A Study to Test Different Doses of BI 3968621 When Given Alone or With Ezabenlimab in Patients With Advanced Cancer
Advanced Solid Tumour
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Interventional
- Phase
- Phase 1
- Age range
- 18 years - Not specified
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 90 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
This study is open to adults with advanced cancer that cannot be removed by surgery or have spread to other parts of the body. The purpose of this study is to find the highest and most suitable dose of BI 3968621 that people with advanced cancer can tolerate when taken alone or with ezabenlimab. Another purpose is to find out if taking these medicines can stop tumours from growing or make tumours shrink. In this study, BI 3968621 is given to people for the first time.
The study is done in 3 parts. The parts are called Part A, Part A2, and Part B. Participants get BI 3968621 alone or in combination with ezabenlimab depending on which part they are in. Part A is done to find the highest and the most suitable dose of BI 3968621 that people with advanced cancer can tolerate. Part A2 is done to find out if taking BI 3968621, at certain dose levels, can stop or slow down tumour growth in participants with kidney cancer. Part B is done to find out how BI 3968621 is tolerated when given with ezabenlimab. BI 3968621 is taken daily as tablets. Ezabenlimab is given as an infusion into a vein once every 3 weeks.
Participants can receive study treatment for up to 2 years if they benefit and can tolerate it. During this time, they visit the study site regularly. The number of visits depends on how participants respond to and tolerate the study treatment. Researchers look at the number of participants with certain severe health problems that happen within 3 weeks after the first study treatment. The study doctors check participants' health, take note of unwanted effects, take blood samples, and check how the cancer responds to study treatment.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
- Male and female participants ≥18 years of age and at least at the legal age of consent
- Patients with a histologically confirmed diagnosis of advanced, unresectable, and/or metastatic solid tumours (any type). Patients who have failed conventional treatment or for whom no therapy of proven efficacy exists or who are not eligible for established treatment options. Patients must have exhausted approved treatment options known to prolong survival for their disease
- At least one measurable lesion outside of central nervous system (CNS) as defined per modified Response Evaluation Criteria In Solid Tumors (RECIST) v1.1
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Life expectancy ≥3 months at the start of treatment in the opinion of the investigator
- Patients with known brain metastases are eligible, provided they meet the protocol-defined criteria
- Patients must have adequate organ function based on haematological, hepatic, renal, and coagulation parameters Further inclusion criteria apply.
Exclusion Criteria:
- Previous or concomitant malignancies other than the one treated in this trial within the past 3 years (except effectively treated malignancy considered cured by local treatment, e.g. non melanoma skin cancers, carcinoma in situ of the cervix, ductal carcinoma in situ)
- Patient with known leptomeningeal disease or spinal cord compression due to disease
- Patients with hepatitis C infection or active hepatitis B infection (chronic or acute)
- Patients with known history of Human immunodeficiency virus (HIV) infection who meet protocol-defined criteria
- Patient with active autoimmune disease or a documented history of autoimmune disease, which requires systemic treatment (e.g. corticosteroids or immunosuppressive drugs)
- Patient with a diagnosis of immunodeficiency other than HIV
- Manifestation of malabsorption or any other condition that could affect oral absorption, distribution or metabolism of the study drug Further exclusion criteria apply.
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Not randomized
- Masking
- No masking
BI 3968621 dose escalation monotherapy (Part A)
Not reported in this registry record.
Drug: BI 3968621
BI 3968621 dose expansion monotherapy (Part A2)
Not reported in this registry record.
Drug: BI 3968621
BI 3968621 + ezabenlimab dose escalation combination therapy (Part B)
Not reported in this registry record.
Drug: BI 3968621 · Drug: ezabenlimab
BI 3968621 DRUG
BI 3968621
ezabenlimab DRUG
ezabenlimab
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Occurrence of dose-limiting toxicities (DLTs) during the primary DLT evaluation period (Dose escalation part A and B)
Time frame: During the first treatment cycle, up to 21 days
Not reported in this registry record.
Objective response (OR)
Time frame: Up to 2 years
defined as best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), where BOR is determined by investigator's assessment according to Response Evaluation Criteria In Solid Tumours (RECIST) v1.1 from first administration until earliest of disease progression, death or last evaluable tumour assessment before start of subsequent anticancer therapy, lost to follow-up, or withdrawal of consent, whichever occurs first (Part A2)
Secondary measures
Occurrence of treatment-emergent adverse events (AEs)
Time frame: Up to 2 years
Not reported in this registry record.
Occurrence of dose-limiting toxicities (DLTs)
Time frame: Up to 2 years
Not reported in this registry record.
Occurrence of drug-related AEs
Time frame: Up to 2 years
Not reported in this registry record.
Occurrence of treatment-emergent serious adverse events (SAEs)
Time frame: Up to 2 years
Not reported in this registry record.
