BI-1206 and an Anti-CD20 Antibody in Patients With CD32b Positive B-cell Lymphoma or Leukaemia

Sponsor
Cancer Research UK (Other)
Overall Status
Completed
CT.gov ID
NCT02933320
Collaborator
BioInvent International AB (Industry), Bloodwise (Other)
14
Enrollment
5
Locations
4
Arms
40.7
Actual Duration (Months)
2.8
Patients Per Site
0.1
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The purpose of this trial is to identify the tolerable dose of BI-1206 (both alone and in combination) for patients with B-cell lymphoma and leukaemia and further evaluate BI-1206 alone and in combination with an anti-CD20 antibody.

Condition or DiseaseIntervention/TreatmentPhase
  • Biological: BI-1206 single agent dose escalation phase
  • Biological: Combination of BI-1206 with rituximab escalation phase
  • Biological: BI-1206 single agent expansion phase
  • Biological: Combination of BI-1206 with rituximab expansion phase
Phase 1/Phase 2

Detailed Description

The molecule CD32b is thought to be present on many B-cells including the malignant B-cells in some types of lymphoma and leukaemia. The study drug, BI-1206, is an anti-CD32b monoclonal antibody which attaches to CD32b on the surface of B-cells and is thought to act by recruiting host immune cells toward the tumour leading to cancer cell death as well as enhancing the anti-cancer effect of other anti-CD20 antibodies such as rituximab by stopping them being absorbed by cells.

The study is a first in man clinical trial of the drug called BI-1206 on its own and then also in combination with an anti-CD20 antibody (such as rituximab) which is commonly used to treat lymphoma and some types of leukaemia.

The four main aims of this trial are to find out:
  • The maximum dose of BI-1206 that can be given safely to patients (to a maximum dose of 800mg) on it's own and in combination with an anti-CD20 antibody, rituximab.

  • More about the potential side effects of BI-1206 and how they can be managed.

  • What happens to BI-1206 inside the body.

  • The effect of BI-1206 treatment (with or without rituximab) on tumour size and survival.

Approximately 81 patients with relapsed or refractory CD32b positive B-cell lymphoma or leukaemia were planned for the trial. Approximately 34 patients to establish the maximum tolerated doses (MTDs) in Part A and a further 40 to 50 patients recruited to two expansion cohorts; one of BI-1206 alone and one of BI-1206 plus rituximab (Part B). The final number depending on the number of dose escalations required to reach the MTD.

Study Design

Study Type:
Interventional
Actual Enrollment :
14 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Cancer Research UK Phase I/IIa Clinical Trial of BI-1206; an Antibody to FcƔRIIB (CD32b), as a Single Agent and in Combination With an Anti-CD20 Antibody in Patients With CD32b Positive B-cell Malignancy
Actual Study Start Date :
Oct 27, 2016
Actual Primary Completion Date :
Mar 19, 2020
Actual Study Completion Date :
Mar 19, 2020

Arms and Interventions

ArmIntervention/Treatment
Experimental: Part A: Arm 1: BI-1206 single agent dose escalation phase

BI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy).

Biological: BI-1206 single agent dose escalation phase
BI-1206 single agent dose escalation phase to determine the MTD or maximum administered dose (MAD) and recommended Phase II dose (RP2D) for evaluation of BI-1206.

Experimental: Part A: Arm 2: Combination of BI-1206 with rituximab escalation phase

Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts).

Biological: Combination of BI-1206 with rituximab escalation phase
An investigation of combination treatment of BI-1206 with rituximab.

Experimental: Part B: Arm1: BI-1206 single agent expansion phase

Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 chronic lymphocytic leukaemia (CLL) patients and six mantle cell lymphoma (MCL) patients.

Biological: BI-1206 single agent expansion phase
BI-1206 single agent expansion phase at the RP2D.

Experimental: Part B: Arm 2: Combination of BI-1206 with rituximab expansion phase

Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients.

