Metastatic Breast CancerPhase 3BELLE-3NCT01633060
A Phase III Study of BKM120 With Fulvestrant in Patients With HR+,HER2-, AI Treated, Locally Advanced or Metastatic Breast Cancer Who Progressed on or After mTORi
A Phase 3 study testing Fulvestrant and BKM120 in people with Metastatic Breast Cancer, run by Novartis Pharmaceuticals at 197 sites in 22 countries.
Trial summary
This study was a multicenter, randomized, double-blind, placebo-controlled Phase III study to determine the efficacy and safety of treatment with Buparlisib plus Fulvestrant vs. Placebo plus Fulvestrant in postmenopausal women with hormone Receptor-positive (HR-positive), human epidermal growth factor receptor… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Metastatic Breast Cancer
- What is being tested?
- Fulvestrant and BKM120
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 432 participants
- Where
- 197 sitesin 22 countries
- Study dates
- 3 Oct 2012to 21 Sep 2017
- Phase
- Phase 3
- 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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Female patients age 18 years or older
- Histologically and/or cytologically confirmed diagnosis of breast cancer
- Radiologic evidence of inoperable locally advanced or metastatic breast cancer
- Adequate tumor tissue for the analysis of PI3K-related biomarkers
- Human epidermal growth factor receptor-2 (HER2) negative disease, and a known positive hormone receptor status
- Postmenopausal women
Show all 10Show fewer
- Prior treatment with aromatase inhibitors
- Evidence of progression to the combination of mTORi and endocrine therapy given as the last therapy prior to study entry
- Adequate bone marrow and organ function
- ECOG performance status ≤ 2
Who cannot join
- Previous treatment with PI3K inhibitors, protein kinase B inhibitors or fulvestrant
- More than one chemotherapy line for metastatic disease
- Hypersensitivity to any of the excipients of buparlisib or fulvestrant
- Symptomatic central nervous system metastases
- Concurrent malignancy or malignancy within 3 years of study enrollment
- Certain drugs or radiation within 2-4 weeks of enrollment
Show all 10Show fewer
- Increasing or chronic treatment (>5 days) with corticosteroids or another immunosuppressive agent
- Certain scores on an anxiety and depression mood questionnaire given at screening
- Acute viral hepatitis or a history of chronic or active hepatitis B virus or hepatitis C virus
- Active cardiac disease or a history of cardiac dysfunction
Trial locations and contacts
197 sites in 22 countries.
197 sites in 22 countries
Italy38 sites
Novartis Investigative Site
Bari, BA, 70124
Novartis Investigative Site
Benevento, BN, 82100
Novartis Investigative Site
Brescia, BS, 25123
Novartis Investigative Site
Brindisi, BR, 72100
Novartis Investigative Site
Candiolo, TO, 10060
Novartis Investigative Site
Catania, CT, 95100
Novartis Investigative Site
Cona, FE, 44100
Novartis Investigative Site
Cremona, CR, 26100
Novartis Investigative Site
Florence, FI, 50134
Novartis Investigative Site
Frattamaggiore, 80020
Novartis Investigative Site
Ivrea, TO, 10015
Novartis Investigative Site
L’Aquila, AQ, 67100
Novartis Investigative Site
Lecce, LE, 73100
Novartis Investigative Site
Lecco, LC, 23900
Novartis Investigative Site
Meldola, FC, 47014
Novartis Investigative Site
Messina, ME, 98158
Novartis Investigative Site
Milan, MI, 20121
Novartis Investigative Site
Milan, MI, 20132
