Phase I Study of BYL719 in Combination With Cisplatin and Radiotherapy in Patients With Squamous Cell Head and Neck Cancer

Participants will be screened for eligibility within 30 days of the intended start of the study treatment. Procedures for research purposes done during screening include archival tumor tissue collection for pharmacodynamic and predictive biomarker research and optional HPV status (if not already known).

Eligible participants will take BYL719, by mouth, once a day, starting one week prior to start of radiation and chemotherapy, for 8 weeks. The starting dose of BYL719 is 200 mg. Participants will be asked to record their doses on a study drug diary. Participants will also receive radiation therapy every day from Monday to Friday for 7 weeks.

Chemotherapy (cisplatin) will be given intravenously on Monday of weeks 1, 4, and 7 (48 hour window during weeks 4 and 7).

While receiving the study treatment, participants will have tests and procedures done once every week for safety purposes.

After the end of the study treatment, participants will be asked to visit the centre every 2 weeks up to week 8 for additional tests and procedures for safety purposes. Between week 8-12 after completing the study treatment, participants will have tumor measurements done to assess efficacy.

Participants will continued to be followed every 3 months up to 1 year, then every 6 months for 2 years (total of 3 years).

Inclusion criteria

• Willing and able to comply with study requirements
• Age >= 18 years
• Life expectancy >6 months
• Previously untreated locally advanced squamous cell carcinoma of the head and neck eligible for cisplatin-based chemoradiation
• Not have received prior anti-neoplastic treatment within 2 years
• Resolved toxicities to Grade 1 or less
• Performance status of 0-1
• Adequate organ function
• Able to swallow and retain oral medication

Exclusion criteria

• Enrolled on another intervention clinical trial or in prior study within 30 days.
• Taking drugs with risk of prolonging the QT interval or of causing Torsades de Pointes
• Any condition that could increase the risk to the patient by participating which may include:
• Lung disease or uncontrolled hypertension
• Cardiovascular/vascular/cardiac disease
• Uncontrolled severe infection
• Impaired lung function
• Chronic treatment with corticosteroids/immunosuppressive agents
• Not recovered from previous toxicities
• Systemic therapy within 4 weeks of the start of the study treatment
• Active bacterial, fungal or viral infection
• Significant bleeding disorders
• Uncontrolled medical disorder or active infection
• Dementia or significantly altered mental status
• Diabetes mellitus requiring insulin treatment
• Another malignancy within 2 years of the start of the study treatment
• Received live attenuated vaccines within 1 week of the start of the study treatment
• Receiving treatment with drugs known to be moderate or strong inhibitors or inducers of isoenzymes CYP34A or CYP2C8
• Have impaired gastrointestinal (GI) function or GI disease