Biological: Combination of BI-1206 with rituximab expansion phase
BI-1206 in combination with rituximab at the RP2D.

Outcome Measures

Primary Outcome Measures

  1. Documenting Adverse Events (AEs), Serious Adverse Events (SAEs), Dose Limiting Toxicities (DLTs) (Graded According to NCI-CTCAE Version 4.02) and Laboratory Parameters and Determining Their Causality in Relation to BI-1206. [Safety data were collected from the date of written informed consent and continued for 125 days after the final administration of BI-1206 or rituximab.]

    To recommend a dose for future trials with BI-1206 by finding the highest safe dose which can be given to patients.

  2. Documenting AEs, SAEs (Graded According to NCI-CTCAE Version 4.02) and Laboratory Parameters and Determining Their Causality in Relation to BI-1206 and, Where Appropriate, Anti-CD20 Antibody. [Safety data were collected from the date of written informed consent and continued for 125 days after the final administration of BI-1206 or rituximab.]

    Establishing the MTD or maximum administered dose MAD of BI-1206 and an anti-CD20 antibody given once weekly for four weeks, via intravenous infusion in patients with relapsed or refractory B-cell malignancies.

Secondary Outcome Measures

  1. Measurement of PK Parameter Maximum Observed Serum Concentration (Cmax) for BI-1206 [Doses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)]

    Maximum observed serum concentration after intravenous BI-1206 administration

  2. Measurement of PK Parameter Area Under the Serum Concentration-time Curve From Time 0 to the Last Time Point (AUClast) for BI-1206 [Doses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)]

    Area under the serum concentration-time curve from time 0 to the last time point after intravenous BI-1206 administration.

  3. Measurement of PK Parameter Half-life (T1/2) for BI-1206 [Doses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)]

    BI-1206 half-life after intravenous administration

  4. Measurement of PK Parameter Total Body Clearance (CL) for BI-1206 [Doses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)]

    Total body clearance after intravenous BI-1206 administration

  5. Measurement of PK Parameter Volume of Distribution (Vss) for BI-1206 [Doses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)]

    Volume of distribution after administration of BI-1206

  6. Measurement of Anti-drug Antibody (ADA) Response to BI-1206 During the BI-1206 Treatment Period Using ELISA [Pre dose at weeks 1, 5 and 8, maintenance phase and off-study visit.]

    Patients with true ADA response

  7. Measurement of Peripheral Blood B-lymphocyte Depletion During the BI-1206 Treatment Period Using Flow Cytometry. [During induction phase (up to 8 weeks).]

    Number of patients with B-lymphocyte depletion during BI-1206 treatment period.

  8. Assessment of Best Disease Response According to Criteria for Malignant Lymphoma (Cheson, 2014) Waldenström Macroglobulinaemia Assessment Criteria (Owen 2013, Kimby 2006) or NCI Chronic Lymphocytic Leukaemia (CLL) Criteria (Hallek, 2008). [Response evaluated 4 weeks after last dose in induction phase, every 16 weeks during maintenance phase and at off-study.]

    To look for signs of anti-tumour activity of BI-1206 alone and in combination in patients with relapsed or refractory B-cell malignancies

  9. Measure Progression Free Survival at 1 Year After the First BI-1206 Administration on the Study for All Patients [From first BI-1206 administration up to 12 months]

    To measure the time to disease progression and twelve month survival

  10. Measure Overall Survival at 1 Year After the First BI-1206 Administration on the Study for All Patients [From first BI-1206 administration up to 12 months. Participants whose last reported status was not death were censored.]

    To measure the time to disease progression and twelve month survival

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Written (signed and dated) informed consent and be capable of co-operating with treatment and follow-up.

  2. B-cell lymphoma or CLL proven by histology or flow cytometry, relapsed or refractory to conventional treatment, or for which no conventional therapy exists or is declined by the patient. Patients should have received at least one line of conventional previous therapy which must have included a rituximab based regimen.

