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Head and Neck Squamous Cell CarcinomaPhase 2NCT01852292

Study of Efficacy and Safety of Buparlisib (BKM120) Plus Paclitaxel Versus Placebo Plus Paclitaxel in Recurrent or Metastatic Head and Neck Cancer Previously Pre-treated With a Platinum Therapy

A Phase 2 study testing Buparlisib and Paclitaxel in people with Head and Neck Squamous Cell Carcinoma, run by Novartis Pharmaceuticals at 58 sites in 18 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Phase II Study of efficacy and safety of buparlisib (BKM120) plus paclitaxel versus placebo plus paclitaxel in recurrent or metastatic Head and Neck cancer previously pre-treated with a platinum therapy.The primary endpoint was PFS and the key secondary endpoint was Overall Survival. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Head and Neck Squamous Cell Carcinoma
What is being tested?
Buparlisib and Paclitaxel
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
157 participants
Where
58 sitesin 18 countries
Study dates
1 Oct 2013to 30 Mar 2017
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

  • Patient has histologically/cytologically-confirmed HNSCC.
  • Patient has archival or fresh tumor tissue for the analysis of PI3K-related biomarkers. One tumor block (preferred) or a minimum of 12 unstained slides to be provided. Enrollment in the study is contingent on confirmation of an adequate amount of tumor tissue.
  • Patients with recurrent or metastatic disease resistant to platinum-based chemotherapy (defined as progression while on platinum-based chemotherapy given in the recurrent/metastatic setting). Pretreatment with cetuximab is allowed
  • Measurable disease as determined by per RECIST criteria v1.1. If the only site of measurable disease is a previously irradiated lesion, documented progression of disease and a 4 week period since radiotherapy completion is required
  • Adequate bone marrow function and organ function
  • ECOG Performance Status ≤ 1

Who cannot join

  • Patient has received previous treatment with any AKT, mTOR inhibitors or PI3K pathway inhibitors;
  • Patient treated with more than one prior chemotherapy regimen for recurrent/metastatic disease
  • Patient has symptomatic CNS metastases. Patients with asymptomatic CNS metastases may participate in this trial. The patient must have completed any prior local treatment for CNS metastases ≥ 28 days prior to the start of study treatment (including radiotherapy and/or surgery) and must have stable low dose of corticosteroid therapy;
  • Patient has not recovered to ≤ grade 1 (except alopecia) from related side effects of any prior antineoplastic therapy
  • Patient has any of the following cardiac abnormalities:symptomatic congestive heart failure, history of documented congestive heart failure (New York Heart Association functional classification III-IV), documented cardiomyopathy, Left Ventricular Ejection Fraction (LVEF) <50% as determined by Multiple Gated acquisition (MUGA) scan or echocardiogram (ECHO); myocardial infarction ≤ 6 months prior to enrolment, unstable angina pectoris, serious uncontrolled cardiac arrhythmia, symptomatic pericarditis, QTcF > 480 msec on the screening ECG (using the QTcF formula);

Trial locations and contacts

58 sites in 18 countries.

58 sites in 18 countries

Italy9 sites
  • Novartis Investigative Site

    Florence, FI, 50134

  • Novartis Investigative Site

    Milan, MI, 20133

  • Novartis Investigative Site

    Milan, MI, 20141

  • Novartis Investigative Site

    Milan, MI, 20142

  • Novartis Investigative Site

    Palermo, PA, 90127

  • Novartis Investigative Site

    Roma, RM, 00168

  • Novartis Investigative Site

    Salerno, SA, 84131

  • Novartis Investigative Site

    Torino, TO, 10126

  • Novartis Investigative Site

    Venezia, VE, 30174

Other trials in Italy

United States7 sites
  • Dana Farber Cancer Institute IRB

    Boston, Massachusetts, 02215

  • University of N.C. at Chapel Hill Lineberger Comp. Cancer Ctr.

