PI3K Pathway Activated TumorsPhase 2SIGNATURENCT01833169
BKM120 for Patients With PI3K-activated Tumors
A Phase 2 study testing BKM120 in people with PI3K Pathway Activated Tumors, run by Novartis Pharmaceuticals at 59 sites in United States.
Trial summary
The purpose of this signal seeking study was is to determine whether treatment with BKM120 demonstrates sufficient efficacy in select pathway-activated solid tumors and/or hematologic malignancies to warrant further study. Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- PI3K Pathway Activated Tumors
- 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
- 146 participants
- Where
- 59 sitesUnited States
- Study dates
- 29 Mar 2013to 26 Sep 2016
- 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 to 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient had a confirmed diagnosis of a solid tumor or hematological malignancy with the exception of endometrial cancer, glioblastoma, nonsmall cell lung cancer, prostate cancer or breast cancer.
- Patient's tumor was evaluated and pre-identified to have activation of the PI3K pathway, at a CLIA certified laboratory
- Patient must have received at least one prior treatment for recurrent metastatic and /or locally advanced disease and for whom no standard therapy options was anticipated to result in a durable remission.
- Patient must have had progressive and measurable disease as per RECIST 1.1. or other appropriate hematological guidelines
- Patient had an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
Who cannot join
- Patient had received previous treatment with BKM120 Patient had symptomatic CNS metastases Patient had mood disorder as outlined in Section 5 Patient had received chemotherapy or other anticancer therapy ≤ 4 weeks (6 weeks for nitrosourea, antibodies or mitomycin-C) prior to starting study drug.
Trial locations and contacts
59 sites in 1 country.
59 sites in 1 country
United States59 sites
New York Oncology Hematology NY Onc Hem
Albany, New York, 12208
Cancer Center at Presbyterian
Albuquerque, New Mexico
Michigan Medicine University of Michigan Int. Medicine Oncology
Ann Arbor, Michigan, 48109 5271
University Cancer & Blood Center, LLC
Athens, Georgia, 30607
Eastern Maine Medical Center Research Center SC
Bangor, Maine, 04401
Bend Memorial Clinic Bend Mem. Clinic
Bend, Oregon, 97701
Mount Auburn Hospital
Cambridge, Massachusetts, 02138
Waverly Hematology Oncology
Cary, North Carolina, 27518
University of N C at Chapel Hill Physician Office Building
Chapel Hill, North Carolina, 27599-7600
Chattanooga Oncology and Hematology Assoicates, PC Chattanooga Oncology
Chattanooga, Tennessee, 37404
Lurie Children's Hospital of Chicago Developmental Therapeutics
Chicago, Illinois, 60611
Cleveland Clinic Foundation Cleveland Clinic (19)
Cleveland, Ohio, 44195
Mid Ohio Oncology/Hematology Mark H. Zangmeister Center
Columbus, Ohio, 43219
Texas Oncology P A Round Rock
Dallas, Texas, 75251
Texas Oncology Sammons Cancer Center Sammons Cancer Center (10)
Dallas, Texas, 78246
Cancer Care Specialists of Central Illinois
Decatur, Illinois, 62526
Duke University Medical Center Seeley G. Mudd Bldg.
Durham, North Carolina, 27710
Virginia Cancer Specialists Virginia Cancer Specialists
Fairfax, Virginia, 22031
Highlands Oncology Group
Fayetteville, Arkansas, 72703
Florida Cancer Specialists Dept of Oncology (2)
Fort Myers, Florida, 33901
Texas Oncology, P.A. Texas Oncololgy, P.A. (8)
Fort Worth, Texas, 76104
Gettysburg Cancer Center
Gettysburg, Pennsylvania, 17325
Cancer and Hematology Centers of West Michigan Dept. of Oncology
Grand Rapids, Michigan, 49546
Rocky Mountain Cancer Centers RMCC - Aurora
Greenwood Village, Colorado
Oncology Consultants Oncology Group
Houston, Texas, 77024
MD Anderson Cancer Center/University of Texas MD Anderson Cancer Center (3)
Houston, Texas, 77030
University of Iowa Hospitals & Clinics Regulatory Contact 2
Iowa City, Iowa, 52242
Kadlec Clinic Hematology and Oncology Kadlec Clinic Hematology & Onc
Kennewick, Washington, 99336
Comprehensive Cancer Centers
Las Vegas, Nevada, 89169
West Cancer Clinic
Memphis, Tennessee, 38120
Medical College of Wisconsin Cancer Center
Milwaukee, Wisconsin, 53226
Minnesota Oncology Hematology, P.A. Minnesota Oncology Hematology
Minneapolis, Minnesota, 55404
Hematology Oncology Associates of Northern New Jersey PA Regional Cancer Care Assoc.
Morristown, New Jersey, 07962
Intermountain Medical Center Intermountain Healthcare
Murray, Utah, 84157
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
West Penn Allegheny Oncology Network
Natrona Heights, Pennsylvania, 15065
Southeastern Regional Medical Center
Newnan, Georgia, 30265
Whittingham Cancer Center Norwalk Hospital
Norwalk, Connecticut, 06856
Eastern Connecticut Hematology & Oncology Associates The Norwich Cancer Center
Norwich, Connecticut, 06360
Nebraska Cancer Specialists Oncology Hematology West
Omaha, Nebraska, 68154
Florida Hospital Cancer Institute FL Hosp. Cancer Instit.