  3. CD32b positive malignancy as demonstrated centrally by immunohistochemistry or flow cytometry prior to study entry. Available tissue or blood must have been taken within six months of study entry.

  4. Life expectancy of at least 12 weeks.

  5. World Health Organisation (WHO) performance status of 0-2 (Appendix 1).

  6. Haematological and biochemical indices within the ranges shown below. These measurements must be performed within one week before their first dose of mAb (BI-1206 and/or rituximab) as part of this study.

Laboratory Test Value required

Haemoglobin (Hb) ≥9.0 g/dL (red cell support is permissible)

Absolute neutrophil count (ANC) ≥1.0 x 109/L (or >0.5 x 109/L if due to lymphoma), granulocyte - colony stimulating factor (G-CSF) support is not permissible at screening

Platelet count ≥50 x 109/L (or ≥30 x 109/L if due to malignant involvement of bone marrow)

Either:

Serum bilirubin ≤1.5 x upper limit of normal (ULN) unless raised due to Gilbert's syndrome in which case up to 3 x ULN is permissible.

Or:

Alanine amino-transferase (ALT) and /or aspartate amino-transferase (AST) ≤ 2.5 x ULN unless raised due to malignant hepatic involvement in which case up to 5 x ULN is permissible

Either:

Calculated creatinine clearance (Cockcroft Gault) ≥30 mL/min (uncorrected value)

Or:

Isotope clearance measurement ≥30 mL/min (corrected)

  1. 18 years or over.

  2. B-cell lymphoma patients only: patients has at least one measurable lesion by CT scan (defined as greater than 1.5 cm in one axis) or in the case of Waldenström's macroglobulinemia, disease must be assessable by the criteria stated in Appendix 6 of the protocol.

  3. Patients recruited to Arm 2 in Parts A and B (combination arms) only: CD20 positive malignancy as demonstrated by immunohistochemistry or flow cytometry prior to trial entry.

Exclusion Criteria:
  1. Allogenic bone marrow transplant within 12 months prior to the first dose of BI-1206 or presence of chronic graft versus host disease.

  2. Patients with clinically active leptomeningeal or central nervous system lymphoma/leukaemia.

  3. Doses of prednisolone >10 mg daily (or equipotent doses of other corticosteroids) are not permitted whilst on the study other than as pre-medication. During the screening period, doses of up to 20 mg per day may be given but the dose must be reduced to 10 mg/day by Cycle 1 Day 1 (or Day -7 in the CLL combination expansion).

  4. Known or suspected hypersensitivity to study drugs.

  5. Cardiac or renal amyloid light-chain (AL) amyloidosis.

  6. Radiotherapy, endocrine therapy, immunotherapy, chemotherapy or investigational medicinal products during the previous 4 weeks before treatment.

  7. Ongoing toxic manifestations of previous treatments. Exceptions to this are alopecia or certain Grade 1 toxicities, which in the opinion of the Investigator and the Sponsor should not exclude the patient.

  8. Ability to become pregnant (or already pregnant or lactating). However, those female patients who have a negative serum or urine pregnancy test before enrolment and agree to use two forms of contraception (one highly effective form plus a barrier method) [oral, injected or implanted hormonal contraception and condom; intra-uterine device and condom; diaphragm with spermicidal gel and condom] or agree to sexual abstinence^4 for four weeks before entering the trial, during the trial and for twelve months after completing treatment are considered eligible.

  9. Male patients with partners of child-bearing potential (unless they agree to take measures not to father children by using a barrier method of contraception [condom plus spermicide] or to sexual abstinence effective from the first administration of BI-1206 or rituximab on the study, throughout the trial and for twelve months afterwards. Men with partners of child-bearing potential must also be willing to ensure that their partner uses an effective method of contraception for the same duration for example, hormonal contraception, intrauterine device, diaphragm with spermicidal gel or sexual abstinence4). Men with pregnant or lactating partners should be advised to use barrier method contraception (e.g. condom plus spermicidal gel) to prevent exposure to the foetus or neonate.

