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Lymphoma, MalignantPhase 2NCT02249429

Open-Label, Non Randomized Phase 2 Study With Safety Run-In

A Phase 2 study testing bimiralisib in people with Lymphoma, Malignant, run by PIQUR Therapeutics AG at 12 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The main goal of this study is to determine the Maximum Tolerated Dose (MTD) and the Recommended Phase II Dose (RP2D) as well as preliminary antitumor activity of bimiralisib (PQR309) administered orally, as once daily capsules continuously and on intermittent schedule in patients with relapsed or refractory lymphomas. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphoma, Malignant
What is being tested?
bimiralisib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
12 sitesin 6 countries
Study dates
May 2015to 11 Sep 2018
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed diagnosis* of relapsed or refractory lymphoma, received at least two prior lines of therapy including immuno-chemotherapy. Patients with relapsed Chronic Lymphoid Leukemia (CLL) are eligible if they have received one or more prior lines of any approved standard therapy. * archival biopsies may be used if obtained up to a year prior to enrollment; re-biopsy is strongly recommended if last biopsy was obtained more than a year ago.
  • Only for patients in the Phase 2 part: At least one measurable nodal or extra-nodal lesion defined as follows: Clearly measurable (i.e. well-defined boundaries) in at least two perpendicular dimensions on imaging scan with > 1.5 cm in longest transverse diameter.
  • Age ≥ 18 years
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-1 (See Appendix 2).
  • Adequate organ system functions defined as:
  • Absolute neutrophil count (ANC) ≥1.0x109/l
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  • Platelets ≥ 75x109/l
  • Haemoglobin ≥ 85g/L
  • Adequate hepatic function, defined as Total bilirubin ≤ 1.5 times the upper limit of normal (ULN) and Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 times ULN (or ALT/AST ≤ 5 times ULN in patients with liver involvement)
  • Adequate renal function, defined as serum creatinine ≤ 1.5 times ULN
  • Fasting glucose < 7.0 mmol/L; Glycated haemoglobin (HbA1c) < 6.4%
  • Ability and willingness to swallow and retain oral medication.
  • Willingness and ability to comply with the trial procedures
  • Female and male patients with reproductive potential must agree to use effective contraception from screening until 90 days after discontinuation of PQR309
  • Signed informed consent

Who cannot join

  • Any of the following conditions precludes enrollment of a patient:
  • Immunosuppression due to:
  • Allogeneic hematopoietic stem cell transplant (HSCT)
  • Any immune-suppressive therapy within 4 weeks prior to trial treatment start
  • Known HIV infection
  • Autologous stem cell transplant within 3 months prior to trial treatment start.
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  • Concomitant anticancer therapy (e.g. chemotherapy, radiotherapy, hormonal therapy, immunotherapy, biological response modifier, signal transduction inhibitors).
  • Concomitant treatment with medicinal products that increase the pH (reduce acidity) of the upper gastrointestinal tract, including, but not limited to, proton-pump inhibitors (e.g. omeprazole), H2-antagonists (e.g. ranitidine) and antacids. Patients may be enrolled in the study after a wash-out period sufficient to terminate their effect.
  • Use of any investigational drug within 21 days prior to trial treatment start.
  • Patients who experienced National Cancer Institute (NCI) Common Terminology Criteria For Adverse Events (CTCAE) ≥ Grade 3 on PI3K/mTOR inhibitors
  • Any major surgery, chemotherapy or immunotherapy within 21 days prior to trial treatment start.
  • Symptomatic or progressing Central nervous system (CNS) involvement. Exception: Patients with meningeal involvement can be included upon discussion between the sponsor and the investigator.
  • Persisting toxicities NCI CTCAE ≥2 related to prior anticancer therapy
  • Presence of gastrointestinal disease or any other condition that could interfere significantly with the absorption of the study drug.
  • Severe/unstable angina, myocardial infarction or coronary artery bypass within the last 3 years prior to trial treatment start, symptomatic congestive heart failure New York Heart Association (NYHA) Class 3 or 4, hypertension BP>150/100mmHg
  • A serious active infection at the time of treatment, or another serious underlying medical condition that could impair the ability of the patient to receive treatment.
  • Lack of appropriate contraceptive measures (male and female)
  • Pregnant or lactating women
  • Known HIV infection
  • Significant medical conditions which could jeopardize compliance with the protocol.
  • Uncontrolled diabetes mellitus; patients with controlled diabetes may be enrolled (see fasting glucose and HbA1c levels in inclusion criteria).

