Alpelisib for Overgrowth Spectrum
(EPIK-P2 Trial)
Trial Summary
What is the purpose of this trial?
This is a prospective Phase II multi-center study with an initial 16-week, randomized, double-blind, placebo-controlled period, followed by two extension periods to assess the efficacy, safety and pharmacokinetics (PK) of alpelisib in pediatric and adult patients with PIK3CA-related overgrowth spectrum (PROS)
Do I need to stop my current medications to join the trial?
The trial requires you to stop taking strong inducers of CYP3A4 or inhibitors of breast cancer resistance protein (BCRP) at least 7 days before starting the treatment. Other medications are not specifically mentioned, so consult with the trial team for more details.
Will I have to stop taking my current medications?
The trial requires that you stop taking strong inducers of CYP3A4 or inhibitors of breast cancer resistance protein (BCRP) at least 7 days before starting the treatment. If you are on these medications, you will need to discontinue them before participating.
What data supports the idea that Alpelisib for Overgrowth Spectrum is an effective drug?
The available research shows that Alpelisib was approved by the FDA for treating PIK3CA-related Overgrowth Spectrum (PROS) based on a study where 27% of patients had a significant reduction in the size of their growths after 24 weeks. Additionally, 60% of those who responded to the treatment maintained their improvement for at least 12 months. This suggests that Alpelisib can be effective in managing symptoms of PROS.12345
What data supports the effectiveness of the drug Alpelisib for treating PIK3CA-related overgrowth spectrum (PROS)?
What safety data is available for Alpelisib?
Alpelisib, also known as Piqray, has been evaluated for safety in various settings. In the treatment of PIK3CA-related overgrowth spectrum (PROS), common adverse reactions (≥10%) included diarrhea, stomatitis, and hyperglycemia. In breast cancer patients, particularly older ones, it has shown an unusual adverse event profile. Factors such as drug exposure duration and maximum-tolerated dose can vary, affecting clinical response and safety outcomes.23567
Is Alpelisib safe for humans?
Alpelisib has been approved for use in breast cancer and PIK3CA-related overgrowth spectrum (PROS), with common side effects including diarrhea, mouth sores, and high blood sugar. It has been studied in both clinical trials and real-world settings, showing some adverse reactions but generally considered safe for its approved uses.23567
Is the drug Alpelisib (Piqray) a promising treatment for Overgrowth Spectrum?
How is the drug Alpelisib unique for treating Overgrowth Spectrum?
Alpelisib (Piqray) is unique because it specifically targets the PI3K pathway, which is often involved in overgrowth conditions, offering a targeted approach that differs from more general treatments. This drug is typically used in cancer treatments, but its application in Overgrowth Spectrum is novel, as there are no standard treatments for this condition.89101112
Research Team
Novartis Pharmaceuticals
Principal Investigator
Novartis Pharmaceuticals
Eligibility Criteria
This trial is for pediatric and adult patients with PIK3CA-related Overgrowth Spectrum (PROS) who have at least one measurable lesion over 2 cm confirmed by MRI. Participants must be able to provide a tissue sample, have stable blood sugar levels, and not have had previous treatment with alpelisib or similar drugs. Those with isolated macrodactyly, skin nevus/nevi, macroencephaly without other lesions, recent radiation or surgery in the area of interest are excluded.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Core Treatment
Participants undergo a 16-week randomized, double-blind, placebo-controlled treatment period
Extension Period
Participants continue treatment in an open-label setting for an additional 24 weeks
Long-term Extension
Participants may continue treatment for up to approximately 5 years
Follow-up
Participants are monitored for safety and effectiveness after treatment
Treatment Details
Interventions
- Alpelisib
- Placebo
Alpelisib is already approved in United States, European Union for the following indications:
- Hormone receptor-positive, HER2-negative, PIK3CA-mutated, advanced or metastatic breast cancer following progression on or after an endocrine-based regimen
- Hormone receptor-positive, HER2-negative, PIK3CA-mutated, locally advanced or metastatic breast cancer in combination with fulvestrant
Find a Clinic Near You
Who Is Running the Clinical Trial?
Novartis Pharmaceuticals
Lead Sponsor
Dr. Vas Narasimhan
Novartis Pharmaceuticals
Chief Executive Officer since 2018
MD from Harvard Medical School
Dr. Shreeram Aradhye
Novartis Pharmaceuticals
Chief Medical Officer since 2021
MD