  10. Major thoracic or abdominal surgery from which the patient has not yet recovered.

  11. At high medical risk because of non-malignant systemic disease including infection.

  12. Known to be serologically positive for Hepatitis B, Hepatitis C or Human Immunodeficiency Virus (HIV).

  13. Patients with an active, known or suspected autoimmune disease (not including CLL auto-immune disease). Patients with Type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger will be permitted to participate.

  14. Concurrent congestive heart failure, prior history of class III/ IV cardiac disease (New York Heart Association [NYHA]), prior history of cardiac ischaemia or prior history of cardiac arrhythmia.

  15. Patients for whom rituximab is contraindicated due to severe previous hypersensitivity or any other reason (Arm 2 in Parts A and B [combination arms] only).

  16. Ongoing infection requiring treatment with antibiotics, antifungals or antivirals. Prophylactic use of antibiotics, antifungals or antivirals would not have excluded patients.

  17. Any other condition which in the Investigator's opinion would not make the patient a good candidate for the clinical trial.

  18. Is a participant or plans to participate in another interventional clinical study, whilst taking part in this Phase I/IIa study of BI-1206. Participation in an observational study would be acceptable.

  19. Current malignancies of other types, with the exception of adequately treated cone-biopsied in situ carcinoma of the cervix uteri and basal or squamous cell carcinoma of the skin. Cancer survivors, who have undergone potentially curative therapy for a prior malignancy, have no evidence of that disease for three years or more and are deemed at negligible risk for recurrence, are eligible for the trial.

Contacts and Locations

Locations

SiteCityStateCountryPostal Code
1Leicester Royal InfirmaryLeicesterEnglandUnited KingdomLE1 5WW
2Christie HospitalManchesterEnglandUnited KingdomM20 4BX
3Oxford Cancer and Haematology Centre, Churchill HospitalOxfordEnglandUnited KingdomOX3 7LE
4Derriford HospitalPlymouthUnited KingdomPL6 8DH
5University Hospital Southampton NHS Foundation TrustSouthamptonUnited KingdomS016 6YD

Sponsors and Collaborators

  • Cancer Research UK
  • BioInvent International AB
  • Bloodwise

Investigators

  • Principal Investigator: Andrew Davies, Prof, University of Southampton

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Cancer Research UK
ClinicalTrials.gov Identifier:
NCT02933320
Other Study ID Numbers:
  • CRUKD16001
  • 2015-004999-29
First Posted:
Oct 14, 2016
Last Update Posted:
Jul 8, 2021
Last Verified:
Jun 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Cancer Research UK
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment DetailsTrial participants were enrolled at four trial sites between 27 October 2016 and 09 December 2019.
Pre-assignment Detail
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Period Title: Overall Study
STARTED13100
COMPLETED13100
NOT COMPLETED0000

Baseline Characteristics

Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion PhaseTotal
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.Total of all reporting groups
Overall Participants1310014
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
NaN
Between 18 and 65 years
5
38.5%
1
100%
6
Infinity
>=65 years
8
61.5%
0
0%
8
Infinity
Sex: Female, Male (Count of Participants)
Female
5
38.5%
1
100%
6
Infinity
Male
8
61.5%
0
0%
8
Infinity
Race and Ethnicity Not Collected (Count of Participants)
Count of Participants [Participants]
0
0%
Region of Enrollment (participants) [Number]
United Kingdom
13
100%
1
100%
14
Infinity

Outcome Measures

1. Primary Outcome
TitleDocumenting Adverse Events (AEs), Serious Adverse Events (SAEs), Dose Limiting Toxicities (DLTs) (Graded According to NCI-CTCAE Version 4.02) and Laboratory Parameters and Determining Their Causality in Relation to BI-1206.
DescriptionTo recommend a dose for future trials with BI-1206 by finding the highest safe dose which can be given to patients.
Time FrameSafety data were collected from the date of written informed consent and continued for 125 days after the final administration of BI-1206 or rituximab.

