Non-small Cell Lung CancerPhase 2BASALT-1NCT01297491
Safety and Efficacy of BKM120 in Patients With Metastatic Non-small Cell Lung Cancer
A Phase 2 study testing BKM120 in people with Non-small Cell Lung Cancer, run by Novartis Pharmaceuticals at 92 sites in 18 countries.
Trial summary
The purpose of this two-stage phase II study is to assess the efficacy of BKM120, as measured by determining the progression free survival (PFS), in patients with pretreated metastatic Non-small Cell Lung Cancer (NSCLC) that exhibits PI3K pathway activation. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-small Cell Lung Cancer
- What is being tested?
- BKM120
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 92 sitesin 18 countries
- Study dates
- May 2011to Oct 2014
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed NSCLC with activated PI3K pathway
- Progressive disease after prior systemic antineoplastic treatment(s) for advanced NSCLC
- Archival or fresh tumor biopsy must be available for profiling
- Measurable and/or non-measurable disease as per RECIST 1.1 criteria
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
- Adequate organ function as assessed by laboratory tests
Who cannot join
- Patient has received previous treatment with PI3K inhibitors
- Patient with squamous NSCLC has received more than one line of chemotherapy treatment for metastatic disease; patient with non-squamous NSCLC has received more than two lines of systemic antineoplastic treatment for metastatic disease
- Uncontrolled or symptomatic CNS metastases
- Concurrent use of any other approved or investigational antineoplastic agent
- Radiotherapy ≤ 28 days prior to starting study drug
- Major surgery within 28 days prior to starting study drug
Show all 17Show fewer
- History of clinically significant cardiac dysfunction, mood disorders, or poorly controlled diabetes mellitus
- Current treatment with medication that has a known risk to prolong the QT interval or inducing Torsades de Pointes
- Impairment of gastrointestinal (GI) function
- Chronic treatment with steroids or another immunosuppressive agent.
- Concurrent severe and/or uncontrolled medical condition
- Currently receiving Warfarin or another coumarin derivative
- Known history of HIV infection
- Sensory neuropathy with functional impairment (CTC grade 2 neuropathy, regardless of causality)
- Pregnancy, lactation, or breastfeeding
- Woman of child-bearing potential
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
92 sites in 18 countries.
92 sites in 18 countries
United States32 sites
Virginia Oncology Associates VOA - Lake Wright (2)
*see Various Departments*, Virginia, 23502
Emory University School of Medicine/Winship Cancer Institute Emory 2
Atlanta, Georgia, 30322
University of Colorado Univ CO
Aurora, Colorado, 80045
Massachusetts General Hospital Mass General
Boston, Massachusetts, 02114
Roswell Park Cancer Institute Rosewell
Buffalo, New York, 14263
Ironwood Cancer and Research Centers SC
Chandler, Arizona, 85224
Medical University of South Carolina MUSC
Charleston, South Carolina, 29425
Rush University Medical Center SC
Chicago, Illinois, 60612
University of Chicago Medical Center Unvi Chi
Chicago, Illinois, 60637
MetroHealth Medical Center Dept.ofMetroHealthMedCtr.(2)
Cleveland, Ohio, 44109-1998
Baylor Health Care System/Sammons Cancer Center Baylor Texas Oncology
Dallas, Texas, 75246
Texas Oncology South Texas Oncology
Dallas, Texas, 75251
U of TX Southwestern Medical Center - SimmonsCompCancerCtr Clinical Research Office
Dallas, Texas, 75390-9151
Karmanos Cancer Institute Wayne St Karmanos
Detroit, Michigan, 48201
Duke University Medical Center Duke 2
Durham, North Carolina, 27710
Highlands Oncology Group Dept of Highlands Oncology Grp
Fayetteville, Arkansas, 72753
Rocky Mountain Cancer Centers Dept. of Rocky Mountain Cancer
Greenwood Village, Colorado, 80218
University of Kansas Cancer Center Univ of KS
Kansas City, Kansas, 66160
Cedars Sinai Medical Center Dept.of Cedars-Sinai Med. Ctr.
