The PI3K (phosphoinositol 3-Kinase) inhibitor Copanlisib and the MEK (mitogen-activated protein kinase) inhibitor Refametinib (BAY86-9766)have both been tested as single agent treatments in other phase I studies. This study will test the combination of these two drugs to try and answer the following questions: 1. What are the side effects of the combination of Copanlisib and Refametinib (BAY86-9766)when given together at different/increasing dose levels? 2. What dose level of Copanlisib and Refametinib (BAY86-9766) should be tested in future clinical research studies? 3. How much Copanlisib is in the blood at specific times after administration and does adding Refametinib (BAY86-9766) have an affect? 4. How much Refametinib (BAY86-9766) is in the blood at specific times after administration and does adding Copanlisib have an affect? 5. Does the combination of Refametinib (BAY86-9766) and Copanlisib have an effect on tumors?
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
64
Copanlisib will be administered as an IV infusion weekly for 3 weeks in combination with Refametinib (BAY86-9766) at varying dose levels. Refametinib (BAY86-9766) is administered orally twice a day starting at Day 4 of Cycle 1.
Copanlisib will be administered as an IV infusion weekly in combination with Refametinib (BAY86-9766) at varying dose levels. Refametinib (BAY86-9766) is administered orally twice a day starting at Day 6 of Cycle 1 on a 4 day on, 3 day off schedule.
Unnamed facility
Scottsdale, Arizona, United States
Unnamed facility
Las Vegas, Nevada, United States
Unnamed facility
Greenville, South Carolina, United States
Unnamed facility
Houston, Texas, United States
Unnamed facility
Tyler, Texas, United States
Unnamed facility
Vancouver, Washington, United States
Unnamed facility
Freiburg im Breisgau, Baden-Wurttemberg, Germany
Unnamed facility
Rotterdam, Netherlands
Maximum Tolerated Dose
Time frame: 2 years
Comparison of the Copanlisib AUC when given alone with the AUC when given with Refametinib (BAY86-9766)
Time frame: At day 15
Comparison of the Refametinib (BAY86-9766) AUC when given alone with the AUC when given with Copanlisib
Time frame: At day 15
Tumor Response as measured by RECIST 1.1 criteria
Time frame: 3 years
Biomarker evaluation including analysis of pathway activation in blood and plasma
Time frame: 3 years
Tumor Response as measured by FDG-PET at MTD and expansion cohort(s)
Time frame: 3 years
Pharmacodynamic biomarker evaluation analysis using paired tumor biopsies
Time frame: 3 years
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