Trial locations and contacts

12 sites in 6 countries.

12 sites in 6 countries

United Kingdom4 sites
  • Guy's Hospital

    London, SE1 9RT

  • Royal Marsden NHS Foundation Trust

    London

  • University College Hospital London

    London

  • Churchill Hospital

    Oxford, OX3 7DQ

Other trials in United Kingdom

Serbia3 sites
  • Institute for Oncology and radiology of Serbia

    Belgrade, 110000

  • Clinical Center Kragujevac

    Kragujevac, 34000

  • Clinical Center Nis

    Niš, 118000

Other trials in Serbia

Bosnia and Herzegovina2 sites
  • University Clinical Center Republic of Srpska

    Banja Luka, 78000

  • University Clinical Center Sarajevo

    Sarajevo, 71000

Other trials in Bosnia and Herzegovina

United States1 site
  • Weill Cornell Medicine

    New York, New York, 10065

Other trials in United States

France1 site
  • Insitute Curie

    Saint-Cloud, Paris, 92210

Other trials in France

Israel1 site
  • Univeristy Hospital Haifa

    Haifa

Other trials in Israel

About this study

Official title: Open-Label, Non Randomized Phase 2 Study With Safety Run-In Evaluating Efficacy and Safety of PQR309 in Patients With Relapsed or Refractory Lymphoma

The main goal of this study is to determine the Maximum Tolerated Dose (MTD) and the Recommended Phase II Dose (RP2D) as well as preliminary antitumor activity of bimiralisib (PQR309) administered orally, as once daily capsules continuously and on intermittent schedule in patients with relapsed or refractory lymphomas.

Read the detailed description

Open-label, non-randomized, multicentre phase 2 study with a safety run-in evaluating efficacy and safety of bimiralisib (PQR309) in patients with relapsed or refractory lymphoma.

The maximum tolerated dose (MTD) of bimiralisib in patients with advanced solid tumors was defined as 80 mg once daily given continuously (q.d. schedule) in a previous phase 1 study. The safety run-in of this study will follow a modified 3 + 3 design to evaluate the safety of 60 and 80 mg bimiralisib in patients with relapsed or refractory lymphoma administered p.o. once daily during a DLT (dose-limiting toxicity) period of 28 days.

In the safety run-in, three patients will be treated at 60 mg bimiralisib for 28 days. Enrollment and treatment of all three patients may occur simultaneously as 80 mg bimiralisib p.o. qd was established as the MTD in solid tumors. Unless a DLT is observed in any of the three patients during the first 28 days of treatment, the investigators and the sponsor will decide to escalate the dose to 80 mg. Intermittent dosing schedules may be evaluated if, based on the overall evaluation of all the clinical and PK (pharmacokinetic) data from this and other studies with bimiralisib, data emerge during step 1 of the phase 2 expansion in this study, indicating that daily dosing of bimiralisib is not adequately tolerated or inefficacious.

Being tested
bimiralisib
Keywords
Non Hodgkin Lymphoma
Medical subject headings
Lymphoma, Lymphoma, Non-Hodgkin

What participants receive

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

  • bimiralisibDrug

    Also called PQR309, PI3K Inhibitor (phosphatidylinositol 3-kinase)

    60 mg or 80 mg bimiralisib per oral (p.o.) once daily or intermittent dosing (120mg,140mg and 160mg) until unacceptable AE, disease progression, patient's request for withdrawal, investigator judgement or death - whichever comes first.