Los Angeles, California, 90048
University of Wisconsin Univ WIsc 2
Madison, Wisconsin, 53792
Hematology Oncology Associates of Northern New Jersey PA DeptofHem-OncofNorthern NJ (2)
Morristown, New Jersey, 07962
Memorial Sloan Kettering Cancer Center Sloan Kettering
New York, New York, 90033
University of Oklahoma Health Sciences Center Dept. of Oklahoma Univ. HSC
Oklahoma City, Oklahoma, 73104
Arizona Oncology Associates Tucson (Rudasill & La Cholla)
Phoenix, Arizona
University of Pittsburgh Medical Center SC-2
Pittsburgh, Pennsylvania, 15213
Northwest Cancer Specialists Compass Oncology -BKM
Portland, Oregon, 97210
University of California at San Diego, Moores Cancer Ctr SC
San Diego, California, 92103
Mayo Clinic - Arizona Mayo Scottsdale AZ
Scottsdale, Arizona, 85259
Washington University School of Medicine Washington University (16)
St Louis, Missouri, 63110
Overlook Hospital - Carol G Simon Cancer Center Carol G Simon
Summit, New Jersey, 07901
H. Lee Moffitt Cancer Center & Research Institute H Lee Moffitt
Tampa, Florida, 33612
Fallon Clinic at Worcester Medical Center Fallon Clinic Worcester Med
Worcester, Massachusetts, 01608
Germany9 sites
Novartis Investigative Site
Berlin, 13125
Novartis Investigative Site
Cologne, 51109
Novartis Investigative Site
Essen, 45147
Novartis Investigative Site
Gauting, 82131
Novartis Investigative Site
Großhansdorf, 22927
Novartis Investigative Site
Heidelberg, 69120
Novartis Investigative Site
Nuremberg, 90419
Novartis Investigative Site
Oldenburg, 26121
Novartis Investigative Site
Recklinghausen, 45657
Italy6 sites
Novartis Investigative Site
Avellino, AV, 83100
Novartis Investigative Site
Genova, GE, 16132
Novartis Investigative Site
Milan, MI, 20133
Novartis Investigative Site
Milan, MI, 20141
Novartis Investigative Site
Parma, PR, 43100
Novartis Investigative Site
Udine, UD, 33100
Belgium5 sites
Novartis Investigative Site
Brussels, 1090
Novartis Investigative Site
Charleroi, 6000
Novartis Investigative Site
Genk, 3600
Novartis Investigative Site
Leuven, 3000
Novartis Investigative Site
Libramont, 6800
Brazil5 sites
Novartis Investigative Site
Barretos, São Paulo, 14784-400
Novartis Investigative Site
Florianópolis, Santa Catarina, 88034-000
Novartis Investigative Site
Rio de Janeiro, Rio de Janeiro, 20230-130
Novartis Investigative Site
Salvador, Estado de Bahia, 41253-190
Novartis Investigative Site
São Paulo, São Paulo, 01246-000
France5 sites
Novartis Investigative Site
Caen, 14021
Novartis Investigative Site
Créteil, 94000
Novartis Investigative Site
Marseille, 13915
Novartis Investigative Site
Rennes, F-35043
Novartis Investigative Site
Villejuif, 94805
Hungary5 sites
Novartis Investigative Site
Budapest, 1121
Novartis Investigative Site
Budapest, 1125
Novartis Investigative Site
Deszk, 6772
Novartis Investigative Site
Mátraháza, 3233
Novartis Investigative Site
Szolnok, H-5000
Spain4 sites
Novartis Investigative Site
Alicante, Valencia, 03010
Novartis Investigative Site
Barcelona, Catalonia, 08035
Novartis Investigative Site
Mataró, Catalonia, 08301
Novartis Investigative Site
Sabadell, Barcelona, 08208
United Kingdom4 sites
Novartis Investigative Site
Leicester, LE1 5WW
Novartis Investigative Site
London, SE1 9RT
Novartis Investigative Site
Manchester, M20 4BX
Novartis Investigative Site
Northwood, Middlesex, HA6 2RN
Argentina3 sites
Novartis Investigative Site
Buenos Aires, Buenos Aires, C1050AAK
Novartis Investigative Site
Córdoba, Córdoba Province, X5002AOQ
Novartis Investigative Site
Rio Negro, Viedma, 8500
Canada3 sites
Novartis Investigative Site
Montreal, Quebec, H2X 3J4
Novartis Investigative Site
Toronto, Ontario, M5G 1Z5
Novartis Investigative Site
Vancouver, British Columbia, V5Z 4E6
Japan2 sites
Novartis Investigative Site
Koto, Tokyo, 135-8550
Novartis Investigative Site
Kurashiki, Okayama-ken, 710-8602
Taiwan2 sites
Novartis Investigative Site
Tainan, Taiwan ROC, 704
Novartis Investigative Site
Taipei, Taiwan ROC, 100
Thailand2 sites
Novartis Investigative Site
Bangkok, 10700
Novartis Investigative Site
Chiang Mai, 50200
Turkey (Türkiye)2 sites
Novartis Investigative Site
Altunizade, 34662
Novartis Investigative Site
Izmir, Turkey, 35040
About this study
Official title: An Open Label Two-stage Study of Orally Administered BKM120 in Patients With Metastatic Non-small Cell Lung Cancer With Activated PI3K Pathway
The purpose of this two-stage phase II study is to assess the efficacy of BKM120, as measured by determining the progression free survival (PFS), in patients with pretreated metastatic Non-small Cell Lung Cancer (NSCLC) that exhibits PI3K pathway activation. BKM120 will be investigated in two groups of NSCLC patients according to the histology of the cancer: squamous and non-squamous.
