Solid TumorPhase 2CBGJ398XUS04NCT02160041
BGJ398 for Patients With Tumors With FGFR Genetic Alterations
A Phase 2 study testing BGJ398 in people with Solid Tumor and Hematologic Malignancies, run by Novartis Pharmaceuticals at 56 sites in United States.
Trial summary
The purpose of this signal seeking study was to determine whether treatment with BGJ398 demonstrates sufficient efficacy in select FGFR pathway-regulated solid tumors and/or hematologic malignancies to warrant further study. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumor, Hematologic Malignancies
- What is being tested?
- BGJ398
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 84 participants
- Where
- 56 sitesUnited States
- Study dates
- 24 Jul 2014to 30 Apr 2018
- 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 a confirmed diagnosis of a select solid tumor (except with a primary diagnosis of Urothelial cell carcinoma, Cholangiocarcinoma, Endometrial cancer, and Glioblastoma multiforme) or hematologic malignancies and is in need of treatment because of progression or relapse.
- Patient's tumor has been evaluated and pre-identified as having a tumor with a FGFR genetic alteration. The qualifying alteration must be assessed and reported by 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 are anticipated to result in a durable remission.
- Patient must have progressive and measurable disease per RECIST 1.1. or other appropriate hematological response criteria.
- Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
Who cannot join
- Patient has received prior treatment with BGJ398
- Patients with Central Nervous System (CNS) metastasis or leptomeningeal carcinomatosis
- Patient has received chemotherapy or other anticancer therapy ≤ 4 weeks (6 weeks for nitrosourea, antibodies or mitomycin-C) prior to starting study drug.
- Patients with acute or chronic pancreatitis
- Patients with impaired cardiac function or clinically significant cardiac diseases
- History and/or current evidence of extensive tissue calcification
Show all 10Show fewer
- Use of medications that increase serum levels of phosphorus and/or calcium
- Current evidence of corneal or retinal disorder/keratopathy
- History and/or current evidence of renal or endocrine alterations of calcium/phosphate homeostasis
- Patients with another primary malignancy within 3 years prior to starting study treatment, with the exception of adequately treated basal cell carcinoma, squamous cell carcinoma or other non-melanomatous skin cancer, or in-situ carcinoma of the uterine cervix
Trial locations and contacts
56 sites in 1 country.
56 sites in 1 country
United States56 sites
New Mexico Cancer Center
Albuquerque, New Mexico, 87109
Lehigh Valley Health Network
Allentown, Pennsylvania, 18103
Community Clinical Research Center
Anderson, Indiana, 46011
Illinois Cancer Specialists
Arlington Heights, Illinois, 60005
St. Agnes Hospital St. Agnes Hospital (2)
Baltimore, Maryland, 21229
Dartmouth Hitchcock Medical Center Dartmouth Hitchcock - Lebanon
Bedford, New Hampshire, 03110
Bend Memorial Clinic Bend Mem. Clinic
Bend, Oregon, 97701
Billings Clinic Billings Clinic (8)
Billings, Montana, 59101
Alabama Oncology St. Vincent's Birmingham
Birmingham, Alabama, 35211
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
Oncology Hematology Care Inc Oncology Hematology Care 2
Cincinnati, Ohio, 45242
University Hospitals of Cleveland Seidman Cancer Center University Hospitals
Cleveland, Ohio, 44106
Cleveland Clinic Foundation Taussig Cancer Institute
Cleveland, Ohio, 44195
Duke University Medical Center Seeley G. Mudd Bldg.
Durham, North Carolina, 27710
Virginia Cancer Specialists Fairfax Northern Virginia
Fairfax, Virginia, 22031
Southcoast Centers for Cancer Care
Fairhaven, Massachusetts, 02719
Sanford Hematology Oncology
Fargo, North Dakota, 58122
Florida Cancer Specialists Florida Cancer Specialists 36
Fort Myers, Florida, 33901
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104
Cancer and Hematology Centers of West Michigan Dept. of Oncology
Grand Rapids, Michigan, 49546
Rocky Mountain Cancer Centers Rocky Mountain Cancer Ctr (50)
Greenwood Village, Colorado, 80304
Oncology Consultants Oncology Group
Houston, Texas, 77024
Houston Methodist Cancer Center
Houston, Texas, 77030
MD Anderson Cancer Center/University of Texas MD Anderson Cancer Center (3)
Houston, Texas, 77030
Indiana University Indiana Univ. - Purdue Univ.
