Phase I/II Trial of RAD001 Plus Docetaxel in Patients With Metastatic or Recurrent Non-Small Cell Lung Cancer
Primary Purpose
Lung Cancer
Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RAD001
Docetaxel
Sponsored by

About this trial
This is an interventional treatment trial for Lung Cancer focused on measuring Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Patients must have histologically confirmed non-small cell lung cancer (NSCLC) which is accessible to biopsy.
- Patient must have ECOG Performance Status of 0, 1, or 2.
- Life expectancy greater than 12 weeks.
- Patient must have adequate bone marrow, renal and hepatic function as defined in the protocol.
- Completed all prior therapy at least 3 weeks prior to registration and be adequately recovered from that therapy.
- Must be at least 18 years of age.
- Meet pre-entry requirements as specified in Section 7.0.
- Female patients of child-bearing potential must have a negative serum pregnancy test prior to study entry.
- Patients of child-bearing potential must agree to use an effective form of contraception while on study and for 3 months following completion of study treatment.
- Patient must not have more than one prior chemotherapy regimen.
- Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Exclusion Criteria:
- Chronic treatment with systemic steroids or other immunosuppressive agents.
- Uncontrolled brain or leptomeningeal metastases, including patients who continue to require glucocorticoids for brain or leptomeningeal metastases.
- A known history of HIV seropositivity.
- Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection).
- Patients with an active, bleeding diathesis or an oral anti-vitamin K medication (except low dose coumadin).
- Known hypersensitivity to everolimus, sirolimus, or any of its excipients.
- Patient is pregnant or breast-feeding.
- Patient has intercurrent illness including, but not limited to: ongoing active or severe infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, uncontrolled hypertension, myocardial infarction within 6 months, uncontrolled diabetes mellitus, chronic liver or renal disease, active upper GI tract ulceration or psychiatric illness/social situations that would limit compliance with study requirements.
- Patient is unable to swallow RAD001.
- History of other invasive malignancies, with the exception of non-melanoma skin cancer, if there is any evidence of the malignancy being present within the past 5 years.
- History of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80. Symptoms may include any reaction such as bronchospasm, generalized urticaria, systolic BP ≤ 80mm Hg, and angioedema.
- Patient has received treatment with an investigational agent within 4 weeks of registration.
- Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Sites / Locations
- Emory University Winship Cancer Institute
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
RAD001+Docetaxel
Arm Description
RAD001 in combination with Docetaxel.
Outcomes
Primary Outcome Measures
Number of Subjects Showing Partial Response and Stable Disease With the Combination of RAD001 and Docetaxel.
Partial response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum of LD.
Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive disease (PD), taking as reference the smallest sum Longest diameter(LD) since treatment started.
Time to Progression:Time Period (in Months) From Study Entry Until Disease Progression, Death, or Last Date of Contact.
Period from study entry until disease progression, death, or last date of contact.
Progressive Disease: Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00406276
Brief Title
Phase I/II Trial of RAD001 Plus Docetaxel in Patients With Metastatic or Recurrent Non-Small Cell Lung Cancer
Official Title
Phase I/II Trial of RAD001 Plus Docetaxel in Patients With Metastatic or Recurrent Non-Small Cell Lung Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
August 2013
Overall Recruitment Status
Terminated
Why Stopped
data analysis showed insufficient drug efficacy
Study Start Date
November 2006 (undefined)
Primary Completion Date
December 2010 (Actual)
Study Completion Date
February 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Emory University
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is an open-label, single-arm, Phase I/II trial to determine the safety of RAD001 in combination with docetaxel and compare the efficacy of RAD001 plus docetaxel versus published Phase II and III reports of docetaxel alone in patients with recurrent NSCLC.
Detailed Description
This is an open-label, single-arm, Phase I/II trial to determine the safety of RAD001 in combination with docetaxel and compare the efficacy of RAD001 plus docetaxel versus published Phase II and III reports of docetaxel alone in patients with recurrent NSCLC.
New agents and regimens are urgently needed for lung cancer treatment. With the development of novel agents and small molecules designed to curtail the aggressive aspects of this disease, some progress has been realized. However, much more effort and insight will be required for further real gains to be made. We propose that studying the mTOR axis, known to be abnormal in non-small cell lung cancer (NSCLC), and translating that knowledge into therapeutic adjustments can lead to meaningful advances in lung cancer treatment.
Approximately 58 patients will participate at Emory Winship Cancer Institute and Emory Crawford W. Long Hospital in Atlanta, Georgia.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Cancer
Keywords
Lung Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
28 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RAD001+Docetaxel
Arm Type
Experimental
Arm Description
RAD001 in combination with Docetaxel.
Intervention Type
Drug
Intervention Name(s)
RAD001
Intervention Description
RAD001 will be given at a dose of 5mg/day in combination with docetaxel
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Intervention Description
In combination with RAD001
Primary Outcome Measure Information:
Title
Number of Subjects Showing Partial Response and Stable Disease With the Combination of RAD001 and Docetaxel.
Description
Partial response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum of LD.
Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive disease (PD), taking as reference the smallest sum Longest diameter(LD) since treatment started.
Time Frame
6 weeks
Title
Time to Progression:Time Period (in Months) From Study Entry Until Disease Progression, Death, or Last Date of Contact.
Description
Period from study entry until disease progression, death, or last date of contact.
Progressive Disease: Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients must have histologically confirmed non-small cell lung cancer (NSCLC) which is accessible to biopsy.
Patient must have ECOG Performance Status of 0, 1, or 2.
Life expectancy greater than 12 weeks.
Patient must have adequate bone marrow, renal and hepatic function as defined in the protocol.
Completed all prior therapy at least 3 weeks prior to registration and be adequately recovered from that therapy.
Must be at least 18 years of age.
Meet pre-entry requirements as specified in Section 7.0.
Female patients of child-bearing potential must have a negative serum pregnancy test prior to study entry.
Patients of child-bearing potential must agree to use an effective form of contraception while on study and for 3 months following completion of study treatment.
Patient must not have more than one prior chemotherapy regimen.
Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Exclusion Criteria:
Chronic treatment with systemic steroids or other immunosuppressive agents.
Uncontrolled brain or leptomeningeal metastases, including patients who continue to require glucocorticoids for brain or leptomeningeal metastases.
A known history of HIV seropositivity.
Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection).
Patients with an active, bleeding diathesis or an oral anti-vitamin K medication (except low dose coumadin).
Known hypersensitivity to everolimus, sirolimus, or any of its excipients.
Patient is pregnant or breast-feeding.
Patient has intercurrent illness including, but not limited to: ongoing active or severe infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, uncontrolled hypertension, myocardial infarction within 6 months, uncontrolled diabetes mellitus, chronic liver or renal disease, active upper GI tract ulceration or psychiatric illness/social situations that would limit compliance with study requirements.
Patient is unable to swallow RAD001.
History of other invasive malignancies, with the exception of non-melanoma skin cancer, if there is any evidence of the malignancy being present within the past 5 years.
History of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80. Symptoms may include any reaction such as bronchospasm, generalized urticaria, systolic BP ≤ 80mm Hg, and angioedema.
Patient has received treatment with an investigational agent within 4 weeks of registration.
Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Suresh Ramalingam, MD
Organizational Affiliation
Emory University Winship Cancer Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Emory University Winship Cancer Institute
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Phase I/II Trial of RAD001 Plus Docetaxel in Patients With Metastatic or Recurrent Non-Small Cell Lung Cancer
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