- Conditions
- Non-small Cell Lung Cancer
- Being tested
- BKM120
- Keywords
- NSCLC, PI3K
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BKM120Drug
Also called Buparlisib
Buparlisib was supplied as 10mg or 50mg capsules. It was administered on a continuous once daily dosing schedule at a dose of 100 mg. The patient was dosed on a flat scale of mg/day and not adjusted to body weight or body surface area.
| Study group | Role | What they receive |
|---|---|---|
| Squamous BKM120 100mg qd | Experimental | Diagnosed patients with non-small cell lung cancer (NSCLC) that progressed after one prior, platinum-based chemotherapy line for metastatic disease. Receives: Drug: BKM120 |
| Non-Squamous BKM120 100mg qd | Experimental | Diagnosed patients with non-squamous NSCLC that progressed after one or two prior antineoplastic therapy lines for metastatic disease. Receives: Drug: BKM120 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) Rate as Per Investigator Local Review Measured Using RECIST 1.1 of Patients at Week 12
PFS rate was defined as the percentage of participants who were progression free at 12 weeks. Participants were considered as a "success" for PFS rate evaluated at 12 weeks if they presented an overall response at their 2nd post-baseline tumor assessment.The enrollment into the study in either histology group would stop for futility if a PFS rate <50% at 12 weeks was observed.
No statistical analysis was planned for this primary outcome. The results of the primary objective was based on the data from the interim analysis that took place at the cut off dates: 10-Apr-2013 for non-squamous and 08-Jan-2014 for squamous group.
Measured: Week 12
Secondary outcomes (5)
Overall Survival (OS) Using Kaplan-Meier Estimates
OS was defined as the time from start of study drug (Stage 1) until death from any cause. If a patient was not known to have died, survival was censored at the date of last contact.
Measured: Every 8 weeks up to 24 months
Overall Response Rate (ORR) Based on Investigator Assessment
ORR was defined as the percentage of participants with best overall response of complete response (CR) or partial response (PR). Complete response was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. Partial response was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Analyses of response rates were performed based on investigators' assessments (as per RECIST 1.1 criteria). ORR included all patients with and without measurable disease at baseline.
Measured: Every 6 weeks up to 24 months
Disease Control Rate (DCR)
DCR defined as the percentage of participants with best overall response of CR or PR or stable disease (SD). Complete response was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. Partial response was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD.
Analyses of response rates were performed based on investigators' assessments (as per RECIST 1.1 criteria). DCR included all participants with and without measurable disease at baseline.
Measured: Every 6 weeks up tp 24 months
Time to Response (TTR)
TTR for a participant was defined as the time from the first treatment date to the date of first documented confirmed CR or PR evaluation. The date of event was defined as the date of response that was first determined and not using the date the response was confirmed.
Measured: Every 6 weeks up to 24 months
Duration of Response (DoR)
DoR was defined as the elapsed time between the date of first documented CR or PR response (not the date of confirmed response) and the following date of event defined as the first documented progression or death due to underlying cancer.
Measured: Every 6 weeks up to 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Feb 2011 (estimated)
- Study startMay 2011
- Primary completionOct 2014
- Study completionOct 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 63 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01297491
- Sponsor's protocol ID
- CBKM120D2201
- Other IDs
- 2010-024011-14
- Acronym
- BASALT-1
- Status last verified
- Mar 2016
- First submitted
- 11 Feb 2011
- Last updated
- 11 Mar 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Vansteenkiste JF, Canon JL, De Braud F, Grossi F, De Pas T, Gray JE, Su WC, Felip E, Yoshioka H, Gridelli C, Dy GK, Thongprasert S, Reck M, Aimone P, Vidam GA, Roussou P, Wang YA, Di Tomaso E, Soria JC. Safety and Efficacy of Buparlisib (BKM120) in Patients with PI3K Pathway-Activated Non-Small Cell Lung Cancer: Results from the Phase II BASALT-1 Study. J Thorac Oncol. 2015 Sep;10(9):1319-1327. doi: 10.1097/JTO.0000000000000607.
