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A Study to Test Different Doses of BI 3011441 in Japanese People With Different Types of Advanced Cancer (NRAS/KRAS Mutation Positive)

A Phase I Open-label Trial of BI 3011441 in Japanese Patients With NRAS/KRAS Mutation Positive Advanced, Unresectable or Metastatic Refractory Solid Tumours

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04742556
Enrollment
15
Registered
2021-02-08
Start date
2021-03-15
Completion date
2022-10-20
Last updated
2024-09-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Solid Tumors, KRAS Mutation

Brief summary

This study is open to Japanese adults with different types of advanced cancer that are positive for NRAS/KRAS mutations. This is a study in people for whom previous treatment was not successful or no standard treatment exists. The purpose of this study is to find the highest dose of BI 3011441 that Japanese people with advanced cancer can tolerate. BI 3011441 is a medicine that may turn off a signal by NRAS/KRAS that makes tumours grow. Participants take BI 3011441 as capsules once a day. Participants can stay in the study as long as they benefit from treatment and can tolerate it. The doctors collect information on any health problems of the participants.

Interventions

BI 3011441

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Must be at least 20 years of age at screening. * Signed and dated written informed consent in accordance with Good Clinical Practice(GCP) and local legislation prior to admission to the trial. * Pathologically documented, locally-advanced or metastatic malignancy with previously identified activating Neuroblastoma RAS viral (v-ras) oncogene homolog (NRAS) or Kirsten rat sarcoma viral oncogene homologue (KRAS) mutation based on local test. * Provision of archival tumor tissue, if available, to confirm retrospectively NRAS or KRAS mutation status and for biomarker assessment. * Willingness to undergo pre- and on-treatment tumour biopsies for pharmacodynamics and biomarker assessment. Patients can be enrolled without tumour biopsy upon agreement between the Investigator and the Sponsor if tumour biopsy is not feasible (Apply only to study site which agreed to conduct biopsy). * Must have either progressed despite appropriate prior standard therapies or for whom no standard therapy exists for their tumour type and disease stage * Must have at least one target lesion that can be measured per Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 * Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Further inclusion criteria apply.

Exclusion criteria

* Previous anticancer chemotherapy within 3 weeks of the first administration of trial drug. Previous anticancer hormonal treatment or anticancer immunotherapy within 2 weeks of the first administration of trial drugs. * Radiotherapy within 4 weeks prior to first administration of BI 3011441 except as follows * Palliative radiotherapy to regions other than the chest is allowed up to 2 weeks prior to start of treatment * Single dose palliative radiotherapy for symptomatic metastasis within 2 weeks prior to start of treatment may be allowed but must be discussed with the sponsor. * Major surgery within 4 weeks prior to start of treatment or scheduled during the projected course of the trial * Previous treatment with a Rat sarcoma (RAS), Mitogen-activated protein kinase (MAPK) targeting agent * Previous treatment with any investigational agent(s) or targeted treatment within 4 weeks (28 days) prior to start of trial drug or concurrent participation in another clinical trial with an investigational device or drug. * Any history of or concomitant condition that, in the opinion of the investigator, would compromise the patient's ability to comply with the study or interfere with the evaluation of the efficacy and safety of the study medications * Patients who have a history or current evidence/risk of retinal vein occlusion (RVO) or retinal pigment epithelial detachment or central serous retinopathy; for example, predisposing factors of RVO or central serous retinopathy include uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes. * Patients who have visible retinal pathology that is considered a risk factor for RVO or central serous retinopathy as assessed by ophthalmic examination, such as: * Evidence of new optic disc cupping * Evidence of new visual field defects * Intraocular pressure \>21 mm Hg History or presence of cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure New York Heart Association (NYHA) classification of ≥2, unstable angina or poorly controlled arrhythmia which are considered as clinically relevant by the investigator; Myocardial infarction within 6 months prior to start of treatment. Uncontrolled hypertension is defined as: Blood pressure (BP) measured in a rested and relaxed condition, where systolic BP \>=140 mmHg, or diastolic BP \>= 90 mmHg, with or without medication. Further

