ACTRN12615000850572已完成2 期
A Phase II exploratory, open-label, single arm study of the efficacy of BYL719 monotherapy in adult patients with advanced breast cancer progressing after first line therapy.
Peter MacCallum Cancer Centre0 个研究点目标入组 45 人开始时间: 2015年8月14日最近更新:
适应症
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 45
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Non-randomised trial
- 主要目的
- Treatment
- 盲法
- Open (masking not used)
入排标准
- 年龄范围
- 18 Years 至 o limit（—）
- 性别
- All
入选标准
- •Patients eligible for inclusion in this study have to meet all of the following criteria:
- •Males and females of any menopausal status
- •Patient has signed the Informed Consent Form (ICF) prior to any screening procedures being performed and is able to comply with protocol requirements
- •Age > or = 18 years old
- •Eastern Cooperative Oncology Group (ECOG) 0-2 that the investigator believes is stable at the time of screening
- •Patient has locally recurrent (incurable) or metastatic disease
- •Patient is able to swallow and retain oral medication
- •Known HER2 status (local lab) that is negative on IHC (IHC=0) and/or non-amplified.
- •Known estrogen receptor (ER) and progesterone receptor (PR) status (local lab)
- •Recent tumor tissue must be available from a metastatic or recurrent lesion for next generation sequencing targeted gene panel
- •Patients with TNBC disease (ER<1%, HER2-negative) should have documented progression on at least one line of prior systemic therapy in the metastatic setting or within 12 months of adjuvant therapy completion. There is no limit on previous therapies. There will be no molecular selection of these patients.
- •Patients with ER-positive (ER=1%, HER2-negative) disease should have documented progression on at least one line of prior systemic endocrine therapy in the metastatic setting. There is no limit on previous therapies. Prior everolimus is allowed.
- •*Patients are defined as PI3K abnormal” if they have documented gene mutation in AKT1,2,3,ALK, EGFR, ERBB2,3,4, HRAS, INPP4B, KRAS, NRAS, PTEN, PIK3CA, PIK3R1, PIK3R3, PTEN or gene amplification in EGFR, PIK3CA, PIK3R1 or loss in PTEN and INPP4B as per a next generation targeted gene sequencing panel
- •Measurable disease by RECIST v 1.1 criteria or non- measurable disease that is clinically evaluable (bone only disease allowed if evaluable)
- •Patient has adequate bone marrow and organ function assessed within 72 hours prior to first dose:
- •*Absolute neutrophil count (ANC) > or = 1.5 x 109/L
- •*Platelets > or = 100 x 109/L
- •*Hemoglobin (Hgb) > or = 9.0 g/dL
- •*Serum creatinine > or = 1.5 x ULN
- •*Total serum bilirubin > or = 1.5 x ULN (in patients with known Gilbert's syndrome, a total bilirubin < or = 3.0 x ULN with direct bilirubin < = 1.5 x ULN)
- •*AST and ALT < or = 2.5 x ULN (alternatively < 5 x ULN if evidence of liver metastases)
- •*Fasting blood glucose < = 140mg/dL or <= 7.8 mmol/
排除标准
- •Patients eligible for this study must not meet any of the following criteria:
- •Patient has a primary CNS tumor or CNS tumor involvement.
- •*However patients with metastatic CNS tumors may participate in this study if the patient is:
- •*Four weeks from prior therapy completion (including radiation and surgery) to starting study treatment
- •*Clinically stable with respect to the CNS tumor at the time of screening
- •*Not receiving steroid therapy
- •Patient with diabetes mellitus (fasting glucose >120mg/dl or 6.7 mmol/L), or documented steroid-induced diabetes mellitus
- •Patient has a history of another malignancy within 2 years prior to starting study treatment, except for cured basal cell carcinoma of the skin or excised carcinoma in situ of the cervix.
- •Patient who has not recovered to grade 1 or better (except alopecia) from related side effects of any prior antineoplastic therapy
- •Patient who has had systemic chemotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to study entry.
- •Patient who has received radiotherapy < or = 4 weeks prior to starting study drugs, with exception of palliative radiotherapy (= 2 weeks prior to starting study drugs), who has not recovered from side effects of such therapy to baseline or Grade < or = 1 and/or from whom > or = 30% of the bone marrow was irradiated. Target lesions should not have had previous irradiation unless have progressed post treatment.
- •Patient who has undergone major surgery < or = 4 weeks prior to starting study treatment or who has not recovered from side effects of such procedure.
- •Patient has a clinically significant cardiac disease or impaired cardiac function, such as:
- •*Congestive heart failure (CHF) requiring treatment (New York Heart Association (NYHA) Grade > or = 2), left ventricular ejection fraction (LVEF) < 50% as determined by multi-gated acquisition (MUGA) scan or echocardiogram (ECHO)
- •*History or current evidence of clinically significant cardiac arrhythmias, atrial fibrillation and/or conduction abnormality, e.g. congenital long QT syndrome, high-grade/complete AV-blockage
- •*Acute coronary syndromes (including myocardial infarction, unstable angina, coronary artery bypass graft (CABG), coronary angioplasty, or stenting), < 3 months prior to screening
- •*QT interval adjusted according to Fredericia (QTcF) > 480 msec on screening ECG.
- •Patient who has any severe and/or uncontrolled medical conditions such as:
- •*Active or uncontrolled severe infection,
- •*Liver disease such as cirrhosis, decompensated liver disease, and chronic hepatitis (i.e. quantifiable HBV-DNA and/or positive HbsAg, quantifiable HCV-RNA)
- •*Known severely impaired lung function (spirometry and DLCO 50% or less of normal and O2 saturation 88% or less at rest on room air)
- •*Active, bleeding diathesis;
- •*Uncontrolled arterial hypertension defined by blood pressure > 140/100 mm Hg at rest (average of 3 consecutive readings 5 min apart)
- •*Chronic treatment with corticosteroids or other immunosuppressive agent
- •*Patient who is currently receiving medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes (TdP) and the treatment cannot either be discontinued or switched to a different medication prior to starting study drug treatment.
- •Patient who has participated in a prior investigational study within 30 days prior to enrollment.
- •Patient who is currently receiving treatment with drugs known to be moderate or strong inhibitors or induc
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