A Phase 1/2 interventional study of afatinib in Neuroectodermal Tumors and Rhabdomyosarcoma, sponsored by Boehringer Ingelheim. Completed at 28 sites in 12 countries. Open to participants aged 1 Year to 18 Years. Per ClinicalTrials.gov, last updated 2021-03-04.
Sponsored by Boehringer Ingelheim · Phase 1/2, Interventional, and Treatment
Open-label, dose escalation, monotherapy, basket trial with biomarker specific MTD expansion cohort/Phase II part.
The trial will consist of 2 parts:
29 studies on the registry are indexed under Neuroectodermal Tumors; 6 are open to participants now.
This study's enrollment of 56 is above the median of 37 across 21 interventional studies indexed under Neuroectodermal Tumors.
Browse Neuroectodermal Tumors studies →Boehringer Ingelheim is the lead sponsor of 2,304 studies on the registry; 62 are open to participants now.
Of its 167 completed or terminated interventional studies of FDA-regulated products, 123 (74%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.
A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.
Studies often ask for 60 or 70 and above. Your doctor gives the score.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Relapsed and refractory
Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Karnofsky performance status (KPS)
A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.
Studies often ask for 60 or 70 and above. Your doctor gives the score.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
dose escalation
Drug: afatinib
Number of Participants With Objective Response - Maximum Tolerated Dose Expansion (MTD) Cohort
Number of participants with objective response for maximum tolerated dose expansion (MTD) cohort was reported. The objective response was defined as a best overall response of complete response or partial response based on investigator's assessment according to the institutional response evaluation criteria for the given tumour type, assessed every 8 weeks until progression.
Time frame: Assessed every 8 weeks until progression of disease, up to 336 days.
Area Under the Curve Over Dosing Interval τ at Steady State (AUCτ,ss) - Dose Finding Part
Area under the curve over dosing interval τ at steady state (AUCτ,ss) for Dose finding part was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration at steady state on Day 8.
Maximum Measured Concentration of the Analyte in Plasma at Steady State (Cmax,ss) - Dose Finding Part
Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss) for Dose finding part was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration at steady state on Day 8.
Number of Participants With Dose Limiting Toxicity Adverse Events - Dose Finding Part
Number of participants with Dose Limiting Toxicity adverse events for Dose finding part was reported.
Time frame: During the first course (28 days) of treatment.
Number of Participants With Objective Response - Dose Finding Part
Number of participants with objective response for Dose finding part was reported. The objective response was defined as a best overall response of complete response or partial response based on investigator's assessment according to the institutional response evaluation criteria for the given tumour type, assessed every 8 weeks until progression.
Time frame: Assessed every 8 weeks until progression of disease, up to 336 days.
Progression Free Survival - Maximum Tolerated Dose (MTD) Expansion Cohort
Progression free survival for the MTD expansion cohorts was reported. Progression free survival (PFS) was defined as the duration from the date of first treatment until the date of the first documented progression or death due to any cause. If a patient did not have an event, PFS was censored at the date of last adequate tumour assessment.
Time frame: From the first treatment until date of first progression or death, up to 336 days.
Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to 24 Hours (AUC0-24) - Dose Finding Part
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 24 hours (AUC0-24) for Dose finding part was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration on Day 1.
Maximum Measured Concentration (Cmax) - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort
Maximum measured concentration (Cmax) for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration on Day 1.
Time From (Last) Dosing to the Maximum Measured Concentration (Tmax) - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort
Time from (last) dosing to the maximum measured concentration (tmax) for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration on Day 1.
Time From (Last) Dosing to the Maximum Measured Concentration at Steady State (Tmax,ss) - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort
Time from (last) dosing to the maximum measured concentration at steady state (tmax,ss) for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration at steady state on Day 8.
Accumulation (or Effective) Half-life - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort
Accumulation (or effective) half-life for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration at steady state on Day 8.
Duration of Objective Response - Maximum Tolerated Dose (MTD) Expansion Cohort
Duration of objective response in maximum tolerated dose expansion (MTD) cohort was reported. The objective response was defined as a best overall response of complete response or partial response based on investigator's assessment according to the institutional response evaluation criteria for the given tumour type, assessed every 8 weeks until progression.
Time frame: From first documented response until the earliest of disease progression or death, up to 336 days.
Area Under the Curve Over Dosing Interval τ at Steady State (AUCτ,ss) - Maximum Tolerated Dose (MTD) Expansion Cohort
Area under the curve over dosing interval τ at steady state (AUCτ,ss) in maximum tolerated dose (MTD) expansion cohort was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration at steady state on Day 8.
Maximum Measured Concentration of the Analyte in Plasma at Steady State (Cmax,ss) - Maximum Tolerated Dose (MTD) Expansion Cohort
Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss) in maximum tolerated dose (MTD) expansion cohort was reported.
