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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01928459
Registration number
NCT01928459
Ethics application status
Date submitted
21/08/2013
Date registered
26/08/2013
Titles & IDs
Public title
Phase 1b Trial of BGJ398/BYL719 in Solid Tumors
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Scientific title
A Phase Ib, Open-label Study of Oral BGJ398 in Combination With Oral BYL719 in Adult Patients With Select Advanced Solid Tumors
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Secondary ID [1]
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CBGJ398X2102
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Solid Tumors
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Metastatic Solid Tumors
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BGJ398
Treatment: Drugs - BYL719
Experimental: Metastatic breast cancer - Evaluation of safety and efficacy in patients with metastatic breast cancer whose tumors contain mutations to PIK3CA and alterations FGFR 1-3.
Experimental: Solid tumor arm 1 - Patients with solid tumors (except for colorectal cancer) whose tumors express mutations to PIK3CA.
Experimental: Solid tumor arm 2 - Patients with solid tumors (except for colorectal cancer) whose tumomrs express mutations to PIK3CA and alterations to FGFR 1-3
Experimental: Dose escalation - 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.
Treatment: Drugs: BGJ398
BGJ398 will be administered orally once daily for the first 21 days of each 28-day cycle.
Treatment: Drugs: BYL719
BYL719 will be administered orally once daily on each day of the 28-day cycle.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence rate of dose limiting toxicities (DLTs) of the combination of BGJ398 with BYL719
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Assessment method [1]
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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.
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Timepoint [1]
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Approximately 8 months
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Secondary outcome [1]
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Safety and tolerability of BGJ398/BYL719 combination at the recommended dose for expansion (RDE)
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Assessment method [1]
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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
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Timepoint [1]
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Every 28 days from baseline visit until end of study visit
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Secondary outcome [2]
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Overall response rate
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Assessment method [2]
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Assessment of preliminary antitumor activity of the combination of BGJ398 with BYL719; Overall response rate = complete response + partial response
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Timepoint [2]
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Every two months from the date of baseline CT scan
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Secondary outcome [3]
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Progression free survival
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Assessment method [3]
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Assessment of preliminary antitumor activity of the combination of BGJ398 with BYL719
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Timepoint [3]
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Every two months from the date of baseline CT scan
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Secondary outcome [4]
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Time vs. concentration profile of BGJ398 and BYL719
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Assessment method [4]
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Plasma concentration versus time profiles. Plasma PK parameters will be used to characterize the PK profiles of the combination of BGJ398 with BYL719
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Timepoint [4]
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Every 28 days for up to 10 cycles
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Eligibility
Key inclusion criteria
* Histologically/cytologically confirmed advanced or metastatic solid tumors who have failed standard therapy or for whom no effective standard anti-cancer therapy exists
* Documented PIK3CA mutations in all patients in dose escalation and expansion with or without documented genetic alterations in FGFR depending upon dose expansion cohort (either local or central determination)
* Measurable disease defined by RECIST v1.1
* ECOG performance status of =2
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior PI3Ki or selective FGFR inhibitor treatment (for patients enrolled to expansion part)
* Colorectal cancer (for patients enrolled to expansion part)
* Patients with diabetes mellitus requiring insulin treatment and/or with clinical signs or with fasting glucose = 140 mg/dL / 7.8 mmol/L, history of clinically significant gestational diabetes mellitus or documented steroid-induced diabetes mellitus
* Use of medications that increase serum levels of phosphorus and/or calcium
* Inorganic phosphorus outside of normal limits
* Total and ionized serum calcium outside of normal limits
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2016
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Sample size
Target
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Accrual to date
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Final
62
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Novartis Investigative Site - Parkville
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Recruitment postcode(s) [1]
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3050 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Florida
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United States of America
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State/province [2]
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Michigan
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United States of America
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Missouri
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United States of America
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New York
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United States of America
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Tennessee
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United States of America
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Texas
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Belgium
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Bruxelles
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Canada
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Ontario
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France
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Lyon Cedex
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France
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State/province [10]
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Saint Herblain cedex
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Germany
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Nordrhein-Westfalen
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Italy
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MI
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Italy
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MO
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Korea, Republic of
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Korea
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Netherlands
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Amsterdam
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Singapore
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Singapore
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Spain
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State/province [17]
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Andalucia
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Spain
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Catalunya
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Spain
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Madrid
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Country [20]
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Switzerland
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State/province [20]
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Bellinzona
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT01928459
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Novartis Pharmaceuticals
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Address
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Novartis Pharmaceuticals
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Phone
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Email
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Contact person for public queries
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01928459