Design outcomes

Primary

MeasureTime frameDescription
Number of Patients With DLTs in the MTD Evaluation PeriodFirst treatment cycle, the first 28 days following the start of trial medication.Number of participants with Dose limiting toxicities (DLT) occurring during the first treatment cycle (first 4 weeks). DLT was defined as any of the following adverse events related to the treatment: * Haematologic toxicities: * Neutropenia Grade 4 lasting for \>7 days days without documented infection * Neutropenia Grade ≥3 with documented infection * Grade ≥3 febrile neutropenia * Grade 4 neutropenia defined as life-threatening consequences or urgent intervention indicated * Grade 5 neutropenia defined as a fatal neutropenia * Grade 3 thrombocytopenia associated with bleeding
Maximum Tolerated Dose (MTD) of BI 3011441 MonotherapyFirst treatment cycle, the first 28 days following the start of trial medication.Maximum tolerated dose (MTD) of BI 3011441 monotherapy. The MTD was defined as the highest dose with less than 25% risk of the true dose-limiting toxicity (DLT) rate being equal or above 0.33 (EWOC criterion) during the MTD evaluation period. The analysis of the MTD was based on a Bayesian 2-parameter logistic regression model (BLRM) with overdose control.

Secondary

MeasureTime frameDescription
Number of Patients With DLTs During the Entire On-treatment PeriodFrom first BI 3011441 intake until last BI 3011441 intake + 30 days of Residual effect period (REP), up to 373 days.Number of participants with Dose limiting toxicities (DLT) occurring during the first treatment cycle (first 4 weeks). DLT was defined as any of the following adverse events related to the treatment: * Haematologic toxicities: * Neutropenia Grade 4 lasting for \>7 days days without documented infection * Neutropenia Grade ≥3 with documented infection * Grade ≥3 febrile neutropenia * Grade 4 neutropenia defined as life-threatening consequences or urgent intervention indicated * Grade 5 neutropenia defined as a fatal neutropenia * Grade 3 thrombocytopenia associated with bleeding
Number of Patients With Grade ≥3 Treatment-related Adverse EventsFrom first BI 3011441 intake until last BI 3011441 intake + 30 days of Residual effect period (REP), up to 373 days.Number of participants with Grade ≥3 treatment-related adverse events is reported. The severity of AEs were assessed according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. The CTCAE grades are Grade 3 (severe AE), 4 (life-threatening or disabling AE), 5 (death related to AE).
Number of Patients With Treatment Related Adverse EventsFrom first BI 3011441 intake until last BI 3011441 intake + 30 days of Residual effect period (REP), up to 373 days.Number of participants with drug-related adverse events (AEs) analysed as investigator defined drug-related AEs is presented. Medical judgment was used to determine the relationship between the AEs and the study medication, considering all relevant factors, including pattern of reaction, temporal relationship, de-challenge or re-challenge, confounding factors such as concomitant medication, concomitant diseases and relevant history.
Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz)Cycle 1: Day 1: Within 5 minutes (min) before and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 2 : Within 5 minutes (min) before dosing on Day 2.Area under the concentration-time curve of BI 3011441 in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz) is reported.
Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point at Steady State (AUC0-tz,ss)Cycle 1: Day 15: Within 5 minutes (min) before drug administration on Day 15, and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 16 : Within 5 minutes (min) before dosing on Day 16.Area under the concentration-time curve of BI 3011441 in plasma over the time interval from 0 to the last quantifiable data point at steady state (AUC0-tz,ss) is reported.
Maximum Measured Concentration of BI 3011441 in Plasma After First Dose (Cmax)Cycle 1: Day 1: Within 5 minutes (min) before and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 2 : Within 5 minutes (min) before dosing on Day 2.Maximum measured concentration of BI 3011441 in plasma (Cmax) is reported.
Maximum Measured Concentration of BI 3011441 in Plasma at Steady State (Cmax,ss)Cycle 1: Day 15: Within 5 minutes (min) before drug administration on Day 15, and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 16 : Within 5 minutes (min) before dosing on Day 16.Maximum measured concentration of BI 3011441 in plasma at steady state (Cmax,ss) is reported. PK samples were collected at the following timepoints.

Countries

Japan

Participant flow

Recruitment details

This study was a phase 1, open-label trial of BI 3011441 monotherapy dose escalation of Maximum tolerated dose (MTD) determination in Japanese patients with Neuroblastoma RAS viral (v-ras) oncogene homolog (NRAS)/Kirsten rat sarcoma viral oncogene homologue (KRAS) mutation positive advanced for whom previous treatment was not successful or no standard treatment exists, unresectable or metastatic refractory solid tumours.