Novartis Investigative Site
Milan, MI, 20141
Novartis Investigative Site
Mirano, VE, 30035
Novartis Investigative Site
Modena, MO, 41124
Novartis Investigative Site
Monserrato, CA, 09042
Novartis Investigative Site
Monza, MB, 20900
Novartis Investigative Site
Padova, PD, 35100
Novartis Investigative Site
Parma, PR, 43100
Novartis Investigative Site
Pavia, PV, 27100
Novartis Investigative Site
Pisa, PI, 56126
Novartis Investigative Site
Pordenone, PN, 33170
Novartis Investigative Site
Prato, PO, 59100
Novartis Investigative Site
Province of Macerata, MC, 62100
Novartis Investigative Site
Reggio Calabria, RC, 89124
Novartis Investigative Site
Roma, RM, 00128
Novartis Investigative Site
Roma, RM, 00168
Novartis Investigative Site
Salerno, SA, 84131
Novartis Investigative Site
Sassari, SS, 07100
Novartis Investigative Site
Sora, FR, 03039
Novartis Investigative Site
Torino, TO, 10126
Novartis Investigative Site
Verona, VR, 37126
United States37 sites
University Cancer & Blood Center, LLC
Athens, Georgia, 30607
Emory University School of Medicine/Winship Cancer Institute Emory
Atlanta, Georgia, 30322
University of Maryland Medical Center Univ Maryland
Baltimore, Maryland, 21201
Ironwood Cancer and Research Centers SC
Chandler, Arizona, 85224
Texas Oncology PA Dallas Presbyterian Hospital SC
Dallas, Texas, 75231
Texas Oncology Texas Oncology - Sammons
Dallas, Texas, 75246
Texas Oncology P A SC-Austin
Dallas, Texas, 75251
Texas Oncology P A Texas Oncology - Fort Worth (3
Dallas, Texas, 75251
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Rocky Mountain Cancer Centers SC
Denver, Colorado, 80218
Texas Tech University Health Science Center Dept of Texas Tech
El Paso, Texas, 79905
Highlands Oncology Group
Fayetteville, Arkansas, 72703
Compassionate Cancer Care Medical Group CCCMG
Fountain Valley, California, 92708
Moanalua Medical Center. Attn: Oncology Dept
Honolulu, Hawaii, 96817
The Methodist Hospital Cancer Center
Houston, Texas, 77030
Clinical Research Alliance BKM120F2303
Lake Success, New York, 11042
Clinical Research Alliance
Lake Success, New York, 11042
Los Angeles Hematology/Oncology Medical Group Onc Dept.
Los Angeles, California, 90017
Cedars Sinai Medical Center SC-5
Los Angeles, California, 90048
University of California at Los Angeles UCLA SC
Los Angeles, California, 90095
Mercy Medical Research Institute SC
Manchester, Missouri, 63021
The West Clinic Dept. of the West Clinic
Memphis, Tennessee, 38120
Crescent City Research Consortium, LLC SC
Metairie, Louisiana, 70006
University of South Alabama / Mitchell Cancer Institute Univ South AL
Mobile, Alabama, 36688
Pacific Cancer Care
Monterey, California, 93940
Morristown Memorial Hospital Morristown Mem
Morristown, New Jersey, 07962
Edward Hospital Edward Hospital
Naperville, Illinois, 60540
Lsu Health Sciences Center/ Lsu School of Medicine Lsu
New Orleans, Louisiana, 70115
John Ochsner Heart and Vascular Institute Clinical Trials Ochsner 2
New Orleans, Louisiana, 70121
LSU Health Sciences Center Feist-Weiller Cancer Center
New Orleans, Louisiana, 70122-2822
University of Pittsburgh Cancer Institute Dept of Magee Women's Hospital
Pittsburgh, Pennsylvania, 15232
Northwest Cancer Specialists Compass Oncology -BKM
Portland, Oregon, 97210
Oregon Health and Science University SC-5
Portland, Oregon, 97239
Northwest Medical Specialties
Tacoma, Washington, 98405
Montefiore Medical Center Montefiore
The Bronx, New York, 10467
US Oncology, P.A.
