Neoplasm Metastasis Clinical Trial
Official title:
A Phase II, Multicenter Trial Aiming to Evaluate the Clinical Interest of a Monotherapy With BKM120 , a Phosphoinositide 3-kinase (PI3K) Inhibitor in Patient With Metastatic Head and Neck Cancer Recurrent or Progressive Under Platin and Cetuximab-based Chemotherapy
The aim of this study is to determine the activity, to assess the safety and tolerance of BKM120 in adult patients with recurrent or metastatic head and neck cancer progressive under platin and cetuximab-based chemotherapy.
BKM120 is a PI3K inhibitor. The PI3K/Protein kinase B (AKT) signalling pathway deregulation
is frequently observed in Head and neck cancer. In addition to its role in tumor genesis, the
PI3K/AKT pathway seems to be involved in resistance to cetuximab.
In this context, the study proposal is to evaluate the clinical interest of a monotherapy
with a PI3K inhibitor (BKM120, Novartis) in patients with metastatic head and neck cancers
refractory or relapsing under platin and cetuximab based- chemotherapy. Since resistance to
cetuximab can result from phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit
alpha (PIK3CA) mutation, PIK3CA amplification or mutation upstream in the PI3K pathway,
BKM120 activity will be evaluated in two parallel independent cohorts of patients: patients
presenting a PI3KCA mutation and patients without a PI3KCA mutation.
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