This study is open to adults with small cell lung cancer and other neuroendocrine tumours. The study is in people with advanced cancer for whom previous treatment was not successful or no standard treatment exists. The purpose of this study is to find a suitable dose of BI 764532 that people with advanced cancer can tolerate. 2 different doses of BI 764532 are tested in this study. Another purpose is to check whether BI 764532 can make tumours shrink. BI 764532 is an antibody-like molecule (DLL3/CD3 bispecific) that may help the immune system fight cancer. The study has 2 parts. In Part 1, participants are put into 2 groups randomly, which means by chance. Participants have an equal chance of being in either group. One group gets dose 1 of BI 764532 and the other group gets dose 2 of BI 764532. In Part 2, all participants receive the same dose of BI 764532. Part 2 is open to people with a certain kind of tumour called extrapulmonary neuroendocrine carcinoma. All participants receive BI 764532 as an infusion into a vein when starting treatment. If there is benefit for the participants and if they can tolerate it, the treatment is given up to the maximum duration of the study. During this time, participants visit the study site regularly. The total number of visits depends on how they respond to and tolerate the treatment. The first study visits include an overnight stay to monitor participants´ safety. Doctors record any unwanted effects and regularly check the general health of the participants.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
174
BI 764532, dose 1
BI 764532, dose 2
Infirmary Cancer Care
Mobile, Alabama, United States
RECRUITINGMayo Clinic-Arizona
Phoenix, Arizona, United States
RECRUITINGValkyrie Clinical Trials
Los Angeles, California, United States
RECRUITINGUniversity of California San Francisco
San Francisco, California, United States
Part 1: Objective response (OR), defined as a best overall response of confirmed complete response (CR) or confirmed partial response (PR)
according to RECIST v 1.1 by investigator assessment from the date of treatment start until the earliest date of disease progression, death, or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up, or withdrawal of consent.
Time frame: up to 26 months
Part 1: Occurrence of treatment-emergent adverse events (TEAEs) during the on-treatment period
Time frame: up to 26 months
Part 2: Objective response (OR)
Objective response is defined as a best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST v 1.1 by blinded independent central review from the date of treatment start until the earliest date of disease progression, death, or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up, or withdrawal of consent
Time frame: up to 27 months
Part 1: Duration of objective response (DOR) based on investigator assessment
DOR is defined as the time from first documented confirmed OR until the earliest date of disease progression or death among patients with confirmed OR.
Time frame: up to 26 months
Part 1: Progression-free survival (PFS) based on investigator assessment
PFS is defined as the time from treatment start until the earliest date of tumour progression according RECIST v 1.1 or death from any cause, whichever occurs first.
Time frame: up to 26 months
Part 1: Disease control (DC), defined as best overall response of CR or PR or stable disease (SD) based on investigator assessment
where best overall response is defined according to RECIST v 1.1, from first treatment administration until the earliest of disease progression, death, or last evaluable tumour assessment before start of subsequent anti-cancer therapy, loss to follow-up or withdrawal of consent
Time frame: up to 26 months
Part 1: Overall survival (OS), defined as the time from treatment start until death from any cause
Time frame: up to 26 months
Part 1: Change from baseline in EORTC QLQ-C30 physical functioning domain score
European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) The QLQ-C30 is comprised of 30 questions. It incorporates both multi-item scales and single-item measures. These include * one global health status/Quality of Life (QoL) scale, * five functional scales (physical, role, cognitive, emotional, and social), * three symptom scales (fatigue, pain, and nausea and vomiting), * and six single items to assess dyspnea, insomnia, appetite loss, constipation, diarrhoea and financial difficulties. All scales and single-item measures range in score from 0 to 100. * A high score for a functional scale represents a high/healthy level of functioning. * A high score for the global health status/QoL represents a high QoL. * A high score for a symptom scale/item represents a high level of symptomatology/problems.
Time frame: at baseline, at month 26
Part 1: Change from baseline in EORTC QLQ-C30 role functioning domain score
Time frame: at baseline, at month 26
Part 1: Occurrence of treatment-emergent AEs leading to study drug discontinuation during the on-treatment period
Time frame: up to 26 months
Part 2: Duration of objective response (DOR) based on blinded independent central review
Time frame: up to 27 months
Part 2: Progression-free survival (PFS) based on blinded independent central review
Time frame: up to 27 months
Part 2: Disease control (DC) based on blinded independent central review
Time frame: up to 27 months
Part 2: Overall survival (OS), defined as the time from treatment start until death from any cause
Time frame: up to 27 months
Part 2: Change from baseline in EORTC QLQ-C30 physical functioning domain score
Time frame: up to 27 months
Part 2: Change from baseline in EORTC QLQ-C30 role functioning domain score
Time frame: up to 27 months
Part 2: Occurrence of treatment-emergent AEs leading to study drug discontinuation during the on-treatment period
Time frame: up to 27 months
Part 2: Occurrence of treatment-emergent adverse events (TEAEs) during the on-treatment period
Time frame: up to 27 months
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Mayo Clinic Cancer Center
Jacksonville, Florida, United States
NOT_YET_RECRUITINGUniversity of Miami
Miami, Florida, United States
RECRUITINGH. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, United States
RECRUITINGIndiana University
Indianapolis, Indiana, United States
COMPLETEDUniversity of Kansas Cancer Center
Westwood, Kansas, United States
NOT_YET_RECRUITINGUniversity of Kentucky Medical Center
Lexington, Kentucky, United States
RECRUITING...and 49 more locations