Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43858   clinical trials with a EudraCT protocol, of which   7284   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A dose-finding phase Ib study followed by a randomized, double-blind phase II study of carboplatin and paclitaxel with or without buparlisib in patients with previously untreated metastatic non-small cell lung cancer (NSCLC) of squamous histology

    Summary
    EudraCT number
    2012-005541-21
    Trial protocol
    IT   DE   FR   ES   GB   CZ   BE   HU  
    Global end of trial date
    18 Jun 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    13 Jul 2016
    First version publication date
    05 Aug 2015
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    CBKM120D2204
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01820325
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111,
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    18 Jun 2014
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    18 Jun 2014
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To determine the MTD/RP2D of buparlisib when administered orally in combination with every-3-week carboplatin and paclitaxel to adult patients with previously untreated Stage IIIb (with malignant pleural or pericardial effusion) or Stage IV NSCLC of squamous histology
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    09 Sep 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Italy: 1
    Country: Number of subjects enrolled
    United States: 1
    Country: Number of subjects enrolled
    Canada: 2
    Country: Number of subjects enrolled
    Spain: 2
    Worldwide total number of subjects
    6
    EEA total number of subjects
    3
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    2
    From 65 to 84 years
    4
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    A total of approximately 12 to 18 evaluable patients were to be enrolled in the Phase Ib part of the study. Cohorts of 3 to 6 evaluable patients were to be enrolled in the dose-escalation part and at least six patients treated at the expected MTD level.

    Pre-assignment
    Screening details
    Eight patients were screened and 6 received treatment.

    Period 1
    Period 1 title
    Treatment and FollowUp Post Treatment (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    80mg buparlisib INT+200+6
    Arm description
    Buparlisib 80mg, intermittent (5 days on/2 days off) and paclitaxel administered once every 3 weeks as a single 3-hour (+/- 15 minutes) infusion of 200 mg/m2 body surface area (BSA) and carboplatin administered once every 3 weeks at an AUC=6 (using the Calvert formula) on Day 1 of a 21 day cycle. This intermittent dosing schedule was implemented with Amendment 1.
    Arm type
    Experimental

    Investigational medicinal product name
    Buparlisib
    Investigational medicinal product code
    BKM120
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    Buparlisib was provided as 10 mg and 50 mg hard gelatin capsules, packaged in bottles.

    Investigational medicinal product name
    Paclitaxel
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Paclitaxel was commercially available in 5 mL, 16.7 mL, and 50 mL multidose vials. If available, generic paclitaxel was used.

    Investigational medicinal product name
    Carboplatin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Carboplatin was commercially available in 5 mL, 15 mL, 45 mL, and 60 mL aqueous solution multidose vials. If available, generic carboplatin was used.

    Arm title
    80mg buparlisib OD+200+6
    Arm description
    Buparlisib 80mg daily and paclitaxel administered once every 3 weeks as a single 3-hour (+/- 15 minutes) infusion of 200 mg/m2 body surface area (BSA) and carboplatin administered once every 3 weeks at an AUC=6 (using the Calvert formula).
    Arm type
    Experimental

    Investigational medicinal product name
    Buparlisib
    Investigational medicinal product code
    BKM120
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    Buparlisib was provided as 10 mg and 50 mg hard gelatin capsules, packaged in bottles.

    Number of subjects in period 1
    80mg buparlisib INT+200+6 80mg buparlisib OD+200+6
    Started
    1
    5
    Completed
    0
    0
    Not completed
    1
    5
         Adverse event, serious fatal
    -
    1
         Consent withdrawn by subject
    1
    2
         Adverse event, non-fatal
    -
    1
         Lack of efficacy
    -
    1

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    80mg buparlisib INT+200+6
    Reporting group description
    Buparlisib 80mg, intermittent (5 days on/2 days off) and paclitaxel administered once every 3 weeks as a single 3-hour (+/- 15 minutes) infusion of 200 mg/m2 body surface area (BSA) and carboplatin administered once every 3 weeks at an AUC=6 (using the Calvert formula) on Day 1 of a 21 day cycle. This intermittent dosing schedule was implemented with Amendment 1.

    Reporting group title
    80mg buparlisib OD+200+6
    Reporting group description
    Buparlisib 80mg daily and paclitaxel administered once every 3 weeks as a single 3-hour (+/- 15 minutes) infusion of 200 mg/m2 body surface area (BSA) and carboplatin administered once every 3 weeks at an AUC=6 (using the Calvert formula).

