BKM120 in Metastatic Castration-resistant Prostate Cancer

This study is currently recruiting participants.
Verified March 2014 by Duke University
Sponsor:
Collaborator:
Novartis Pharmaceuticals
Information provided by (Responsible Party):
Andrew J. Armstrong, Duke University Medical Center
ClinicalTrials.gov Identifier:
NCT01385293
First received: June 28, 2011
Last updated: March 5, 2014
Last verified: March 2014
  Purpose

The purpose of this study is to evaluate the effects of the study drug, BKM120. The study drug, BKM120, is an inhibitor of a protein called phosphatidyl inositol-3-kinase (PI3K). This protein is found in normal cells and in cancer cells, but often in many cancer cells this protein is overactive. Inhibiting the protein may slow the growth of prostate cancer but this has not been tested yet in men with prostate cancer.


Condition Intervention Phase
Prostate Cancer
Metastatic (Spread to Other Areas of the Body)
Drug: BKM120
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase II Study of BKM120 in Men With Metastatic Castration-Resistant Prostate Cancer

Resource links provided by NLM:


Further study details as provided by Duke University:

Primary Outcome Measures:
  • Progression free survival (PFS) as determined radiographically based on Prostate Cancer Working Group 2 (PCWG2) criteria or based on the onset of a skeletal related event. [ Time Frame: 5 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Define radiologic response rates using Response Evaluation Criteria In Solid Tumors(RECIST) 1.1. [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Number and Percent of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
  • Prostate Specific Antigen (PSA) response [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Describe the percent and number of patients with a 30% and 50% decrease in PSA on study.

  • Determine the overall survival of participants. [ Time Frame: 5 years ] [ Designated as safety issue: No ]
  • Evaluate baseline circulating tumor cell (CTC) levels and changes in CTC. [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Determine the time to new metastatic disease from the baseline visit. [ Time Frame: 5 years ] [ Designated as safety issue: No ]
  • Correlation of baseline genomic profile from targeted metastatic biopsy with PFS, evaluating known oncogenic signatures, particularly the PI3 kinase signature and presence or absence of phosphatase and tensin homolog (PTEN) and PI3K activation. [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Post‐treatment day 28 (optional) metastatic biopsy to assess inhibition of the PI3K/Akt pathway, correlated with a day 28 serum pharmacokinetic assessment [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Circulating tumor cell collection, with measurements of CTC gene expression to assess mechanisms of resistance to BKM120 [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Post‐treatment day 28 (optional) metastatic biopsy gene expression profile to assess mechanisms of resistance to BKM120 [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    An optional tumor biopsy would be obtained 28 days after treatment is stopped to look for a gene on the tumor cell that is common to cancers that spread to other areas of the body, to see if this gene prevents the drug BKM120 from fighting off the tumor cells.


Estimated Enrollment: 66
Study Start Date: August 2011
Estimated Study Completion Date: December 2016
Estimated Primary Completion Date: August 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Study arm
BKM120 at 100mg orally daily
Drug: BKM120
BKM120 at the maximum tolerated dose (MTD) of 100mg orally daily
Other Names:
  • BKM120
  • BKM-120

Detailed Description:

This is an open label, single arm phase II study of BKM120 in men with metastatic castration resistant prostate cancer (CRPC) who have progressed on or following completion of docetaxel-based chemotherapy. Prior progression on cabazitaxel, provenge, abiraterone, or enzalutamide (MDV3100) is also permitted. Patients must have baseline evaluations performed prior to the first dose of study drug and must meet all inclusion and exclusion criteria. Results of the baseline evaluations, which assure that all inclusion and exclusion criteria have been satisfied, must be reviewed by the Principal Investigator or his/her designee prior to enrollment of that patient. In addition, the patient must be thoroughly informed about all aspects of the study, including the study visit schedule and required evaluations and all regulatory requirements for informed consent. The written informed consent must be obtained from the patient prior to protocol-specific screening tests. The following criteria apply to all patients enrolled onto the study unless otherwise specified.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age ≥ 18 years
  • Karnofsky performance status ≥ 70
  • Life expectancy of ≥ 12 weeks as determined by treating investigator
  • Adequate laboratory parameters
  • Histologically confirmed diagnosis of adenocarcinoma of the prostate. Histologic variants of prostate cancer, including neuroendocrine features and small cell carcinoma of the prostate are permitted
  • Radiographic evidence of metastatic disease
  • Evidence of disease progression on androgen deprivation therapy (ADT)
  • A minimum of 4 weeks elapsed off of antiandrogen therapy prior to registration (i.e. flutamide, nilutamide) and 6 weeks for bicalutamide, without evidence of an anti-androgen withdrawal response. Patients who did not have a PSA decline with the most recent antiandrogen therapy require only a 2 week washout period prior to registration
  • A minimum of 2 weeks from prior abiraterone acetate, sipuleucel-T, MDV3100, orteronel (TAK700), ketoconazole, or other experimental anti-cancer therapies prior to registration is required. Concomitant treatment with enzalutamide is permitted.
  • At least one prior systemic chemotherapy regimen FDA approved for metastatic prostate cancer
  • A minimum of 4 weeks from any major surgery prior to registration

