Description:
The study will determine the maximum tolerated dose and thus the recommended phase II dose
and schedule of the compound and characterize the safety.
Title
- Brief Title: A Dose Escalation Study in Adult Patients With Advanced Solid Malignancies
- Official Title: A Phase I, Open-label, Multi-center, Dose Escalation Study of Oral BGJ398, a Pan FGF-R Kinase Inhibitor, in Adult Patients With Advanced Solid Malignancies
Clinical Trial IDs
- ORG STUDY ID:
CBGJ398X2101
- SECONDARY ID:
2009-010876-73
- NCT ID:
NCT01004224
Conditions
- Advanced Solid Tumors With Alterations of FGFR1, 2 and or 3
- Squamous Lung Cancer With FGFR1 Amplification
- Bladder Cancer With FGFR3 Mutation or Fusion
- Advanced Solid Tumors With FGFR1 Amplication
- Advanced Solid Tumors With FGFR2 Amplication
- Advanced Solid Tumors With FGFR3 Mutation
Interventions
Drug | Synonyms | Arms |
---|
BGJ398 | | BGJ398 |
Purpose
The study will determine the maximum tolerated dose and thus the recommended phase II dose
and schedule of the compound and characterize the safety.
Trial Arms
Name | Type | Description | Interventions |
---|
BGJ398 | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Patients with histologically/cytologically confirmed advanced solid tumors with FGFR1
or FGFR2 amplification or FGFR3 mutation, for which no further effective standard
anticancer treatment exists
- Adequate bone marrow function
- Adequate hepatic and renal function
- Adequate cardiovascular function
- Contraception.
- For women: Must be surgically sterile, post-menopausal, or compliant with a
medically approved contraceptive regimen during and for 3 months after the
treatment period; must have a negative serum or urine pregnancy test and must not
be nursing.
- For men: Must be surgically sterile or compliant with a contraceptive regimen
during and for 3 months after the treatment period
Exclusion Criteria:
- Patients with primary CNS tumor or CNS tumor involvement
- Patients with history and/or current evidence of endocrine alteration of
calcium-phosphate homeostasis
- History and/or current evidence of ectopic mineralization/ calcification including but
not limited to the soft tissue, kidneys, intestine, myocard and lung with the
exception of calcified lymphnodes and asymptomatic coronary calcification
- Current evidence of corneal disorder/ keratopathy incl. but not limited to bullous/
band keratopathy, corneal abrasion, inflammation/ulceration, keratoconjunctivitis
etc., confirmed by ophthalmologic examination.
- History or current evidence of cardiac arrhythmia and/or conduction abnormality
- Women who are pregnant or nursing.
Other protocol-defined inclusion/exclusion criteria may apply
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence rate and category of dose-limiting toxicities will be tabulated for patients included in the dose escalation portion of the study, to establish the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RPTD) |
Time Frame: | 23 months |
Safety Issue: | |
Description: | Incidence rate and category of dose-limiting toxicities will be tabulated for patients included in the dose escalation portion of the study, to establish the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RPTD). This will be calculated using an established statistical model, based on incidence of adverse events and serious adverse events, physical examinations, vital signs, electrocardiograms, and laboratory parameters |
Secondary Outcome Measures
Measure: | To assess preliminary anti-tumor activity of BGJ398 for patients in expansion Arm 4 (previously treated patients with advanced/metastatic UCC with FGFR3 gene alterations) |
Time Frame: | 23 months |
Safety Issue: | |
Description: | overall response rate (ORR), as assessed by investigator per RECIST v 1.0; overall survival (OS), duration of response (DOR) and disease control rate (DCR) will be assessed |
Measure: | To determine the pharmacokinetic (PK) profiles of oral BGJ398 |
Time Frame: | 23 months |
Safety Issue: | |
Description: | Time vs. concentration profiles, PK parameters of BGJ398 and known active metabolite(s). |
Measure: | To evaluate the pharmacodynamic effect of the drug. |
Time Frame: | 23 months |
Safety Issue: | |
Description: | Pre- vs. post treatment serial changes in FGF23 plasma levels (not done for patients enrolled to expansion Arm 4) |
Measure: | Assess preliminary anti-tumor activity for patients not in Arm 4. |
Time Frame: | 23 months |
Safety Issue: | |
Description: | Overall tumor response rate (ORR) and PFS assessed by investigator per RECIST |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- advanced solid tumors
- lung cancer
- bladder cancer
- BGJ398
- FGFR
- kinase inhibitor
- advanced solid malignancies
Last Updated
October 4, 2019