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BYL719 for Head and Neck Cancer
N/A
Waitlist Available
Led By Anthony Nichols
Research Sponsored by Lawson Health Research Institute
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patients must have histologically confirmed squamous cell carcinoma of the head and neck
Age ≥18 years
Must not have
Patient receiving medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes (TdP) and the treatment cannot be discontinued or switched to a different medication prior to starting study treatment
Patients with known distant metastatic disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up measured at baseline and at surgery
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new way to treat head and neck cancer using RNA sequencing.
Who is the study for?
Adults with resectable head and neck squamous cell carcinoma (HNSCC) who can undergo surgery, have a life expectancy over 6 months, and proper organ function. They must not be pregnant, agree to use contraception, and should not have had certain treatments or conditions that could affect the study drug's intake or efficacy.
What is being tested?
The trial is testing BYL719 in patients with HNSCC before they go for surgery. It aims to see how this drug affects cancer biomarkers. Participants will take BYL719 orally in a single-center study designed to prepare them for their upcoming surgical treatment.
What are the potential side effects?
While specific side effects of BYL719 are not listed here, common ones may include digestive issues, fatigue, blood disorders, potential allergic reactions similar to other drugs in its class, and possibly changes in blood sugar levels.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My cancer is a type of squamous cell carcinoma located in the head or neck.
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I am 18 years old or older.
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My organs and bone marrow are working well.
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I am eligible for surgery aimed at curing my condition.
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I can swallow and keep down oral medication.
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I can take care of myself but might not be able to do heavy physical work.
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I will use a condom during sex while on the study drug and for 4 weeks after.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am on medication that affects my heart's rhythm and cannot change it.
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My cancer has spread to distant parts of my body.
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I have diabetes that requires insulin or diabetes caused by steroids.
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I have a stomach or intestine problem that affects how I absorb pills.
Select...
I am not taking drugs that strongly affect certain liver enzymes.
Select...
I am currently taking warfarin or similar blood thinners.
Select...
I have not received any live vaccines within a week before starting the study medication.
Select...
I have a known heart condition.
Select...
I still experience severe side effects from previous cancer treatments.
Select...
I haven't had major surgery in the last 2 weeks or still recovering from one.
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I am not using highly effective birth control while on BYL719 treatment.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ measured at baseline and at surgery
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~measured at baseline and at surgery
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Phospho-S6 (235/6) Expression
Secondary study objectives
Ki-67 Levels
Phospho-AKT Levels (Ser473)
Severity of Adverse Events
Side effects data
From 2019 Phase 2 trial • 66 Patients • NCT0227602782%
Anaemia
73%
Aspartate aminotransferase increased
73%
Blood creatine phosphokinase increased
73%
Rash
64%
Diarrhoea
59%
Hypoalbuminaemia
50%
Oedema peripheral
45%
Hyponatraemia
45%
Pyrexia
41%
Vomiting
36%
Decreased appetite
36%
Hypocalcaemia
36%
Mouth ulceration
32%
Constipation
32%
Asthenia
32%
Dyspnoea
27%
Amylase increased
27%
Alanine aminotransferase increased
27%
Blood alkaline phosphatase increased
27%
Nausea
27%
Electrocardiogram QT prolonged
23%
Face oedema
23%
Hypokalaemia
23%
Dry mouth
18%
Gamma-glutamyltransferase increased
