Abstract | BACKGROUND: METHODS: This was a standard 3 + 3 dose escalation study of buparlisib (at a dose of 60-100 mg/day) and bevacizumab (at a dose of 10 mg/kg every 2 weeks). After the MTD was defined, 15 patients were accrued to the expansion cohort. RESULTS: Thirty-two patients were accrued (3 were treated at 60 mg/day, 21 were treated at 80 mg/day, 6 were treated at 100 mg/day, and 2 patients never received therapy). The majority of patients had clear cell histology (87%) and 50% had received ≥2 prior lines of therapy. The MTD of buparlisib was 80 mg/day and that of bevacizumab was 10 mg/kg every 2 weeks. A total of 28 patients discontinued therapy: 17 because of disease progression, 7 because of toxicity, and 4 for other reasons. Dose-limiting toxicities included rash/ pruritis, elevated lipase/ amylase, anorexia, and psychiatric disorders (suicidal ideation, depression, and cognitive disturbances). Of the 30 patients who received at least 1 dose, 13% achieved a partial response (95% confidence interval, 4%-31%). Two patients harboring activating PI3KA mutations achieved 42% and 16% maximal tumor shrinkage, respectively. CONCLUSIONS:
Buparlisib at a dose of 80 mg/day with bevacizumab was found to be a tolerable regimen with preliminary activity in vascular endothelial growth factor-refractory mRCC. The benefit of this combination may be of interest for future mRCC trials, possibly in a selected patient population. Cancer 2016;122:2389-2398. © 2016 American Cancer Society.
|
Authors | Rana R McKay, Guillermo De Velasco, Lillian Werner, Joaquim Bellmunt, Lauren Harshman, Christopher Sweeney, Jonathan E Rosenberg, Michelle Hirsch, Sabina Signoretti, Eliezer M Van Allen, Meghara Walsh, Ulka Vaishampayan, David F McDermott, Toni K Choueiri |
Journal | Cancer
(Cancer)
Vol. 122
Issue 15
Pg. 2389-98
(Aug 01 2016)
ISSN: 1097-0142 [Electronic] United States |
PMID | 27198170
(Publication Type: Clinical Trial, Phase I, Journal Article, Multicenter Study)
|
Copyright | © 2016 American Cancer Society. |
Chemical References |
- Aminopyridines
- Biomarkers
- Morpholines
- NVP-BKM120
- Vascular Endothelial Growth Factor A
- Bevacizumab
|
Topics |
- Aminopyridines
(administration & dosage)
- Antineoplastic Combined Chemotherapy Protocols
(adverse effects, therapeutic use)
- Bevacizumab
(administration & dosage)
- Biomarkers
- Carcinoma, Renal Cell
(drug therapy, pathology)
- Female
- Humans
- Kidney Neoplasms
(drug therapy, pathology)
- Male
- Molecular Targeted Therapy
- Morpholines
(administration & dosage)
- Neoplasm Metastasis
- Treatment Outcome
- Vascular Endothelial Growth Factor A
(antagonists & inhibitors)
|