About this trial
This study is a two periods multi-center Phase II trial, with a 6 months double-blind, placebo-controlled period followed by open label period, to assess the efficacy and safety of alpelisib (BYL719) in pediatric and adult patients with Megalencephaly-CApillary malformation Polymicrogyria syndrome (MCAP)
Eligibility criteria
Qualifiers
Signed informed consent and assent (when applicable) from the patient, parent, or guardian must be obtained prior to any study related screening procedures are performed.
Male or female patients age ≥2 years and ≤40 years at the time of informed consent
Patients with diagnosis of MCAP* with neurodevelopmental disorder presentation (from specific learning disorder to severe intellectual disability)
Documented evidence of a postzygotic or constitutional mutation(s) in the PIK3CA gene performed in local laboratories using a Deoxyribonucleic acid (DNA) based validated test at the time of informed consent.
Disqualifiers
Patient previously treated with alpelisib
Known impairment of GI function due to concomitant disease that may significantly alter the absorption of the study drug (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection) at time of informed consent.
Participant with uncontrolled diabetes mellitus (Type I or II) at time of informed consent.
History of hypersensitivity to any drugs or metabolites of PI3K inhibitor or any of the excipients of alpelisib at time of informed consent.
Trial design
Treatments tested in this trial
- Alpelisib (BYL719)
- Matching placebo
- Optional lumbar puncture + blood sample
Treatment groups
Sponsors and collaborators
Centre Hospitalier Universitaire Dijon
Lead sponsor
Novartis Pharmaceuticals
Collaborator