Tyler, Texas, 75702
CINJ at Cooper University Hospital Dept of Onc
Voorhees Township, New Jersey, 08043
Spain24 sites
Novartis Investigative Site
A Coruña, Galicia, 15006
Novartis Investigative Site
Badalona, Catalonia, 08916
Novartis Investigative Site
Barcelona, Catalonia, 08003
Novartis Investigative Site
Barcelona, Catalonia, 08035
Novartis Investigative Site
Barcelona, Catalonia, 08036
Novartis Investigative Site
Barcelona, 08041
Novartis Investigative Site
Castellon, Valencia, 12002
Novartis Investigative Site
Elche, Alicante, 03203
Novartis Investigative Site
Jaén, Andalusia, 23007
Novartis Investigative Site
Madrid, 28007
Novartis Investigative Site
Madrid, 28034
Novartis Investigative Site
Madrid, 28040
Novartis Investigative Site
Madrid, 28041
Novartis Investigative Site
Madrid, 28046
Novartis Investigative Site
Madrid, 28222
Novartis Investigative Site
Málaga, Andalusia, 29010
Novartis Investigative Site
Palma de Mallorca, Balearic Islands, 07120
Novartis Investigative Site
San Cristóbal de La Laguna, Santa Cruz De Tenerife, 38320
Novartis Investigative Site
Santa Cruz de Tenerife, 38009
Novartis Investigative Site
Santiago de Compostela, Galicia, 15706
Novartis Investigative Site
Seville, Andalusia, 41009
Novartis Investigative Site
Valencia, Valencia, 46009
Novartis Investigative Site
Valencia, Valencia, 46010
Novartis Investigative Site
Valencia, Valencia, 46014
Germany22 sites
Novartis Investigative Site
Berlin, 12203
Novartis Investigative Site
Bonn, 53111
Novartis Investigative Site
Cologne, North Rhine-Westphalia, 50937
Novartis Investigative Site
Dresden, 01307
Novartis Investigative Site
Erlangen, 91054
Novartis Investigative Site
Essen, 45136
Novartis Investigative Site
Essen, 45147
Novartis Investigative Site
Frankfurt, 60389
Novartis Investigative Site
Fulda, 36043
Novartis Investigative Site
Karlsruhe, 76135
Novartis Investigative Site
Kiel, 24103
Novartis Investigative Site
Leer, 26789
Novartis Investigative Site
Magdeburg, 39120
Novartis Investigative Site
Mannheim, 68165
Novartis Investigative Site
Mühlhausen, 99974
Novartis Investigative Site
München, 80637
Novartis Investigative Site
München, 81377
Novartis Investigative Site
Ravensburg, 88214
Novartis Investigative Site
Soest, 59494
Novartis Investigative Site
Tübingen, 72076
Novartis Investigative Site
Ulm, 89081
Novartis Investigative Site
Velbert, 42551
France11 sites
Novartis Investigative Site
Angers, 49055
Novartis Investigative Site
Clermont-Ferrand, 63011
Novartis Investigative Site
Limoges, Haute Vienne, 87000
Novartis Investigative Site
Lyon, 69373
Novartis Investigative Site
Nice, Alpes Maritimes, 06189
Novartis Investigative Site
Paris, 75231
Novartis Investigative Site
Reims, Marne, 51056
Novartis Investigative Site
Rouen, 76038
Novartis Investigative Site
Saint-Brieuc Cédex, 22015
Novartis Investigative Site
Saint-Cloud, Hauts De Seine, 92210
Novartis Investigative Site
Saint-Herblain Cédex, 44805
Greece8 sites
Novartis Investigative Site
Athens, GR, 151 23
Novartis Investigative Site
Athens, 18547
Novartis Investigative Site
Athens, GR-115 22
Novartis Investigative Site
Heraklion Crete, Greece, 711 10
Novartis Investigative Site
Larissa, GR, 411 10
Novartis Investigative Site
Marousi, Athens, 15123
Novartis Investigative Site
Patra - RIO, GR, 265 04
Novartis Investigative Site
Thesaloniki, Thessaloniki, 54622
Netherlands8 sites
Novartis Investigative Site
Breda, 4819 EV
Novartis Investigative Site
Delft, NL 2625 AD
Novartis Investigative Site
Deventer, 7416 SE
Novartis Investigative Site
Hoofddorp, 2134 TM
Novartis Investigative Site
Leiden, 2300 RC
Novartis Investigative Site
Maastricht, AZ, 5800
Novartis Investigative Site
