Colorectal Cancer Clinical Trial
Official title:
A Phase I Trial of Irinotecan and BKM120 in Previously Treated Advanced Colorectal Cancer
This phase I trial will use the combination of irinotecan and BKM120 in patients with advanced colorectal cancer who have failed on or have become intolerant of at least one line of therapy for advanced colorectal cancer and who are candidates for irinotecan therapy.
Although survival of patients with advanced colorectal cancer has improved in the last two
decades, the overwhelming majority of these patients will still succumb from this disease.
It is the third most commonly diagnosed malignancy in the United States. We have witnessed
significant leaps in understanding colorectal cancer carcinogenesis as well as in
identification of a number of prognostic and predictive factors associated with this
malignancy. With the use of combination chemotherapy and the addition of targeted agents,
the median survival of patients with advanced colorectal cancer has improved from 4-6 months
with supportive care to over 2 years.
Molecularly directed therapy for cancer holds promise to a more personalized approach to
treating cancer. Increase understanding of tumorigenesis has resulted in the identification
of promising targets of therapy for more strategic approach to treatment of this malignancy.
However, even with the development of molecularly directed treatment, the therapy for
advanced colorectal cancer remains to be primarily palliative in nature to majority of
patients. There is definite need for a more effective therapy, agents with more acceptable
toxicity profiles, and drugs that could be administered without significant demand on time
and activity for individual patients receiving these drugs.
This is a phase I trial of the combination of irinotecan and BKM120 in patients with
advanced colorectal cancer who have failed on or have become intolerant of at least one line
of therapy for advanced colorectal cancer and who are candidates for irinotecan therapy.
This study will attempt to estimate the Maximum Tolerated Dose of the combination of
irinotecan and BKM120.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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