Orlando, Florida, 32804
Illinois Cancer Care P.C. IL. Cancer Care
Peoria, Illinois, 61615-7828
Illinois Cancer Care P.C.
Peoria, Illinois, 61615-7828
Arizona Oncology Associates HOPE Division
Phoenix, Arizona
University of Pittsburgh Medical Center UPMC
Pittsburgh, Pennsylvania, 15213
Northwest Cancer Specialists Compass Oncology (36)
Portland, Oregon, 97210
Oregon Health and Science University Oregon Health & Science U (56)
Portland, Oregon, 97239
Blue Ridge Research Center at Roanoke Neurological Center McKesson Specialty Care
Roanoke, Virginia, 24018
Salem Health
Salem, Oregon, 97309
Cancer Care Centers of South Texas HOAST CCC of So. TX-San Antonio (3)
San Antonio, Texas, 78229
Sarcoma Oncology Center
Santa Monica, California, 90403
Cancer Treatment Centers of America Southwestern Regional Med. Ctr
Schaumburg, Illinois, 60173
Arizona Oncology Associates PC- HAL
Sedona, Arizona, 86336
Sanford University of South Dakota Medical Center Sanford Health
Sioux Falls, South Dakota, 57104
Northern Indiana Cancer Research Consortium No. Indiana Cancer Res.
South Bend, Indiana, 46617
Northwest Medical Specialties Hematology/Oncology
Tacoma, Washington, 98405
Tyler Cancer Center
Tyler, Texas, 75702
Florida Cancer Specialists
West Palm Beach, Florida, 33401
Abington Hematology Oncology Associates, Inc Abington Hem Onc Assoc (5)
Willow Grove, Pennsylvania, 19090
About this study
Official title: Modular Phase II Study to Link Targeted Therapy to Patients With Pathway Activated Tumors: Module 1 - BKM120 for Patients With PI3K-activated Tumors
The purpose of this signal seeking study was is to determine whether treatment with BKM120 demonstrates sufficient efficacy in select pathway-activated solid tumors and/or hematologic malignancies to warrant further study.
- Conditions
- PI3K Pathway Activated Tumors
- Being tested
- BKM120
- Keywords
- Solid tumor, malignancy, hematologic malignancy, PI3K pathway activation, P13K activated tumors, BKM120, signature, AML, acute myelogenous leukemia, cervical, ovarian, hepatobiliary, buparlisib
- Medical subject headings
- Neoplasms, Hematologic Neoplasms, Leukemia, Myeloid, Acute
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BKM120Drug
BKM120 100 mg (oral gelatine capsules) was administered orally once daily starting from cycle 1 day 1 and will be dosed continuously every day for each 28-day cycle
| Study group | Role | What they receive |
|---|---|---|
| BKM120 | Experimental | BKM120 100 mg (oral gelatine capsules) was administered orally once daily starting from cycle 1 day 1 and will be dosed continuously every day for each 28- day cycle Receives: Drug: BKM120 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participant Clinical Benefit Response Rate
Clinical benefit rate for patients with solid tumors will be assessed using RECIST 1.1 and will include responses of Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) at >=16 weeks. For hematologic tumors other appropriate hematological response criteria was applied. Response criteria: CR=Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm., PR=At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, SD=Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study, PD= At least a 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
Measured: Week 16
Secondary outcomes (7)
Overall Response of Partial Response (PR) or Greater. PR=at Least a 30% Decrease in the Sum of Diameters of Target Lesions, Taking as Reference the Baseline Sum Diameters
Overall Response (OR) of Partial Response (PR) or greater is based on local investigator assessment. For patients with solid tumors, the assessment criteria will be RECIST 1.1 and will include responses of CR and/or PR. For hematologic tumors other appropriate hematological response criteria apply
Measured: baseline and every 8 weeks until disease progression or end of treatment, assessed up to 24 months
Progression-Free Survival - Number of Participants With an Event
Progression free survival (PFS) is defined as the time from the date of first dose to the date of first documented disease progression or relapse or death due to any cause
Measured: Every 8 Weeks until death, assessed up to 24 months
Progression-Free Survival (PFS)- Kaplan-Meier Estimates of PFS Timing in Months
Progression free survival (PFS) is defined as the time from the date of first dose to the date of first documented disease progression or relapse or death due to any cause
Measured: baseline up to 24 months
Progression-Free Survival (PFS)- Kaplan-Meier Estimates of PFS Rate in Percentages
Progression free survival (PFS) is defined as the time from the date of first dose to the date of first documented disease progression or relapse or death due to any cause.
