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Brief Title: Open-Label, Non Randomized Phase 2 Study With Safety Run-In
Official Title: Open-Label, Non Randomized Phase 2 Study With Safety Run-In Evaluating Efficacy and Safety of PQR309 in Patients With Relapsed or Refractory Lymphoma
Study ID: NCT02249429
Brief Summary: The main goal of this study is to determine the Maximum Tolerated Dose (MTD) and the Recommended Phase II Dose (RP2D) as well as preliminary antitumor activity of bimiralisib (PQR309) administered orally, as once daily capsules continuously and on intermittent schedule in patients with relapsed or refractory lymphomas.
Detailed Description: Open-label, non-randomized, multicentre phase 2 study with a safety run-in evaluating efficacy and safety of bimiralisib (PQR309) in patients with relapsed or refractory lymphoma. The maximum tolerated dose (MTD) of bimiralisib in patients with advanced solid tumors was defined as 80 mg once daily given continuously (q.d. schedule) in a previous phase 1 study. The safety run-in of this study will follow a modified 3 + 3 design to evaluate the safety of 60 and 80 mg bimiralisib in patients with relapsed or refractory lymphoma administered p.o. once daily during a DLT (dose-limiting toxicity) period of 28 days. In the safety run-in, three patients will be treated at 60 mg bimiralisib for 28 days. Enrollment and treatment of all three patients may occur simultaneously as 80 mg bimiralisib p.o. qd was established as the MTD in solid tumors. Unless a DLT is observed in any of the three patients during the first 28 days of treatment, the investigators and the sponsor will decide to escalate the dose to 80 mg. Intermittent dosing schedules may be evaluated if, based on the overall evaluation of all the clinical and PK (pharmacokinetic) data from this and other studies with bimiralisib, data emerge during step 1 of the phase 2 expansion in this study, indicating that daily dosing of bimiralisib is not adequately tolerated or inefficacious.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Weill Cornell Medicine, New York, New York, United States
University Clinical Center Republic of Srpska, Banja Luka, , Bosnia and Herzegovina
University Clinical Center Sarajevo, Sarajevo, , Bosnia and Herzegovina
Insitute Curie, Saint-Cloud, Paris, France
Univeristy Hospital Haifa, Haifa, , Israel
Institute for Oncology and radiology of Serbia, Belgrade, , Serbia
Clinical Center Kragujevac, Kragujevac, , Serbia
Clinical Center Nis, Nis, , Serbia
Guy's Hospital, London, , United Kingdom
Royal Marsden NHS Foundation Trust, London, , United Kingdom
University College Hospital London, London, , United Kingdom
Churchill Hospital, Oxford, , United Kingdom
Name: Rakesh Popat
Affiliation: Univeristy College London
Role: PRINCIPAL_INVESTIGATOR
Name: David Cunningham
Affiliation: Royal Marsden NHS Foundation Trust
Role: PRINCIPAL_INVESTIGATOR
Name: Paul Fields
Affiliation: Guy's Hospital
Role: PRINCIPAL_INVESTIGATOR
Name: Graham Collins
Affiliation: Churchill Hospital
Role: PRINCIPAL_INVESTIGATOR
Name: Netanel Horowitz
Affiliation: University of Haifa
Role: PRINCIPAL_INVESTIGATOR
Name: Giulino Roth
Affiliation: Weill Cornell Medicine New York
Role: PRINCIPAL_INVESTIGATOR
Name: Carole Soussain
Affiliation: Curie Institute
Role: PRINCIPAL_INVESTIGATOR
Name: Sinisa Radulovic
Affiliation: Institute for Oncology and Radiology Serbia
Role: PRINCIPAL_INVESTIGATOR
Name: Ivan Tijanic
Affiliation: Clinical Center Nis
Role: PRINCIPAL_INVESTIGATOR
Name: Nebojsa Andjelkovic
Affiliation: Clinical Center Kragujevac
Role: PRINCIPAL_INVESTIGATOR
Name: Sabrina Kurtovic
Affiliation: University Clinical Center, Sarajevo
Role: PRINCIPAL_INVESTIGATOR
Name: Danijela Mandic
Affiliation: University Clinical Centre of Republic of Srpska
Role: PRINCIPAL_INVESTIGATOR