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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-000833-11 | EudraCT Number |
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Review of safety and preliminary efficacy data showed marginal anti-tumor activity.
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This is a multi-center, open-label Phase Ib dose escalation part followed by a randomized double-blinded placebo controlled Phase II part.
The Phase Ib part will determine the Maximum Tolerated Dose (MTD)/Recommended Phase II Dose (RP2D) of buparlisib in combination with docetaxel. Subsequently the MTD/RP2D will be investigated in a Phase II randomized trial in patients with advanced or metastatic squamous NSCLC.
Based on an overall review of safety and preliminary efficacy data done on 01-Dec-2014 showing marginal anti-tumor activity and newly emerged treatment options, a decision was taken to stop further development of this combination in patients with advanced or metastatic squamous NSCLC and Phase II of the study was not conducted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase Ib: Buparlisib + docetaxel | Experimental | Buparlisib (BKM120) oral once daily: 80 mg and 100 mg dose levels to be tested in the dose escalation part of the trial in combination with docetaxel every three week intravenous (i.v.) infusion: 75 mg/m2 as per label. |
|
| Phase II: Buparlisib + docetaxel | Experimental | Buparlisib oral once daily: MTD/RP2D mg to be tested in combination with docetaxel every three week i.v. infusion: 75 mg/m2 as per label. |
|
| Phase II: Placebo + docetaxel | Placebo Comparator | Buparlisib matching placebo oral once daily to be tested in combination with docetaxel every three week i.v. infusion: 75 mg/m2 as per label. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Buparlisib | Drug |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| Phase Ib: Incidence of Dose Limiting Toxicities (DLTs) in Cycle 1 | To determine the maximum tolerated dose/recommended phase ll dose (MTD/RP2D) of buparlisib in combination with docetaxel by assessing the incidence of DLTs in Cycle 1; Cycle 1 = 21 days | Day 21 |
| Phase II: Progression Free Survival (PFS) | PFS as per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. To estimate the treatment effect of docetaxel and buparlisib or placebo on PFS in patients with advanced or metastatic squamous NSCLC. | After 70 PFS events have been observed at 9 months after patient enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with at least one adverse event. | Up to 30 days after the last dose | |
| Number of patients with laboratory abnormalities. | Up to 30 days after the last dose | |
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Inclusion Criteria:
Note: Patients who received paclitaxel therapy are eligible for this trial. •Patient has adequate tumor tissue (either archival or new tumor biopsy) for the analysis of PI3K-related biomarkers.
Enrollment in the Phase II part of the study is contingent on the central laboratory confirming receipt of an adequate amount of tissue including sufficient DNA for analysis.
•Patient has measurable or non-measurable disease according to RECIST version 1.1 criteria.
Phase II only: Patient must have at least one measurable lesion as per RECIST criteria.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highlands Oncology Group SC-1 | Fayetteville | Arkansas | 72703 | United States | ||
| H. Lee Moffitt Cancer Center & Research Institute H Lee Moffitt |
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| Buparlisib matching placebo |
| Drug |
|
| Docetaxel | Drug |
|
| Overall Survival (OS) |
Overall survival (OS) time is measured from the start of study drug to the 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 contact. Data will be collected post treatment every 6 weeks until approximately 75% of patients have reached the survival endpoint (Phase I + Phase II) |
| Treatment start (phase Ib)/randomization (phase II), every 6 weeks to the date of first document progression for up to 3 years |
| Overall response rate (ORR) | Overall response is the number of participants who had a complete response (CR) or a partial response (PR) based on local investigator's assessment of RECIST 1.1 criteria. | Every 6 weeks from randomization until first documented progression for up to 3 years |
| Time to response (ToR) | Time to overall response is defined as the time from the date of first drug intake in Phase Ib and from the date of randomization in Phase II to the date of first documented response. | Every 6 weeks from randomization until first documented progression for up to 3 years |
| Duration of response (DR) | Duration of overall response is defined as the elapsed time between the date of first documented response and the following date of event defined as the first documented progression or death due to underlying cancer. | Every 6 weeks from randomization until first documented progression for up to 3 years |
| Change in electrocardiogram (ECG) and cardiac imaging | Up to 30 days after the last dose |
| Changes in vital signs | Up to 30 days after the last dose |
| Shift in ECOG performance status | cycle = 21 days; end of treatment is defined as 15 days after treatment discontinuation; There is no treatment duration as patients continue to receive drug till toxicity or they withdraw consent | Baseline, worst post-baseline result at day 1 of every cycle and at end of study treatment (3 years) |
| Change in Mood scales | Up to 30 days after the last dose |
| Time to definitive 10% deterioration in the global health status/quality of life (QOL) scale score of the EORTC QLQ-C30 | Date of event is defined as at least 10% relative to baseline worsening of the corresponding scale score or death due to any cause | Baseline, Every 6 weeks until disease progression for up to 3 years |
| Change in the global health status/quality of life (QOL) scale score of the EORTC QLQ-C30 | Change in the domain scores | Baseline, Every 6 weeks until disease progression for up to 3 years |
| Docetaxel and buparlisib plasma concentrations | Cycle 1 day 8 and 15, Cycle 2-Cycle n day 1 |
| PFS Phase Ib | PFS as per RECIST 1.1 | at 3 months after patient enrollment, every 6 weeks until disease progression for up to 3 years |
| Tampa |
| Florida |
| 33612 |
| United States |
| Reliant Medical Group Reliant Medical Group | Worcester | Massachusetts | 01608 | United States |
| Virginia Oncology Associates Virginia Oncology Assoc. (2) | Norfolk | Virginia | 23502 | United States |
| Novartis Investigative Site | Charleroi | 6000 | Belgium |
| Novartis Investigative Site | Mons | 7000 | Belgium |
| Novartis Investigative Site | Créteil | 94000 | France |
| Novartis Investigative Site | Saint-Herblain | 44805 | France |
| Novartis Investigative Site | Frankfurt | 60590 | Germany |
| Novartis Investigative Site | Heidelberg | 69120 | Germany |
| Novartis Investigative Site | Mainz | 55131 | Germany |
| Novartis Investigative Site | Monza | MB | 20900 | Italy |
| Novartis Investigative Site | Seoul | Korea | 05505 | South Korea |
| Novartis Investigative Site | Seoul | Korea | 06351 | South Korea |
| Novartis Investigative Site | Barcelona | Catalonia | 08036 | Spain |
| Novartis Investigative Site | Stockholm | 171 76 | Sweden |
| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C571178 | NVP-BKM120 |
| D000077143 | Docetaxel |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
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