Objective response (OR)
Time frame: Up to 2 years
defined as best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), where BOR is determined by investigator's assessment according to Response Evaluation Criteria In Solid Tumours (RECIST) v1.1 from first administration until earliest of disease progression, death or last evaluable tumour assessment before start of subsequent anticancer therapy, lost to follow-up, or withdrawal of consent, whichever occurs first (part A + B)
Duration of response (DoR)
Time frame: Up to 2 years
based on RECIST v1.1, defined as the time from first confirmed CR or PR until the earliest of progressive disease (PD) or death among patients with an OR (part A2)
Progression-free survival (PFS)
Time frame: Up to 2 years
defined as the time from first treatment administration until tumour progression according to RECIST v1.1 or death from any cause, whichever occurs first (part A2)
Progression-free survival (PFS) at 6 months (PFS6)
Time frame: At 6 months
defined as being alive and without tumour progression at 6 months from first treatment administration (part A2)
Clinical Benefit (CB)
Time frame: Up to 2 years
defined as achievement of BOR of CR or PR of any duration, or stable disease (SD) of at least 6 months according to RECIST v1.1 (part A2)
Disease control (DC)
Time frame: Up to 2 years
based on RECIST v1.1, defined as the best overall response of CR, PR, or SD from the first administration of trial medication until the earliest of PD, death, last evaluable tumour assessment before the start of subsequent anticancer therapy, loss to follow-up, or withdrawal of consent, whichever occurs first
Immune objective response (iOR)
Time frame: Up to 2 years
as determined by investigator's assessment according to iRECIST, defined as immune BOR (iBOR) of immune CR (iCR) or immune PR (iPR), determined from date of first administration until earliest of disease progression (immune unconfirmed progressive disease \[iUPD\] that is confirmed at next radiological assessment), death, last evaluable tumour assessment before start subsequent anticancer therapy, loss to follow-up, or withdrawal of consent, whichever occurs first
Immune DC (iDC)
Time frame: Up to 2 years
based on iRECIST v1.1, defined as the best overall response of iCR, iPR or iSD from the first administration of trial medication until the earliest of iUPD (provided that iCPD is the next time point response, i.e. progression is confirmed at the next tumour assessment), death, last evaluable tumour assessment before start of subsequent anticancer therapy, loss to follow-up, or withdrawal of consent, whichever occurs first
Maximum measured concentration of the analyte in plasma (after the first dose in Cycle 1) (Cmax)
Time frame: Up to Day 15 in cycle 1 (each cycle is 21 days)
Not reported in this registry record.
Area under the concentration-time curve of the analyte in plasma over a uniform dosing interval τ after administration of the first dose in Cycle 1 (AUCτ,1)
Time frame: Up to Day 15 in cycle 1 (each cycle is 21 days)
Not reported in this registry record.
Maximum measured concentration of the analyte in plasma at steady state (after the first dose in Cycle 2) (Cmax,ss)
Time frame: Up to Day 15 in cycle 2 (each cycle is 21 days)
Not reported in this registry record.
Area under the concentration-time curve of the analyte in plasma at steady state over a uniform dosing interval τ (after the first dose in Cycle 2) (AUCτ,ss)
Time frame: Up to Day 15 in cycle 2 (each cycle is 21 days)
Not reported in this registry record.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (10)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
10 locations
Florida Cancer Specialists-Sarasota-61670Sarasota, Florida, United StatesRecruiting
Emory UniversityAtlanta, Georgia, United StatesNot yet recruiting
Thomas Jefferson UniversityPhiladelphia, Pennsylvania, United StatesNot yet recruiting
Sarah Cannon Research Institute-Nashville-48456Nashville, Tennessee, United StatesRecruiting
The University of Texas MD Anderson Cancer CenterHouston, Texas, United StatesNot yet recruiting
Universitair Ziekenhuis GentGhent, BelgiumNot yet recruiting
Institut Gustave RoussyVillejuif, FranceNot yet recruiting
Japanese Foundation for Cancer ResearchTokyo, Koto-ku, JapanRecruiting
Hospital Universitari Vall d'HebronBarcelona, SpainNot yet recruiting
Hospital Clinico De Valencia (INCLIVA)Valencia, SpainNot yet recruiting
Study team and timeline
- Lead sponsor
- Boehringer Ingelheim
- Study start
- Nov 10, 2026 Estimated
- Primary completion
- Sep 3, 2030 Estimated
- Study completion
- Sep 3, 2030 Estimated
- First posted
- Oct 1, 2026 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
A First-in-human, Multicentre, Phase Ia Dose Escalation Study of BI 3968621 as Monotherapy and in Combination With Ezabenlimab to Investigate Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumour Activity in Patients With Advanced Solid Tumours
Ask Wellness Clinical Research
Your message goes to WCR, including when this study is run by another organization. WCR may offer general guidance but may not operate this trial, have access to its team or be able to enroll you.
Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
