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Dose escalation part:to determine the highest dose of BYL719 administered on a daily basis when given in combination with weekly paclitaxel Dose escalation part: to confirm the safety and tolerability of the BYL719 and paclitaxel combination
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BYL719 and paclitaxel | Experimental | All patients enrolled in the study will receive BYL719 once daily plus weekly paclitaxel |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BYL719 | Drug | BYL719 will be administered orally once daily on a continuous dosing schedule and dosed on a flat-fixed dose and not adjusted by body weight or body surface area, starting on Day 2 in the dose escalation part and Day 1 in the dose expansion part. In the dose escalation part, the BYL719 starting dose will be 300mg, with anticipated dose escalation to 350mg. In the dose expansion part, BYL719 will be administered at the recommended dose determined in the dose escalation part. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose escalation : Dose Limiting Toxicity (DLT) | A dose-limiting toxicity (DLT) is an adverse event or abnormal laboratory value assessed as being unrelated to disease, disease progression, inter-current illness, or concomitant medications, and that occurs within the first cycle of treatment with BYL719 plus paclitaxel and meets any of the pre-defined criteria. | Cycle 1 (28 days) |
| Dose expansion : Number of patients with adverse events as a measure of safety and tolerability | type, intensity, severity and seriousness of adverse events according to the NCI CTC AE v4.03. Dose interruptions, reductions and dose intensity. | Screening, every 28 days until 30 days after last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Dose escalation:Number of patients with adverse events as a measure of safety and tolerability | type, intensity, severity and seriousness of adverse events according to the NCI CTC AE v4.03. Dose interruptions, reductions and dose intensity. | Screening, every 28 days until 30 days after last dose |
| Dose escalation : BYL719 and Paclitaxel Plasma concentrations |
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Inclusion criteria For entire trial:
- Adult > or = 18 years old
- has signed the Informed Consent Form (ICF)
- has at least one measurable or non-measurable disease as per RECIST 1.1
- has tumor tissue available for the analysis as described in the protocol
- has adequate bone marrow and organ function as defined in the protocol
- is able to swallow and retain oral medication for the dose escalation part, ALL above PLUS
- has a histologically-confirmed, advanced unresectable solid tumors who have progressed on standard therapy (or not been able to tolerate) within three months before screening/baseline visit or for whom no standard anticancer therapy exists.
- has an Eastern Cooperative Oncology Group (ECOG) performance status ≤2 For dose expansion part, patient has ALL of above first six criteria PLUS either: 9- has a histologically/cytologically-confirmed HNSCC as detailed in the protocol and an ECOG performance status ≤ 1 or:
Common exclusion criteria to Dose escalation and Dose expansion parts:
For the HNSCC patient's cohort additional exclusion criteria are:
21- Treatment with more than one prior chemotherapy for recurrent/metastatic disease as detailed in the protocol 22- Prior taxane treatment for metastatic disease additional exclusion criteria for breast cancer patients' cohort:
- has received any prior cytotoxic therapy for the inoperable locally advanced (recurrent or progressive) or metastatic disease, or who had a progression/recurrent disease within 6 months after completion of an adjuvant/neoadjuvant therapy as described in the protocol
Other protocol-defined inclusion/exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highlands Oncology Group | Fayetteville | Arkansas | 72703 | United States | ||
| Horizon Oncology Center BioAdvance |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30167089 | Derived | Rodon J, Curigliano G, Delord JP, Harb W, Azaro A, Han Y, Wilke C, Donnet V, Sellami D, Beck T. A Phase Ib, open-label, dose-finding study of alpelisib in combination with paclitaxel in patients with advanced solid tumors. Oncotarget. 2018 Aug 3;9(60):31709-31718. doi: 10.18632/oncotarget.25854. eCollection 2018 Aug 3. |
| Label | URL |
|---|---|
| Novartis results database | View source |
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|
| Paclitaxel | Drug | Paclitaxel will be administered once weekly at a dose of 80 mg/m2 i.v. (days 1, 8, 15 and 22) in a 28 day cycle in both dose escalation and expansion. |
|
Plasma concentration time profiles of BYL719 and paclitaxel. Plasma PK parameters of paclitaxel (single agent vs. combination) and BYL719 (steady state in combination with paclitaxel). |
| Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 8, Cycle 1 Day 9 |
| Dose expansion: Clinical benefit Rate in the breast cancer cohort | Clinical benefit rate is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR) or stable disease (SD) for more than 24 weeks of duration of response. | Baseline, every 8 weeks (Breast cancer patients) from start of treatment until first documented disease progression up to 2 years |
| Dose expansion: Progression free survival | Progression-free survival is defined as the time from start date of study treatment until objective tumor progression or death from any cause | Baseline, every 6 weeks (head-and-neck squamous cell carcinoma (HNSCC) patients) or every 8 weeks (Breast cancer patients) from start of treatment until first documented disease progression up to 2 years |
| Dose expansion: Overall response rate | Overall response rate is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR), based on RECIST 1.1 criteria and the investigator assessment. | Baseline, every 6 weeks (HNSCC patients) or every 8 weeks (Breast cancer patients) from start of treatment until first documented disease progression up to 2 years |
| Dose expansion : Duration of Response | Duration of response is defined as the time of first occurrence of CR or PR until the date of the first documented disease progression or death due to the disease. | Baseline, every 6 weeks (HNSCC patients) or every 8 weeks (breast cancer patients) from start of treatment until first documented disease progression up to 2 years |
| Dose expansion: Plasma pharmacokinetics of BYL719 given in combination with paclitaxel in breast cancer and HNSCC patients | Plasma concentration time profiles of BYL719 and appropriate individual PK parameters. | Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 15, and Day 1 of each subsequent Cycle |
| Lafayette |
| Indiana |
| 47905 |
| United States |
| Novartis Investigative Site | Toulouse | 31059 | France |
| Novartis Investigative Site | Milan | MI | 20141 | Italy |
| Novartis Investigative Site | Barcelona | Catalonia | 08035 | Spain |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D001943 | Breast Neoplasms |
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C585539 | Alpelisib |
| D017239 | Paclitaxel |
| 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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