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Recurrent Glioblastoma MultiformePhase 1NCT01934361

Phase Ib/II Study of Buparlisib Plus Carboplatin or Lomustine in Patients With Recurrent Glioblastoma Multiforme

A Phase 1 study testing buparlisib, carboplatin and lomustine in people with Recurrent Glioblastoma Multiforme, run by Novartis Pharmaceuticals at 14 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

This is a multi-center, phase Ib/ II study (two parts) with patients that had recurrent glioblastoma multiforme. The first part (phase Ib) was to investigate the maximum tolerated dose/Recommended phase ll dose (MTD/RP2D) of once daily buparlisib in combination with every-three-week carboplatin or buparlisib once… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Recurrent Glioblastoma Multiforme
What is being tested?
buparlisib, carboplatin and lomustine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
35 participants
Where
14 sitesin 6 countries
Study dates
28 Feb 2014to 7 Jul 2016
Phase
Phase 1
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

  • Patient is an adult ≥ 18 years old at the time of informed consent.
  • Patient has histologically confirmed diagnosis of GBM with documented recurrence after first line treatment including radiotherapy and TMZ (SoC), not suitable for curative surgery or re-irradiation.
  • Patient has at least one measurable and/or non-measurable lesion as per RANO criteria
  • Patient has recovered (to Grade ≤1) from all clinically significant toxicities related to prior antineoplastic therapies.
  • Patient has Karnofsky performance status (KPS) ≥70%.
  • Patient has adequate organ and bone marrow functions:
Show all 16Show fewer
  • Absolute Neutrophils Count (ANC) ≥ 1.5 x 109/L
  • Platelets ≥ 100 x 109/L (in case of transfusion stable for ≥14 days prior to treatment start)
  • Hemoglobin ≥ 9.0 g/dL (in case of transfusion stable for ≥14 days prior to treatment start)
  • INR ≤ 1,5
  • Serum Creatinine ≤ 1.5 x ULN, or Creatinine Clearance > 45mL/min
  • Potassium and calcium (corrected for albumin), sodium and magnesium within institutional normal limits
  • Serum Bilirubin ≤ ULN, AST and ALT ≤ ULN
  • HbA1c ≤ 8%
  • Fasting plasma glucose (FPG) ≤ 120 mg/dL or ≤ 6.7 mmol/L
  • Patient has tumor tissues available (archival or fresh).

Who cannot join

  • Patient has received previous treatment with PI3K inhibitors, lomustine or carboplatin.
  • Patient has received previous antineoplastic treatment for recurrent GBM (e.g. VEGF inhibitors, cytotoxic agents).
  • Patient has received more than one line of cytotoxic chemotherapy
  • Patient has concurrent use of anti-neoplastic agents including investigational therapy
  • Patient is currently receiving warfarin or other coumarin derived anti-coagulant, for treatment, prophylaxis or otherwise. Therapy with heparin, low molecular weight heparin (LMWH), or fondaparinux is allowed.
  • Patient is currently receiving treatment with drugs known to be moderate or strong inhibitors or inducers of isoenzyme CYP3A. The patient must have discontinued strong inducers for at least one week and must have discontinued strong inhibitors before the treatment is initiated. Switching to a different medication prior to randomization is allowed.
  • Patient is currently receiving an enzyme-inducing anti-epileptic drug (EIAED). The patient must have discontinued EIAED therapy for at least two weeks prior to starting study drug.
  • Other protocol-defined Inclusion/exclusion criteria may apply.

Trial locations and contacts

14 sites in 6 countries.

14 sites in 6 countries

United States5 sites
  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Northwestern University

    Chicago, Illinois, 60611

  • Highlands Oncology Group

    Fayetteville, Arkansas, 72703

  • MD Anderson Cancer Center/University of Texas

    Houston, Texas, 77030

  • Barrow Neurological Insitute St. Joseph's Hospital

    Phoenix, Arizona, 85013

Other trials in United States

France3 sites
  • Novartis Investigative Site

    Marseille, 13885

  • Novartis Investigative Site

    Paris, 75651

  • Novartis Investigative Site

    Saint-Herblain, 44805

Other trials in France

Australia2 sites
  • Novartis Investigative Site

    Heidelberg, Victoria, 3084

  • Novartis Investigative Site

    Parkville, Victoria, 3050

Other trials in Australia

Spain2 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08036

  • Novartis Investigative Site

    L'Hospitalet de Llobregat, Catalonia, 08907

Other trials in Spain

Belgium1 site
  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Canada1 site
  • Novartis Investigative Site

    Toronto, Ontario, M5G 1Z6

Other trials in Canada

About this study

Official title: Phase Ib/II Multicenter Study of Buparlisib Plus Carboplatin or Lomustine in Patients With Recurrent Glioblastoma Multiforme

