equal or above 33% during the MTD evaluation period.
Time frame: First treatment cycle, 21 days from first administration of BI 891065.
Part A: Number of Patients With Dose Limiting Toxicities (DLTs) During the Treatment Period
Any of the following adverse events (AEs) were classified as DLTs: Haematologic toxicities: * Any Grade 5 toxicity. * Neutropenia ≥ Grade 4 lasting for \>7 days. * Febrile neutropenia of any duration (absolute neutrophil count (ANC) \<1.0 X 10\^9 cells/Liter (L) and fever ≥38.5°Celsius (C)). * Neutropenia ≥ Grade 3 with documented infection. * Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia with bleeding. * Thrombocytopenia of any Grade which requires platelet transfusions. * Grade 4 anaemia unexplained by underlying disease. * Anaemia of any Grade which requires blood transfusions. Non-haematological toxicities: * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>3 times upper level of normal (ULN) and concurrent total bilirubin \>2 times ULN without initial findings of cholestasis. * ≥Grade 4 AST or ALT of any duration. * Any ≥Grade 3 non-haematologic toxicity some exceptions as defined in the protocol.
Time frame: From first administration of BI 891065 until the last administration + 30 days of residual effect period, up to 1164 days.
Maximum Measured Concentration in Plasma of BI 891065 After Administration of the First Dose (Cmax)
Maximum measured concentration in plasma of BI 891065 after administration of the first dose (Cmax) is reported.
Time frame: Within 5 minutes before and 0.5 hours (h), 1h, 2h, 3h, 5h, 6h, 7h, 8h, 10h, 24h, 36h and 48h after first BI 891065 administration.
Part A: Maximum Measured Concentration in Plasma of BI 891065 at Steady State (Cmax,ss)
Maximum measured concentration in plasma of BI 891065 at steady state (Cmax,ss) is reported.
Time frame: Within 5 minutes before and 0.5 hours (h), 1h, 2h, 3h, 5h, 6h, 7h, 8h, 10h and 24 h after drug administration of BI 891065 on Day 15 of Cycle 1.
Part A: Area Under the Concentration-time Curve of BI 891065 in Plasma 24 Hours After Administration of the First Dose (AUC0-24)
Area under the concentration-time curve of BI 891065 in plasma 24 hours after administration of the first dose (AUC0-24) is reported.
Time frame: Within 5 minutes before and 0.5 hours (h), 1h, 2h, 3h, 5h, 6h, 7h, 8h, 10h and 24h after first administration of BI 891065 on Day 1 of Cycle 1.
Part A: Area Under the Concentration-time Curve of BI 891065 in Plasma Over a Uniform Dosing Interval τ at Steady State (AUCτ,ss)
Area under the concentration-time curve of BI 891065 in plasma over a uniform dosing interval τ at steady state (AUCτ,ss) is reported. τ=24 hours (h) for the once daily dosing arms and τ=12 h for the twice daily dosing arm.
Time frame: Within 5 minutes before and 0.5 hours (h), 1h, 2h, 3h, 5h, 6h, 7h, 8h, 10h and 24 h after drug administration of BI 891065 on Day 15 of Cycle 1.
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