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Efficacy and safety of LDE225 in patients with locally advanced or metastatic basal cell carcinoma

A phase II, randomized double-blind study of efficacy and safety of two dose levels of LDE225 in patients with locally advanced or metastatic basal cell carcinoma - BOLT

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2010-022629-14-NL
Enrollment
210
Registered
2011-07-25
Start date
2011-10-27
Completion date
Unknown
Last updated
2019-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

locally advanced or metastatic basal cell carcinoma MedDRA version: 14.1 Level: LLT Classification code 10066495 Term: Basal cell carcinoma recurrent System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)

Interventions

Product Code: LDE225 Pharmaceutical Form: Capsule INN or Proposed INN: Erismodegib CAS Number: 1218778-77-8 Current Sponsor code: LDE225

Sponsors

Novartis Pharma Services AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients eligible for inclusion in this study have to meet all of the following criteria: 1. Age 18 years or older 2. Patient with locally advanced BCC or metastatic BCC 3. WHO performance status = 2 4. Patients with adequate bone marrow, liver and renal function 5. Written informed consent obtained prior to any screening procedures Other protocol defined inclusion criteria may apply Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 105 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 105

Exclusion criteria

Exclusion criteria: Patients eligible for this study must not meet any of the following criteria: 1. Patients who have had major surgery within 4 weeks of initiation of study medication. 2. Patients with concurrent uncontrolled medical conditions that may interfere with their participation in the study or potentially affect the interpretation of the study data. 3. Patients unable to take oral drugs or with lack of physical integrity of the upper gastrointestinal tract or known malabsorption syndromes. 4. Patients who have previously been treated with systemic LDE225 or with other Hh pathway inhibitors. 5. a) Patients who have neuromuscular disorders or are on concomitant treatment with drugs that are recognized to cause rhabdomyolysis and that cannot be discontinued at least 2 weeks prior to starting LDE225 treatment. b) Patients who are planning on embarking on a new strenuous exercise regimen after initiation of study treatment. NB: Muscular activities, such as strenuous exercise, that can result in significant increases in plasma CK levels should be avoided whilst on LDE225 treatment. 6. Patients who have taken part in an experimental drug study within 4 weeks of initiating treatment with LDE225. 7. Patients who are receiving other anti-neoplastic therapy concurrently or within 4 weeks of starting treatment with LDE225. 8. Patients who are receiving treatment with medications known to be moderate and strong inhibitors or inducers of CYP3A4/5 or drugs metabolized by CYP2B6 or CYP2C9 that have narrow therapeutic index, and that cannot be discontinued before starting treatment with LDE225. Medications that are strong CYP3A4/5 inhibitors should be discontinued at least 7 days and strong CYP3A/5 inducers for at least 2 weeks prior to starting treatment with LDE225. 9. Pregnant or nursing (lactating) women 10. Women of child-bearing potential unless they are using two forms of highly effective contraception 11. Fertile males not willing to use condoms 12. Patients unwilling or unable to comply with the protocol. Other protocol defined exclusion criteria may apply

Design outcomes

Primary

MeasureTime frame
Main Objective: To assess the efficacy of LDE225 as measured by Objective Response Rate (ORR) in patients with locally advanced or metastatic basal cell carcinoma.; Secondary Objective: - To asses the time to tumor response (TTR) - To assess duration of overall response (DoR). - To assess the effect of LDE225 therapy on progression-free survival (PFS). - To assess the effect of LDE225 therapy on overall survival (OS). - To characterize the safety of LDE225 therapy. - To further characterize the pharmacokinetics of LDE225 ;Primary end point(s): Objective response rate (ORR);Timepoint(s) of evaluation of this end point: Primary analysis will occur when all patients have been treated for 24 weeks or have discontinued

Secondary

MeasureTime frame
Secondary end point(s): Time to tumor response (TTR) Duration of overall response (DoR) Progression-free survival (PFS) Overall survival (OS) Frequency and severity of adverse events, new or worsened laboratory results and other safety data from other tests (e.g. electrocardiogram or vital signs) PK (Cmin, steady-state trough concentration) ;Timepoint(s) of evaluation of this end point: Primary analysis will occur when all patients have been treated for 24 weeks or have discontinued

Countries

Australia, Belgium, Canada, Germany, Greece, Hungary, Italy, Netherlands, Spain, Switzerland, United Kingdom, United States

Contacts

Public ContactRoel Divendal

Novartis Pharma BV

Roel.Divendal@novartis.com3126378 2457

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026