Indianapolis, Indiana, 46202
Research Medical Center Research Med Center (2)
Kansas City, Missouri, 64132
University of Louisville / James Graham Brown Cancer Center SC
Louisville, Kentucky, 40202
NorthWest Georgia Oncology Centers NW Georgia Oncology
Marietta, Georgia, 30060
Texas Oncology
McAllen, Texas, 78503
University of Miami Sylvester Comprehensive Cancer
Miami, Florida, 33136
Minnesota Oncology Hematology, P.A. Minnesota Oncology Hem (27)
Minneapolis, Minnesota, 55404
Intermountain Medical Center Intermountain Healthcare
Murray, Utah, 84157
Tennessee Oncology Tennessee Oncology (3)
Nashville, Tennessee, 37203
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Norwalk Hospital
Norwalk, Connecticut, 06856
North County Oncology Medical Clinic Inc
Oceanside, California, 92056
Northern Utah Cancer Associates Northern Utah Assoc (3)
Ogden, Utah, 84403
Cancer Treatment Centers of America Eastern Regional Medical Center
Philadelphia, Pennsylvania, 19124
University of Pittsburgh Cancer Institute Hillman Cancer Center (2)
Pittsburgh, Pennsylvania, 15232
Northwest Cancer Specialists Northwest Cancer
Portland, Oregon, 97210
Rhode Island Hospital Rhode Island Hosp. (2)
Providence, Rhode Island, 02903
Harbin Clinic Medical Oncology Clin. Res.
Rome, Georgia, 30165
University of Utah / Huntsman Cancer Institute SC-2
Salt Lake City, Utah, 84103
Utah Cancer Specialists Utah Cancer Specialists (11)
Salt Lake City, Utah, 84106
Cancer Therapy & Research Center UT Health Science Center Oncology Dept.
San Antonio, Texas, 78229
San Francisco General Hospital San Francisco Gen Hosp (7)
San Francisco, California, 94110
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 NW Medical Specialties
Tacoma, Washington, 98405
Texas Oncology Cancer Care & Research Center Texas Oncology
Waco, Texas, 76712
Deke Slayton Cancer Center Deke Slayton Cancer Center (2)
Webster, Texas, 77598
Shenandoah Oncology Shenandoah Oncology (5)
Winchester, Virginia, 22601
Wake Forest Baptist Health Hem & Onc Medical Center
Winston-Salem, North Carolina, 27157
About this study
Official title: Modular Phase II Study to Link Targeted Therapy to Patients With Pathway Activated Tumors: Module 6 - BGJ398 for Patients With Tumors With FGFR Genetic Alterations
The purpose of this signal seeking study was to determine whether treatment with BGJ398 demonstrates sufficient efficacy in select FGFR pathway-regulated solid tumors and/or hematologic malignancies to warrant further study.
- Conditions
- Solid Tumor, Hematologic Malignancies
- Being tested
- BGJ398
- Keywords
- Solid tumor malignancy, hematologic malignancy, mutation, translocations, amplifications,, fusions, signature, FGFR, ligand, BGJ398
- Medical subject headings
- Hematologic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BGJ398Drug
BGJ398 was dosed on a flat scale of 125 mg (e.g., 1 x 100 mg and 1 x 25 mg capsules) once daily for the first 21 days of the 28-day cycle (3 weeks on, 1 week off in a cycle). A complete treatment cycle is defined as 28 days.
| Study group | Role | What they receive |
|---|---|---|
| BGJ398 | Experimental | BGJ398 was dosed on a flat scale of 125 mg (e.g., 1 x 100 mg and 1 x 25 mg capsules) once daily for the first 21 days of the 28-day cycle (3 weeks on, 1 week off in a cycle). A complete treatment cycle is defined as 28 days. Receives: Drug: BGJ398 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Clinical Benefit Rate (CBR) Associated With BGJ398 Treatment
Tumor Response: Overall response rate (ORR) and clinical benefit rate (CBR) for solid tumor (non-lymphoma) which excludes 3 TIO and 1 Lymphoma patients (hence 80 patients and not 84)
Clinical benefit rate for patients with solid tumors were assessed using RECIST 1.1 and include responses of CR or PR or SD. For hematologic tumors other appropriate hematological response criteria may apply
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Measured: 16 weeks
Secondary outcomes (6)
Overall Response (OR) or Partial Response (PR) or Greater
The key secondary endpoint, OR, was determined by Investigator assessment for each tumor assessment and defined as responses of CR and PR per RECIST version 1.1.
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Measured: baseline and every 8 weeks until disease progression or end of treatment, assessed up to 24 months
Progression-Free Survival (PFS)
Kaplan-Meier estimates of PFS timing, 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: every 8 weeks until death, assessed up to 24 months
Kaplan-Meier Estimates of PFS Rate, % (95% CI)
Measured: Months 1, 2, 3, 4, 5, 6, 12, 18, 24
Overall Survival (OS)
Overall survival (OS) is defined as the time from the date of first dose to the date of death due to any cause
Measured: every 8 weeks until death, assessed up to 36 months
Kaplan-Meier Estimates of Survival Rate, % (95% CI)
Overall survival (OS) is the time from the date of start of treatment to date of death due to any cause. If a patient was not known to have died, survival was censored at the date of last contact.
