A Phase Ib, Multi-center, Open Label, Dose Escalation Study of Oral LDE225 in Combination With BKM 120 in Patients With Advanced Solid Tumors
The primary purpose of this study is to determine a combination maximum tolerated dose (MTD)
and/or recommended dose for expansion (RDE) of LDE225 and BKM120 when co-administered orally
in patients with advanced solid tumors (specifically, metastatic breast cancer, advance
pancreatic adenocarcinoma, metastatic colorectal cancer (CRC) and recurrent glioblastoma
multiforme (GBM)).
Adult patients, aged > 18 years with advanced solid tumors that have progressed despite
standard therapy or for which no standard therapies exist will be eligible for this study.
The study population will be limited to patients with the following tumor types: metastatic
breast cancer, pancreatic adenocarcinoma, metastatic CRC and recurrent GBM. It is
anticipated that approximately 45 patients will be enrolled in the dose escalation part.
Approximately 15 GBM patients (maximum of 2 patients per dose level) will be enrolled to
previously well-tolerated doses during dose escalation if no slot is available in a cohort
under active testing. The dose expansion will enroll 30 patients (at least 15 patients with
recurrent GBM). Accounting for patients who may withdrawal or who may not meet the
eligibility criteria, it is expected that this study will enroll approximately 80 patients.
This is a multi-center, open-label, dose finding, phase Ib study to determine the MTD and/or
RDE for the combination of LDE225 plus BKM120, followed by an expansion part to further
assess safety and preliminary efficacy of the combination in patients with advanced solid
tumors that are frequently associated with dysregulated Hh and/or PI3K pathways,
specifically metastatic breast cancer, pancreatic adenocarcinoma, metastatic CRC and
recurrent GBM. Patients will be treated daily on a 28-day cycles. Dose escalation will be
dependent on the available toxicity information (including adverse events that are not
DLTs), PK, PD, and efficacy information, as well as the recommendations from the Bayesian
Logistic Regression Model (BLRM).
Interventional
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label
Dose Limiting Toxicities
Dose Limiting Toxicities (DLTs) during the first 6 weeks (42 days) of the combination treatment of LDE225 and BKM120.
6 weeks (42 days)
Yes
Novartis Pharmceuticals
Study Director
Novartis Pharmceuticals
United States: Food and Drug Administration
CLDE225X2114
NCT01576666
July 2012
March 2015
Name | Location |
---|---|
US Oncology Central Monitoring | Dallas, Texas 75246 |
Willamette Valley Clinical Studies Williamette Valley Cancer | Eugene, Oregon 97404 |
University of Utah / Huntsman Cancer Institute Huntsman | Salt Lake City, Utah 84103 |
H. Lee Moffitt Cancer Center/University of South Florida Moffitt 4 | Tampa, Florida 33612 |
University of California San Francisco UCSF (SC) | San Francisco, California |
Sammons Cancer Center Sammons Cancer Center SC-2 | Dallas, Texas 78246 |
Cedars Sinai Medical Center SC | Los Angeles, California 90048 |
Dana Farber Cancer Institute Dana SC | Boston, Massachusetts 02115 |
Mayo Clinic - Rochester Division of Hematology | Rochester, Minnesota 55905 |
Duke University Medical Center Duke - Baker | Durham, North Carolina 27710 |
Northwest Cancer Specialists Main Site | Portland, Oregon 97210 |
Fox Chase Cancer Center FCCC | Philadelphia, Pennsylvania 19111-2497 |
MD Anderson Cancer Center/University of Texas SC-3 | Houston, Texas 77030-4009 |
Texas Oncology, P.A. SC | Fort Worth, Texas 76104 |
University of California at Los Angeles Dept. of Neuro-Oncology | Los Angeles, California 90095 |