Clinical trial Recruiting at 3 sites Phase 1 Interventional Ages 18 and up

Testing different doses of BI 3968621 alone or with ezabenlimab in adults with advanced cancer

Official 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

Run by Boehringer Ingelheim · NCT07851103 · Data updated 2026-11-12

This study tests whether BI 3968621, alone or with ezabenlimab, can be given safely at different doses to adults with advanced solid tumors and whether it can slow or shrink tumors.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment90 (estimated)
SponsorBoehringer Ingelheim
Industry-sponsored
Drugs / interventionsezabenlimab
Locations10 sites (Sarasota, Florida and 9 other locations)
StatusRecruiting
StartedNovember 10, 2026
Main results expectedSeptember 3, 2030
Study endsSeptember 3, 2030
Registry record updatedNovember 10, 2026
Trial IDNCT07851103 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years and older with advanced, unresectable or metastatic solid tumors who have exhausted standard treatments and have at least one measurable lesion outside the CNS.

Probably not a fit

Patients whose tumors do not respond to BI 3968621 or who cannot tolerate the drug dose may not experience benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1/early dose-finding study in adults with advanced, unresectable or metastatic solid tumors. Participants receive BI 3968621 alone or in combination with ezabenlimab, across Part A, Part A2, and Part B to establish tolerability and identify a suitable dose, with Part A2 focusing on kidney cancer. The trial will monitor safety, tolerability, and preliminary anti-tumor activity, including tumor growth suppression or shrinkage. Brain metastases are allowed if patients meet protocol criteria, and eligibility requires measurable disease, good performance status, and adequate organ function. Study sites are in Florida, Georgia, and Pennsylvania, led by Boehringer Ingelheim.

Why it matters

Potential benefit: If successful, participants may experience disease stabilization or tumor shrinkage at tolerable dose levels of BI 3968621, alone or with ezabenlimab.

How similar studies have gone: Early-phase studies of similar agents have shown potential for tolerability-guided dose finding and preliminary anti-tumor activity in advanced cancers.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • Florida Cancer Specialists-Sarasota-61670
    Sarasota, Florida, United States
    Recruiting
  • Sarah Cannon Research Institute-Nashville-48456
    Nashville, Tennessee, United States
    Recruiting
  • Japanese Foundation for Cancer Research
    Tokyo, Koto-ku, Japan
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Not yet recruiting
  • Thomas Jefferson University
    Philadelphia, Pennsylvania, United States
    Not yet recruiting
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas, United States
    Not yet recruiting
Show 4 more locations
  • Universitair Ziekenhuis Gent
    Ghent, Belgium
    Not yet recruiting
  • Institut Gustave Roussy
    Villejuif, France
    Not yet recruiting
  • Hospital Universitari Vall d'Hebron
    Barcelona, Spain
    Not yet recruiting
  • Hospital Clinico De Valencia (INCLIVA)
    Valencia, Spain
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.