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Completed

NCT Number: NCT01693614

Safety and Efficacy of BKM120 in Relapsed and Refractory NHL

This is a phase II study evaluating the safety, tolerability and efficacy of BKM120 in patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL) or follicular lymphoma (FL).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Novartis Investigative Site, Bruges, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient had a histologically confirmed diagnosis of mantle cell lymphoma, follicular lymphoma, or diffuse large B cell lymphoma.
  • Patient had relapsed or refractory disease and received at least one prior therapy.
  • Patient with diffuse large B cell lymphoma had received or was ineligible for autologous or allogeneic stem cell transplant.
  • Patient had at least one measurable nodal lesion (≥2 cm) according to Cheson criteria (Cheson 2007). In case where the patient had no measurable nodal lesions ≥ 2 cm in the long axis at baseline, then the patient must have had at least one measurable extra-nodal lesion.
  • Patient had an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
  • Patient had adequate bone marrow and organ function.

Exclusion criteria

  • Patient had received previous treatment with PI3K inhibitors
  • Patient had evidence of graft versus host disease (GVHD).
  • Patient had active or history of central nervous system (CNS) disease.
  • Patient had a concurrent malignancy or had a malignancy within 3 years of study enrollment (with the exception of adequately treated basal or squamous cell carcinoma or non-melanomatous skin cancer).
  • Patient had a score ≥ 12 on the PHQ-9 questionnaire.
  • Patient had a GAD-7 mood scale score ≥ 15.
  • Pregnant or nursing women
  • Patient who did not use highly effective contraception methods to avoid becoming pregnant or conceiving offspring.

Treatment and study plan

Buparlisib

Drug

100 mg hard gelatin capsules administered orally, once daily in cycles of 28 days

Other names: BKM120

Primary outcomes

  1. Overall Response Rate (ORR) and Disease Control Rate (DCR) Per Investigator at 6 Months (FAS)

    Time frame: Baseline up to 6 months

    Overall Response rate is the percentage of patients in a cohort who experienced either complete response (CR) or partial response (PR) during their follow-up after treatment start divided by the total percentage of patients included in the corresponding cohort according to Cheson criteria The analysis for each cohort was based on an exact binomial test comparing the ORR to the reference level of 10% (null hypothesis) in the FAS. The test for each cohort used a significance level of 5%. The ORR was presented together with an exact 95% Clopper- Pearson confidence interval. Disease Control Rate (DCR progressive. Disease Control Rate (DCR) was the percentage of patients with CR, PR or SD (stable disease). Patients for whom the best response after treatment start was missing, unknown (UNK) or progressive disease (PD) were considered non-responders and were counted in the denominator for the estimation of the ORR

Secondary outcomes

  1. Progression- Free Survival (PFS) Based on Investigator Assessment (FAS)

    Time frame: Baseline up to approximately 44 months

    Progression-free survival (PFS) is the time from the date of treatment start to the date of the first documented progressive disease (PD) or death due to any cause using Kaplan-Meier method by cohort.

  2. Duration of Response for Diffuse Large B-cell Lymphoma (DLBCL), and Follicular Lymphoma (FL) Cohorts (FAS)

    Time frame: Baseline up to approximately 18 months

    Duration of response is the time from the date of first occurrence of complete response (CR) or partial response (PR) to the date of the first documented progressive disease (PD) or death due to any cause

  3. Overall Survival (OS) - Percentage of Participants With OS Events (FAS)

    Time frame: Baseline up to approximately 44 months

    Overall survival (OS) is the time from treatment start to the date of death due to any cause. Participants not known to have died were censored at the date of their last visit

  4. Percentage of Participants - Overall Survival- Kaplan Meier Estimates (FAS)

    Time frame: Baseline up to approximately 18 months

    Overall survival (OS) is the time from treatment start to the date of death due to any cause. Estimates done by cohort using Kaplan-Meier method with 95% confidence intervals

  5. Overall Survival - Median (FAS)

    Time frame: Baseline up approximately 44 months

    Overall survival (OS) is the time from treatment start to the date of death due to any cause. Estimates done by cohort using Kaplan-Meier method with 95% confidence intervals

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

An Open-label Phase II Study of BKM120 in Subjects With Relapsed and Refractory Diffuse Large B-cell Lymphoma, Mantle Cell Lymphoma and Follicular Lymphoma

Important dates

Study start
2013
Primary completion
2017
Study completion
2017
First posted
Sep 26, 2012
Registry last updated
Sep 28, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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