Exclusion Criteria:

  • Have received prior treatment with a PI3K inhibitor
  • Known hypersensitivity to BKM120 or to its excipients
  • Untreated brain metastases
  • Patients with hepatitis B or C, other acute or chronic liver disease, or a recent (within 12 months of administration of first dose of study drug) history of pancreatitis
  • Patients with certain mood disorders as judged by the investigator or a psychiatrist
  • History of treatment in an inpatient psychiatric setting
  • Concurrent severe and/or uncontrolled cardiac conditions which could compromise participation in the study
  • Other concurrent severe and/or uncontrolled concomitant medical conditions that could cause unacceptable safety risks or compromise compliance with the protocol
  • Uncontrolled diabetes mellitus defined as a fasting plasma glucose level of >120.
  • Diarrhea ≥ CTCAE grade 2
  • Drugs or substances known to be strong inhibitors or inducers of the isoenzyme CYP3A4 should be avoided as systemic therapy in association with BKM120 as these can alter its metabolism. Topical use of creams or other applications not absorbed into the circulation is permitted
  • Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of BKM120 (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection)
  • Have been treated with any granulocyte colony-stimulating growth factors (e.g., G-CSF, GM-CSF) ≤ 2 weeks prior to starting study drug. Erythropoietin or darbepoetin therapy, if initiated at least 2 weeks prior to enrollment, may be continued
  • Currently receiving treatment with medication that has the potential to significantly prolong the QT interval or induce Torsades de Pointes, and the treatment cannot either be discontinued or switched to a different medication prior to starting study drug
  • Have received immunosuppressive therapy including corticosteroids ≤ 2 weeks prior to starting study drug. Prednisone at a total daily dose of 10 mg orally or its equivalent is permitted, if initiated at least 2 weeks prior to enrollment
  • History of solid organ or stem cell transplantation
  • Have received wide field radiotherapy ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy prior to administration of first dose of study drug
  • Have undergone major surgery ≤ 4 weeks prior to starting study drug or who have not recovered from side effects of such therapy prior to administration of first dose of study drug
  • Currently taking therapeutic doses of warfarin sodium or any other coumadin-derivative anticoagulant
  • Known diagnosis of human immunodeficiency virus (HIV) infection
  • History of another malignancy within 3 years, except cured basal cell or squamous cell carcinoma of the skin or low grade papillary bladder cancer Other inclusion and exclusion criteria apply
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01385293

Contacts
Contact: Carol Winters, RN (919) 668-8577 carolyn.winters@duke.edu
Contact: Patricia Creel 919-668-0635 patricia.creel@duke.edu

Locations
United States, North Carolina
Duke Cancer Institute Recruiting
Durham, North Carolina, United States, 27710
Contact: Carol Winters, RN    919-668-8577      
Principal Investigator: Andrew Armstrong, MD         
United States, Oregon
OHSU Knight Cancer Institute Recruiting
Portland, Oregon, United States, 97239
Contact: Rachel Slottke    503-494-6117      
Principal Investigator: Joshi Alumkal, MD         
United States, Washington
University of Washington Recruiting
Seattle, Washington, United States, 98109
Contact: Colleen Soleau    206-288-1309      
Principal Investigator: Evan Yu, MD         
Sponsors and Collaborators
Andrew J. Armstrong
Novartis Pharmaceuticals
Investigators
Principal Investigator: Andrew Armstrong, MD, ScM Duke Cancer Institute
  More Information

No publications provided

Responsible Party: Andrew J. Armstrong, Assoc Professor of Medicine, Duke University Medical Center
ClinicalTrials.gov Identifier: NCT01385293     History of Changes
Other Study ID Numbers: Pro00027410
Study First Received: June 28, 2011
Last Updated: March 5, 2014
Health Authority: United States: Food and Drug Administration

Keywords provided by Duke University:
BKM120
prostate cancer
metastatic castrate-resistant prostate cancer (mCRPC)

Additional relevant MeSH terms:
Prostatic Neoplasms
Genital Neoplasms, Male
Urogenital Neoplasms
Neoplasms by Site
Neoplasms
Genital Diseases, Male
Prostatic Diseases

ClinicalTrials.gov processed this record on April 17, 2014