The purpose of this trial is to explore the clinical utility of the three investigational agents in HR+, HER2- breast cancer. LEE011 (CDK4/6 inhibitor), BKM120 (PI3K-pan class I-inhibitor) and BYL719 (PI3K-alpha specific class I inhibitor) in combination with fulvestrant. This is a multi-center, open-label Phase Ib/II study. The Phase Ib portion of the study is a dose escalation to estimate the MTD and/or RP2D for three regimens: LEE011 with fulvestrant; LEE011 and BKM120 with fulvestrant; LEE011and BYL719 with fulvestrant. The Phase II portion of the study was planned to be a randomized study to assess the anti-tumor activity as well as safety and tolerability of LEE011 with fulvestrant to LEE011 and BKM120 with fulvestrant, and LEE011 and BYL719 with fulvestrant in patients with ER+/HER2- locally advanced or metastatic breast cancer. Approximately 216 adult women with ER+/HER2- locally advanced or metastatic breast cancer were planned to be enrolled.
On 31-May-2016 Novartis's made the decision decision to not open the Phase II portion of the study, for business reasons. Sufficient data had already been collected and no additional data for the triplet combinations was needed. As a result, the Phase II portion of the trial was not opened.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
70
LEE011: supplied as capsules of dosage strength of 50 mg or 200 mg. The capsules will be differentiated through different sizes
BYL719: supplied as tablets of dosage strength of 10 mg, 50 mg or 200 mg. Tablets will be differentiated through different sizes and/or colors.
Fulvestrant will be supplied according to local practice and regulation. Fulvestrant is a commercially available product, comes in 500 mg dose and is an injection for intramuscular (i.m.) administration.
BKM120: supplied as 10 mg or 50 mg capsules. The capsules will be differentiated through different sizes.
University of Alabama at Birmingham/ Kirklin Clinic Dept Onc
Birmingham, Alabama, United States
Dana Farber Cancer Institute Onc. Dept.
Boston, Massachusetts, United States
Sarah Cannon Research Institute Onc Dept
Nashville, Tennessee, United States
Novartis Investigative Site
Lyon, France
Novartis Investigative Site
Milan, MI, Italy
Novartis Investigative Site
Modena, MO, Italy
Novartis Investigative Site
Singapore, Singapore
Novartis Investigative Site
Seoul, Korea, South Korea
Novartis Investigative Site
Madrid, Spain
Novartis Investigative Site
Taipei, Taiwan ROC, Taiwan
...and 1 more locations
Incidence of Dose limiting toxicities (DLTs) - Phase lb only
Dose limiting toxicities
Time frame: 28 days
Progression free survival (PFS) - Phase ll only
Progression Free Survival per RECIST v 1.1 by local investigator assessment
Time frame: 36 months
Safety and Tolerability of the combinations of LEE011 with fulvestrant, LEE011 + BKM120 with fulvestrant and LEE011 + BYL719 with fulvestrant
Adverse Events (AEs), serious AEs (SAEs), changes in hematology and chemistry values, vital signs, electrocardiograms (ECGs), dose interruptions, reductions and dose intensity
Time frame: 36 months
Plasma concentration-time profiles of LEE011, BKM120, BYL719 and fulvestrant.
To characterize the PK profiles of LEE011, BKM120, BYL719, and fulvestrant when used in combination as well as to evaluate any other clinically significant metabolites that may be identified. PK parameters for LEE011, BKM120 and BYL719, including but not limited to Cmax, Cmin, Tmax, AUCtau, accumulation ratio (Racc),and Ctrough values for fulvestrant.
Time frame: 36 months
Overall Response Rate (ORR)
ORR is defined as the proportion of patients with a best overall response of complete response or partial response.
Time frame: 36 months
Duration of Response (DOR)
Duration of Response is calculated as the time from the date of first documented response (complete response (CR) or partial response (PR)) to the first documented date of progression or death due to underlying cancer.
Time frame: 36 months
Progression Free Survival (PFS) (phase l only)
PFS is the time from date of randomization/start of treatment to the date of event defined as the first documented progression or death due to any cause.
Time frame: 36 months
Overall Survival (OS) - Phase II only
OS is defined as the time from date of randomization/start of treatment to date of death due to any cause. If a patient is not known to have died, survival will be censored at the date of last known date patient alive.
Time frame: 36 months
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