Time frame: Pre-dose before afatinib administration then 1 hour (h), 2 h, 3 h, 4 h, 5 h, 6 h, 8 h and 24 h after administration at steady state on Day 8.
Phase I/II open label, dose escalation trial to determine the Maximum tolerated dose (MTD), safety, Pharmacokinetics (PK) and efficacy of afatinib monotherapy in children aged ≥1 year to \<18 years with recurrent/refractory neuroectodermal tumours, rhabdomyosarcoma and/or other solid tumours with known ErbB pathway deregulation regardless of tumour histology.
| Milestone | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|---|---|
| Started | 8 | 9 | 39 |
| Completed | 0 | 0 | 0 |
| Not completed | 8 | 9 | 39 |
| Withdrew: Progressive disease | 8 | 7 | 34 |
| Withdrew: Dose limiting toxicity | 0 | 1 | 0 |
| Withdrew: Adverse event | 0 | 0 | 3 |
| Withdrew: Withdrawal by subject | 0 | 1 | 1 |
| Withdrew: Other reason for not completing | 0 | 0 | 1 |
Number of participants with objective response for maximum tolerated dose expansion (MTD) cohort was reported. The objective response was defined as a best overall response of complete response or partial response based on investigator's assessment according to the institutional response evaluation criteria for the given tumour type, assessed every 8 weeks until progression.
| Participants | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|
| Number of Participants With Objective Response - Maximum Tolerated Dose Expansion (MTD) Cohort | 3 |
Area under the curve over dosing interval τ at steady state (AUCτ,ss) for Dose finding part was reported.
| hours times nanogram per milliliter | Dose Finding - Level 0 | Dose Finding - Level 1 |
|---|---|---|
| Area Under the Curve Over Dosing Interval τ at Steady State (AUCτ,ss) - Dose Finding Part | 681 ± 43.8 | 1380 ± 29.0 |
Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss) for Dose finding part was reported.
| nanogram per mililiter | Dose Finding - Level 0 | Dose Finding - Level 1 |
|---|---|---|
| Maximum Measured Concentration of the Analyte in Plasma at Steady State (Cmax,ss) - Dose Finding Part | 53.0 ± 48.8 | 115 ± 39.3 |
Number of participants with Dose Limiting Toxicity adverse events for Dose finding part was reported.
| Participants | Dose Finding - Level 0 | Dose Finding - Level 1 |
|---|---|---|
| Number of Participants With Dose Limiting Toxicity Adverse Events - Dose Finding Part | 1 | 2 |
Number of participants with objective response for Dose finding part was reported. The objective response was defined as a best overall response of complete response or partial response based on investigator's assessment according to the institutional response evaluation criteria for the given tumour type, assessed every 8 weeks until progression.
| Participants | Dose Finding - Level 0 | Dose Finding - Level 1 |
|---|---|---|
| Number of Participants With Objective Response - Dose Finding Part | 0 | 0 |
Progression free survival for the MTD expansion cohorts was reported. Progression free survival (PFS) was defined as the duration from the date of first treatment until the date of the first documented progression or death due to any cause. If a patient did not have an event, PFS was censored at the date of last adequate tumour assessment.
| Months | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|
| Progression Free Survival - Maximum Tolerated Dose (MTD) Expansion Cohort | 8.0 (6.4 to 8.29) |
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 24 hours (AUC0-24) for Dose finding part was reported.
| hours times nanogram per mililiter | Dose Finding - Level 0 | Dose Finding - Level 1 |
|---|---|---|
| Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to 24 Hours (AUC0-24) - Dose Finding Part | 383 ± 46.4 | 512 ± 40.6 |
Maximum measured concentration (Cmax) for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
| nanogram per mililiter | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|---|---|
| Maximum Measured Concentration (Cmax) - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort | 36.4 ± 55.9 | 43.8 ± 61.2 | 30.5 ± 90.3 |
Time from (last) dosing to the maximum measured concentration (tmax) for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
| Hours | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|---|---|
| Time From (Last) Dosing to the Maximum Measured Concentration (Tmax) - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort | 3.02 (2.00 to 6.00) | 3.43 (2.00 to 6.02) | 3.98 (1.00 to 8.00) |
Time from (last) dosing to the maximum measured concentration at steady state (tmax,ss) for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
| Hours | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|---|---|
| Time From (Last) Dosing to the Maximum Measured Concentration at Steady State (Tmax,ss) - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort | 3.00 (2.00 to 6.00) | 2.75 (2.00 to 5.05) | 4.17 (2.00 to 8.00) |
Accumulation (or effective) half-life for Dose finding part/maximum tolerated dose (MTD) expansion cohort was reported.
