GINECO-EN102b - BKM120 as Monotherapy in the Treatment of Initial or Recurrent Metastatic Endometrial Cancer

NCT ID: NCT01397877

Last Updated: 2023-09-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2016-03-31

Brief Summary

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This study is to determine the clinical efficacy of BKM120 as monotherapy in the treatment of initial or recurrent metastatic endometrial cancer after first line radio chemotherapy.

Clinical efficacy will be determined by the non-progression rate at 3 or 2 months depending on the group of patients. The primary endpoint is the non-progression rate at 3 months (12 weeks) for the patient group whose disease is painless (low grade tumor = stratum 1) and the non-progression rate at 2 months (8 weeks) for the group of patients with an aggressive disease (high grade tumor = stratum 2).

Disease progression is defined by the RECIST 1.1 criteria

Detailed Description

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Conditions

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Endometrial Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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stratum 1

Patients with low grade disease (grade 1 or 2) with positive or negative mutational status

Group Type EXPERIMENTAL

BKM120

Intervention Type DRUG

per os, 60mg/j, until progression or unacceptable toxicity

Interventions

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BKM120

per os, 60mg/j, until progression or unacceptable toxicity

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Female ≥ 18 years
* ECOG ≤ 2
* Histologically confirmed endometrial cancer
* Not eligible for exclusive curative treatment by surgery and/or radiotherapy
* Initial metastatic endometrial cancer not treated with chemotherapy or radiotherapy prior to inclusion OR
* Recurrent endometrial cancer previously treated with adjuvant CT and RT, presenting with a disease-free interval of at least 12 months
* Presence of one or more measurable lesion(s) outside the irradiated areas
* Availability at inclusion of samples of tumor tissue (a block or at least 20 unstained slides) for tumor sub-classification and for routine molecular analysis
* Satisfactory biological functions: PNN ≥ 1.5 x 109/L, platelets ≥ 100 x 109/L, hemoglobin ≥ 9.0 g/dL, INR ≤ 2, standard normal values for potassium, calcium and magnesium, serum creatinine ≤ 1.5 x ULN or creatinine clearance \> 50 mL/min, ALT and AST within normal range (or ≤ 3.0 x ULN if liver metastases present), Alkaline phosphatase ≤ 2.5 x ULN, serum bilirubin within normal range (or ≤ 1.5 x ULN if liver metastases present; or total bilirubin ≤ 3.0 x ULN with direct bilirubin within normal range in patients with well documented Gilbert Syndrome), fasting glycemia ≤ 120 mg/dL or ≤ 6.7 mmol/L
* Life expectancy 3 months
* Post menopausal woman with at least 12 months of natural (spontaneous) amenorrhea
* Negative serum pregnancy test ≤ 72 hours prior to initiating treatment for woman of child-bearing potential
* Consent form signed before any procedure performed

Exclusion Criteria

* Previous treatment with PI3K inhibitors and/or mTOR
* Presence of symptomatic CNS metastases. Patient must have completed any prior treatment for CNS metastases ≥ 28 days and, if on corticosteroid therapy, should be receiving a stable low dose
* Concomitant presence or history of another malignant tumor in the past 3 years prior to inclusion (except spinocellular or cutaneous basal cell epithelioma or non-melanomatous skin cancer treated successfully)
* Suffering from mood disorders based on an evaluation by the investigator or a psychiatrist OR with a given score according to the PHQ-9 or GAD-7 mood evaluation scale (cf protocol)
* Concomitant administration of another approved or investigational anticancer agent
* Pelvic and/or para-aortic radiotherapy within ≤ 28 days prior to inclusion or persistent side effects from this treatment on implementation of the selection procedures
* Major surgery during the 28 days prior to starting investigational drug or persistent side effects from surgery
* Uncontrolled diabetes (HbA1c \> 8 %)
* Presence of an active heart disease, especially: LVEF \< 50 % determined by MUGA or ECHO, QTc \> 480 msec on ECG recorded during selection (with QTcF formula), angina warranting the administration of anti-angina treatment, ventricular arrhythmia except for benign premature ventricular contractions, supraventricular and nodal arrhythmias warranting a pacemaker or not controlled by a treatment, conduction anomalies warranting a pacemaker, valvular disease with documented involvement of cardiac function, symptomatic pericarditis
* History of heart disease
* Currently receiving treatment to prolong QT interval accompanied by a known risk of triggering wave burst arrhythmia. Impossible to stop treatment or to replace it before starting study medication
* GI dysfunction or disease that could significantly interfere with absorption of BKM120
* Chronic treatment with corticosteroids or other immunosuppressants
* Any other severe and/or uncontrolled concomitant disease, which is likely to contraindicate the patient's participation
* Known treatment non-compliance
* Currently receiving treatment known to be inhibitors or moderate and strong inducers of isoenzyme CYP3A. Impossible to stop this treatment or to replace it with a different treatment before starting the study product
* Severe pneumonitis
* Grade ≥ 3 biological anomalies
* Known history of HIV infection
* Pregnant woman or nursing mother
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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ARCAGY/ GINECO GROUP