PubMed 26098748
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open Label Two-stage Study of Orally Administered BKM120 in Patients With Metastatic Non-small Cell Lung Cancer With Activated PI3K Pathway
- ClinicalTrials.gov ID
- NCT01297491
- Acronym / sponsor ID
- BASALT-1 / CBKM120D2201
- Conditions
- Non-small Cell Lung Cancer
- Keywords
- NSCLC, PI3K
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 63 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- May 2011
- Primary completion
- Oct 2014 (actual)
- Study completion
- Oct 2014 (actual)
- First posted
- 16 Feb 2011 (estimated)
- Results
- Posted 2 Feb 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this two-stage phase II study is to assess the efficacy of BKM120, as measured by determining the progression free survival (PFS), in patients with pretreated metastatic Non-small Cell Lung Cancer (NSCLC) that exhibits PI3K pathway activation. BKM120 will be investigated in two groups of NSCLC patients according to the histology of the cancer: squamous and non-squamous.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Squamous BKM120 100mg qd | Experimental | Drug: BKM120Diagnosed patients with non-small cell lung cancer (NSCLC) that progressed after one prior, platinum-based chemotherapy line for metastatic disease. |
| Non-Squamous BKM120 100mg qd | Experimental | Drug: BKM120Diagnosed patients with non-squamous NSCLC that progressed after one or two prior antineoplastic therapy lines for metastatic disease. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Histologically confirmed NSCLC with activated PI3K pathway
- Progressive disease after prior systemic antineoplastic treatment(s) for advanced NSCLC
- Archival or fresh tumor biopsy must be available for profiling
- Measurable and/or non-measurable disease as per RECIST 1.1 criteria
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
Key exclusion criteria (17 listed)
- Patient has received previous treatment with PI3K inhibitors
- Patient with squamous NSCLC has received more than one line of chemotherapy treatment for metastatic disease; patient with non-squamous NSCLC has received more than two lines of systemic antineoplastic treatment for metastatic disease
- Uncontrolled or symptomatic CNS metastases
- Concurrent use of any other approved or investigational antineoplastic agent
- Radiotherapy ≤ 28 days prior to starting study drug
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BKM120Also: BuparlisibBuparlisib was supplied as 10mg or 50mg capsules. It was administered on a continuous once daily dosing schedule at a dose of 100 mg. The patient was dosed on a flat scale of mg/day and not adjusted to body weight or body surface area. | Drug | Non-Squamous BKM120 100mg qd, Squamous BKM120 100mg qd |
Primary outcome
Progression Free Survival (PFS) Rate as Per Investigator Local Review Measured Using RECIST 1.1 of Patients at Week 12
Time frame: Week 12
PFS rate was defined as the percentage of participants who were progression free at 12 weeks. Participants were considered as a "success" for PFS rate evaluated at 12 weeks if they presented an overall response at their 2nd post-baseline tumor assessment.The enrollment into the study in either histology group would stop for futility if a PFS rate <50% at 12 weeks was observed. No statistical analysis was planned for this primary outcome. The results of the primary objective was based on the data from the interim analysis that took place at the cut off dates: 10-Apr-2013 for non-squamous and 08-Jan-2014 for squamous group.
5 secondary outcomes
Overall Survival (OS) Using Kaplan-Meier Estimates
Time frame: Every 8 weeks up to 24 months
Overall Response Rate (ORR) Based on Investigator Assessment
Time frame: Every 6 weeks up to 24 months
Disease Control Rate (DCR)
Time frame: Every 6 weeks up tp 24 months
Time to Response (TTR)
Time frame: Every 6 weeks up to 24 months
Duration of Response (DoR)
Time frame: Every 6 weeks up to 24 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 26098748Vansteenkiste JF, Canon JL, De Braud F, Grossi F, De Pas T, Gray JE, Su WC, Felip E, Yoshioka H, Gridelli C, Dy GK, Thongprasert S, Reck M, Aimone P, Vidam GA, Roussou P, Wang YA, Di Tomaso E, Soria JC. Safety and Efficacy of Buparlisib (BKM120) in Patients with PI3K Pathway-Activated Non-Small Cell Lung Cancer: Results from the Phase II BASALT-1 Study. J Thorac Oncol. 2015 Sep;10(9):1319-1327. doi: 10.1097/JTO.0000000000000607.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
92 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BKM120 in people with Non-small Cell Lung Cancer, run by Novartis Pharmaceuticals at 92 sites in 18 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 92 sites in United States, Germany, Italy, Belgium, Brazil and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 2 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) Rate as Per Investigator Local Review Measured Using RECIST 1.1 of Patients at Week 12 (time frame: Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01297491, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Mar 2016.