The study is intended to investigate the safety of BYL719 and AUY922 in patients with advanced gastric cancer, and to determine the MTD and/or RDE of both drugs in combination. In addition, the preliminary efficacy of BYL719 in combination with AUY922, and the pharmacokinetics of both drugs will be assessed. Patients will be eligible for this study, if their tumors carry either a molecular alteration of PIK3CA, or an amplification of HER2. The study includes a dose escalation part followed by a safety expansion phase.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
18
AUY922 is a non-geldanamycin inhibitor of the heat shock protein 90 (HSP90).
BYL719 is an oral α-specific phosphatidylinositol-3-kinase (PI3K) inhibitor.
Massachusetts General Hospital Mass General 2
Boston, Massachusetts, United States
University of Texas/MD Anderson Cancer Center Gastrointestinal Med. Oncology
Houston, Texas, United States
Novartis Investigative Site
Cologne, Germany
Novartis Investigative Site
Würzburg, Germany
Novartis Investigative Site
Chuo-ku, Tokyo, Japan
Novartis Investigative Site
Seoul, Korea, South Korea
Novartis Investigative Site
Seoul, South Korea
Novartis Investigative Site
Bellinzona, Switzerland
Novartis Investigative Site
Taipei, Taiwan
Incidence rate of Dose Limiting Toxicities.
To determine the maximum tolerated dose (MTD) and/or Recommended dose for expansion (RDE) and schedule of BYL719 and AUY922 when used as a combination in patients with advanced or metastatic gastric cancer carrying a molecular alteration of PIK3CA and/or an amplification of HER2. 1 cycle = 28days
Time frame: cycle 1
Frequency of adverse events (AEs)
To characterize the safety and tolerability of BYL719 and AUY922 in combination.
Time frame: duration of the study, an expected average of 24 months
Best Overall Response (BOR) as per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1
To assess the preliminary anti-tumor activity of BYL719/AUY922 combination from Treatment start to disease progression
Time frame: every 6 weeks
Plasma concentration versus time profiles of BYL719 as single agent an in combination with AUY922.
To determine the single dose PK of BYL719 single dose, and multiple doses PK of BYL719.
Time frame: 2 months
Overall response rate (ORR) as per RECIST version 1.1
To assess the preliminary anti-tumor activity of BYL719/AUY922 combination.
Time frame: an expected average of 12 months
Progression free survival (PFS) as per RECIST version 1.1
To assess the preliminary anti-tumor activity of BYL719/AUY922 combination.
Time frame: every 6 weeks
Overall survival (OS)
To assess the preliminary anti-tumor activity of BYL719/AUY922 combination.
Time frame: approximately 1 year
Overall survival rate at 6 months (OS6)
To assess the preliminary anti-tumor activity of BYL719/AUY922 combination.
Time frame: 6 months
Frequency and severity of serious adverse events (SAEs)
To characterize the safety and tolerability of BYL719 and AUY922 in combination.
Time frame: duration of the study, an expected average of 24 months
Plasma concentration versus time profile of AUY922 as single agent and in combination with BYL719
To determine the single dose and multiple dose pharmacokinetics of AUY922
Time frame: 2 months
Plasma concentration versus time profile of the AUY922 metabolite BJP762
To determine pharmacokinetics of BJP762 after single dose and multiple dose of AUY922
Time frame: 2 months
Severity of adverse events (AEs)
To characterize the safety and tolerability of BYL719 and AUY922 in combination.
Time frame: duration of the study, an expected average of 24 months
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