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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Metastatic breast cancer | Experimental | Evaluation of safety and efficacy in patients with metastatic breast cancer whose tumors contain mutations to PIK3CA and alterations FGFR 1-3. |
|
| Solid tumor arm 1 | Experimental | Patients with solid tumors (except for colorectal cancer) whose tumors express mutations to PIK3CA. |
|
| Solid tumor arm 2 | Experimental | Patients with solid tumors (except for colorectal cancer) whose tumomrs express mutations to PIK3CA and alterations to FGFR 1-3 |
|
| Dose escalation | Experimental | To determine the MTD or RDE of the combination of BGJ398 with BYL719 in patients with advanced or metastastic solid tumors that express mutations to PIK3CA. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BGJ398 | Drug | BGJ398 will be administered orally once daily for the first 21 days of each 28-day cycle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Approximately 8 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | Every 28 days from baseline visit until end of study visit |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| H. Lee Moffitt Cancer Center & Research Institute Moffitt 4 | Tampa | Florida | 33612 | United States | ||
| University of Michigan Comprehensive Cancer Center SC |
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| Label | URL |
|---|---|
| Results for CBGJ398X2102 from the Novartis Clinical Trials website | View source |
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| BYL719 | Drug | BYL719 will be administered orally once daily on each day of the 28-day cycle. |
|
| Overall response rate | Assessment of preliminary antitumor activity of the combination of BGJ398 with BYL719; Overall response rate = complete response + partial response | 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 | 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 | Every 28 days for up to 10 cycles |
| Ann Arbor |
| Michigan |
| 48109-0944 |
| United States |
| Karmanos Cancer Institute Dept of Onc | Detroit | Michigan | 48201 | United States |
| Washington University School of Medicine Onc Dept | St Louis | Missouri | 63110 | United States |
| Memorial Sloan Kettering Cancer Center Onc Dept | New York | New York | 10065 | United States |
| Vanderbilt University Medical Center Dept of Onc | Nashville | Tennessee | 37232 | United States |
| Cancer Therapy & Research Center / UT Health Science Center SC | San Antonio | Texas | 78229 | United States |
| Novartis Investigative Site | Parkville | Victoria | 3050 | Australia |
| Novartis Investigative Site | Brussels | 1200 | Belgium |
| Novartis Investigative Site | Toronto | Ontario | M5G 2M9 | Canada |
| Novartis Investigative Site | Lyon | 69373 | France |
| Novartis Investigative Site | Saint-Herblain | 44805 | France |
| Novartis Investigative Site | Cologne | North Rhine-Westphalia | 50937 | Germany |
| Novartis Investigative Site | Milan | MI | 20141 | Italy |
| Novartis Investigative Site | Modena | MO | 41100 | Italy |
| Novartis Investigative Site | Amsterdam | 1066 CX | Netherlands |
| Novartis Investigative Site | Singapore | 169610 | Singapore |
| Novartis Investigative Site | Seoul | Korea | 05505 | South Korea |
| Novartis Investigative Site | Seville | Andalusia | 41013 | Spain |
| Novartis Investigative Site | Barcelona | Catalonia | 08035 | Spain |
| Novartis Investigative Site | Madrid | 28050 | Spain |
| Novartis Investigative Site | Bellinzona | 6500 | Switzerland |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D000168 | Acrocephalosyndactylia |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D003398 | Craniosynostoses |
| D013580 | Synostosis |
| D004413 | Dysostoses |
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D013576 | Syndactyly |
| D019465 | Craniofacial Abnormalities |
| D009139 | Musculoskeletal Abnormalities |
| D017880 | Limb Deformities, Congenital |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| ID | Term |
|---|---|
| C568950 | infigratinib |
| C585539 | Alpelisib |
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