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants13100
All AEs
282
13
Related AEs
214
12
DLT - ALT
1
0
DLT - AST
1
0
DLT - infusion related reaction
0
1
2. Primary Outcome
TitleDocumenting AEs, SAEs (Graded According to NCI-CTCAE Version 4.02) and Laboratory Parameters and Determining Their Causality in Relation to BI-1206 and, Where Appropriate, Anti-CD20 Antibody.
DescriptionEstablishing the MTD or maximum administered dose MAD of BI-1206 and an anti-CD20 antibody given once weekly for four weeks, via intravenous infusion in patients with relapsed or refractory B-cell malignancies.
Time FrameSafety data were collected from the date of written informed consent and continued for 125 days after the final administration of BI-1206 or rituximab.

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants13100
Number [BI-1206 MAD (mg)]
100
NA
3. Secondary Outcome
TitleMeasurement of PK Parameter Maximum Observed Serum Concentration (Cmax) for BI-1206
DescriptionMaximum observed serum concentration after intravenous BI-1206 administration
Time FrameDoses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)

Outcome Measure Data

Analysis Population Description
Patients who provided serum samples before and after receiving BI-1206 for pharmacokinetic evaluation. One patient was enrolled to Part A, Arm 2 but PK parameters could not be evaluated for this patient, as there were no post-dose samples taken for the patient recruited to this cohort.
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants12000
0.4 - 50 mg BI-1206 (Cohort 1, intra patient dose escalation)
6075
100 mg BI-1206 (Cohort 2) Dose 1
15600
100 mg BI-1206 (Cohort 2) Dose 4
12700
4. Secondary Outcome
TitleMeasurement of PK Parameter Area Under the Serum Concentration-time Curve From Time 0 to the Last Time Point (AUClast) for BI-1206
DescriptionArea under the serum concentration-time curve from time 0 to the last time point after intravenous BI-1206 administration.
Time FrameDoses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)

Outcome Measure Data

Analysis Population Description
Patients who provided serum samples before and after receiving BI-1206 for pharmacokinetic evaluation. One patient was enrolled to Part A, Arm 2 but PK parameters could not be evaluated for this patient, as there were no post-dose samples taken for the patient recruited to this cohort.
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants12000
0.4 - 50 mg BI-1206 (Cohort 1, intra patient dose escalation)
76100
100 mg BI-1206 (Cohort 2) Dose 1
462000
100 mg BI-1206 (Cohort 2) Dose 4
193000
5. Secondary Outcome
TitleMeasurement of PK Parameter Half-life (T1/2) for BI-1206
DescriptionBI-1206 half-life after intravenous administration
Time FrameDoses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)

Outcome Measure Data

Analysis Population Description
Patients who provided serum samples before and after receiving BI-1206 for pharmacokinetic evaluation. One patient was enrolled to Part A, Arm 2 but PK parameters could not be evaluated for this patient, as there were no post-dose samples taken for the patient recruited to this cohort.
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants12000
0.4 - 2 mg BI-1206 (Cohort 1, starting dose and first intra patient escalation dose)
NA
10 - 50 mg BI-1206 (Cohort 1, intra patient dose escalation)
17.3
100 mg BI-1206 (Cohort 2) Dose 1
16
100 mg BI-1206 (Cohort 2) Dose 4
12.1
6. Secondary Outcome
TitleMeasurement of PK Parameter Total Body Clearance (CL) for BI-1206
DescriptionTotal body clearance after intravenous BI-1206 administration
Time FrameDoses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)

