Clinical trial · Interventional
A Study to Evaluate the Potential Benefit of the Addition of BYL719 to Paclitaxel in the Treatment of Breast Cancer and Head-and-neck Cancer
A Phase Ib Open Label Dose Finding Study of BYL719 in Combination With Paclitaxel in Advanced Solid Tumors Followed by Two Expansion Phases in Locally Advanced/Metastatic Chemotherapy Naive HER2 Negative Breast Cancer Patients (HER2- mBC) and in Recurrent and Metastatic Head-and-neck Squamous Cell Carcinoma Patients (HNSCC) Pre-treated With Platinum Based Therapy
- 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)
Dose escalation part:to determine the highest dose of BYL719 administered on a daily basis when given in combination with weekly paclitaxel Dose escalation part: to confirm the safety and tolerability of the BYL719 and paclitaxel combination
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 |
|---|---|---|---|
| Neoplasms, Breast Neoplasms, Head and Neck Neoplasms | Neoplasm | ONTOLOGY_EXACT | 0.85 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| BYL719 | Drug | Alpelisib | ALIAS |
| Paclitaxel | Drug | Paclitaxel | ALIAS |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- BYL719 and paclitaxel
- description
- All patients enrolled in the study will receive BYL719 once daily plus weekly paclitaxel
- interventionNames
- Drug: BYL719
- Drug: Paclitaxel
Primary outcomes (2)
- measure
- Dose escalation : Dose Limiting Toxicity (DLT)
- timeFrame
- Cycle 1 (28 days)
- description
- A dose-limiting toxicity (DLT) is an adverse event or abnormal laboratory value assessed as being unrelated to disease, disease progression, inter-current illness, or concomitant medications, and that occurs within the first cycle of treatment with BYL719 plus paclitaxel and meets any of the pre-defined criteria.
- measure
- Dose expansion : Number of patients with adverse events as a measure of safety and tolerability
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion criteria For entire trial: 1. \- Adult \> or = 18 years old 2. \- has signed the Informed Consent Form (ICF) 3. \- has at least one measurable or non-measurable disease as per RECIST 1.1 4. \- has tumor tissue available for the analysis as described in the protocol 5. \- has adequate bone marrow and organ function as defined in the protocol 6. \- is able to swallow and retain oral medication for the dose escalation part, ALL above PLUS 7. \- has a histologically-confirmed, advanced unresectable solid tumors who have progressed on standard therapy (or not been able to tolerate) within three months before screening/baseline visit or for whom no standard anticancer therapy exists. 8. \- has an Eastern Cooperative Oncology Group (ECOG) performance status ≤2 For dose expansion part, patient has ALL of above first six criteria PLUS either: 9- has a histologically/cytologically-confirmed HNSCC as detailed in the protocol and an ECOG performance status ≤ 1 or: * Patient is a Female with a histologically and/or cytologically confirmed diagnosis of breast cancer as detailed in the protocol and an ECOG performance status ≤ 1 Common exclusion criteria to Dose escalation and Dose expansion parts: 1. \- has received previous treatment with a PI3K or AKT inhibitor as described in the protocol 2. \- has a known hypersensitivity to paclitaxel or other products containing Cremophor 3. \- has a contraindication to use the standard pre-treatment for paclitaxel 4. \- has a primary central nervous system (CNS) tumor or CNS tumor involvement as detailed in the protocol 5. \- has not recovered to grade 1 or better (except alopecia) from related side effects of any prior antineoplastic therapy 6. \- has received radiotherapy \> or = 4 weeks prior to starting study drugs, with exception of palliative radiotherapy, who has not recovered from side effects of such therapy to baseline or Grade ≤ 1 and/or from whom ≥ 30% of the bone marrow was irradiated 7. \- has peripheral sensory neuropathy with functional impairment (CTC grade 2 neuropathy or higher) 8. \- has undergone major surgery ≤ 4 weeks prior to starting study treatment or who has not recovered from side effects of such procedure 9. \- has a clinically significant cardiac disease or impaired cardiac function as detailed in the protocol 10. \- is currently receiving medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes (TdP) and the treatment cannot either be discontinued or switched to a different medication prior to starting study drug treatment 11. \- has diabetes mellitus requiring insulin treatment and/or with clinical signs 12. \- has impaired gastrointestinal (GI) function or GI disease as described in the protocol 13. \- has a known positive serology for human immunodeficiency virus (HIV), active Hepatitis B, and/or active Hepatitis C infection 14. \- has any other condition that would, in the Investigator's judgment, preclude patient's participation in the clinical study due to safety concerns or compliance with clinical study procedures 15. \- is currently receiving treatment with drugs known to be moderate or strong inhibitors or inducers of isoenzymes CYP3A or CYP2C8 as detailed in the protocol 16. \- is currently receiving treatment with agents that are metabolized solely by CYP3A and/or have a narrow therapeutic window 17. \- has a history of another malignancy within 2 years prior to starting study treatment, except cured basal cell carcinoma of the skin or excised carcinoma in situ of the cervix 18. \- Patient has a history of non-compliance to medical regimen or inability to grant consent 19. \- Pregnant or nursing (lactating) women 20. \- does not apply highly effective contraception during the study and through the duration as defined in the protocol For the HNSCC patient's cohort additional exclusion criteria are: 21- Treatment with more than one prior chemotherapy for recurrent/metastatic disease as detailed in the protocol 22- Prior taxane treatment for metastatic disease additional exclusion criteria for breast cancer patients' cohort: \- has received any prior cytotoxic therapy for the inoperable locally advanced (recurrent or progressive) or metastatic disease, or who had a progression/recurrent disease within 6 months after completion of an adjuvant/neoadjuvant therapy as described in the protocol Other protocol-defined inclusion/exclusion criteria may apply
References
Publications (1)
- DERIVEDRodon J, Curigliano G, Delord JP, Harb W, Azaro A, Han Y, Wilke C, Donnet V, Sellami D, Beck T. A Phase Ib, open-label, dose-finding study of alpelisib in combination with paclitaxel in patients with advanced solid tumors. Oncotarget. 2018 Aug 3;9(60):31709-31718. doi: 10.18632/oncotarget.25854. eCollection 2018 Aug 3. PMID 30167089