Table 2.
Patients with DLBCL (phase Ia extension) and solid tumors (phase Ib expansion) experiencing grade ≥3 DLTs during the MTD evaluation and study treatment periods, respectively
| DLBCLa |
Dose |
Patient reference number |
DLT |
Duration |
Grade |
Action |
Therapy |
Outcome |
Serious |
|---|---|---|---|---|---|---|---|---|---|
| Phase Ia extension (DLBCL): total patients with DLTs on BI 894999 (schedule B; 1.5 mg, n = 1; 2.0 mg, n = 1; 2.5 mg, n = 2) | |||||||||
| 1.5 mg | #605 | Increased troponin | 5 days | 3 | None | No | Recovered | No | |
| 2.0 mg | #130 | Thrombocytopenia | 11 days | 4 | Discontinued | No | Not recovered | No | |
| 2.5 mg | #233 | Thrombocytopenia | 5 days | 4 | Reduced dose | Yes | Not recovered | No | |
| #402 | Sepsis | 6 days | 4 | Reduced dose | Yes | Recovered | Immediately life-threatening; required hospitalization | ||
| Febrile neutropenia | 7 days | 3 | Reduced dose | Yes | Recovered | Required hospitalization | |||
| Thrombocytopenia | 2 days | 4 | Reduced dose | Yes | Not recovered | No | |||
| Phase Ib expansion: total patients with DLTs on BI 894999 (schedule B; 2.5 mg), n = 14 | ||||||||
|---|---|---|---|---|---|---|---|---|
| Tumor type | Patient reference number | DLT | Duration | Grade | Action | Therapy | Outcome | Serious |
| SCLC | #303 | Laryngeal inflammation | — | 3 | Discontinued | Yes | Unknown | Required hospitalization |
| Thrombocytopenia | — | 4 | None | Yes | Unknown | Required hospitalization | ||
| #132 | Thrombocytopenia | 4 days | 4 | Discontinued | Yes | Not recovered | No | |
| Decreased appetite | 9 days | 3 | None | No | Recovered | No | ||
| Fatigue | — | 3 | None | No | Not recovered | No | ||
| Troponin T increased | 11 days | 3 | None | No | Recovered | No | ||
| #505 | Thrombocytopenia | 6 days | 4 | None | Yes | Not recovered | Required hospitalization | |
| CRC | #129 | Dermatitis acneiform | — | 3 | None | Yes | Unknown | Required hospitalization |
| #417 | Thrombocytopenia | — | 4 | None | No | Not recovered | No | |
| mCRPC | #230 | Thrombocytopenia | 40 days | 4 | Reduced dose | Yes | Not recovered | No |
| #231 | Thrombocytopenia | 4 days | 4 | Reduced dose | No | Not recovered | No | |
| #308 | Decreased platelet count | 4 days | 4 | Reduced dose | Yes | Not recovered | Required hospitalization | |
| #403 | Troponin T increased | — | 3 | None | No | Unknown | No | |
| #406 | Thrombocytopenia | 3 days | 4 | None | No | Not recovered | No | |
| Stomatitis | — | 3 | None | Yes | Not recovered | No | ||
| #408 | Nausea | — | 3 | Discontinued | Yes | Not recovered | Required hospitalization | |
| Decreased appetite | 8 days | 3 | None | No | Recovered | No | ||
| Hypophosphatemia | 12 days | 3 | Reduced dose | Yes | Recovered | Required hospitalization | ||
| #414 | Thrombocytopenia | 22 days | 4 | Discontinued | No | Not recovered | No | |
| NUT carcinoma | #851 | Decreased platelet count | — | 4 | Reduced dose | No | Not recovered | Required hospitalization |
| #854 | Decreased platelet count | 6 days | 4 | None | No | Not recovered | Other | |
| Phase Ib expansion: total patients with DLTs on BI 894999 (schedule C; 6.0/3.0 mg), n = 3 | ||||||||
|---|---|---|---|---|---|---|---|---|
| NUT carcinoma | #1840007004 | Pleural effusion | 3 days | 3 | None | Yes | Recovered | Required hospitalization |
| Fatigue | 16 days | 3 | None | No | Not recovered | No | ||
| #816 | Fatigue | 36 days | 3 | Reduced dose | No | Not recovered | No | |
| Diarrhea | 3 days | 3 | Reduced dose | Yes | Not recovered | No | ||
| #857 | Decreased platelet count | — | 4 | None | Yes | Not recovered | Required hospitalization/prolonged hospitalization | |
CRC, colorectal cancer; DLBCL, diffuse large B-cell lymphoma; DLT, dose-limiting toxicity; mCRPC, metastatic castration-resistant prostate cancer; MTD, maximum tolerated dose; NUT, nuclear protein in testis; SCLC, small-cell lung cancer.
No DLBCL patients on schedule C experienced DLTs on BI 894999.