Sittard-Geleen, 6162 BG
Novartis Investigative Site
Zwolle, 8025 AB
Bulgaria7 sites
Novartis Investigative Site
Plovdiv, 4000
Novartis Investigative Site
Plovdiv, 4004
Novartis Investigative Site
Sofia, 1303
Novartis Investigative Site
Sofia, 1527
Novartis Investigative Site
Sofia, 1756
Novartis Investigative Site
Varna, 9010
Novartis Investigative Site
Vratsa, 3000
United Kingdom7 sites
Novartis Investigative Site
Blackburn, Lancashire, BB2 3HH
Novartis Investigative Site
Edinburgh, EH4 2XU
Novartis Investigative Site
Ipswich, Suffolk, IP4 5PD
Novartis Investigative Site
London, SM2 5PT
Novartis Investigative Site
London, SW3 6JJ
Novartis Investigative Site
Manchester, M20 2BX
Novartis Investigative Site
Nottingham, NG5 1PB
Argentina4 sites
Novartis Investigative Site
CABA, Buenos Aires, C1050AAK
Novartis Investigative Site
Rio Negro, Viedma, 8500
Novartis Investigative Site
Rosario, Santa Fe Province, S2000KZE
Novartis Investigative Site
San Miguel de Tucumán, Tucumán Province, T4000IAK
Austria4 sites
Novartis Investigative Site
Innsbruck, Tyrol, 6020
Novartis Investigative Site
Linz, 4010
Novartis Investigative Site
Salzburg, 5020
Novartis Investigative Site
Vienna, A-1090
Belgium4 sites
Novartis Investigative Site
Brussels, 1000
Novartis Investigative Site
Leuven, 3000
Novartis Investigative Site
Liège, 4000
Novartis Investigative Site
Namur, 5000
Hungary4 sites
Novartis Investigative Site
Budapest, 1134
Novartis Investigative Site
Budapest, H-1122
Novartis Investigative Site
Szeged, H-6720
Novartis Investigative Site
Szolnok, H-5000
South Korea4 sites
Novartis Investigative Site
Gyeonggi-do, Korea, 10408
Novartis Investigative Site
Seoul, Korea, 03080
Novartis Investigative Site
Seoul, Korea, 05505
Novartis Investigative Site
Seoul, 03722
Lebanon3 sites
Novartis Investigative Site
Beirut
Novartis Investigative Site
El Achrafiyé, 166830
Novartis Investigative Site
Saida, 652
Sweden3 sites
Novartis Investigative Site
Kalmar, SE-391 85
Novartis Investigative Site
Stockholm, SE-171 76
Novartis Investigative Site
Uppsala, 751 85
Canada2 sites
Novartis Investigative Site
Montreal, Quebec, H2W 1T8
Novartis Investigative Site
Montreal, Quebec, H3A 1A1
Colombia2 sites
Novartis Investigative Site
Bogotá
Novartis Investigative Site
Montería
Norway2 sites
Novartis Investigative Site
Bergen, 5021
Novartis Investigative Site
Oslo, NO 0450
About this study
Official title: A Phase III Randomized, Double Blind, Placebo Controlled Study of BKM120 With Fulvestrant, in Postmenopausal Women With Hormone Receptor-positive HER2-negative AI Treated, Locally Advanced or Metastatic Breast Cancer Who Progressed on or After mTOR Inhibitor Based Treatment
This study was a multicenter, randomized, double-blind, placebo-controlled Phase III study to determine the efficacy and safety of treatment with Buparlisib plus Fulvestrant vs. Placebo plus Fulvestrant in postmenopausal women with hormone Receptor-positive (HR-positive), human epidermal growth factor receptor 2-negative (HER2-negative), aromatase inhibitor (AI)-treated, locally advanced or metastatic breast cancer whose disease progressed on or after mammalian target of rapamycin inhibitor (mTORi)-based treatment.
Patients were randomized in 2:1 ratio to treatment with buparlisib 100 mg daily in combination with fulvestrant 500 mg or placebo daily in combination with fulvestrant 500 mg. Randomization was stratified according to visceral disease status (present or absent).
Read the detailed description
Novartis decided not to pursue further development of buparlisib program. On 19 Dec 2016, Novartis notified the Investigators about this decision; accordingly the CBKM120F2303 study was terminated.
