A Study to Test How Well Different Doses of BI 764532 Are Tolerated by People With a Tumour in th… (NCT05916313) | Clinical Trial Compass
Active — Not RecruitingPhase 1
A Study to Test How Well Different Doses of BI 764532 Are Tolerated by People With a Tumour in the Brain That is Positive for DLL3
United States, Austria, Germany20 participantsStarted 2024-01-30
Plain-language summary
This study (1438-0003) is open to adults with a tumour in the brain that is positive for the tumour marker delta-like 3 (DLL3). This study is in people with advanced cancer for whom previous treatment was not successful.
The purpose of this study is to find out the highest dose of BI 764532 that people with a brain tumour that is positive for DLL3 can tolerate. BI 764532 is an antibody-like molecule that can attach and link together the cancer cells and T-cells of the immune system (DLL3/CD3 bispecific). This may help the immune system fight cancer.
Participants get BI 764532 infusions into a vein when starting treatment. If there is benefit for the participants and if they can tolerate it, the treatment is continued. During this time, participants visit the study site at regular intervals. The total number of visits depends on how they respond to and tolerate the treatment. The first study visits include staying to monitor participants' safety. Doctors record any unwanted effects and regularly check the general health of the participants.
Who can participate
Age range
18 Years
Sex
ALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
. Male or female participants ≥18 years old and at least at the legal age of consent in countries where it is greater than 18 years at the time of signature of the first informed consent form (ICF1).
. Signed and dated written informed consent (ICF1 and ICF2) in accordance with International Council for Harmonisation-Good clinical practice (ICH-GCP) and local legislation prior to admission to the trial.
. Patients with histologically confirmed primary progressive diffuse glioma who have failed standard of care therapies.
. Availability of archival tumour tissue for Delta-like 3 (DLL3) expression by central assessment.
. Tumours must be positive for DLL3 expression by immunohistochemistry (IHC) on archived tumour tissue according to central pathology review.
. Documented unequivocal progression after radiotherapy and/or chemotherapy with measurable disease by response assessment in neuro-oncology (RANO) criteria.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Since this is a Phase 1 trial focused on finding the maximum tolerated dose of BI 764532, what does that mean for what's currently known about its safety and whether it actually helps treat DLL3-positive glioma?
2My tumour would need to test positive for DLL3 to be relevant here — is DLL3 testing something that can be done on my tumour, and do my current results tell us anything about that?
3The trial is no longer actively recruiting new participants — does that mean this specific study is no longer an option for me, or are there related trials or next-phase studies I should be looking into instead?
4Because the main goal of this trial is identifying dose-limiting toxicities, what kinds of side effects have been observed so far at the doses being tested, and how would those risks compare to my standard treatment options for glioma?
5Given that this is an early-phase study still working out safe dosing, would it make more sense for me to pursue standard-of-care treatment first, and could that decision affect my eligibility for this or similar trials down the road?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Occurrence of dose-limiting toxicity (DLT) during the maximum tolerated dose (MTD) evaluation period
. Karnofsky performance score ≥70. Further inclusion criteria apply.
Exclusion criteria
. Previous treatment in this trial.
. Current enrolment in another investigational device or drug trial.
. Presence of extracranial metastatic or leptomeningeal disease.
. Previous treatment with therapies targeting DLL3.
. Prior treatment with bevacizumab or other anti-vascular endothelial growth factor (anti-VEGF) or anti-angiogenic treatment within 6 months prior to first administration of BI 764532.
. Recent anti-cancer therapy: treatment with any other anticancer drug within 21 days or within 5 half-life periods (whichever is shorter) prior to first administration of BI 764532.
. Radiotherapy within the 3 months prior to the diagnosis of progression; unless tumour progression is clearly outside the radiation field or tumour progression is unequivocally proven by surgery/biopsy.