Pre-assignment details

All subjects were screened for eligibility prior to participation in the trial. Subjects attended a specialist site which ensured that they (the subjects) strictly met all inclusion and none of the exclusion criteria. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated.

Participants by arm

ArmCount
4 mg BI 3011441
The patients were administered 4 milligram (mg) BI 3011441 soft capsule once daily during 4 weeks with water limited to a maximum of 100 milliliters (mL) per capsules, taken without food, at least 1 hour before a meal or 1 hour after a meal. Patients continued the treatment until undue drug toxicity, disease progression, or withdrawal of consent, whichever occurred first.
3
6 mg BI 3011441
The patients were administered 6 milligram (mg) BI 3011441 soft capsule once daily during 4 weeks with water limited to a maximum of 100 milliliters (mL) per capsules, taken without food, at least 1 hour before a meal or 1 hour after a meal. Patients continued the treatment until undue drug toxicity, disease progression, or withdrawal of consent, whichever occurred first.
4
8 mg BI 3011441
The patients were administered 8 milligram (mg) BI 3011441 soft capsule once daily during 4 weeks with water limited to a maximum of 100 milliliters (mL) per capsules, taken without food, at least 1 hour before a meal or 1 hour after a meal. Patients continued the treatment until undue drug toxicity, disease progression, or withdrawal of consent, whichever occurred first.
8
Total15

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event002
Overall StudyClinical disease progression012
Overall StudyObjective disease progression324
Overall StudyWithdrawal by Subject010

Baseline characteristics

Characteristic4 mg BI 30114416 mg BI 30114418 mg BI 3011441Total
Age, Continuous60.0 Years
STANDARD_DEVIATION 13.9
55.5 Years
STANDARD_DEVIATION 13.3
49.5 Years
STANDARD_DEVIATION 13.8
53.2 Years
STANDARD_DEVIATION 13.4
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants4 Participants8 Participants15 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
3 Participants4 Participants8 Participants15 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Female
1 Participants1 Participants4 Participants6 Participants
Sex: Female, Male
Male
2 Participants3 Participants4 Participants9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
1 / 30 / 40 / 8
other
Total, other adverse events
3 / 34 / 48 / 8
serious
Total, serious adverse events
1 / 34 / 46 / 8

Outcome results

Primary

Maximum Tolerated Dose (MTD) of BI 3011441 Monotherapy

Maximum tolerated dose (MTD) of BI 3011441 monotherapy. The MTD was defined as the highest dose with less than 25% risk of the true dose-limiting toxicity (DLT) rate being equal or above 0.33 (EWOC criterion) during the MTD evaluation period. The analysis of the MTD was based on a Bayesian 2-parameter logistic regression model (BLRM) with overdose control.

Time frame: First treatment cycle, the first 28 days following the start of trial medication.

Population: Maximum tolerated dose (MTD) evaluation set: Included all patients from the treated set who were not replaced and were evaluable for the MTD evaluation. Only evaluable for DLTs patients were considered in the analysis.

ArmMeasureValue (NUMBER)
4 mg BI 3011441Maximum Tolerated Dose (MTD) of BI 3011441 MonotherapyNA milligram (mg)
Primary

Number of Patients With DLTs in the MTD Evaluation Period

Number of participants with Dose limiting toxicities (DLT) occurring during the first treatment cycle (first 4 weeks). DLT was defined as any of the following adverse events related to the treatment: * Haematologic toxicities: * Neutropenia Grade 4 lasting for \>7 days days without documented infection * Neutropenia Grade ≥3 with documented infection * Grade ≥3 febrile neutropenia * Grade 4 neutropenia defined as life-threatening consequences or urgent intervention indicated * Grade 5 neutropenia defined as a fatal neutropenia * Grade 3 thrombocytopenia associated with bleeding

Time frame: First treatment cycle, the first 28 days following the start of trial medication.

