Clinical Trials /

A Dose Escalation Study in Adult Patients With Advanced Solid Malignancies

NCT01004224

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.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

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

DrugSynonymsArms
BGJ398BGJ398

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

NameTypeDescriptionInterventions
BGJ398Experimental
  • BGJ398

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