    Reporting group values
    80mg buparlisib INT+200+6 80mg buparlisib OD+200+6 Total
    Number of subjects
    1 5 6
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    0 2 2
        From 65-84 years
    1 3 4
    Gender categorical
    Units: Subjects
        Female
    1 2 3
        Male
    0 3 3

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    80mg buparlisib INT+200+6
    Reporting group description
    Buparlisib 80mg, intermittent (5 days on/2 days off) and paclitaxel administered once every 3 weeks as a single 3-hour (+/- 15 minutes) infusion of 200 mg/m2 body surface area (BSA) and carboplatin administered once every 3 weeks at an AUC=6 (using the Calvert formula) on Day 1 of a 21 day cycle. This intermittent dosing schedule was implemented with Amendment 1.

    Reporting group title
    80mg buparlisib OD+200+6
    Reporting group description
    Buparlisib 80mg daily and paclitaxel administered once every 3 weeks as a single 3-hour (+/- 15 minutes) infusion of 200 mg/m2 body surface area (BSA) and carboplatin administered once every 3 weeks at an AUC=6 (using the Calvert formula).

    Primary: Determination of Maximum Tolerated Dose and Phase II Dose

    Close Top of page
    End point title
    Determination of Maximum Tolerated Dose and Phase II Dose [1]
    End point description
    Maximum Tolerated Dose (MTD) or Recommended Phase II Dose (RP2D) determination of the combination treatment was to be based upon the estimation of the probability of dose-limiting toxicity (DLT) in Cycle 1 for patients in the dose-determining set. The study was terminated early by the Sponsor, before analyzing the primary objective to determine the MTD and/or RP2D.
    End point type
    Primary
    End point timeframe
    Up to 6 cycles (21 day)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The study was terminated prior to determination of the primary objective of the MTD/RP2D.
    End point values
    80mg buparlisib INT+200+6 80mg buparlisib OD+200+6
    Number of subjects analysed
    1 [2]
    5 [3]
    Units: mg
    0
    0
    Notes
    [2] - Study was terminated and analysis not done.
    [3] - Study was terminated and analysis was not done.
    No statistical analyses for this end point

    Primary: Dose limiting toxicities at the time of DETC01

    Close Top of page
    End point title
    Dose limiting toxicities at the time of DETC01 [4]
    End point description
    A patient with multiple occurrences of DLTs under one treatment is counted only once in the AE category for that treatment. A patient with multiple DLTs within a primary system organ classes in Dose limiting toxicities at the time of DETC01counted only once in the total row.
    End point type
    Primary
    End point timeframe
    Up to 21 days after the first dose of study treatment.
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No analysis done.
    End point values
    80mg buparlisib INT+200+6 80mg buparlisib OD+200+6
    Number of subjects analysed
    1
    3 [5]
    Units: Patients
        Total Primary system organ class
    0
    2
        Total Gastrointestinal disorders
    0
    1
        Stomatitis (Gastrointestinal)
    0
    1
        Total Investigations
    0
    1
        Neutrophil count decreased (Investigations)
    0
    1
    Notes
    [5] - Three patients experienced dose limiting toxicities.
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV).  All Adverse events are reported in this record from First Patient First Treatment until Last Patient Last Visit.
    Adverse event reporting additional description
    Consistent with EudraCT disclosure specifications, Novartis has reported under the Serious adverse events field “number of deaths resulting from adverse events” all those deaths, resulting from serious adverse events that are deemed to be causally related to treatment by the investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    BKM120 80 mg INT + PTX200 + CRB6
    Reporting group description
    BKM120 80 mg INT + PTX200 + CRB6

    Reporting group title
    BKM120 80 mg OD + PTX200 + CRB6
    Reporting group description
    BKM120 80 mg OD + PTX200 + CRB6

