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DRUG:

brigimadlin (BI 907828)

i
Other names: BI 907828, BI-907828, BI907828
Company:
Boehringer Ingelheim
Drug class:
MDM2-p53 antagonist
15d
Trial completion date • Metastases
|
TP53 (Tumor protein P53)
|
TP53 wild-type
|
brigimadlin (BI 907828) • itraconazole • rifampicin
24d
Enrollment closed • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification • TP53 amplification
|
brigimadlin (BI 907828)
1m
New P2 trial
|
brigimadlin (BI 907828)
2ms
Enrollment change • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification • TP53 amplification
|
brigimadlin (BI 907828)
2ms
Discovery and Characterization of Brigimadlin, a Novel and Highly Potent MDM2-p53 Antagonist Suitable for Intermittent Dose Schedules. (PubMed, Mol Cancer Ther)
Exploratory clinical pharmacokinetic studies (NCT03449381) showed high systemic exposure and a long plasma elimination half-life in cancer patients who received oral brigimadlin. These findings support the continued clinical evaluation of brigimadlin in patients with MDM2-amplified cancers, such as dedifferentiated liposarcoma.
Journal
|
MDM2 (E3 ubiquitin protein ligase)
|
TP53 mutation • TP53 wild-type • MDM2 amplification + TP53 wild-type
|
brigimadlin (BI 907828)
4ms
Enrollment closed • Metastases
|
MDM2 (E3 ubiquitin protein ligase)
|
brigimadlin (BI 907828)
4ms
Trial completion date • Trial primary completion date • Combination therapy
|
TP53 (Tumor protein P53)
|
brigimadlin (BI 907828)
4ms
Enrollment change • Trial withdrawal • Combination therapy • Metastases
|
gemcitabine • docetaxel • brigimadlin (BI 907828) • ezabenlimab (BI 754091)
4ms
Brightline-2: A Study to Test Whether Brigimadlin (BI 907828) Helps People With Cancer in the Biliary Tract, Pancreas, Lung or Bladder (clinicaltrials.gov)
P2, N=155, Recruiting, Boehringer Ingelheim | Trial completion date: Mar 2027 --> Nov 2026 | Trial primary completion date: Jun 2025 --> Feb 2025
Trial completion date • Trial primary completion date • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
brigimadlin (BI 907828)
5ms
Enrollment closed • Metastases
|
TP53 (Tumor protein P53)
|
brigimadlin (BI 907828) • itraconazole • rifampicin
5ms
Treatment options for biliary tract cancer: unmet needs, new targets and opportunities from both physicians' and patients' perspectives. (PubMed, Future Oncol)
MDM2/MDMX are important negative regulators of the tumor suppressor p53 and provide an additional target in BTC (∼5-8% of tumors are MDM2-amplified). Brigimadlin (BI 907828) is a highly potent MDM2-p53 antagonist that has shown antitumor activity in preclinical studies and promising results in early clinical trials; enrollment is ongoing in a potential registrational trial for patients with BTC.
Review • Journal • IO biomarker
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
brigimadlin (BI 907828)
5ms
Trial primary completion date • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
brigimadlin (BI 907828)
6ms
A Study in People With Advanced Cancer to Test How BI 907828 is Processed in the Body (clinicaltrials.gov)
P1, N=13, Active, not recruiting, Boehringer Ingelheim | Recruiting --> Active, not recruiting
Enrollment closed
|
brigimadlin (BI 907828)
6ms
Enrollment closed • Combination therapy • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 mutation • TP53 wild-type • TP53 amplification
|
brigimadlin (BI 907828) • ezabenlimab (BI 754091) • miptenalimab (BI 754111)
7ms
New P3 trial • Combination therapy • Metastases
|
gemcitabine • docetaxel • brigimadlin (BI 907828) • ezabenlimab (BI 754091)
7ms
Trial initiation date • Metastases
|
MDM2 (E3 ubiquitin protein ligase)
|
MDM2 amplification
|
brigimadlin (BI 907828)
8ms
Trial initiation date • Metastases
|
MDM2 (E3 ubiquitin protein ligase)
|
MDM2 amplification
|
brigimadlin (BI 907828)
8ms
Phase classification • Combination therapy • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 mutation • TP53 wild-type • TP53 amplification
|
brigimadlin (BI 907828) • ezabenlimab (BI 754091) • miptenalimab (BI 754111)
10ms
Brightline-2: a phase IIa/IIb trial of brigimadlin (BI 907828) in advanced biliary tract cancer, pancreatic ductal adenocarcinoma or other solid tumors. (PubMed, Future Oncol)
Brigimadlin (BI 907828) is a highly potent MDM2-p53 antagonist that has shown promising activity in preclinical and early-phase clinical studies. This manuscript describes the rationale and design of an ongoing phase IIa/IIb Brightline-2 trial evaluating brigimadlin as second-line treatment for patients with advanced/metastatic BTC, PDAC, lung adenocarcinoma, or bladder cancer.