This is a multi-center, phase Ib/ II study (two parts) with patients that had recurrent glioblastoma multiforme. The first part (phase Ib) was to investigate the maximum tolerated dose/Recommended phase ll dose (MTD/RP2D) of once daily buparlisib in combination with every-three-week carboplatin or buparlisib once daily in combination with every-six-week lomustine (CCNU) using a Bayesian model. Once MTD/ RP2D is established in either of the 2 arms, the corresponding phase II portion of the study was to start. Phase II was to assess the treatment effect of buparlisib in combination with carboplatin in terms of Progression Free Survival (PFS) and was to compare the treatment effect of buparlisib with lomustine versus lomustine plus placebo in terms of PFS.

A preliminary assessment for both combinations (buparlisib plus carboplatin or lomustine) demonstrated that there was not enough antitumor activity compared to historical data with single agent carboplatin or lomustine. Based on the overall safety profile, and preliminary anti-tumor activity observed in this study, Novartis decided that no additional patients would be enrolled into this study. As a consequence, the Phase II part of the study was not conducted.

Being tested
buparlisib, carboplatin, lomustine, placebo
Keywords
BKM120, Recurrent glioblastoma multiforme, rGBM, buparlisib
Medical subject headings
Glioblastoma

What participants receive

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

  • buparlisibDrug

    Buparlisib administered orally on a continuous daily schedule. Buparlisib is manufactured as 10mg and 50mg hard gelatin capsules.

  • carboplatinDrug

    Carboplatin intravenous infusion will be administered at a dose of AUC 5 in a 21 day cycle (every 3 weeks).

  • lomustineDrug

    Lomustine will be administered as a single oral dose of 100 mg/m² every 6 weeks in a 42 day cycles.

  • placeboDrug

    Placebo will be administered orally on a continuous QD dosing schedule for cycles of 42 days. Buparlisib matching placebo is manufactured as 10 mg and 50 mg hard gelatin capsules.

Study groups in NCT01934361
Study groupRoleWhat they receive
Lomustine+ buparlisib (Phase Ib)ExperimentalNot described
Receives: Drug: buparlisib; Drug: lomustine
carboplatin+ buparlisib (Phase Ib)ExperimentalNot described
Receives: Drug: buparlisib; Drug: carboplatin
lomustine+ buparlisib (Phase II)ExperimentalNot described
Receives: Drug: buparlisib; Drug: lomustine
lumustine + placebo (Phase II)Placebo comparatorNot described
Receives: Drug: lomustine; Drug: placebo
carboplatin+ buparlisib (Phase II)ExperimentalNot described
Receives: Drug: buparlisib; Drug: carboplatin

What is being measured

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

  1. Number of Total Dose-limiting Toxicity (DLT) during Dose Escalation part to determine Maximum Tolerated Dose (MTD) [Phase Ib]

    Maximum Tolerated Dose (MTD) is defined as the highest BKM120 dosage that does not cause medically unacceptable Dose Limiting Toxicities (DLTs) in more than 35% of the treated patients during the first cycle of treatment. DLT is defined as treatment-related toxicity occurring during the phase Ib cycle 1 and meeting specific protocol-predefined criteria. The information will be integrated in a Bayesian logistic regression model with overdose control to estimate the MTD.

    Measured: Cycle 1 (21 days carboplatin combination or 42 days lomustine combination )

  2. 12 week Progression Free Survival (PFS) rate (Phase II- Carboplatin combination)

    12-week Progression Free Survival (PFS) is defined as the percentage of patients who are progression free 12 weeks after the date of the start of the treatment ("success"). Patients who progressed, died or discontinued within the 12 weeks of observation are counted as "failure".

    Measured: 12 weeks

  3. Progression Free Survival (PFS) [phase II lomustine combinations]

    Progression Free Survival (PFS) is defined as the time from date of randomization to the date of the event, which is the first radiologically documented disease progression [per local investigator assessment according to Response Assessment in Neuro-Oncology (RANO) criteria] or death due to any cause.

    Measured: Randomization until date of the event (expected average 3 months).

Secondary outcomes (11)
  1. Frequency and severity of Adverse Events (AEs) [Phase Ib, Phase II, all treatment arms]

    The incidence of Adverse Events (AEs) summarized by system organ class and or preferred term, severity (based on Common Terminology Criteria for Adverse Events (CTCAE) grades version 4), type of AE, relation to study treatment.

    Measured: Until 30 days after treatment discontinuation

  2. Overall Response Rate (ORR) as per Response Assessment in Neuro-Oncology (RANO) [Phase Ib , both combinations]

    Overall response rate (ORR) is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR), based on the investigator assessment as per Response Assessment in Neuro-Oncology (RANO) criteria.