18%
Dizziness
18%
Hypertension
18%
Pruritus
18%
Hyperuricaemia
18%
Cough
18%
Pneumonia
14%
Blood bilirubin increased
14%
Troponin I increased
14%
Aphthous ulcer
14%
Fatigue
14%
Blood uric acid increased
14%
Haemoptysis
14%
Productive cough
14%
Abdominal pain upper
14%
Lipase increased
14%
Pleural effusion
14%
Protein total decreased
14%
Hypoproteinaemia
14%
Hypophosphataemia
9%
Sinus tachycardia
9%
Vision blurred
9%
Abdominal discomfort
9%
Swelling face
9%
Alpha hydroxybutyrate dehydrogenase increased
9%
Bilirubin conjugated increased
9%
Blood albumin decreased
9%
Hypochloraemia
9%
Arthralgia
9%
Dyspnoea exertional
9%
Abdominal distension
9%
Abdominal pain
9%
Dysphagia
9%
Haemorrhoids
9%
Chest discomfort
9%
Non-cardiac chest pain
9%
Paronychia
9%
Blood creatine phosphokinase MB increased
9%
Blood glucose increased
9%
Blood lactate dehydrogenase increased
9%
Back pain
9%
Musculoskeletal stiffness
9%
Insomnia
9%
Dysphonia
9%
Thrombocytopenia
9%
Protein urine present
9%
Neck pain
5%
Gastrointestinal haemorrhage
5%
Palpitations
5%
Abdominal pain lower
5%
Conjunctivitis
5%
Skin injury
5%
Pain in extremity
5%
Speech disorder
5%
Agitation
5%
Epistaxis
5%
Pulmonary tuberculosis
5%
Pulmonary embolism
5%
Deep vein thrombosis
5%
Tachycardia
5%
Cataract
5%
Visual impairment
5%
Gingival bleeding
5%
Stomatitis
5%
Pain
5%
Erythrasma
5%
Blood pressure increased
5%
Haemoglobin increased
5%
Alkalosis
5%
Hypercholesterolaemia
5%
Hyperglycaemia
5%
Muscular weakness
5%
Musculoskeletal pain
5%
Myalgia
5%
Hypoaesthesia
5%
Depression
5%
Dysphoria
5%
Dysuria
5%
Atelectasis
5%
Oropharyngeal pain
5%
Pharyngeal ulceration
5%
Skin exfoliation
5%
Bronchitis
5%
Chills
5%
Activated partial thromboplastin time prolonged
5%
Somnolence
5%
Skin fissures
5%
Metastases to bone
5%
Motion sickness
5%
Eyelid oedema
5%
Injection site swelling
5%
Asthma
5%
Pulmonary arterial hypertension
5%
Tachypnoea
5%
Abnormal faeces
5%
Faeces hard
5%
Weight decreased
5%
Chronic sinusitis
5%
Infusion related reaction
5%
Urinary retention
5%
Alopecia
100%
80%
60%
40%
20%
0%
Study treatment Arm
MEK162 45 mg BID
BYL719 350 mg QD
INC280 400 mg BID Tab/600 mg BID Cap
LDK378 750 mg QD
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Arm 1Experimental Treatment1 Intervention
14 days of BYL719 treatment, open label
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
BYL719
2013
Completed Phase 2
~1230
Find a Location
Who is running the clinical trial?
Lawson Health Research InstituteLead Sponsor
680 Previous Clinical Trials
421,918 Total Patients Enrolled
Anthony NicholsPrincipal InvestigatorLondon Health Sciences Centre
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am on medication that affects my heart's rhythm and cannot change it.My doctor has checked my medications and made necessary adjustments.My cancer is a type of squamous cell carcinoma located in the head or neck.I am 18 years old or older.My organs and bone marrow are working well.I haven't had any cancer except for skin basal cell carcinoma or treated cervical cancer in the last 2 years.My cancer has spread to distant parts of my body.I haven't taken BYL719 or any experimental drugs in the last 30 days.I have diabetes that requires insulin or diabetes caused by steroids.I have a stomach or intestine problem that affects how I absorb pills.I can swallow and keep down oral medication.I've taken steroids recently or am still feeling their side effects.I have not received any live vaccines within a week before starting the study medication.My cancer can be measured and is at least 10 mm big.I am not taking drugs that strongly affect certain liver enzymes.I am not using highly effective birth control while on BYL719 treatment.I am eligible for surgery aimed at curing my condition.I finished any previous cancer treatments more than 12 weeks ago.I will use a condom during sex while on the study drug and for 4 weeks after.I am currently taking warfarin or similar blood thinners.I have a known heart condition.I still experience severe side effects from previous cancer treatments.I haven't had major surgery in the last 2 weeks or still recovering from one.I can take care of myself but might not be able to do heavy physical work.I am not pregnant and agree to use effective birth control during and 8 weeks after treatment.
Research Study Groups:
This trial has the following groups:- Group 1: Arm 1
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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