P2a data • Review • Journal • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification + TP53 wild-type • TP53 amplification
|
brigimadlin (BI 907828)
11ms
Enrollment open
|
MDM2 (E3 ubiquitin protein ligase)
|
MDM2 amplification
|
brigimadlin (BI 907828)
12ms
Phase classification
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification • TP53 amplification
|
brigimadlin (BI 907828)
almost1year
Phase classification • Enrollment change • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification • TP53 amplification
|
brigimadlin (BI 907828)
1year
A Study in People With Advanced Cancer to Test How BI 907828 is Processed in the Body (clinicaltrials.gov)
P1, N=16, Recruiting, Boehringer Ingelheim | Trial primary completion date: Feb 2024 --> May 2024
Trial primary completion date • Metastases
|
brigimadlin (BI 907828)
1year
Burning Rock and Boehringer Ingelheim Achieved a Master Service Agreement in Oncology Companion Diagnostics (GlobeNewswire)
"Burning Rock Biotech Limited...is pleased to announce that the Company and Boehringer Ingelheim officially have signed the Master Service Agreement (MSA) in the field of oncology companion diagnostics. This agreement aims to provide Chinese patients with safer, more efficient, and precise treatment options and diagnostic methods, thereby promoting innovation and development in cancer treatment. This partnership will primarily focus on advancing the clinical trials related to Boehringer Ingelheim's MDM2-p53 antagonist, brigimadlin (BI 907828), and the development of companion diagnostic products in China."
Licensing / partnership
|
brigimadlin (BI 907828)
1year
New P2 trial
|
PD-L1 (Programmed death ligand 1) • TP53 (Tumor protein P53)
|
TP53 wild-type
|
brigimadlin (BI 907828) • ezabenlimab (BI 754091)
1year
Delivery versus potency in treating brain tumors: BI-907828, a MDM2-p53 antagonist with limited BBB penetration but significant in vivo efficacy in glioblastoma. (PubMed, Mol Cancer Ther)
These studies show that efficacy of BI-907828 in orthotopic models is related to high potency even though its CNS distribution is limited by BBB efflux. Therefore, a comprehensive understanding of all aspects of the "Delivery - Potency - Efficacy" relationship is warranted in drug discovery and development, especially for treatment of CNS tumors.
Preclinical • Journal
|
MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type
|
brigimadlin (BI 907828)
1year
New P3 trial • Metastases
|
MDM2 (E3 ubiquitin protein ligase)
|
MDM2 amplification
|
brigimadlin (BI 907828)
1year
Brightline-1: A Study to Compare BI 907828 With Doxorubicin in People With a Type of Cancer Called Dedifferentiated Liposarcoma (clinicaltrials.gov)
P2/3, N=386, Active, not recruiting, Boehringer Ingelheim | Recruiting --> Active, not recruiting
Enrollment closed • Metastases
|
MDM2 (E3 ubiquitin protein ligase)
|
MDM2 amplification
|
doxorubicin hydrochloride • brigimadlin (BI 907828)
1year
Enrollment change • Trial primary completion date • Metastases
|
TP53 (Tumor protein P53)
|
TP53 wild-type
|
brigimadlin (BI 907828) • itraconazole • rifampicin
1year
LONGITUDINAL MUTATIONAL ANALYSIS OF TP53 IN CIRCULATING TUMOR DNA IN THE PLASMA OF PATIENTS WITH LIPOSARCOMA IN A PHASE I STUDY OF BRIGIMADLIN (BI 907828), AN MDM2-P53 ANTAGONIST (CTOS 2023)
This mutation analysis represents one of the most robust assessments of longitudinal ctDNA by NGS for TP53 from an MDM2–p53 antagonist trial in liposarcoma. While acquired mutations in TP53 are very common, these data suggest that brigimadlin does not systematically lead to broad acquisition of resistance by inducing alterations in TP53.
Clinical • P1 data • Circulating tumor DNA
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type • TP53 R175H • TP53 R248Q • TP53 R273H
|
brigimadlin (BI 907828)
over1year
The MDM2-p53 antagonist BI 907828 in patients with advanced or metastatic solid tumors: results of a phase Ia, first-in-human, dose-escalation study. (PubMed, Cancer Discov)
As evidence of target engagement, time- and dose-dependent increases in GDF-15 levels were seen. Preliminary efficacy was encouraging (11.1% overall response and 74.1% disease control rates), particularly in well-differentiated or dedifferentiated liposarcoma patients (100% and 75% disease control rates, respectively).
P1 data • Journal • Metastases
|
MDM2 (E3 ubiquitin protein ligase) • GDF15 (Growth differentiation factor 15)
|
brigimadlin (BI 907828)
over1year
MDM2 Inhibition in the Treatment of Glioblastoma: From Concept to Clinical Investigation. (PubMed, Biomedicines)
While some MDM2 inhibitors have progressed to early phase clinical trials in GBM, their efficacy, alone and in combination, is yet to be confirmed. In this article, we present an overview of MDM2 inhibitors currently under preclinical and clinical investigation, with a specific focus on the drugs being assessed in ongoing clinical trials for GBM patients.