Outcome Measure Data

Analysis Population Description
Patients who provided serum samples before and after receiving BI-1206 for pharmacokinetic evaluation. One patient was enrolled to Part A, Arm 2 but PK parameters could not be evaluated for this patient, as there were no post-dose samples taken for the patient recruited to this cohort.
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants12000
0.4 - 2 mg BI-1206 (Cohort 1, starting dose and first intra patient escalation dose)
NA
10 - 50 mg BI-1206 (Cohort 1 intra patient dose escalation)
6.34
100 mg BI-1206 (Cohort 2) Dose 1
3.32
100 mg BI-1206 (Cohort 2) Dose 4
7.44
7. Secondary Outcome
TitleMeasurement of PK Parameter Volume of Distribution (Vss) for BI-1206
DescriptionVolume of distribution after administration of BI-1206
Time FrameDoses 1 and 4 (pre-infusion, end of infusion, +4, +24, +48 and +72 hours)

Outcome Measure Data

Analysis Population Description
Patients who provided serum samples before and after receiving BI-1206 for pharmacokinetic evaluation. One patient was enrolled to Part A, Arm 2 but PK parameters could not be evaluated for this patient, as there were no post-dose samples taken for the patient recruited to this cohort.
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants12000
0.4 - 2 mg BI-1206 (Cohort 1, starting dose and first intra patient escalation dose)
NA
10 - 50 mg BI-1206 (Cohort 1, intra patient dose escalation)
84.2
100 mg BI-1206 (Cohort 2) Dose 1
81.0
100 mg BI-1206 (Cohort 2) Dose 4
126
8. Secondary Outcome
TitleMeasurement of Anti-drug Antibody (ADA) Response to BI-1206 During the BI-1206 Treatment Period Using ELISA
DescriptionPatients with true ADA response
Time FramePre dose at weeks 1, 5 and 8, maintenance phase and off-study visit.

Outcome Measure Data

Analysis Population Description
Anti-drug antibody response population
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants12100
Count of Participants [Participants]
0
0%
0
0%
9. Secondary Outcome
TitleMeasurement of Peripheral Blood B-lymphocyte Depletion During the BI-1206 Treatment Period Using Flow Cytometry.
DescriptionNumber of patients with B-lymphocyte depletion during BI-1206 treatment period.
Time FrameDuring induction phase (up to 8 weeks).

Outcome Measure Data

Analysis Population Description
B-lymphocyte depletion population
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants11000
Count of Participants [Participants]
0
0%
0
0%
10. Secondary Outcome
TitleAssessment of Best Disease Response According to Criteria for Malignant Lymphoma (Cheson, 2014) Waldenström Macroglobulinaemia Assessment Criteria (Owen 2013, Kimby 2006) or NCI Chronic Lymphocytic Leukaemia (CLL) Criteria (Hallek, 2008).
DescriptionTo look for signs of anti-tumour activity of BI-1206 alone and in combination in patients with relapsed or refractory B-cell malignancies
Time FrameResponse evaluated 4 weeks after last dose in induction phase, every 16 weeks during maintenance phase and at off-study.

Outcome Measure Data

Analysis Population Description
Response population
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants13100
Stable disease
3
23.1%
0
0%
Progressive disease
7
53.8%
0
0%
Not evaluable
3
23.1%
1
100%
11. Secondary Outcome
TitleMeasure Progression Free Survival at 1 Year After the First BI-1206 Administration on the Study for All Patients
DescriptionTo measure the time to disease progression and twelve month survival
Time FrameFrom first BI-1206 administration up to 12 months

Outcome Measure Data

Analysis Population Description
Progression free survival population
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants13100
Progression free & alive
2
15.4%
0
0%
Progressed, died or unknown
11
84.6%
1
100%
12. Secondary Outcome
TitleMeasure Overall Survival at 1 Year After the First BI-1206 Administration on the Study for All Patients
DescriptionTo measure the time to disease progression and twelve month survival
Time FrameFrom first BI-1206 administration up to 12 months. Participants whose last reported status was not death were censored.