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Isabelle Ray-Coquard, MD

Role: PRINCIPAL_INVESTIGATOR

GINECO - Centre Léon Bérard

Locations

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Clinique Bonnefon

Alès, , France

Site Status

Centre Paul Papin

Angers, , France

Site Status

Institut Ste Catherine

Avignon, , France

Site Status

Hôpital jean Minjoz

Besançon, , France

Site Status

Centre Hospitalier de Blois

Blois, , France

Site Status

Clinique Tivoli

Bordeaux, , France

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Institut Bergonié

Bordeaux, , France

Site Status

Polyclinique Bordeaux Nord

Bordeaux, , France

Site Status

centre Francois baclesse

Caen, , France

Site Status

Centre jean Perrin

Clermont-Ferrand, , France

Site Status

Hôpitaux Civils de Colmar

Colmar, , France

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Centre Georges François leclerc

Dijon, , France

Site Status

Group Hospitalier Mutualiste de Grenoble

Grenoble, , France

Site Status

Hôpital Michallon - CHU Grenoble

Grenoble, , France

Site Status

CHD Les Oudairies

La Roche-sur-Yon, , France

Site Status

Hôpital André Mignot

Le Chesnay, , France

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Centre jean Bernard

Le Mans, , France

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Centre Oscar Lambret

Lille, , France

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CHU Dupuytren

Limoges, , France

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Centre Léon bérard

Lyon, , France

Site Status

Hôpital Prové Clairval

Marseille, , France

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institut Paoli Calmette

Marseille, , France

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CRLC Val d'Aurelle

Montpellier, , France

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Groupement de coopération sanitaire

Montpellier, , France

Site Status

Centre Alexis Vautrin

Nancy, , France

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Centre d'oncologie de Gentilly

Nancy, , France

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Centre Catherine de Sienne

Nantes, , France

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Centre Antoine Lacassagne

Nice, , France

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CHU Caremeau

Nîmes, , France

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Clinique Valdegour

Nîmes, , France

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Centre Hospitalier Régional

Orléans, , France

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Hopital Hotel Dieu

Paris, , France

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Hopital Tenon

Paris, , France

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Centre Eugene Marquis

Rennes, , France

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Centre Frederic Joliot

Rouen, , France

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Centre Henri Becquerel

Rouen, , France

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Clinique Armoricaine de Radiologie

Saint-Brieuc, , France

Site Status

Hôpital rené Huguenin

Saint-Cloud, , France

Site Status

ICO René Gauducheau

Saint-Herblain, , France

Site Status

Centre Etienne DOLET

Saint-Nazaire, , France

Site Status

Institut cancérologuie de la loire

Saint-Priest-en-Jarez, , France

Site Status

Hôpital Civil

Strasbourg, , France

Site Status

Centre Claudius Régaud

Toulouse, , France

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CHU Bretonneau

Tours, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Countries

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France

Other Identifiers

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ENDOPIK

Identifier Type: -

Identifier Source: org_study_id

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