Review • Journal
|
TP53 wild-type
|
navtemadlin (KRT-232) • idasanutlin (RG7388) • brigimadlin (BI 907828) • ALRN-6924
over1year
A phase I dose-escalation and expansion study evaluating the safety and efficacy of the MDM2–p53 antagonist brigimadlin (BI 907828) in patients (pts) with solid tumours (ESMO 2023)
Conclusions BI 907828 demonstrated antitumour activity and a manageable safety profile in pts with advanced solid tumours, including those with BTC; dose expansion is ongoing. BI 907828 is being further assessed in pts with BTC in the phase IIa/IIb open-label Brightline-2 trial (NCT05512377).
Clinical • P1 data
|
MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification + TP53 wild-type
|
brigimadlin (BI 907828)
over1year
New targeted treatments for advanced sarcomas. (PubMed, Curr Opin Oncol)
Molecular-guided precision medicine holds a bright future in bringing more active treatments for advanced sarcoma patients.
Journal • IO biomarker • Metastases
|
MDM2 (E3 ubiquitin protein ligase) • XPO1 (Exportin 1) • SS18 (SS18 Subunit Of BAF Chromatin Remodeling Complex)
|
CDK4 amplification • MDM2 overexpression • MDM2 amplification + CDK4 amplification • SS18-SSX fusion
|
imatinib • Xpovio (selinexor) • Tazverik (tazemetostat) • milademetan (RAIN-32) • Fyarro (nanoparticle albumin-bound rapamycin) • brigimadlin (BI 907828)
over1year
Brightline-1: phase II/III trial of the MDM2-p53 antagonist BI 907828 versus doxorubicin in patients with advanced DDLPS. (PubMed, Future Oncol)
BI 907828 has shown promising activity in preclinical studies and in a phase Ia/Ib study in patients with solid tumors, particularly those with DDLPS. This manuscript describes the rationale and design of an ongoing multicenter, randomized, phase II/III trial (Brightline-1; NCT05218499) evaluating BI 907828 versus doxorubicin as first-line treatment for advanced DDLPS.
P2/3 data • Review • Journal • Metastases
|
MDM2 (E3 ubiquitin protein ligase)
|
doxorubicin hydrochloride • brigimadlin (BI 907828)
over1year
Brightline-2: A phase IIa/IIb, open-label trial of the MDM2–p53 antagonist BI 907828 in patients with advanced MDM2-amplified, TP53 wild-type biliary tract cancer, pancreatic ductal adenocarcinoma, or other selected solid tumours (ESMO-GI 2023)
Currently, ten patients with BTC had received BI 907828 ± ezabenlimab (an immune checkpoint inhibitor). The final primary analysis will be performed after all treated patients have been followed for ≥12 weeks, or until study discontinuation. As of February 2023, 16 patients have been enrolled.Clinical trial identification: NCT05512377.Editorial acknowledgement: Medical writing assistance, funded by Boehringer Ingelheim, was provided by Jim Sinclair, PhD, of Ashfield MedComms, an Inizio Company, during the preparation of this abstract.Legal entity responsible for the study: Boehringer Ingelheim.
Clinical • P2a data • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification • MDM2 amplification + TP53 wild-type • TP53 amplification
|
brigimadlin (BI 907828) • ezabenlimab (BI 754091)
over1year
Trial completion date
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification • TP53 amplification
|
brigimadlin (BI 907828)
over1year
Longitudinal mutational analysis of TP53 in plasma circulating tumor DNA (ctDNA) in patients (pts) with solid tumors in a phase I study of BI 907828, an MDM2–p53 antagonist. (ASCO 2023)
This mutation analysis represents one of the most comprehensive assessments of longitudinal ctDNA by NGS for TP53 from a clinical trial of an MDM2–p53 antagonist. Preliminary data suggest that BI 907828 does not systematically lead to broad acquisition of resistance by inducing alterations in TP53. Clinical trial information: NCT03449381.
Clinical • P1 data • Circulating tumor DNA
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type • TP53 R175H • TP53 R248Q
|
brigimadlin (BI 907828)
over1year
Trial completion date • Metastases
|
TP53 (Tumor protein P53)
|
TP53 wild-type
|
brigimadlin (BI 907828) • itraconazole • rifampicin
over1year
Enrollment change • Metastases
|
MDM2 (E3 ubiquitin protein ligase)
|
MDM2 amplification
|
doxorubicin hydrochloride • brigimadlin (BI 907828)
almost2years
Foundation Medicine Announces Global Collaboration with Boehringer Ingelheim to Advance Biliary Tract Cancer Care (Foundation Medicine Press Release)
"Foundation Medicine, Inc...announced a global collaboration with Boehringer Ingelheim to develop the company’s tissue-based comprehensive genomic profiling test, FoundationOne®CDx, as a companion diagnostic for Boehringer Ingelheim’s investigational MDM2-p53 antagonist, BI 907828, in the United States, Japan and European Union."
Licensing / partnership
|
FoundationOne® CDx
|
brigimadlin (BI 907828)
almost2years
Enrollment change • Metastases
|
TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase)
|
TP53 wild-type • MDM2 amplification • TP53 amplification
|
brigimadlin (BI 907828)