    Chapel Hill, North Carolina, 27599-7600

  • University Hospitals Case Medical Center Univ. Hospitals of Cleveland

    Cleveland, Ohio, 44106

  • Highlands Oncology Group

    Fayetteville, Arkansas, 72703

  • The Mount Sinai Hospital Dept of Oncology

    New York, New York, 10029

  • UPMC Cancer Centers BKM120H2201

    Pittsburgh, Pennsylvania, 15232

  • Washington U School of Medicine Center for Clinical Studies SC - BKM120H2201

    St Louis, Missouri, 63110

Other trials in United States

India6 sites
  • Novartis Investigative Site

    Dehli, New Delhi, 110005

  • Novartis Investigative Site

    Jaipur, Rajasthan, 302017

  • Novartis Investigative Site

    Kerala, 695 011

  • Novartis Investigative Site

    Kolkata, West Bengal, 700160

  • Novartis Investigative Site

    Mumbai, 400 012

  • Novartis Investigative Site

    Nashik, Maharashtra, 422 004

Other trials in India

Hungary4 sites
  • Novartis Investigative Site

    Budapest, 1082

  • Novartis Investigative Site

    Budapest, H-1115

  • Novartis Investigative Site

    Budapest, H-1122

  • Novartis Investigative Site

    Nyíregyháza, 4400

Other trials in Hungary

United Kingdom4 sites
  • Novartis Investigative Site

    Glasgow, Scotland, G12 0YN

  • Novartis Investigative Site

    London, NW1 2PJ

  • Novartis Investigative Site

    London, SE1 9RT

  • Novartis Investigative Site

    Manchester, M20 9BX

Other trials in United Kingdom

Germany3 sites
  • Novartis Investigative Site

    Berlin, 12203

  • Novartis Investigative Site

    Essen, 45147

  • Novartis Investigative Site

    Hanover, 30625

Other trials in Germany

Japan3 sites
  • Novartis Investigative Site

    Kashiwa, Chiba, 277-8577

  • Novartis Investigative Site

    Koto-ku, Tokyo, 135 8550

  • Novartis Investigative Site

    Minato-ku, Tokyo, 105-8471

Other trials in Japan

Russia3 sites
  • Novartis Investigative Site

    Leningrad Region, Russia, 188663

  • Novartis Investigative Site

    Nizhny Novgorod

  • Novartis Investigative Site

    Saint Petersburg, 197758

Other trials in Russia

Spain3 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    L'Hospitalet de Llobregat, Catalonia, 08907

  • Novartis Investigative Site

    Madrid, 28034

Other trials in Spain

Taiwan3 sites
  • Novartis Investigative Site

    Kaohsiung City, 83301

  • Novartis Investigative Site

    Taichung, 407

  • Novartis Investigative Site

    Tainan, Taiwan ROC, 70421

Other trials in Taiwan

Thailand3 sites
  • Novartis Investigative Site

    Bangkok, 10330

  • Novartis Investigative Site

    Bangkok, 10700

  • Novartis Investigative Site

    Songkhla, Hat Yai, 90110

Other trials in Thailand

Canada2 sites
  • Novartis Investigative Site

    Hamilton, Ontario, L8V 5C2

  • Novartis Investigative Site

    Montreal, Quebec, H2L 4M1

Other trials in Canada

South Korea2 sites
  • Novartis Investigative Site

    Seoul, Korea, 05505

  • Novartis Investigative Site

    Seoul, Seocho-gu, 06591

Other trials in South Korea

Switzerland2 sites
  • Novartis Investigative Site

    Basel, 4031

  • Novartis Investigative Site

    Geneva, 1211

Other trials in Switzerland

Australia1 site
  • Novartis Investigative Site

    St Leonards, New South Wales, 2065

Other trials in Australia

France1 site
  • Novartis Investigative Site

    Saint-Herblain, 44805

Other trials in France

Ireland1 site
  • Novartis Investigative Site

    Dublin

Other trials in Ireland

Poland1 site
  • Novartis Investigative Site

    Warsaw, 02-781

Other trials in Poland

About this study

Official title: Double Blind, Placebo Controlled Study Assessing the Efficacy of Buparlisib (BKM120) Plus Paclitaxel Versus Placebo Plus Paclitaxel in Patients With Platinum Pre-treated Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC)

Phase II Study of efficacy and safety of buparlisib (BKM120) plus paclitaxel versus placebo plus paclitaxel in recurrent or metastatic Head and Neck cancer previously pre-treated with a platinum therapy.The primary endpoint was PFS and the key secondary endpoint was Overall Survival.

Being tested
Buparlisib, Buparlisib matching Placebo, Paclitaxel
Keywords
platinum pre-treated recurrent or metastatic, Head and neck squamous cell carcinoma, recurrent, metastatic, BKM120
Medical subject headings
Squamous Cell Carcinoma of Head and Neck, Neoplasm Metastasis, Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BuparlisibDrug

    Also called BKM120

    Buparlisib comes in gelatin capsules and is taken orally at a dose of 100 mg/day.

  • Buparlisib matching PlaceboDrug

    Buparlisib matching placebo comes in gelatin capsules and is taken orally at a dose of 100 mg/day.

