A Trial of Oral BEZ235 and BKM120 in Combination With Paclitaxel With or Without Trastuzumab
A Phase Ib Multi-center, Open-label, 4-arm Dose-escalation Study of Oral BEZ235 and BKM120 in Combination With Weekly Paclitaxel in Patients With Advanced Solid Tumors and Weekly Paclitaxel/Trastuzumab in Patients With HER2+ Metastatic Breast Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Bruxelles, Belgium, 1200
- Novartis Investigative Site
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Bruxelles, Belgium, 1000
- Novartis Investigative Site
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Wilrijk, Belgium, 2610
- Novartis Investigative Site
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Essen, Germany, 45147
- Novartis Investigative Site
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Köln, Germany, 50937
- Novartis Investigative Site
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Amsterdam, Netherlands, 1066 CX
- Novartis Investigative Site
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Andalucia
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Sevilla, Andalucia, Spain, 41013
- Novartis Investigative Site
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Catalunya
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Barcelona, Catalunya, Spain, 08035
- Novartis Investigative Site
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Chur, Switzerland, 7000
- Novartis Investigative Site
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St. Gallen, Switzerland, 9007
- Novartis Investigative Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult patients with metastatic or locally advanced solid tumors, for whom weekly paclitaxel treatment is indicated (BEZ235-paclitaxel /BKM120-paclitaxel treatment)
- HER2+ metastatic or locally advanced breast cancer patients eligible for weekly paclitaxel and trastuzumab (BEZ235-paclitaxel-trastuzumab /BKM120-paclitaxel-trastuzumab treatment)
- Adult patients (≥ 18 years) (males, females)
- World Health Organization (WHO) performance status ≤ 2
- Adequate bone marrow function:
- Adequate hepatic and renal function:
Exclusion Criteria:
- Patients with primary central nervous system (CNS) tumor or CNS tumor involvement. However, patients with a metastatic CNS lesion may participate in this trial, if the patient is > 4 weeks from therapy (including radiation and/or surgery) completion, clinically stable with respect to the tumor at the time of study entry, and not receiving enzyme-inducing antiepileptic drugs or corticosteroid therapy or taper, as treatment of the brain metastases
- Patients who have received prior systemic anticancer therapy within the following time frames
- Cyclical chemotherapy: ≤ 3 weeks before study treatment (6 weeks for patients treated with nitrosoureas)
- Biological therapy: ≤ 4 weeks before study treatment, except treatment with trastuzumab (both parts of the trial)
- Investigational drug: ≤ 4 weeks before study treatment
- Patients who have undergone major surgery ≤ 4 weeks before study treatment
- Patients receiving chronic treatment with corticosteroids or other immunosuppressive agents
- Patients with uncontrolled, unmanageable, treatment-refractory diabetes mellitus
- Active or history of major depressive episode, bipolar disorder, obsessive-compulsive disorder, schizophrenia, history of suicide attempt or ideation, or homicide, as judged by the investigator and/or based on recent psychiatric assessment
Other protocol-defined inclusion/exclusion criteria may apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: BEZ235 + paclitaxel
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EXPERIMENTAL: BKM120 + paclitaxel
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EXPERIMENTAL: BEZ235 + paclitaxel + trastuzumab
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EXPERIMENTAL: BKM120 + paclitaxel + trastuzumab
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence of Dose limiting toxicities during the first cycle of treatment.
Time Frame: First treatment cycle (4 weeks)
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First treatment cycle (4 weeks)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence of safety events during the whole treatment period (until progression of disease).
Time Frame: From start of treatment until disease progression
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From start of treatment until disease progression
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pharmacokinetics of BEZ235, BKM120 and paclitaxel given in combination, on Day 1, 8 and 22.
Time Frame: First treatment cycle (4 weeks)
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First treatment cycle (4 weeks)
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Treatment efficacy (response to treatment according to RECIST criteria)
Time Frame: From start of treatment until disease progression
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From start of treatment until disease progression
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Impact of treatment on biomarkers of Pi3 Kinase pathway (analyses of skin biopsies, circulating markers)
Time Frame: From start of treatment until disease progression
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From start of treatment until disease progression
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CBEZ235A2118
- 2010-022331-11 (EUDRACT_NUMBER)
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