Population: Maximum tolerated dose (MTD) evaluation set: Included all patients from the treated set who were not replaced and were evaluable for the MTD evaluation. Only patients with evaluable DLTs are reported.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
4 mg BI 3011441Number of Patients With DLTs in the MTD Evaluation Period0 Participants
6 mg BI 3011441EditNumber of Patients With DLTs in the MTD Evaluation Period0 Participants
8 mg BI 3011441Number of Patients With DLTs in the MTD Evaluation Period2 Participants
Comparison: Probability of true DLT rate was determined using a Bayesian 2-parameter logistic regression model with overdose control.
Comparison: Probability of true DLT rate was determined using a Bayesian 2-parameter logistic regression model with overdose control.
Comparison: Probability of true DLT rate was determined using a Bayesian 2-parameter logistic regression model with overdose control.
Secondary

Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point at Steady State (AUC0-tz,ss)

Area under the concentration-time curve of BI 3011441 in plasma over the time interval from 0 to the last quantifiable data point at steady state (AUC0-tz,ss) is reported.

Time frame: Cycle 1: Day 15: Within 5 minutes (min) before drug administration on Day 15, and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 16 : Within 5 minutes (min) before dosing on Day 16.

Population: Pharmacokinetic parameter analysis set (PKS): Includes all subjects in the treated set who provided at least one evaluable observation for at least one PK endpoint and were not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability. Only participants with evaluable results for this PK parameter are reported.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
4 mg BI 3011441Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point at Steady State (AUC0-tz,ss)505 hour * nanomol/ milliliter (h*nmol/mL)Geometric Coefficient of Variation 8.89
6 mg BI 3011441EditArea Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point at Steady State (AUC0-tz,ss)973 hour * nanomol/ milliliter (h*nmol/mL)Geometric Coefficient of Variation 22.9
8 mg BI 3011441Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point at Steady State (AUC0-tz,ss)833 hour * nanomol/ milliliter (h*nmol/mL)Geometric Coefficient of Variation 54.7
Secondary

Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz)

Area under the concentration-time curve of BI 3011441 in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz) is reported.

Time frame: Cycle 1: Day 1: Within 5 minutes (min) before and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 2 : Within 5 minutes (min) before dosing on Day 2.

Population: Pharmacokinetic parameter analysis set (PKS): Includes all subjects in the treated set who provided at least one evaluable observation for at least one PK endpoint and were not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability. Only participants with evaluable results for this PK parameter are reported.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
4 mg BI 3011441Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz)246 hour * nanomol/ milliliter (h*nmol/mL)Geometric Coefficient of Variation 28.2
6 mg BI 3011441EditArea Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz)471 hour * nanomol/ milliliter (h*nmol/mL)Geometric Coefficient of Variation 35.3
8 mg BI 3011441Area Under the Concentration-time Curve of BI 3011441 in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz)704 hour * nanomol/ milliliter (h*nmol/mL)Geometric Coefficient of Variation 39.6
Secondary

Maximum Measured Concentration of BI 3011441 in Plasma After First Dose (Cmax)

Maximum measured concentration of BI 3011441 in plasma (Cmax) is reported.

Time frame: Cycle 1: Day 1: Within 5 minutes (min) before and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 2 : Within 5 minutes (min) before dosing on Day 2.

Population: Pharmacokinetic parameter analysis set (PKS): Includes all subjects in the treated set who provided at least one evaluable observation for at least one PK endpoint and were not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
4 mg BI 3011441Maximum Measured Concentration of BI 3011441 in Plasma After First Dose (Cmax)72.3 nanomol/ liter (nmol/L)Geometric Coefficient of Variation 11.8
6 mg BI 3011441EditMaximum Measured Concentration of BI 3011441 in Plasma After First Dose (Cmax)91.8 nanomol/ liter (nmol/L)Geometric Coefficient of Variation 27.1
8 mg BI 3011441Maximum Measured Concentration of BI 3011441 in Plasma After First Dose (Cmax)133 nanomol/ liter (nmol/L)Geometric Coefficient of Variation 32.6
Secondary

Maximum Measured Concentration of BI 3011441 in Plasma at Steady State (Cmax,ss)

Maximum measured concentration of BI 3011441 in plasma at steady state (Cmax,ss) is reported. PK samples were collected at the following timepoints.

Time frame: Cycle 1: Day 15: Within 5 minutes (min) before drug administration on Day 15, and 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h and optionally 12h. and Day 16 : Within 5 minutes (min) before dosing on Day 16.

