Description:
This study is designed to investigate whether the use of copanlisib is safe, feasible and
beneficial to pediatric patients with solid solid tumors or lymphoma that are recurrent or
refractory to standard therapy.
Title
- Brief Title: Safety, Tolerability, Efficacy and Pharmacokinetics of Copanlisib in Pediatric Patients
- Official Title: A Non-randomized, Open-label, Multi-center, Phase I/II Study of Phosphatidylinositol-3-kinase (PI3K) Inhibitor Copanlisib in Pediatric Patients With Relapsed/Refractory Solid Tumors or Lymphoma
Clinical Trial IDs
- ORG STUDY ID:
19176
- SECONDARY ID:
2017-000383-15
- NCT ID:
NCT03458728
Conditions
Interventions
Drug | Synonyms | Arms |
---|
BAY806946 | | Dose escalation of BAY806946 in Phase 1 |
Purpose
This study is designed to investigate whether the use of copanlisib is safe, feasible and
beneficial to pediatric patients with solid solid tumors or lymphoma that are recurrent or
refractory to standard therapy.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose escalation of BAY806946 in Phase 1 | Experimental | It is estimated that 2 or 3 dose cohorts may be evaluated in phase 1 of the study. Safety and MTD/RP2D dose will be evaluated in 2 age groups (< 1 year old and ≥ 1 year old). | |
Patients with Neuroblastoma in Phase 2 | Experimental | Recommended Phase 2 dose (RP2D) for copanlisib in pediatric patients, as defined in the Phase I part of the study, will be used. | |
Patients with Osteosarcoma in Phase 2 | Experimental | RP2D for copanlisib in pediatric patients, as defined in the Phase I part of the study, will be used. | |
Patients with Rhabdomyosarcoma in Phase 2 | Experimental | RP2D for copanlisib in pediatric patients, as defined in the Phase I part of the study, will be used. | |
Patients with Ewing sarcoma in Phase 2 | Experimental | RP2D for copanlisib in pediatric patients, as defined in the Phase I part of the study, will be used. | |
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent form by patients and/or patients' parents/legal guardians and
age appropriate assent form by the patients obtained before any study specific
procedure
- Male or female patients from 6 months to ≤ 21 years old at the time of study
enrollment
- Confirmation of diagnosis:
- Phase I: Patients must have histologic verification of a solid tumor or lymphoma
malignancy at diagnosis, with measurable or evaluable disease, for which there is
no standard curative anti-cancer treatment or treatment is no longer effective
and must have received ≥ 1 prior line of therapy.
- Phase II: patients must have histologically verified tumor at initial diagnosis
and radiologically or histologically confirmed status at inclusion as indicated
in the following: neuroblastoma, osteosarcoma, rhabdomyosarcoma or Ewing sarcoma.
- In Phase II, patients with solid tumors must have measurable disease (evaluable
disease is acceptable for neuroblastoma and Ewing sarcoma). Tumor assessment will
be done via computed tomography (CT), magnetic resonance imaging (MRI) or
positron emission tomography-computed tomography (PET-CT). Tumor lesions situated
in a previously irradiated area, or in an area subjected to other loco-regional
therapy, may be considered measurable if there has been demonstrated progression
in the lesion. Bone scans (if clinically indicated) should be obtained within ≤ 4
weeks prior to the start of treatment.
- Performance level: Lansky ≥ 50% for patients ≤ 16 years of age and Karnofsky ≥ 50% for
patients > 16 years of age.
- Adequate bone marrow, renal and liver function.
Exclusion Criteria:
- Active or uncontrolled infection (National Cancer Institute (NCI)-CTCAE Grade ≥ 2).
- History or concurrent condition of interstitial lung disease of any severity and/or
severely impaired lung function (as judged by the investigator).
- Diabetes mellitus.
- Uncontrolled arterial hypertension despite optimal medical management (per
institutional guidelines).
- Patients with central nervous system (CNS) malignancies.
Maximum Eligible Age: | 21 Years |
Minimum Eligible Age: | 6 Months |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | The maximum tolerated dose (MTD) |
Time Frame: | Cycle 1 (28 days) |
Safety Issue: | |
Description: | Phase 1: The highest dose level of copanlisib that can be given so that not more than 1 out of 6 patients experience a DLT during the DLT evaluation period. |
Secondary Outcome Measures
Measure: | Copanlisib maximum drug concentration (Cmax) |
Time Frame: | Cycle 1 Day 1 and Day 15 |
Safety Issue: | |
Description: | Phase 1. |
Measure: | Area under the curve (AUC(0-168)) |
Time Frame: | Cycle 1 Day 1 and Day 15 |
Safety Issue: | |
Description: | Phase 1 |
Measure: | Objective response rate (ORR) |
Time Frame: | Approximately 12 months |
Safety Issue: | |
Description: | Phase 1: ORR by dose cohort is defined as the number of responders divided by the number of patients in full analysis set (FAS) in the indication |
Measure: | Duration of response (DOR) |
Time Frame: | Up to 31 months |
Safety Issue: | |
Description: | Phase 2: DOR is defined as the time from the date of first observed tumor response (Complete response (CR) or Partial response (PR)) until first subsequent disease progression or until death (if death occurs before progression is documented) due to any cause |
Measure: | PFS in each indication except for osteosarcoma |
Time Frame: | Up to 31 months |
Safety Issue: | |
Description: | Phase 2: PFS is defined as the time from first dose of study drug to disease progression according to Response Evaluation Criteria in Solid Tumors 1.1 (RECIST1.1) for solid tumor patients (except osteosarcoma) and SIOPEN or Curie score for neuroblastoma patients with Iodine-123 metaiodobenzylguanidine (MIBG)-avid disease, or death (if death occurs before progression is documented). |
Measure: | Overall survival (OS) |
Time Frame: | Up to 31 months |
Safety Issue: | |
Description: | Phase 2: OS is defined as the time from first dose of study drug until death from any cause or until the last date the patient is known to be alive. |
Measure: | Number of participants with Treatment-emergent AEs |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | Phase 2: A treatment emergent AE is defined as any event arising or worsening after start of test drug administration until 30 days after the last dose of the study drug intake (end of safety followup). |
Measure: | Number of participants with treatment emergent SAEs |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | Phase 2: The severity of AEs will be graded using the NCI CTCAE v 4.03 dictionary |
Measure: | Number of participants with treatment-emergent clinically significant change in laboratory parameters, ECGs or vital signs |
Time Frame: | Up to 32 months |
Safety Issue: | |
Description: | Phase 2:The severity of AEs will be graded using the NCI CTCAE v 4.03 dictionary |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Bayer |
Trial Keywords
- Phase I: relapsed or refractory solid tumors or lymphoma
- Phase II: relapsed or refractory solid tumors (neuroblastoma, osteosarcoma, rhabdomyosarcoma or Ewing sarcoma)
Last Updated
August 26, 2021