  • PaclitaxelDrug

    Paclitaxel is an intravenous infusion that is given once every week in 80 mg/m^2.

Study groups in NCT01852292
Study groupRoleWhat they receive
Buparlisib + weekly PaclitaxelExperimentalPatients who were randomized to this arm on a 1:1 randomization, took buparlisib 100 mg daily and paclitaxel 80 mg/m^2 weekly.
Receives: Drug: Buparlisib; Drug: Paclitaxel
Buparlisib matching placebo + PaclitaxelPlacebo comparatorPatients who were randomized to this arm on a 1:1 randomization, took buparlisib matching placebo 100 mg daily and paclitaxel 80 mg/m^2 weekly.
Receives: Drug: Buparlisib matching Placebo; Drug: Paclitaxel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS) Per Investigator Assessment

    PFS was defined as the time from the date of randomization to the date of the event, defined as the first radiologically documented disease progression per RECIST v. 1.1 or death due to any cause. If a patient has not progressed or died at the analysis cut-off date or when the patient receives further anti-neoplastic therapy, PFS was censored on the date of the last adequate tumor assessment before the earlier of the cut-off date or start of the further anti-neoplastic therapy date.

    Measured: 4 weeks and thereafter every 6 weeks until disease progression or death up to 3.5 years

Secondary outcomes (11)
  1. Overall Survival (OS)

    Overall survival (OS) was 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 contact.

    Measured: 4 weeks and thereafter every 6 weeks until disease progression or death up to 3.5 years

  2. Overall Response Rate (ORR) as Per Local Radiological Assessment

    ORR: percentage of patients with best overall response of complete response (CR) or partial response (PR) according to RECIST v1.1. CR is defined as disappearance of all target lesions and any pathological lymph nodes must have a short axis of <10 mm and the disappearance of all non-target lesions). PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters or the persistence of 1 or more non-target lesions or lymph nodes identified as a site of disease at Baseline with a short axis of ≥10mm).

    Measured: 4 weeks and thereafter every 6 weeks until disease progression or death up to 3.5 years

  3. Time to Response (TTR) as Per Local Radiological Assessment

    TTR is the time from date of randomization until first documented response (CR or PR, which has to be confirmed subsequently) according to RECIST v1.1. CR is defined as disappearance of all target lesions and any pathological lymph nodes must have a short axis of <10 mm and the disappearance of all non-target lesions). PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters or the persistence of 1 or more non-target lesions or lymph nodes identified as a site of disease at Baseline with a short axis of ≥10mm).

    Measured: 4 weeks and thereafter every 6 weeks until disease progression or death up to 3.5 years

  4. Disease Control Rate (DCR) as Per Local Radiological Assessment

    DCR is the percentage of patients with a best overall response of CR, PR or stable disease (SD), according to RECIST v1.1. CR is defined as disappearance of all target lesions \& any pathological lymph nodes must have a short axis of <10 mm \& the disappearance of all non-target lesions). PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the Baseline sum of the diameters or the persistence of 1 or more non-target lesions or lymph nodes identified as a site of disease at Baseline with a short axis of ≥10mm). SD is defined as neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD. PD is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm^2.

    Measured: 4 weeks and thereafter every 6 weeks until disease progression or death up to 3.5 years

  5. Duration of Response (DoR) as Per Local Investigator

    DoR is the time from the date of the first documented response (CR or PR, which had to be confirmed subsequently) to the date of the first radiologically documented disease progression or death due to disease according to RECIST v1.1 .

    Measured: 4 weeks and thereafter every 6 weeks until disease progression or death up to 3.5 years

  6. Health-related Quality of Life (HRQoL):Time to 10% Definitive Deterioration in the Global Health Status/Quality of Life Per EORTC-QLQ-C30

    A summary of EORTC-QLQ-C30 scores by time window. Time to deterioration is the number of days between the date of randomization and the date of the assessment at which definitive deterioration is seen. Definitive Deterioration in global health status and symptoms was defined as a decrease in the subscale score by at least 10% compared to baseline, with no later increase above this threshold observed during the course of the study. If a patient had not had an event prior to analysis cut-off or start of another anticancer therapy, time to deterioration was censored at the date of the last quality of life (QoL) evaluation.