Outcome Measure Data

Analysis Population Description
Overall survival population
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
Measure Participants5000
Mean (Full Range) [Days]
152.2

Adverse Events

Time FrameSafety data were collected from the date of written informed consent and continued for 125 days after the final administration of BI 1206 or rituximab
Adverse Event Reporting Description Trial terminated before part B opened. No patients in arm B.
Arm/Group TitlePart A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Arm/Group DescriptionBI-1206 given by IV infusion to all patients once weekly for a period of four weeks, patients will then have a follow-up period of four weeks (8 week period classified as induction therapy). BI-1206 single agent dose escalation phase: BI-1206 single agent dose escalation phase to determine the MTD or MAD and RP2D for evaluation of BI-1206.Arm 2, an investigation of combination treatment of BI-1206 with rituximab, involving an initial assessment of the appropriate dose of BI-1206 that can be given in combination with rituximab (combination dose escalation cohorts). Combination of BI-1206 with rituximab escalation phase: An investigation of combination treatment of BI-1206 with rituximab.Part B Arm 1, an expansion cohort of up to 25 patients treated with single agent BI-1206 at the RP2D as determined in Part A Arm 1. Expansion to include a minimum of 12 CLL patients and six MCL patients. BI-1206 single agent expansion phase: BI-1206 single agent expansion phase at the RP2D.Part B Arm 2, an expansion cohort of up to 25 patients treated with a combination of BI-1206 and rituximab at the RP2D as determined in Part A Arm 2. Expansion to include a minimum of 12 CLL patients and six MCL patients. Combination of BI-1206 with rituximab expansion phase: BI-1206 in combination with rituximab at the RP2D.
All Cause Mortality
Part A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Affected / at Risk (%)# EventsAffected / at Risk (%)# EventsAffected / at Risk (%)# EventsAffected / at Risk (%)# Events
Total1/13 (7.7%) 0/1 (0%) 0/0 (NaN) 0/0 (NaN)
Serious Adverse Events
Part A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Affected / at Risk (%)# EventsAffected / at Risk (%)# EventsAffected / at Risk (%)# EventsAffected / at Risk (%)# Events
Total10/13 (76.9%) 1/1 (100%) 0/0 (NaN) 0/0 (NaN)
Cardiac disorders
Atrial fibrillation1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Gastrointestinal disorders
Abdominal pain1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Diarrhoea1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
General disorders
Non-cardiac chest pain1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Infections and infestations
Abdominal abscess1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Lower respiratory tract infection1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Metapneumovirus infection1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Neutropenic sepsis1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Pneumonia2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Injury, poisoning and procedural complications
Infusion related reaction5/13 (38.5%) 111/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Metabolism and nutrition disorders
Hyperkalaemia1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hyperuricaemia1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Musculoskeletal and connective tissue disorders
Back pain1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Renal and urinary disorders
Acute kidney injury1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Respiratory, thoracic and mediastinal disorders
Dyspnoea1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Pleural effusion2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Respiratory failure1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Other (Not Including Serious) Adverse Events
Part A: Arm 1: BI-1206 Single Agent Dose Escalation PhasePart A: Arm 2: Combination of BI-1206 With Rituximab Escalation PhasePart B: Arm1: BI-1206 Single Agent Expansion PhasePart B: Arm 2: Combination of BI-1206 With Rituximab Expansion Phase
Affected / at Risk (%)# EventsAffected / at Risk (%)# EventsAffected / at Risk (%)# EventsAffected / at Risk (%)# Events
Total13/13 (100%) 1/1 (100%) 0/0 (NaN) 0/0 (NaN)
Blood and lymphatic system disorders
Anaemia4/13 (30.8%) 50/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Thrombocytopenia4/13 (30.8%) 50/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Cardiac disorders
Tachycardia4/13 (30.8%) 51/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Eye disorders
Blepharitis1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Cataract1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Normal tension glaucoma1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Periorbital oedema1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Vision blurred1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Gastrointestinal disorders
Abdominal distension1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Abdominal pain upper1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Constipation3/13 (23.1%) 40/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Diarrhoea4/13 (30.8%) 40/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Dry mouth1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Dyspepsia2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Flatulence1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Lip swelling1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Nausea5/13 (38.5%) 60/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Vomiting2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
General disorders