Study groups in NCT02249429
Study groupRoleWhat they receive
bimiralisib (PQR309)ExperimentalNot described
Receives: Drug: bimiralisib

What is being measured

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

  1. Assessment of Change of Tumor Response Criteria in lymphoma patients During Treatment with PQR309 in patients with relapsed or refractory lymphoma according to Cheston Criteria (5)

    Radiological lymphoma Evaluation (CT or other indicated according to institutional standard practice), clinical examination and bone marrow biopsy

    Measured: 28 day prior to first treatment (baseline), during treatment every 8 weeks during 6 months and every 6 months afterwards up to 1 year)

Secondary outcomes (18)
  1. Incidence of serious adverse events (SAE) and severity of all adverse events (AEs)

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1,-2 and during treatment on Day 1,2,8,15,22,36,50, at the end of treatment up to 1 year and 30 days after last dose

  2. Change of pulse rate

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1,-2 and during treatment on Day 1,2,8,15,22,36,50, at the end of treatment up to 1 year and 30 days after last dose

  3. Change in blood pressure

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1,-2 and during treatment on Day 1,2,8,15,22,36,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year and 30 days after last dose

  4. Change in body temperature

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1,-2 and during treatment on Day 1,2,8,15,22,36,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year and 30 days after last dose

  5. Change in ECOG (Eastern Cooperative Oncology Group) Performance status

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1,-2 and during treatment on Day 1,2,8,15,22,36,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year and 30 days after last dose

  6. Change in body weight

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1,-2 and during treatment on Day 1,2,8,15,22,36,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year and 30 days after last dose

  7. Change in haematology

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1,-2 and during treatment on Day 1,2,8,15,22,36,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year and 30 days after last dose

  8. Change in blood chemistry

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1 and during treatment on Day 1,22,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year

  9. Change in ECG (electrocardiogram)

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1 and during treatment on Day 1,22,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year

  10. Change of urine analysis

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1 and during treatment on Day 1,22,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year

  11. Change in HbA1c

    Continuous dosing and intermittent dosing

    Measured: Before treatment on Day -1 and during treatment on Day 1,22,50, subsequently every 4 weeks up to 1 year, at the end of treatment up to 1 year

  12. Change in tmax

    Continuous dosing and intermittent dosing

    Measured: During treatment on Day 1,2, 8,15 22, 50

  13. Change in Cmax

    Continuous dosing and intermittent dosing

    Measured: During treatment on Day 1,2, 8,15 22, 50

  14. Change in AUC 0-24

    Continuous dosing and intermittent dosing

    Measured: During treatment on Day 1,2, 8,15 22, 50

  15. Change in AUClast

    Continuous dosing and intermittent dosing

    Measured: During treatment on Day 1,2, 8,15 22, 50

  16. Change in AUC0-∞,

    Continuous dosing and intermittent dosing

    Measured: During treatment on Day 1,2, 8,15 22, 50

  17. Change in t1/2

    Continuous dosing and intermittent dosing

    Measured: During treatment on Day 1,2, 8,15 22, 50

  18. Change in RAC

    Continuous dosing and intermittent dosing

    Measured: During treatment on Day 1,2, 8,15 22, 50

Timeline

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

  1. First posted25 Sep 2014 (estimated)
  2. Study startMay 2015
  3. Primary completion11 Sep 2018
  4. Study completion11 Sep 2018

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02249429
Sponsor's protocol ID
PQR309-002
Status last verified
Aug 2019
First submitted
8 Sep 2014
Last updated
6 Sep 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing bimiralisib in people with Lymphoma, Malignant, run by PIQUR Therapeutics AG at 12 sites in 6 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 15 inclusion and 21 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 6 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United Kingdom, Serbia, Bosnia and Herzegovina, United States, France and 1 more country. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Assessment of Change of Tumor Response Criteria in lymphoma patients During Treatment with PQR309 in patients with relapsed or refractory lymphoma according to Cheston Criteria (5) (time frame: 28 day prior to first treatment (baseline), during treatment every 8 weeks during 6 months and every 6 months afterwards up to 1 year)). 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 6 Sep 2019.

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