- Conditions
- Metastatic Breast Cancer
- Being tested
- Fulvestrant, BKM120, BKM120 matching placebo
- Keywords
- BKM120, fulvestrant, breast cancer, metastatic, locally advanced, AI treated, mTOR inhibitor, PI3K, PIK3CA, PTEN, HER2-, HR+
- Medical subject headings
- Breast Neoplasms, Neoplasm Metastasis, Hereditary Sensory and Autonomic Neuropathies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FulvestrantDrug
Intramuscular fulvestrant 500 mg (Day 1 and Day 15 of Cycle 1 and Day 1 of every cycle thereafter)
BKM120Drug
BKM120 100 mg once daily
BKM120 matching placeboDrug
BKM120 matching placebo, once daily
| Study group | Role | What they receive |
|---|---|---|
| BKM120 100mg + Fulvestrant | Experimental | BKM120 100 mg per day and fulvestrant given until progression or as described in the protocol. Receives: Drug: Fulvestrant; Drug: BKM120 |
| Placebo + Fulvestrant | Placebo comparator | BKM120 matching placebo daily and fulvestrant given until progression or as described in the protocol. Receives: Drug: Fulvestrant; Drug: BKM120 matching placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) Based on Local Investigator Assessment - Full Analysis Set (FAS)
Progression Free Survival (PFS) is defined as the time from date of randomization to the date of first radiologically documented progression or death due to any cause. If a patient did not progress or die at the time of the analysis data cut-off or start of new antineoplastic therapy, PFS was censored at the date of the last adequate tumor assessment before the earliest of the cut-off date or the start date of additional anti-neoplastic therapy. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria RECIST v1.1, as 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline and/or unequivocal progression of the non-target lesions and/or appearance of a new lesion. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm. Patients were followed up for approximately every 6 weeks after randomization.
Measured: Every 6 weeks after randomization up to a maximum of 4 years
Secondary outcomes (10)
Overall Survival (OS) - Full Analysis Set (FAS)
Overall Survival (OS) is defined as the time from date of randomization to date of death due to any cause. If a patient was not known to have died by the date of analysis cut-off, OS was censored at the date of last known date patient alive. Patients were followed up approximately every 6 weeks after randomization and every 3 months during survival follow-up.
Measured: Every 6 weeks after randomization up to a maximum of 5 years
Progression Free Survival (PFS) by PIK3CA Mutational Status
Progression Free Survival (PFS) is defined as the time from date of randomization to the date of first radiologically documented progression or death due to any cause. If a patient did not progress or die at the time of the analysis data cut-off or start of new antineoplastic therapy, PFS was censored at the date of the last adequate tumor assessment before the earliest of the cut-off date or the start date of additional anti-neoplastic therapy. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria RECIST v1.1, as 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline and/or unequivocal progression of the non-target lesions and/or appearance of a new lesion. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm. Patients were followed up for approximately every 6 weeks after randomization.
Measured: Every 6 weeks after randomization up to a maximum of 5 years
Overall Survival (OS) by PIK3CA Mutational Status
Overall Survival (OS) by PIK3CA mutational status based on ctDNA is defined as the time from date of randomization to date of death due to any cause. If a patient was not known to have died by the date of analysis cut-off, OS was censored at the date of last known date patient alive. Patients were followed up approximately every 6 weeks after randomization and every 3 months during survival follow-up.
Measured: Every 6 weeks after randomization up to a maximum of 5 years
Overall Response Rate (ORR) by PIK3CA Mutational Status
Overall Response Rate (ORR) is defined as the proportion of participants with best overall response of complete response (CR) or partial response (PR) based on local investigator's assessment according to RECIST 1.1. ORR was analyzed in the full population and by PIK3CA mutational status based on ctDNA. Response Evaluation Criteria in Solid Tumors (RECIST v1.1) for target/non target lesions: Complete Response (CR), disappearance of all target/non target lesions (all lymph nodes assigned as non-target lesions must be non-pathological in size (< 10 mm short axis)); Partial response (PR), >=30% decrease in the sum of the longest diameter of target lesions ; Overall Response (OR)= CR+PR. Patients were followed up for the duration of the study and for approximately every 6 weeks after randomization.