Chest discomfort1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Chills6/13 (46.2%) 70/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Fatigue8/13 (61.5%) 90/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Feeling cold1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Feeling hot2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Non-cardiac chest pain3/13 (23.1%) 30/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Oedema peripheral3/13 (23.1%) 30/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Pain1/13 (7.7%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Pyrexia5/13 (38.5%) 60/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Infections and infestations
Folliculitis2/13 (15.4%) 30/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Lower respiratory tract infection1/13 (7.7%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Rhinitis1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Upper respiratory tract infection1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Urinary tract infection2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Injury, poisoning and procedural complications
Fall1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Infusion related reaction9/13 (69.2%) 301/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Investigations
Alanine aminotransferase increased2/13 (15.4%) 21/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Aspartate aminotransferase increased1/13 (7.7%) 11/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Blood creatinine increased1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Blood immunoglobulin G decreased1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Body temperature increased2/13 (15.4%) 30/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
C-reactive protein increased2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
CD4 lymphocytes decreased1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Oxygen saturation decreased1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Platelet count decreased2/13 (15.4%) 21/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Serum ferritin increased1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Weight decreased1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Metabolism and nutrition disorders
Decreased appetite1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Gout1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hyperglycaemia1/13 (7.7%) 11/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Hypomagnesaemia1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hypophosphataemia1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Musculoskeletal and connective tissue disorders
Arthralgia1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Back pain3/13 (23.1%) 50/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Flank pain2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Muscle spasms1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Myalgia1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Neck pain1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Nervous system disorders
Dizziness2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Headache2/13 (15.4%) 60/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Lethargy1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Paraesthesia2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Presyncope3/13 (23.1%) 40/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Psychiatric disorders
Anxiety1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Respiratory, thoracic and mediastinal disorders
Cough2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Dyspnoea1/13 (7.7%) 11/1 (100%) 21/0 (Infinity) 21/0 (Infinity) 2
Hypoxia2/13 (15.4%) 70/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Oropharyngeal pain1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Wheezing1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Skin and subcutaneous tissue disorders
Dry skin1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hair texture abnormal1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hyperhidrosis1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Night sweats2/13 (15.4%) 20/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Palmar erythema1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Pruritus2/13 (15.4%) 80/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Rash maculo-papular2/13 (15.4%) 30/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Urticaria8/13 (61.5%) 251/1 (100%) 21/0 (Infinity) 21/0 (Infinity) 2
Palmar-plantar erythrodysaesthesia syndrome0/13 (0%) 01/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Vascular disorders
Flushing5/13 (38.5%) 120/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hot flush1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hypertension4/13 (30.8%) 80/1 (0%) 00/0 (NaN) 00/0 (NaN) 0
Hypotension6/13 (46.2%) 111/1 (100%) 11/0 (Infinity) 11/0 (Infinity) 1
Pallor1/13 (7.7%) 10/1 (0%) 00/0 (NaN) 00/0 (NaN) 0

Limitations/Caveats

The trial was terminated early by the Sponsor based on a strategic decision and not a safety related decision. At the time of trial termination, 14 patients had received BI-1206. No patients received rituximab. As a result of the early termination Part B of the trial did not open.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/TitleRegulatory Affairs Manager
OrganizationCancer Research UK Centre for Drug Development
Phone+44 203 4696878
Emailregulatory@cancer.org.uk
Responsible Party:
Cancer Research UK
ClinicalTrials.gov Identifier:
NCT02933320
Other Study ID Numbers:
  • CRUKD16001
  • 2015-004999-29
First Posted:
Oct 14, 2016
Last Update Posted:
Jul 8, 2021
Last Verified:
Jun 1, 2021