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This study will be conducted using 3+3 design and includes, a dose escalation part to define the MTDfRP2D for the combination of BGJ398 and carboplatin/paclitaxel, and a dose expansion part to treat another 12 patients (only cervix cancer) to further evaluate safety of this combination. Safety, tolerability and MTD will be determined in the dose escalation part of the study. The dose expansion will additionally investigate preliminary anti-tumor efficacy in cervical cancer. The dosing cycle is 21 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation | Experimental | To determine the MTD/RP2D of BGJ398 when combined with carboplatin and paclitaxel in subjects with locally advanced for metastatic solid tumors. |
|
| Expansion Cervical Cancer | Experimental | To assess the anti-tumor effect of BGJ398 when combined with carboplatin and paclitaxel in cervix cancer. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BGJ398 | Drug | BGJ398 will be administered orally once daily on each day of the 21 day cycle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| To determine the maximum tolerated dose (MTD) based on toxicity analysis. | Toxicity will be monitored according to NCI Common Toxicity Criteria for Adverse Events (CTCAE), Version 4.0. | approximately 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Time vs. concentration profile of BGJ398 | Plasma concentration versus time profiles. Plasma PK parameters will be used to characterize the PK profiles of BGJ398 when combined with certain chemotherapies. | At Cycle 1 Day 1 and Cycle 2 Day 1 |
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Inclusion Criteria:
absolute neutrophil count ≥ 1.5 x 10 9/L platelets ≥ 100,000 x 10 9/L hemoglobin ≥ 9.0 g/dL Adequate liver function as evidenced by bilirubin <1.5 times the upper limit of normal (ULN); alanine aminotransferase (AL T) and aspartate aminotransferase (AST) <3 times the ULN
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Steven Weitman, MD | Clinical Investigator | Principal Investigator |
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| ID | Term |
|---|---|
| D002583 | Uterine Cervical Neoplasms |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| C568950 | infigratinib |
| D016190 | Carboplatin |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
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| Carboplatin | Drug | Carboplatin will be administered in combination with paclitaxel intravenously on the first day of each 21-day cycle. |
|
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| Paclitaxel | Drug | Paclitaxel will be administered in combination with carboplatin intravenously on the first day of each 21-day cycle. |
|
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| D002577 |
| Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D003516 |
| Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D004224 | Diterpenes |
| D013729 | Terpenes |