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| ID | Type | Description | Link |
|---|---|---|---|
| 2012-003273-25 | EudraCT Number |
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The purpose of this study is to determine a maximum tolerated dose and/or recommended phase 2 dose of a combination of imatinib and BYL719 in the treatment of 3rd line GIST patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| STI571 (imatinib mesylate) and BYL719 | Experimental | The study will comprise of 2 parts. A dose escalation and a dose expansion part. All patients in the dose escalation part will have a pharmacokinetic (PK) run-in period of 7 days receiving imatinib monotherapy. Patients will receive increasing doses of BYL719 (200, 300, 400 mg) in combination with 400mg imatinib daily until maximum tolerated dose (MTD) and rapid phase 2 dose (RP2D) is determined. Approximately 35 patients will enter the expansion phase. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ST571 + BYL719 | Drug | Evaluable patients must meet the minimum treatment and safety evaluation requirements of the study. Patients will be treated until they experience progression of disease, withdraw consent, or experience unacceptable toxicity. One study cycle equals 28 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of dose limiting toxicities (DLTs) | Dose limiting toxicity (DLT) will be assessed using Common Terminology Criteria for Adverse Events (CTCAE) (v4.0.3), unless otherwise specified in the protocol. | 28 days (1st cycle) |
| Characteristics of dose limiting toxicities (DLTs) | Dose limiting toxicity (DLT) will be assessed using Common Terminology Criteria for Adverse Events (CTCAE) (v4.0.3), unless otherwise specified in the protocol. | 28 days (1st cycle) |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and characteristics of DLTs | Dose limiting toxicity (DLT) will be assessed using CTCAE (v4.0.3), unless otherwise specified in the protocol. | 28 days (1st cycle) |
| Imatinib and BYL719 plasma concentrations vs time profile |
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Inclusion Criteria:
Exclusion Criteria:
-Previous treatment with PI3K inhibitors -Patient has active uncontrolled or symptomatic central nervous system (CNS) metastases Note: A patient with controlled and asymptomatic CNS metastases may participate in this trial. As such, the patient must have completed any prior treatment for CNS metastases > 28 days (including radiotherapy and/or surgery) prior to start of treatment in this study and should not be receiving chronic corticosteroid therapy for the CNS metastases -Severe and/or uncontrolled concurrent medical condition that, in the opinion of the investigator, could cause unacceptable safety risks or compromise compliance with the protocol (e.g. acute or chronic liver, pancreatic disease, severe renal disease considered unrelated to study disease, chronic pulmonary disease including dyspnea at rest from any cause) -Patients with diabetes mellitus requiring insulin treatment and/or with clinical signs or with FPG >120mg/dL / 6.7mmol/L, or history of documented steroid-induced diabetes mellitus -Patient who has not recovered to grade 1 or better from any adverse events related to previous imatinib and/or sunitinib therapy before screening procedures are initiated
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oregon Health and Science University Dept. of OHSU (3) | Portland | Oregon | 97239 | United States | ||
| Novartis Investigative Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35524239 | Derived | Pantaleo MA, Heinrich MC, Italiano A, Valverde C, Schoffski P, Grignani G, Reyners AKL, Bauer S, Reichardt P, Stark D, Berhanu G, Brandt U, Stefanelli T, Gelderblom H. A multicenter, dose-finding, phase 1b study of imatinib in combination with alpelisib as third-line treatment in patients with advanced gastrointestinal stromal tumor. BMC Cancer. 2022 May 6;22(1):511. doi: 10.1186/s12885-022-09610-4. |
| Label | URL |
|---|---|
| Results for CSTI571X2103 can be found on the Novartis Clinical Trial Results Website | View source |
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|
| 28 days (1st cycle) |
| Clinical benefit rate (CBR) | Clinical benefit rate is defined as the rate of confirmed complete response (CR) or partial response (PR), or stable disease (SD) which lasts for at least 16 weeks.Tumor response will be determined locally by the investigator sites according to Novartis guideline on the Response Evaluation Criteria in Solid Tumors, based on RECIST Version 1.1. | 28 days (1st cycle) |
| Type of adverse drug reactions | 28 days (1st cycle) |
| Frequency of adverse drug reactions | 28 days (1st cycle) |
| Severity of adverse drug reactions | 28 days (1st cycle) |
| Effect of basic Pharmacokinetics (PK) parameter: AUC0-24 | 28 days (1st cycle) |
| Effect of basic PK parameter: Cmax | 28 days (1st cycle) |
| Effect of basic PK parameter: Tmax | 28 days (1st cycle) |
| Effect of basic PK parameter: CL/F | 28 days (1st cycle) |
| Leuven |
| 3000 |
| Belgium |
| Novartis Investigative Site | Bordeaux | 33076 | France |
| Novartis Investigative Site | Berlin | 13125 | Germany |
| Novartis Investigative Site | Essen | 45147 | Germany |
| Novartis Investigative Site | Bologna | BO | 40138 | Italy |
| Novartis Investigative Site | Candiolo | TO | 10060 | Italy |
| Novartis Investigative Site | Groningen | 9713 GZ | Netherlands |
| Novartis Investigative Site | Leiden | 2300 RC | Netherlands |
| Novartis Investigative Site | Barcelona | Catalonia | 08035 | Spain |
| Novartis Investigative Site | Leeds | LS9 7TF | United Kingdom |
| ID | Term |
|---|---|
| C585539 | Alpelisib |
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