Measured: Every 6 weeks after randomization up to a maximum of 5 years
Clinical Benefit Rate (CBR) by PIK3CA Mutational Status
Clinical Benefit Rate (CBR) is defined as the proportion of participants with a best overall response of complete response (CR) or partial response (PR) or stable disease (SD) or Non-CR/non-PD lasting more than 14 or 24 weeks based on local investigator's assessment according to RECIST 1.1. CBR was analyzed in the full population and by PIK3CA mutational status based on ctDNA. Patients were followed up for the duration of the study and approximately every 6 weeks after randomization.
Measured: Week 14, Week 24
Long-term Safety and Tolerability in the Two Treatment Arms - Safety Set (SS)
Analysis of frequencies for treatment emergent Adverse Event (AE), Serious Adverse Event (SAE) and Deaths.
Measured: From first dose of study treatment to 30 days after last dose of study treatment, up to 5 years
Plasma Concentration-time Profiles of BKM120 in Combination With Fulvestrant at Cycle 1 Day 1 - Pharmacokinetic Analysis Set (PAS)
Plasma samples were collected from the first 100 BKM120-treated patients on Cycle 1 Day 1 (at 1h, 2h, and 6h post-dose and a recommended 9h post-dose sample).
Measured: C1D1 1 hour post dose, C1D1 2 hour post dose, C1D1 6 hour post dose and C1D1 9 hour post dose
Predose Trough Concentration-time Profile of BKM120 in Combination With Fulvestrant Over Time - Pharmacokinetic Analysis Set (PAS)
Pre-dose samples were collected for trough concentrations at Cycle 1 Day 15, Cycle 2 Day 1, Cycle 3 Day 1 and Cycle 4 Day 1.
Measured: C1D15, C2D1, C3D1 and C4D1
Health-related Quality of Life (HRQoL):Time to 10% Definitive Deterioration in the Global Health Status/Quality of Life Per EORTC-QLQ-C30 - Full Analysis Set (FAS)
The global health status/QoL scale score of the QLQ-C30 is identified as the primary PRO variable of interest. Physical Functioning (PF), Emotional Functioning (EF) and Social Functioning (SF) scale scores of the QLQ-C30. The time to definitive 10% deterioration is defined as the time from the randomization date to the date of an event, which is defined as a worsening (decrease) in score by at least 10% compared to baseline, with no later increase above this threshold observed during the course of the study or death due to any cause. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. A high score for a functional scale represents a high /healthy level of functioning, a high score for the global health status / QoL represents a high QoL.
Measured: Baseline, Week 6 (C2D15), Week 12 (C4D1), then every 8 weeks until discontinuation (a cycle [C] = 4 weeks) up to 5 years.
Time to Definitive Deterioration of ECOG Performance Status From Baseline - Full Analysis Set (FAS)
The Eastern Cooperative Oncology Group (ECOG) Performance Status is a scale used to assess how a patient's disease is progressing, assess how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. The ECOG Performance Scores has 5 grades: 0 = fully active, able to carry on all pre-disease performance without restriction, 1 = restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light housework, office work, 2 = ambulatory and capable of all self-care but unable to carry out any work activities, up and about more than 50% of waking hours, 3 = capable of only limited self-care, confined to bed or chair more than 50% of waking hours, 4 = completely disabled, cannot carry on any self-care, totally confined to bed or chair and 5 = dead. Definitive deterioration is defined as no improvement in the ECOG status following observation of the deterioration.
Measured: Screening, Baseline (Cycle 1 Day 1) and then at day 1 of each cycle and at the EOT visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jul 2012 (estimated)
- Study start3 Oct 2012
- Primary completion23 May 2016
- Study completion21 Sep 2017
Why it stopped: Novartis decided not to pursue further development of buparlisib program (assessment of moderate PFS benefit with know, but manageable, buparlisib profile).