Measured: months 3, 6, 9, 12, 24
Number of Participants With 99 Day Minimum Duration of Response (DOR)
The duration of response (PR or greater) applies only to patients whose best response was PR or greater. It is defined as the Ttime from the first documented response to the date first documented disease progression or relapse or death due to any cause
Measured: baseline and every 8 weeks until disease progression or end of treatment, assessed 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 posted10 Jun 2014 (estimated)
- Study start24 Jul 2014
- Primary completion30 Apr 2018
- Study completion30 Apr 2018
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 Solid TumorStudies 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
- 84 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02160041
- Sponsor's protocol ID
- CBGJ398XUS04
- Acronym
- CBGJ398XUS04
- Status last verified
- May 2019
- First submitted
- 6 Jun 2014
- Last updated
- 18 Jun 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect 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
Study at a glance
From the registry record, last updated by the sponsor on 18 Jun 2019. 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 6 - BGJ398 for Patients With Tumors With FGFR Genetic Alterations
- ClinicalTrials.gov ID
- NCT02160041
- Acronym / sponsor ID
- CBGJ398XUS04 / CBGJ398XUS04
- Conditions
- Solid Tumor, Hematologic Malignancies
- Keywords
- Solid tumor malignancy, hematologic malignancy, mutation, translocations, amplifications,, fusions, signature, FGFR
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 84 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 24 Jul 2014 (actual)
- Primary completion
- 30 Apr 2018 (actual)
- Study completion
- 30 Apr 2018 (actual)
- First posted
- 10 Jun 2014 (estimated)
- Results
- Posted 18 Jun 2019
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 to determine whether treatment with BGJ398 demonstrates sufficient efficacy in select FGFR pathway-regulated 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 |
|---|---|---|
| BGJ398 | Experimental | Drug: BGJ398BGJ398 was dosed on a flat scale of 125 mg (e.g., 1 x 100 mg and 1 x 25 mg capsules) once daily for the first 21 days of the 28-day cycle (3 weeks on, 1 week off in a cycle). A complete treatment cycle is defined as 28 days. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patient has a confirmed diagnosis of a select solid tumor (except with a primary diagnosis of Urothelial cell carcinoma, Cholangiocarcinoma, Endometrial cancer, and Glioblastoma multiforme) or hematologic malignancies and is in need of treatment because of progression or relapse.
- Patient's tumor has been evaluated and pre-identified as having a tumor with a FGFR genetic alteration. The qualifying alteration must be assessed and reported by 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 are anticipated to result in a durable remission.
- Patient must have progressive and measurable disease per RECIST 1.1. or other appropriate hematological response criteria.
- Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
Key exclusion criteria (10 listed)
- Patient has received prior treatment with BGJ398
- Patients with Central Nervous System (CNS) metastasis or leptomeningeal carcinomatosis
- Patient has received chemotherapy or other anticancer therapy ≤ 4 weeks (6 weeks for nitrosourea, antibodies or mitomycin-C) prior to starting study drug.
- Patients with acute or chronic pancreatitis
- Patients with impaired cardiac function or clinically significant cardiac diseases
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 |
|---|---|---|
| BGJ398BGJ398 was dosed on a flat scale of 125 mg (e.g., 1 x 100 mg and 1 x 25 mg capsules) once daily for the first 21 days of the 28-day cycle (3 weeks on, 1 week off in a cycle). A complete treatment cycle is defined as 28 days. | Drug | BGJ398 |
Primary outcome
Clinical Benefit Rate (CBR) Associated With BGJ398 Treatment
Time frame: 16 weeks
Tumor Response: Overall response rate (ORR) and clinical benefit rate (CBR) for solid tumor (non-lymphoma) which excludes 3 TIO and 1 Lymphoma patients (hence 80 patients and not 84) Clinical benefit rate for patients with solid tumors were assessed using RECIST 1.1 and include responses of CR or PR or SD. For hematologic tumors other appropriate hematological response criteria may apply Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
6 secondary outcomes
Overall Response (OR) or Partial Response (PR) or Greater
Time frame: baseline and every 8 weeks until disease progression or end of treatment, assessed up to 24 months
Progression-Free Survival (PFS)
Time frame: every 8 weeks until death, assessed up to 24 months
Kaplan-Meier Estimates of PFS Rate, % (95% CI)
Time frame: Months 1, 2, 3, 4, 5, 6, 12, 18, 24
Overall Survival (OS)
Time frame: every 8 weeks until death, assessed up to 36 months
Kaplan-Meier Estimates of Survival Rate, % (95% CI)
Time frame: months 3, 6, 9, 12, 24
Number of Participants With 99 Day Minimum Duration of Response (DOR)
Time frame: baseline and every 8 weeks until disease progression or end of treatment, assessed 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 18 Jun 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect 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.
The record lists no contact. Use the official record to reach the sponsor.
56 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 BGJ398 in people with Solid Tumor and Hematologic Malignancies, run by Novartis Pharmaceuticals at 56 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 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 18 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 56 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 18 Jun 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?
Clinical Benefit Rate (CBR) Associated With BGJ398 Treatment (time frame: 16 weeks). 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 18 Jun 2019.