    Measured: Baseline, every 6 weeks from treatment start until disease progression or until start of another antineoplastic treatment or death which ever occurs first up to 1 year

  3. Progression Free Survival (PFS) [Phase Ib- both combinations]

    Progression Free Survival (PFS) is defined as time from date of treatment start to the date of the event, which is the first radiologically documented disease progression or death due to any cause per local investigator assessment.

    Measured: Time from treatment start to the date of the event (expected average 3 months)

  4. Overall response rate (ORR) [Phae II, carboplatin combination]

    Overall response rate (ORR) is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR), based on the investigator assessment as per Response Assessment in Neuro-Oncology (RANO) criteria.

    Measured: Baseline, every 6 weeks from treatment start until disease progression or until start of another antineoplastic treatment or death which ever occurs first up to 1 year

  5. Progression Free Survival (PFS) [Phase II, carboplatin combination]

    Progression Free Survival (PFS) is defined as time from date of treatment start to the date of the event, which is the first radiologically documented disease progression or death due to any cause per local investigator assessment.

    Measured: Time from treatment start to the date of the event (Expected average: 3 months)

  6. 24 week Progression Free Survival (PFS) rate (Phase II carboplatin combination)

    24 weeks Progression Free Survival (PFS) is defined as the percentage of patients who are progression free 24 weeks after the date of the start of the treatment ("success"). Patients who progressed, died or discontinued within the 24 weeks of observation are counted as "failure".

    Measured: 24 weeks

  7. Overall Survival (OS) (Phase II Carboplatin combination)

    Overall survival (OS) is defined as the time from the date of randomization for buparlisib + lomustine / placebo + lomustine Phase II, or the time from the first study drug intake for buparlisib + carboplatin Phase II, to the date of death due to any cause.

    Measured: 12 months

  8. Overall Response Rate (ORR) (Phase II Lomustine combinations)

    Overall response rate (ORR) is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR), based on the investigator assessment as per Response Assessment in Neuro-Oncology (RANO) criteria.

    Measured: Baseline, every 6 weeks from treatment start until disease progression or until start of another antineoplastic treatment or death which ever occurs first up to 1 year

  9. 12 week Progression Free Survival (PFS) rate (Phase II- lomustine combinations)

    12-week Progression Free Survival (PFS) is defined as the percentage of patients who are progression free 12 weeks after the date of the start of the treatment ("success"). Patients who progressed, died or discontinued within the 12 weeks of observation are counted as "failure".

    Measured: 12 weeks

  10. 24 week Progression Free Survival (PFS) rate (Phase II- lomustine combinations)

    24 weeks Progression Free Survival (PFS) is defined as the percentage of patients who are progression free 24 weeks after the date of the start of the treatment ("success"). Patients who progressed, died or discontinued within the 24 weeks of observation are counted as "failure".

    Measured: 24 weeks

  11. Overall survival (OS) [Phase II lomustine combinations]

    Overall survival (OS) is defined as the time from the date of randomization for buparlisib + lomustine / placebo + lomustine Phase II, or the time from the first study drug intake for buparlisib + carboplatin Phase II, to the date of death due to any cause.

    Measured: 12 months

Timeline

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

  1. First posted4 Sep 2013 (estimated)
  2. Study start28 Feb 2014
  3. Primary completion7 Jul 2016
  4. Study completion7 Jul 2016

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01934361
Sponsor's protocol ID
CBKM120E2102
Other IDs
2013-003129-27
Status last verified
Aug 2018
First submitted
20 Aug 2013
Last updated
9 Dec 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Rosenthal M, Clement PM, Campone M, Gil-Gil MJ, DeGroot J, Chinot O, Idbaih A, Gan H, Raizer J, Wen PY, Pineda E, Donnet V, Mills D, El-Hashimy M, Mason W. Buparlisib plus carboplatin or lomustine in patients with recurrent glioblastoma: a phase Ib/II, open-label, multicentre, randomised study. ESMO Open. 2020 Jul;5(4):e000672. doi: 10.1136/esmoopen-2020-000672.

    PubMed 32665311

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing buparlisib, carboplatin and lomustine in people with Recurrent Glioblastoma Multiforme, run by Novartis Pharmaceuticals at 14 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 16 inclusion and 8 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 9 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, France, Australia, Spain, Belgium 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Number of Total Dose-limiting Toxicity (DLT) during Dose Escalation part to determine Maximum Tolerated Dose (MTD) [Phase Ib] (time frame: Cycle 1 (21 days carboplatin combination or 42 days lomustine combination )). The study lists 3 primary outcomes in all. 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 NCT01934361, which also lists 1 linked publication.

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 9 Dec 2020.

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