    Measured: Baseline, every 6 weeks starting from cycle 2 day 15 up to 3.5 years

  7. Health-related Quality of Life (HRQoL):Time to 10% Definitive Deterioration in the Head and Neck Cancer Symptoms Scales for Pain, Speech Problems, Swallowing and Sense Problems Per EORTC-QLQ-HN35

    A summary of EORTC-QLQ-HN35 scores by time window. Time to deterioration is the number of days between the date of randomization and the date of the assessment at which definitive deterioration is seen. Definitive Deterioration in global health status and symptoms was defined as an increase in the subscale score of at least 10% compared to baseline, with no later decrease above this threshold observed during the course of the study. If a patient had not had an event prior to analysis cut-off or start of another anticancer therapy, time to deterioration was censored at the date of the last quality of life (QoL) evaluation.

    Measured: Baseline, every 6 weeks starting from cycle 2 day 15 up to 3.5 years

  8. Plasma Concentration-time Profiles of BKM120 Pharmacokinetics (PK) for AUC0-24 and AUClast

    To Characterize PK of buparlisib given in combination with paclitaxel for AUC0-24 (area under plasma concentration-time curve from time 0 to end of dosing interval of 24 hours) \& AUClast (AUC from time 0 to last measurable concentration sampling time).

    Measured: Time point(s) at which PK samples for Non-Compartmental analysis were collected were 0, 0.5,1,1.5, 2, 3, 4, 6, 9 and 24 hours at Cycle 1, Day 15

  9. Plasma Concentration-time Profiles of BKM120 Pharmacokinetics (PK) for Cmax

    To characterize the pharmacokinetics of buparlisib given in combination with paclitaxel for Cmax.

    Measured: Time point(s) at which PK samples for Non-Compartmental analysis were collected were 0, 0.5,1,1.5, 2, 3, 4, 6, 9 and 24 hours at Cycle 1, Day 15

  10. Plasma Concentration-time Profiles of BKM120 Pharmacokinetics (PK) for Tmax

    To characterize the pharmacokinetics of buparlisib given in combination with paclitaxel for Tmax.

    Measured: Time point(s) at which PK samples for Non-Compartmental analysis were collected were 0, 0.5,1,1.5, 2, 3, 4, 6, 9 and 24 hours at Cycle 1, Day 15

  11. Plasma Concentration-time Profiles of BKM120 Pharmacokinetics (PK) for CL/F

    To characterize the pharmacokinetics of buparlisib given in combination with paclitaxel for CL/F.

    Measured: Time point(s) at which PK samples for Non-Compartmental analysis were collected were 0, 0.5,1,1.5, 2, 3, 4, 6, 9 and 24 hours at Cycle 1, Day 15

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 May 2013 (estimated)
  2. Study start1 Oct 2013
  3. Primary completion30 Mar 2017
  4. Study completion30 Mar 2017

Resources

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
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
157 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01852292
Sponsor's protocol ID
CBKM120H2201
Other IDs
2013-000744-26
Status last verified
Jun 2018
First submitted
8 May 2013
Last updated
24 Jul 2018
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

  • Desilets A, Lucas J, Licitra LF, Lu S, Tse A, Tang T, Dreyer K, He N, Birgerson LE, Faivre S, Soulieres D. Buparlisib and Paclitaxel in Patients with Head and Neck Squamous Cell Carcinoma: Immunogenomic Biomarkers of Efficacy from the BERIL-1 Study. Target Oncol. 2025 Mar;20(2):299-310. doi: 10.1007/s11523-024-01126-0. Epub 2025 Jan 14.

    PubMed 39808408
  • Soulieres D, Faivre S, Mesia R, Remenar E, Li SH, Karpenko A, Dechaphunkul A, Ochsenreither S, Kiss LA, Lin JC, Nagarkar R, Tamas L, Kim SB, Erfan J, Alyasova A, Kasper S, Barone C, Turri S, Chakravartty A, Chol M, Aimone P, Hirawat S, Licitra L. Buparlisib and paclitaxel in patients with platinum-pretreated recurrent or metastatic squamous cell carcinoma of the head and neck (BERIL-1): a randomised, double-blind, placebo-controlled phase 2 trial. Lancet Oncol. 2017 Mar;18(3):323-335. doi: 10.1016/S1470-2045(17)30064-5. Epub 2017 Jan 26.

    PubMed 28131786

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Buparlisib and Paclitaxel in people with Head and Neck Squamous Cell Carcinoma, run by Novartis Pharmaceuticals at 58 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 5 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 24 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in Italy, United States, India, Hungary, United Kingdom 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. 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 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 26 Jun 2018). 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) Per Investigator Assessment (time frame: 4 weeks and thereafter every 6 weeks until disease progression or death up to 3.5 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 NCT01852292, which also lists 2 linked publications.

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 24 Jul 2018.

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