Measured: baseline up to 24 months
Overall Survival - Number of Participants With an Event
Overall survival (OS) is defined as the time from the date of first dose to the date of death due to any cause. If a patient is not known to have died, survival time will be censored at the date of the last contact
Measured: Every 8 Weeks until death, assessed up to 24 months
Overall Survival (OS)- Kaplan-Meier Estimates of OS Timing in Months
Overall survival (OS) is defined as the time from the date of first dose to the date of death due to any cause. If a patient is not known to have died, survival time will be censored at the date of the last contact
Measured: baseline up to 24 months
Overall Survival (OS)- Kaplan-Meier Estimates of OS Rate in Percentages
Overall survival (OS) is defined as the time from the date of first dose to the date of death due to any cause. If a patient is not known to have died, survival time will be censored at the date of the last contact
Measured: baseline up to 30 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Apr 2013 (estimated)
- Study start29 Mar 2013
- Primary completion26 Sep 2016
- Study completion26 Sep 2016
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.
- Other trials for PI3K Pathway Activated TumorsStudies 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 146 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
- NCT01833169
- Sponsor's protocol ID
- CBKM120ZUS40
- Acronym
- SIGNATURE
- Status last verified
- Oct 2018
- First submitted
- 5 Apr 2013
- Last updated
- 19 Oct 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Oct 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Modular Phase II Study to Link Targeted Therapy to Patients With Pathway Activated Tumors: Module 1 - BKM120 for Patients With PI3K-activated Tumors
- ClinicalTrials.gov ID
- NCT01833169
- Acronym / sponsor ID
- SIGNATURE / CBKM120ZUS40
- Conditions
- PI3K Pathway Activated Tumors
- Keywords
- Solid tumor, malignancy, hematologic malignancy, PI3K pathway activation, P13K activated tumors, BKM120, signature, AML
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 146 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 29 Mar 2013 (actual)
- Primary completion
- 26 Sep 2016 (actual)
- Study completion
- 26 Sep 2016 (actual)
- First posted
- 16 Apr 2013 (estimated)
- Results
- Posted 12 Dec 2017
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 signal seeking study was is to determine whether treatment with BKM120 demonstrates sufficient efficacy in select pathway-activated solid tumors and/or hematologic malignancies to warrant further study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| BKM120 | Experimental | Drug: BKM120BKM120 100 mg (oral gelatine capsules) was administered orally once daily starting from cycle 1 day 1 and will be dosed continuously every day for each 28- day cycle |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patient had a confirmed diagnosis of a solid tumor or hematological malignancy with the exception of endometrial cancer, glioblastoma, nonsmall cell lung cancer, prostate cancer or breast cancer.
- Patient's tumor was evaluated and pre-identified to have activation of the PI3K pathway, at a CLIA certified laboratory
- Patient must have received at least one prior treatment for recurrent metastatic and /or locally advanced disease and for whom no standard therapy options was anticipated to result in a durable remission.
- Patient must have had progressive and measurable disease as per RECIST 1.1. or other appropriate hematological guidelines
- Patient had an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
Key exclusion criteria (1 listed)
- Patient had received previous treatment with BKM120 Patient had symptomatic CNS metastases Patient had mood disorder as outlined in Section 5 Patient had received chemotherapy or other anticancer therapy ≤ 4 weeks (6 weeks for nitrosourea, antibodies or mitomycin-C) 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 |
|---|---|---|
| BKM120BKM120 100 mg (oral gelatine capsules) was administered orally once daily starting from cycle 1 day 1 and will be dosed continuously every day for each 28-day cycle | Drug | BKM120 |
Primary outcome
Participant Clinical Benefit Response Rate
Time frame: Week 16
Clinical benefit rate for patients with solid tumors will be assessed using RECIST 1.1 and will include responses of Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) at >=16 weeks. For hematologic tumors other appropriate hematological response criteria was applied. Response criteria: CR=Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm., PR=At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, SD=Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study, PD= At least a 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
7 secondary outcomes
Overall Response of Partial Response (PR) or Greater. PR=at Least a 30% Decrease in the Sum of Diameters of Target Lesions, Taking as Reference the Baseline Sum Diameters
Time frame: baseline and every 8 weeks until disease progression or end of treatment, assessed up to 24 months
Progression-Free Survival - Number of Participants With an Event
Time frame: Every 8 Weeks until death, assessed up to 24 months
Progression-Free Survival (PFS)- Kaplan-Meier Estimates of PFS Timing in Months
Time frame: baseline up to 24 months
Progression-Free Survival (PFS)- Kaplan-Meier Estimates of PFS Rate in Percentages
Time frame: baseline up to 24 months
Overall Survival - Number of Participants With an Event
Time frame: Every 8 Weeks until death, assessed up to 24 months
Overall Survival (OS)- Kaplan-Meier Estimates of OS Timing in Months
Time frame: baseline up to 24 months
Overall Survival (OS)- Kaplan-Meier Estimates of OS Rate in Percentages
Time frame: baseline up to 30 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Oct 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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
59 sites in 1 country: 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 PI3K Pathway Activated Tumors, run by Novartis Pharmaceuticals at 59 sites in United States.
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 5 inclusion and 1 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 19 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 59 sites in United States. 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 12 Dec 2017). 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?
Participant Clinical Benefit Response Rate (time frame: Week 16). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Oct 2018.