This is an open label, dose finding, phase Ib clinical trial to determine the maximum tolerated dose (MTD) and/or the recommended phase II dose (RP2D) of the orally administered phosphatidylinositol 3'-kinase (PI3K) inhibitor BKM120 in combination with the MEK1/2 inhibitor MEK162. This combination will be explored in patients with epidermal growth factor receptor (EGFR) mutant non-small cell lung cancer (NSCLC) which has progressed on EGFR inhibitors and triple negative breast cancer, as well as pancreatic cancer, colorectal cancer, malignant melanoma, NSCLC, and other advanced solid tumors with KRAS, NRAS, and/or BRAF mutations. Dose escalation will be guided by a Bayesian logistic regression model with overdose control. At MTD or RP2D, two expansion arms will be opened in order to further assess safety and preliminary anti-tumor activity of the combination of BKM120 and MEK162. Study drugs will be administered once daily orally on a continuous schedule. A treatment cycle is defined as 28 days.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
89
Massachusetts General Hospital Mass General 2
Boston, Massachusetts, United States
Karmanos Cancer Institute Study Coordinator
Detroit, Michigan, United States
Memorial Sloan Kettering Cancer Center MSKCC (2)
New York, New York, United States
Cancer Centers of the Carolinas CCC Faris
Greenville, South Carolina, United States
University of Texas/MD Anderson Cancer Center MD Anderson PSC
Houston, Texas, United States
Pfizer Investigative Site
Toronto, Ontario, Canada
Pfizer Investigative Site
Essen, Germany
Pfizer Investigative Site
Heidelberg, Germany
Pfizer Investigative Site
Utrecht, Netherlands
Pfizer Investigative Site
Singapore, Singapore
...and 2 more locations
Incidence of Dose Limiting Toxicities
Time frame: during Cycle 1 of treatment with BKM120 and MEK162
Number of participants with adverse events and serious adverse events.
Time frame: from Cycle 1 Day 1 until treatment discontinuation
Overall response rate, duration of response, time to response and progression free survival
Time frame: every 8 weeks of treatment
Time versus plasma concentration profiles of BKM120 and MEK162
Time frame: during the first cycle of treatment on Cycle 1 Day 1 and Cycle 1 Day 15
Treatment -induced PI3K and MEK/ERK pathway signaling inhibition and evidence of biological activity in tumor.
Time frame: during the first cycle of treatment on Cycle 1 Day 15 and at disease progression
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