Clinical trial · Interventional
NeoPHOEBE: Neoadjuvant Trastuzumab + BKM120 in Combination With Weekly Paclitaxel in HER2-positive Primary Breast Cancer
NeoPHOEBE: Pi3k Inhibition in Her2 OverExpressing Breast cancEr: A Phase II, Randomized, Parallel Cohort, Two Stage, Double-blind, Placebo-controlled Study of Neoadjuvant Trastuzumab Versus Trastuzumab + BKM120 in Combination With Weekly Paclitaxel in HER2-positive, PIK3CA Wild-type and PIK3CA Mutant Primary Breast Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This randomized, parallel cohort, two stage, double-blind, placebo-controlled study evaluated the oral PI3K inhibitor BKM120 in combination with trastuzumab and paclitaxel in HER2-positive, PIK3CA wild-type and PIK3CA mutant primary breast cancer prior to surgery (neo-adjuvant setting).
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| HER2-positive Newly Diagnosed, Primary Breast Cancer | Breast Neoplasm | ONTOLOGY_EXACT | 0.90 |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| BKM120 | Drug | Buparlisib | ALIAS |
| BKM120 Placebo | Drug | — | UNRESOLVED |
| Paclitaxel | Drug | Paclitaxel | ALIAS |
| Trastuzumab | Drug | Trastuzumab | ALIAS |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- BKM120 + Trastuzumab + paclitaxel
- description
- BKM120 (oral, pan-class I PI3K inhibitor) in combination with trastuzumab and paclitaxel.
- interventionNames
- Drug: BKM120
- Drug: Trastuzumab
- Drug: Paclitaxel
- type
- PLACEBO_COMPARATOR
- label
- BKM120 PBO + Trastuzumab + paclitaxel
- description
- BKM120 placebo in combination with trastuzumab and paclitaxel
- interventionNames
- Drug: Trastuzumab
- Drug: Paclitaxel
- Drug: BKM120 Placebo
Primary outcomes (3)
- measure
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Patient had provided a signed study ICF prior to any screening procedure * Patient was a female ≥ 18 years of age * Patient has an ECOG performance status of 0-1 * Patient has a unilateral (multifocal or multicentric disease allowed), histologically confirmed, newly diagnosed early breast cancer \>2cm by clinical examination and/or \>1.5 cm confirmed by ultrasound or by MRI * Patient has tumor tissue available for central review of ER, HER2 and PI3K status with centrally confirmed HER2-positive disease and known PI3KCA mutation status * Patient has adequate bone marrow, renal and liver function * Patient is able to swallow and retain oral medication Exclusion Criteria: * Patient has received prior systemic treatment for currently diagnosed disease * Patient has a known contraindications, hypersensitivity or intolerance to trastuzumab, paclitaxel or products containing cremophor * Patient has bilateral breast cancer or metastatic disease or inflammatory breast cancer * LVEF below 50% as determined by MUGA scan or ECHO * Patient has active cardiac disease or a history of cardiac abnormalities as defined in the protocol * Patient has impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of BKM120 * Patient is currently receiving warfarin or other coumarin derived anti-coagulants * Patient is currently receiving chronic treatment with corticosteroids or another immunosuppressive agents (standard premedication for paclitaxel and local applications allowed) * Patient is currently receiving treatment with drugs known to be strong inhibitors or inducers of CYP3A * Patient has certain scores on an anxiety and depression mood questionnaires * Pregnant or nursing (lactating) women or patients not willing to apply apply highly effective contraception as defined in the protocol
References
Publications (1)
- DERIVEDLoibl S, de la Pena L, Nekljudova V, Zardavas D, Michiels S, Denkert C, Rezai M, Bermejo B, Untch M, Lee SC, Turri S, Urban P, Kummel S, Steger G, Gombos A, Lux M, Piccart MJ, Von Minckwitz G, Baselga J, Loi S. Neoadjuvant buparlisib plus trastuzumab and paclitaxel for women with HER2+ primary breast cancer: A randomised, double-blind, placebo-controlled phase II trial (NeoPHOEBE). Eur J Cancer. 2017 Nov;85:133-145. doi: 10.1016/j.ejca.2017.08.020. Epub 2017 Sep 17. PMID 28923573