To study the safety and efficacy of the combination of BGJ398 with BYL719 in patients whose tumors express mutations to PIK3CA with or without alterations to FGFR 1-3.
This dose escalation/dose expansion study will evaluate the combination of orally administered BGJ398 in combination with orally administered BYL719. During the dose escalation part, the MTD of the combination will be determined in patients whose advanced or metastatic tumors express mutations to PIK3CA. Once the MTD has been determined, the expansion part will begin. Patients will be addd to one of three arms based on the disease type and genetic changes. Patients with metastatic colorectal cancer are not eligible for participation in the expansion part.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
62
H. Lee Moffitt Cancer Center & Research Institute Moffitt 4
Tampa, Florida, United States
Incidence rate of dose limiting toxicities (DLTs) of the combination of BGJ398 with BYL719
The dose escalation part of the study will be guided by a well-established statistical method/model to estimate the maximum tolerated dose(s) and/or the recommended dose for expansion (RDE). Safety(incidence and nature of DLTs), pharmacokinetic and pharmacodynamic data will guide dose escalation decisioins.
Time frame: Approximately 8 months
Safety and tolerability of BGJ398/BYL719 combination at the recommended dose for expansion (RDE)
This will be assessed by looking at the number of Adverse Events (AEs), serious AEs (SAEs) changes in hematology and chemistry values, vital signs, electrocardiograms (ECGs), dose interruptions and reductions
Time frame: Every 28 days from baseline visit until end of study visit
Overall response rate
Assessment of preliminary antitumor activity of the combination of BGJ398 with BYL719; Overall response rate = complete response + partial response
Time frame: Every two months from the date of baseline CT scan
Progression free survival
Assessment of preliminary antitumor activity of the combination of BGJ398 with BYL719
Time frame: Every two months from the date of baseline CT scan
Time vs. concentration profile of BGJ398 and BYL719
Plasma concentration versus time profiles. Plasma PK parameters will be used to characterize the PK profiles of the combination of BGJ398 with BYL719
Time frame: Every 28 days for up to 10 cycles
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University of Michigan Comprehensive Cancer Center SC
Ann Arbor, Michigan, United States
Karmanos Cancer Institute Dept of Onc
Detroit, Michigan, United States
Washington University School of Medicine Onc Dept
St Louis, Missouri, United States
Memorial Sloan Kettering Cancer Center Onc Dept
New York, New York, United States
Vanderbilt University Medical Center Dept of Onc
Nashville, Tennessee, United States
Cancer Therapy & Research Center / UT Health Science Center SC
San Antonio, Texas, United States
Novartis Investigative Site
Parkville, Victoria, Australia
Novartis Investigative Site
Brussels, Belgium
Novartis Investigative Site
Toronto, Ontario, Canada
...and 12 more locations