Population: Pharmacokinetic parameter analysis set (PKS): Includes all subjects in the treated set who provided at least one evaluable observation for at least one PK endpoint and were not excluded due to a protocol deviation relevant to the evaluation of PK or due to PK non-evaluability. Only participants with evaluable results for this PK parameter are reported.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
4 mg BI 3011441Maximum Measured Concentration of BI 3011441 in Plasma at Steady State (Cmax,ss)73.5 nanomol/ liter (nmol/L)Geometric Coefficient of Variation 12.1
6 mg BI 3011441EditMaximum Measured Concentration of BI 3011441 in Plasma at Steady State (Cmax,ss)124 nanomol/ liter (nmol/L)Geometric Coefficient of Variation 37.2
8 mg BI 3011441Maximum Measured Concentration of BI 3011441 in Plasma at Steady State (Cmax,ss)130 nanomol/ liter (nmol/L)Geometric Coefficient of Variation 54.9
Secondary

Number of Patients With DLTs During the Entire On-treatment Period

Number of participants with Dose limiting toxicities (DLT) occurring during the first treatment cycle (first 4 weeks). DLT was defined as any of the following adverse events related to the treatment: * Haematologic toxicities: * Neutropenia Grade 4 lasting for \>7 days days without documented infection * Neutropenia Grade ≥3 with documented infection * Grade ≥3 febrile neutropenia * Grade 4 neutropenia defined as life-threatening consequences or urgent intervention indicated * Grade 5 neutropenia defined as a fatal neutropenia * Grade 3 thrombocytopenia associated with bleeding

Time frame: From first BI 3011441 intake until last BI 3011441 intake + 30 days of Residual effect period (REP), up to 373 days.

Population: Treated Set (TS): This set included all patients who were dispensed trial medication (BI 3011441) and were documented to have taken at least 1 dose of open-label trial medication (BI 3011441).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
4 mg BI 3011441Number of Patients With DLTs During the Entire On-treatment Period0 Participants
6 mg BI 3011441EditNumber of Patients With DLTs During the Entire On-treatment Period0 Participants
8 mg BI 3011441Number of Patients With DLTs During the Entire On-treatment Period2 Participants
Secondary

Number of Patients With Grade ≥3 Treatment-related Adverse Events

Number of participants with Grade ≥3 treatment-related adverse events is reported. The severity of AEs were assessed according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. The CTCAE grades are Grade 3 (severe AE), 4 (life-threatening or disabling AE), 5 (death related to AE).

Time frame: From first BI 3011441 intake until last BI 3011441 intake + 30 days of Residual effect period (REP), up to 373 days.

Population: Treated Set (TS): This set included all patients who were dispensed trial medication (BI 3011441) and were documented to have taken at least 1 dose of open-label trial medication (BI 3011441).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
4 mg BI 3011441Number of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 51 Participants
4 mg BI 3011441Number of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 40 Participants
4 mg BI 3011441Number of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 31 Participants
6 mg BI 3011441EditNumber of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 50 Participants
6 mg BI 3011441EditNumber of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 34 Participants
6 mg BI 3011441EditNumber of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 40 Participants
8 mg BI 3011441Number of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 41 Participants
8 mg BI 3011441Number of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 36 Participants
8 mg BI 3011441Number of Patients With Grade ≥3 Treatment-related Adverse EventsGrade 50 Participants
Secondary

Number of Patients With Treatment Related Adverse Events

Number of participants with drug-related adverse events (AEs) analysed as investigator defined drug-related AEs is presented. Medical judgment was used to determine the relationship between the AEs and the study medication, considering all relevant factors, including pattern of reaction, temporal relationship, de-challenge or re-challenge, confounding factors such as concomitant medication, concomitant diseases and relevant history.

Time frame: From first BI 3011441 intake until last BI 3011441 intake + 30 days of Residual effect period (REP), up to 373 days.

Population: Treated Set (TS): This set included all patients who were dispensed trial medication (BI 3011441) and were documented to have taken at least 1 dose of open-label trial medication (BI 3011441).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
4 mg BI 3011441Number of Patients With Treatment Related Adverse Events3 Participants
6 mg BI 3011441EditNumber of Patients With Treatment Related Adverse Events3 Participants
8 mg BI 3011441Number of Patients With Treatment Related Adverse Events8 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026