Phase II Study of Buparlisib + Docetaxel in Advanced or Metastatic Squamous Non-small Cell Lung Cancer (NSCLC) Patients
Status: | Terminated |
---|---|
Conditions: | Lung Cancer, Lung Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 8/16/2018 |
Start Date: | October 2013 |
End Date: | August 2015 |
A Phase Ib/II Study of Docetaxel With or Without Buparlisib as Second Line Therapy for Patients With Advanced or Metastatic Squamous Non-small Cell Lung Cancer
This is a multi-center, open-label Phase Ib dose escalation part followed by a randomized
double-blinded placebo controlled Phase II part.
The Phase Ib part will determine the Maximum Tolerated Dose (MTD)/Recommended Phase II Dose
(RP2D) of buparlisib in combination with docetaxel. Subsequently the MTD/RP2D will be
investigated in a Phase II randomized trial in patients with advanced or metastatic squamous
NSCLC.
double-blinded placebo controlled Phase II part.
The Phase Ib part will determine the Maximum Tolerated Dose (MTD)/Recommended Phase II Dose
(RP2D) of buparlisib in combination with docetaxel. Subsequently the MTD/RP2D will be
investigated in a Phase II randomized trial in patients with advanced or metastatic squamous
NSCLC.
Based on an overall review of safety and preliminary efficacy data done on 01-Dec-2014
showing marginal anti-tumor activity and newly emerged treatment options, a decision was
taken to stop further development of this combination in patients with advanced or metastatic
squamous NSCLC and Phase II of the study was not conducted.
showing marginal anti-tumor activity and newly emerged treatment options, a decision was
taken to stop further development of this combination in patients with advanced or metastatic
squamous NSCLC and Phase II of the study was not conducted.
Inclusion Criteria:
- Patient is an adult ≥ 18 years old at the time of informed consent
- Patient has histologically and/or cytologically confirmed diagnosis of squamous NSCLC.
Diagnosis of mixed squamous and non-squamous or adenosquamous NSCLC will be acceptable
for enrollment.
- Patient has received one prior approved regimen of platinum-based chemotherapy
(excluding a docetaxel-containing regimen) for advanced or metastatic (Stage IIIb or
Stage IV) squamous NSCLC, followed by disease progression. A drug provided as
maintenance therapy following cytotoxic chemotherapy will be considered to be part of
that regimen.
Note: Patients who received paclitaxel therapy are eligible for this trial. •Patient has
adequate tumor tissue (either archival or new tumor biopsy) for the analysis of
PI3K-related biomarkers.
Enrollment in the Phase II part of the study is contingent on the central laboratory
confirming receipt of an adequate amount of tissue including sufficient DNA for analysis.
•Patient has measurable or non-measurable disease according to RECIST version 1.1 criteria.
Phase II only: Patient must have at least one measurable lesion as per RECIST criteria.
- Patient has an ECOG performance status ≤ 1
- Patient has adequate bone marrow and organ function
Exclusion Criteria:
- Patient has received previous treatment with a PI3K or AKT inhibitor
- Patient has symptomatic Central Nervous System (CNS) metastases Patients with
asymptomatic CNS metastases may participate in this trial. The patient must have
completed prior local treatment, if any, for CNS metastases ≥ 28 days prior to the
start of study treatment (including radiotherapy and/or surgery, or ≥ 14 days for
stereotactic radiosurgery).
- Patient has a score ≥ 12 on the PHQ-9 questionnaire.
- Patient selects a response of "1, 2 or 3" to question number 9 on the PHQ-9
questionnaire regarding potential for suicidal thoughts or ideation (independent of
the total score of the PHQ-9).
- Patient has a GAD-7 mood scale score ≥ 15.
- Patient has a medically documented history of or active major depressive episode,
bipolar disorder (I or II), obsessive-compulsive disorder, schizophrenia, a history of
suicidal attempt or ideation, or homicidal ideation or patients with active severe
personality disorders.
- Patient has ≥ CTCAE grade 3 anxiety
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