    Serious adverse events
    BKM120 80 mg INT + PTX200 + CRB6 BKM120 80 mg OD + PTX200 + CRB6
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 1 (0.00%)
    3 / 5 (60.00%)
         number of deaths (all causes)
    0
    1
         number of deaths resulting from adverse events
    0
    0
    Blood and lymphatic system disorders
    FEBRILE NEUTROPENIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    STOMATITIS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    HAEMOPTYSIS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    BKM120 80 mg INT + PTX200 + CRB6 BKM120 80 mg OD + PTX200 + CRB6
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1 / 1 (100.00%)
    5 / 5 (100.00%)
    General disorders and administration site conditions
    ASTHENIA
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    3
    CHILLS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    FATIGUE
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    2
    PYREXIA
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    3
    Reproductive system and breast disorders
    BALANOPOSTHITIS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    COUGH
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    EPISTAXIS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    OROPHARYNGEAL PAIN
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    RHINORRHOEA
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    3
    RESPIRATORY DISORDER
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Psychiatric disorders
    ANXIETY
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    DEPRESSION
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    DISORIENTATION
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    INSOMNIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Investigations
    ASPARTATE AMINOTRANSFERASE INCREASED
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 5 (0.00%)
         occurrences all number
    1
    0
    NEUTROPHIL COUNT DECREASED
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    6
    BLOOD ALKALINE PHOSPHATASE INCREASED
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 5 (0.00%)
         occurrences all number
    1
    0
    PLATELET COUNT DECREASED
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    WEIGHT DECREASED
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    WHITE BLOOD CELL COUNT DECREASED
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Injury, poisoning and procedural complications
    INFUSION RELATED REACTION
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Nervous system disorders
    DIZZINESS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    NEUROPATHY PERIPHERAL
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    PARAESTHESIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    TREMOR
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Blood and lymphatic system disorders
    ANAEMIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    3
    FEBRILE NEUTROPENIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    LEUKOPENIA
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 5 (0.00%)
         occurrences all number
    1
    0
    NEUTROPENIA
         subjects affected / exposed
    1 / 1 (100.00%)
    1 / 5 (20.00%)
         occurrences all number
    1
    1
    Eye disorders
    BLINDNESS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    LACRIMATION INCREASED
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    VISION BLURRED
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    CONSTIPATION
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    DIARRHOEA
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    2
    DYSPEPSIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    NAUSEA
         subjects affected / exposed
    1 / 1 (100.00%)
    4 / 5 (80.00%)
         occurrences all number
    1
    8
    STOMATITIS
         subjects affected / exposed
    0 / 1 (0.00%)
    3 / 5 (60.00%)
         occurrences all number
    0
    3
    VOMITING
         subjects affected / exposed
    1 / 1 (100.00%)
    2 / 5 (40.00%)
         occurrences all number
    1
    4
    Skin and subcutaneous tissue disorders
    ALOPECIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    ERYTHEMA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    PRURITUS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    RASH
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    4
    SKIN DISCOLOURATION
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    RASH MACULO-PAPULAR
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    SKIN EXFOLIATION
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Renal and urinary disorders
    POLLAKIURIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    BACK PAIN
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    MYALGIA
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    3
    Infections and infestations
    ORAL CANDIDIASIS
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    RHINITIS
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    2
    Metabolism and nutrition disorders
    DECREASED APPETITE
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    2
    HYPERCALCAEMIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    HYPERGLYCAEMIA
         subjects affected / exposed
    0 / 1 (0.00%)
    2 / 5 (40.00%)
         occurrences all number
    0
    2
    HYPOCALCAEMIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    HYPOMAGNESAEMIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    HYPONATRAEMIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1
    HYPOPHOSPHATAEMIA
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 5 (20.00%)
         occurrences all number
    0
    1

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Jan 2014
    Amendment 1. A longer term assessment of safety and antitumor activity for the evaluation of MTD/RP2D was proposed and an Interim Analysis was to be conducted when all patients had completed 18 weeks of followup or had discontinued earlier. An intermittent dosing schedule of buparlisib (days 1-5 out of 7 days) in combination with carboplatin and paclitaxel every three weeks was introduced. PFS rate at 18 weeks from the start of treatment was added as a secondary endpoint in the Phase Ib part of the study. PK sampling was introduced in the Phase Ib part of the study. The use of granulocyte colony-stimulating factor (G-CSF) support during Cycle 1 in Phase Ib as per ASCO guidelines (Smith 2006) and local standard of care was introduced and recommended. The assessment of the ECOG performance scale was modified from a summary of the shift from baseline result to worst post-baseline result to an assessment of time to definitive deterioration of the ECOG performance. The staging classification for inclusion criteria was aligned according to the latest version UICC/AJCC version 7. The safety management guidelines of some of the most common drug related adverse events like hepatic toxicity, hyperglycemia and skin toxicity (maculopapular/acneiform rash, pruritus) were updated to align with the guidelines implemented at buparlisib clinical program level and in the new IB edition. The timeframe required for buparlisib interruption was modified from 21 to 28 days to allow a longer interval for rash recovery. The amount of tumor tissue required at Baseline for the analyanalysis of PI3K-related biomarkers was reduced. The upper limit for AST/ALT in patients without liver metastasis was increased to allow 1.5xULN for study inclusion. The requirement of performing pelvic magnetresonance imaging/computed tomography scan was changed from mandatory to clinically indicated.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    This study was early terminated by Novartis because of a challenging safety profile and rapidly evolving investigational landscape in this indication. The decision to end the trial was made during the Phase 1b portion of the trial.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Wed Apr 24 11:06:12 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA