This is a first-in-human, phase I/Ib clinical research study with BEZ235, an inhibitor of phosphatidylinositol 3'-kinase (PI3K). The study consists of a dose escalation part followed by a safety dose expansion part: Dose escalation part (advanced solid tumors, including patients with breast cancer being treated with trastuzumab): Patients receive oral BEZ235 once daily on days 1-28 of the first course. Courses will repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of at least 3 patients receive escalating doses of BEZ235, as single agent or in combination with trastuzumab, until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose expected to produce during the first course of treatment dose-limiting toxicity in 33% of patients. Once the MTD has been defined, the safety expansion parts of the trial will be opened for enrollment. Safety dose expansion part (advanced solid tumors, including patients with breast cancer being treated with trastuzumab): Patients will be treated with BEZ235, as single agent or in combination with trastuzumab, given at the MTD, once daily. Treatment of patients will continue until disease progression or occurrence of unacceptable side effects.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
183
University of California at Los Angeles JonssonComprehensiveCancerCtr
Los Angeles, California, United States
Yale University School of Medicine YaleCancerCtr-ClinTrialsOffice
New Haven, Connecticut, United States
Dana Farber Cancer Institute Clinical Trials ProjectManager
Boston, Massachusetts, United States
Nevada Cancer Institute NVCC - Huntsman
Las Vegas, Nevada, United States
Cancer Centers of the Carolinas CCC Faris
Greenville, South Carolina, United States
Sarah Cannon Research Institute Dept.ofSarahCannonCancerCtr(2)
Nashville, Tennessee, United States
Baylor Health Care System/Sammons Cancer Center Baylor- Sammons
Dallas, Texas, United States
University of Texas/MD Anderson Cancer Center Thoractic Head/Neck Med.Onc(2)
Houston, Texas, United States
Tyler Cancer Center TCC
Tyler, Texas, United States
Novartis Investigative Site
Essen, Germany
...and 5 more locations
determine the maximum Tolerated Dose (MTD) of BEZ235 as single agent and in combination with trastuzumab (Dose escalation part)
Time frame: at end of study
assess the safety & tolerability of BEZ235 SDS as single agent and in combination with trastuzumab administered to patients at the MTD level (Safety expansion part)
Time frame: at end of study
assess the safety and tolerability of the various formulations of BEZ235
Time frame: at end of study
Asses the Pharmacokinetics of BEZ235 which includes AUC, Cmax, Tmax, t1/2 as endpoints
Time frame: at end of study
Preliminary anti-tumor activity (tumor response) of BEZ235 SDS as single agent and in combination with trastuzumab
Time frame: end of study
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