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 Metastatic Breast 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 432 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
- NCT01633060
- Sponsor's protocol ID
- CBKM120F2303
- Other IDs
- 2012-002571-34
- Acronym
- BELLE-3
- Status last verified
- Jan 2019
- First submitted
- 29 Jun 2012
- Last updated
- 30 Jan 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Di Leo A, Johnston S, Lee KS, Ciruelos E, Lonning PE, Janni W, O'Regan R, Mouret-Reynier MA, Kalev D, Egle D, Csoszi T, Bordonaro R, Decker T, Tjan-Heijnen VCG, Blau S, Schirone A, Weber D, El-Hashimy M, Dharan B, Sellami D, Bachelot T. Buparlisib plus fulvestrant in postmenopausal women with hormone-receptor-positive, HER2-negative, advanced breast cancer progressing on or after mTOR inhibition (BELLE-3): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2018 Jan;19(1):87-100. doi: 10.1016/S1470-2045(17)30688-5. Epub 2017 Dec 7.
PubMed 29223745
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Randomized, Double Blind, Placebo Controlled Study of BKM120 With Fulvestrant, in Postmenopausal Women With Hormone Receptor-positive HER2-negative AI Treated, Locally Advanced or Metastatic Breast Cancer Who Progressed on or After mTOR Inhibitor Based Treatment
- ClinicalTrials.gov ID
- NCT01633060
- Acronym / sponsor ID
- BELLE-3 / CBKM120F2303
- Conditions
- Metastatic Breast Cancer
- Keywords
- BKM120, fulvestrant, breast cancer, metastatic, locally advanced, AI treated, mTOR inhibitor, PI3K
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Novartis decided not to pursue further development of buparlisib program (assessment of moderate PFS benefit with know, but manageable, buparlisib profile).
- Enrolment
- 432 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 3 Oct 2012 (actual)
- Primary completion
- 23 May 2016 (actual)
- Study completion
- 21 Sep 2017 (actual)
- First posted
- 4 Jul 2012 (estimated)
- Results
- Posted 9 Jan 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was a multicenter, randomized, double-blind, placebo-controlled Phase III study to determine the efficacy and safety of treatment with Buparlisib plus Fulvestrant vs. Placebo plus Fulvestrant in postmenopausal women with hormone Receptor-positive (HR-positive), human epidermal growth factor receptor 2-negative (HER2-negative), aromatase inhibitor (AI)-treated, locally advanced or metastatic breast cancer whose disease progressed on or after mammalian target of rapamycin inhibitor (mTORi)-based treatment.
Patients were randomized in 2:1 ratio to treatment with buparlisib 100 mg daily in combination with fulvestrant 500 mg or placebo daily in combination with fulvestrant 500 mg. Randomization was stratified according to visceral disease status (present or absent).
Detailed description
Novartis decided not to pursue further development of buparlisib program. On 19 Dec 2016, Novartis notified the Investigators about this decision; accordingly the CBKM120F2303 study was terminated.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BKM120 100mg + Fulvestrant | Experimental | Drug: Fulvestrant, Drug: BKM120BKM120 100 mg per day and fulvestrant given until progression or as described in the protocol. |
| Placebo + Fulvestrant | Placebo comparator | Drug: Fulvestrant, Drug: BKM120 matching placeboBKM120 matching placebo daily and fulvestrant given until progression or as described in the protocol. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Female patients age 18 years or older
- Histologically and/or cytologically confirmed diagnosis of breast cancer
- Radiologic evidence of inoperable locally advanced or metastatic breast cancer
- Adequate tumor tissue for the analysis of PI3K-related biomarkers
- Human epidermal growth factor receptor-2 (HER2) negative disease, and a known positive hormone receptor status
Key exclusion criteria (10 listed)
- Previous treatment with PI3K inhibitors, protein kinase B inhibitors or fulvestrant
- More than one chemotherapy line for metastatic disease
- Hypersensitivity to any of the excipients of buparlisib or fulvestrant
- Symptomatic central nervous system metastases
- Concurrent malignancy or malignancy within 3 years of study enrollment
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 |
|---|---|---|
| FulvestrantIntramuscular fulvestrant 500 mg (Day 1 and Day 15 of Cycle 1 and Day 1 of every cycle thereafter) | Drug | BKM120 100mg + Fulvestrant, Placebo + Fulvestrant |
| BKM120BKM120 100 mg once daily | Drug | BKM120 100mg + Fulvestrant |
| BKM120 matching placeboBKM120 matching placebo, once daily | Drug | Placebo + Fulvestrant |
Primary outcome
Progression Free Survival (PFS) Based on Local Investigator Assessment - Full Analysis Set (FAS)
Time frame: Every 6 weeks after randomization up to a maximum of 4 years
Progression Free Survival (PFS) is defined as the time from date of randomization to the date of first radiologically documented progression or death due to any cause. If a patient did not progress or die at the time of the analysis data cut-off or start of new antineoplastic therapy, PFS was censored at the date of the last adequate tumor assessment before the earliest of the cut-off date or the start date of additional anti-neoplastic therapy. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria RECIST v1.1, as 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline and/or unequivocal progression of the non-target lesions and/or appearance of a new lesion. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm. Patients were followed up for approximately every 6 weeks after randomization.