| hours | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|---|---|
| Accumulation (or Effective) Half-life - Dose Finding Part/Maximum Tolerated Dose (MTD) Expansion Cohort | 18.7 ± 44.3 | 31.0 ± 56.7 | 30.3 ± 83.6 |
Duration of objective response in maximum tolerated dose expansion (MTD) cohort was reported. The objective response was defined as a best overall response of complete response or partial response based on investigator's assessment according to the institutional response evaluation criteria for the given tumour type, assessed every 8 weeks until progression.
| Days | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|
| Duration of Objective Response - Maximum Tolerated Dose (MTD) Expansion Cohort | 62 (57 to 170) |
Area under the curve over dosing interval τ at steady state (AUCτ,ss) in maximum tolerated dose (MTD) expansion cohort was reported.
| hours times nanogram per milliliter | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|
| Area Under the Curve Over Dosing Interval τ at Steady State (AUCτ,ss) - Maximum Tolerated Dose (MTD) Expansion Cohort | 780 ± 60.7 |
Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss) in maximum tolerated dose (MTD) expansion cohort was reported.
| nanogram per mililiter | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|
| Maximum Measured Concentration of the Analyte in Plasma at Steady State (Cmax,ss) - Maximum Tolerated Dose (MTD) Expansion Cohort | 52.5 ± 61.0 |
Collected over From the first drug administration until end of study, up to 336 days.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dose Finding - Level 0 | 8/8 (100%) | 7/8 (87.5%) | 8/8 (100%) |
| Dose Finding - Level 1 | 9/9 (100%) | 6/9 (66.7%) | 9/9 (100%) |
| Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 | 29/39 (74.4%) | 20/39 (51.3%) | 38/39 (97.4%) |
| Event | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|---|---|
| VomitingGastrointestinal disorders | 3/8 | 2/9 | 2/39 |
| HeadacheNervous system disorders | 3/8 | 1/9 | 0/39 |
| DiarrhoeaGastrointestinal disorders | 0/8 | 3/9 | 0/39 |
| Decreased appetiteMetabolism and nutrition disorders | 0/8 | 2/9 | 0/39 |
| BlindnessEye disorders | 1/8 | 0/9 | 0/39 |
| Abdominal painGastrointestinal disorders | 1/8 | 0/9 | 0/39 |
| General physical health deteriorationGeneral disorders | 1/8 | 0/9 | 0/39 |
| PyrexiaGeneral disorders | 1/8 | 1/9 | 2/39 |
| Gastroenteritis viralInfections and infestations | 1/8 | 0/9 | 1/39 |
| HemiparesisNervous system disorders | 1/8 | 0/9 | 1/39 |
| Event | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 |
|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 6/8 | 6/9 | 30/39 |
| ConstipationGastrointestinal disorders | 6/8 | 1/9 | 4/39 |
| VomitingGastrointestinal disorders | 3/8 | 6/9 | 16/39 |
| Abdominal painGastrointestinal disorders | 4/8 | 2/9 | 8/39 |
| FatigueGeneral disorders | 4/8 | 1/9 | 10/39 |
| EpistaxisRespiratory, thoracic and mediastinal disorders | 4/8 | 1/9 | 7/39 |
| Dry skinSkin and subcutaneous tissue disorders | 2/8 | 4/9 | 10/39 |
| NauseaGastrointestinal disorders | 1/8 | 2/9 | 15/39 |
| AnaemiaBlood and lymphatic system disorders | 3/8 | 1/9 | 7/39 |
| Dry eyeEye disorders | 3/8 | 0/9 | 3/39 |
Treated set (TS) This patient set included all patients enrolled in the trial who were documented to have taken at least one dose of study medication.
| Age, Continuous(Years) | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 | Total |
|---|---|---|---|---|
| Mean | 9.75 ± 4.83 | 10.44 ± 5.29 | 10.92 ± 4.44 | 10.68 ± 4.57 |
| Sex: Female, Male(Participants) | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 | Total |
|---|---|---|---|---|
| Female | 4 | 4 | 16 | 24 |
| Male | 4 | 5 | 23 | 32 |
| Ethnicity (NIH/OMB)(Participants) | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 | Total |
|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 4 | 5 | 37 | 46 |
| Unknown or Not Reported | 4 | 4 | 2 | 10 |
| Race (NIH/OMB)(Participants) | Dose Finding - Level 0 | Dose Finding - Level 1 | Maximum Tolerated Dose (MTD) Expansion Cohort - Level 0 | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 1 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 2 | 2 |
| White | 3 | 4 | 29 | 36 |
| More than one race | 1 | 0 | 0 | 1 |
| Unknown or Not Reported | 4 | 5 | 7 | 16 |
PDFs hosted by the registry, ClinicalTrials.gov.
Ran from Apr 2015 to primary completion in Aug 2020, 63 months.
Results were first posted in Mar 2021, 6 months after primary completion.
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Studies of the drug tested here: Afatinib