10 secondary outcomes
Overall Survival (OS) - Full Analysis Set (FAS)
Time frame: Every 6 weeks after randomization up to a maximum of 5 years
Progression Free Survival (PFS) by PIK3CA Mutational Status
Time frame: Every 6 weeks after randomization up to a maximum of 5 years
Overall Survival (OS) by PIK3CA Mutational Status
Time frame: Every 6 weeks after randomization up to a maximum of 5 years
Overall Response Rate (ORR) by PIK3CA Mutational Status
Time frame: Every 6 weeks after randomization up to a maximum of 5 years
Clinical Benefit Rate (CBR) by PIK3CA Mutational Status
Time frame: Week 14, Week 24
Long-term Safety and Tolerability in the Two Treatment Arms - Safety Set (SS)
Time frame: From first dose of study treatment to 30 days after last dose of study treatment, up to 5 years
Plasma Concentration-time Profiles of BKM120 in Combination With Fulvestrant at Cycle 1 Day 1 - Pharmacokinetic Analysis Set (PAS)
Time frame: C1D1 1 hour post dose, C1D1 2 hour post dose, C1D1 6 hour post dose and C1D1 9 hour post dose
Predose Trough Concentration-time Profile of BKM120 in Combination With Fulvestrant Over Time - Pharmacokinetic Analysis Set (PAS)
Time frame: C1D15, C2D1, C3D1 and C4D1
Health-related Quality of Life (HRQoL):Time to 10% Definitive Deterioration in the Global Health Status/Quality of Life Per EORTC-QLQ-C30 - Full Analysis Set (FAS)
Time frame: Baseline, Week 6 (C2D15), Week 12 (C4D1), then every 8 weeks until discontinuation (a cycle [C] = 4 weeks) up to 5 years.
Time to Definitive Deterioration of ECOG Performance Status From Baseline - Full Analysis Set (FAS)
Time frame: Screening, Baseline (Cycle 1 Day 1) and then at day 1 of each cycle and at the EOT visit
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29223745Di Leo A, Johnston S, Lee KS, Ciruelos E, Lonning PE, Janni W, O'Regan R, Mouret-Reynier MA, Kalev D, Egle D, Csoszi T, Bordonaro R, Decker T, Tjan-Heijnen VCG, Blau S, Schirone A, Weber D, El-Hashimy M, Dharan B, Sellami D, Bachelot T. Buparlisib plus fulvestrant in postmenopausal women with hormone-receptor-positive, HER2-negative, advanced breast cancer progressing on or after mTOR inhibition (BELLE-3): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2018 Jan;19(1):87-100. doi: 10.1016/S1470-2045(17)30688-5. Epub 2017 Dec 7.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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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
197 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Fulvestrant and BKM120 in people with Metastatic Breast Cancer, run by Novartis Pharmaceuticals at 197 sites in 22 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 10 inclusion and 10 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: stopped early, as of the sponsor's last update on 30 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 197 sites in Italy, United States, Spain, Germany, France and 17 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 9 Jan 2019). 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) Based on Local Investigator Assessment - Full Analysis Set (FAS) (time frame: Every 6 weeks after randomization up to a maximum of 4 years). 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 NCT01633060, 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 30 Jan 2019.