Safety Study of RAD001 to Treat Patients With Metastatic Kidney Cancer (RAD001)
Primary Purpose
Carcinoma, Renal Cell
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RAD001
Sponsored by
About this trial
This is an interventional treatment trial for Carcinoma, Renal Cell focused on measuring metastatic kidney cancer, metastatic renal cell cancer
Eligibility Criteria
Inclusion Criteria:
- Patients must have predominantly clear cell renal cancer (75%)
- Patients must have evidence of metastatic disease. Metastatic disease should not be progressing so as to require palliative treatment (e.g., radiation, surgery, etc), within 4 weeks of enrollment.
- Patients may have received no more than two prior regimens such as immunotherapy, chemotherapy or molecular targeted agents for renal cell carcinoma with at least 1 regimen consisting of a tyrosine kinase inhibitor (sorafenib or sunitinib). Four weeks must have elapsed from previous therapy.
- Patients must have adequate physiologic reserves as evidenced by lab values
- Effective birth control must be practiced by both male and female patients
Exclusion Criteria:
- Patients with central nervous system metastases are excluded, except those patients who have had complete excision or radiotherapy and remain asymptomatic, off steroids for 21 days, with no evidence of new disease as shown by MRI
- Patients known to be HIV positive are not eligible, although testing specifically for participation in this protocol is not required.
- Patients with a recent history of TIA (within 6 months), or are requiring regular antianginal therapy or are having claudication sufficient to limit activity are not eligible. Patients with a previous history of deep venous thrombosis or pulmonary embolism are not eligible.
- Patients with active autoimmune disease.
- Patients who have had steroid therapy within the past three weeks.
- Patients involving concurrent anticancer drug therapy. Any immunosuppressive drugs or any other experimental therapy.
- Female patients who are pregnant or lactating.
- The patient has an unstable medical condition, such as uncontrolled diabetes mellitus or hypertension; active infections requiring systemic antibiotics, antivirals, or antifungals; clinical evidence of cardiac or pulmonary dysfunction including, but not limited to: unstable CHF; uncontrolled arrhythmias; unstable coagulation disorders; or recent myocardial infarction (within 6 months).
- The patient has received any investigational agent(s) within 4 weeks of study entry.
- Patients with evidence of mucosal or internal bleeding and/or platelet refractory (i.e., unable to maintain a platelet count > 50,000 cells/mm3).
- Patients unable to maintain an absolute neutrophil count (ANC) of < 1,500 cells/mm3.
- Any condition, including laboratory abnormalities, that in the opinion of the Investigator places the patient at unacceptable risk if he/she were to participate in the study.
- Prior malignancy (within the last 3 years) except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for at least 3 years.
Sites / Locations
- Baylor College of Medicine - Methodist Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
RAD001
Arm Description
Subjects will take RAD001 (Everolimus) 10mg by mouth daily.
Outcomes
Primary Outcome Measures
To collect data on time to tumor progression produced by the study treatment.
Secondary Outcome Measures
Response rate
Duration of tumor response
Safety and toxicity
Six month and 12 month survival rate
Overall survival
Full Information
NCT ID
NCT00446368
First Posted
March 9, 2007
Last Updated
March 15, 2016
Sponsor
The Methodist Hospital Research Institute
Collaborators
Novartis
1. Study Identification
Unique Protocol Identification Number
NCT00446368
Brief Title
Safety Study of RAD001 to Treat Patients With Metastatic Kidney Cancer
Acronym
RAD001
Official Title
Phase II Study of RAD001 (Everolimus) in Patient's With Metastatic Renal Cell Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
September 2008 (Actual)
Study Completion Date
October 2008 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Methodist Hospital Research Institute
Collaborators
Novartis
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Patients with metastatic renal cell cancer will be enrolled to receive RAD001 to determine whether the use of RAD001 will result in an improvement in the time to tumor progression.
Detailed Description
Patients with metastatic renal cell cancer will be enrolled in the study if all eligibility criteria are met and they agree to participate. The participant will take RAD001 (Everolimus) 10mg by mouth once a day. During the first cycle, they will have blood work done once a week (4 weeks). On cycles thereafter they will have blood work on days 7 and 21. Once a month, the patient will have a chest x-ray. Every 8 weeks the patient will have a CT scan of the chest, abdomen and pelvis. If clinically indicated, additional tests will be done.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Renal Cell
Keywords
metastatic kidney cancer, metastatic renal cell cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
66 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RAD001
Arm Type
Experimental
Arm Description
Subjects will take RAD001 (Everolimus) 10mg by mouth daily.
Intervention Type
Drug
Intervention Name(s)
RAD001
Other Intervention Name(s)
Everolimus
Intervention Description
Participant will take RAD001 (Everolimus) 10mg by mouth once a day.
Primary Outcome Measure Information:
Title
To collect data on time to tumor progression produced by the study treatment.
Time Frame
restaging every 8 weeks
Secondary Outcome Measure Information:
Title
Response rate
Time Frame
restaging every 8 weeks
Title
Duration of tumor response
Time Frame
restaging every 8 weeks
Title
Safety and toxicity
Time Frame
AEs as occur
Title
Six month and 12 month survival rate
Time Frame
at 6 months and at 12 months
Title
Overall survival
Time Frame
restaging every 8 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients must have predominantly clear cell renal cancer (75%)
Patients must have evidence of metastatic disease. Metastatic disease should not be progressing so as to require palliative treatment (e.g., radiation, surgery, etc), within 4 weeks of enrollment.
Patients may have received no more than two prior regimens such as immunotherapy, chemotherapy or molecular targeted agents for renal cell carcinoma with at least 1 regimen consisting of a tyrosine kinase inhibitor (sorafenib or sunitinib). Four weeks must have elapsed from previous therapy.
Patients must have adequate physiologic reserves as evidenced by lab values
Effective birth control must be practiced by both male and female patients
Exclusion Criteria:
Patients with central nervous system metastases are excluded, except those patients who have had complete excision or radiotherapy and remain asymptomatic, off steroids for 21 days, with no evidence of new disease as shown by MRI
Patients known to be HIV positive are not eligible, although testing specifically for participation in this protocol is not required.
Patients with a recent history of TIA (within 6 months), or are requiring regular antianginal therapy or are having claudication sufficient to limit activity are not eligible. Patients with a previous history of deep venous thrombosis or pulmonary embolism are not eligible.
Patients with active autoimmune disease.
Patients who have had steroid therapy within the past three weeks.
Patients involving concurrent anticancer drug therapy. Any immunosuppressive drugs or any other experimental therapy.
Female patients who are pregnant or lactating.
The patient has an unstable medical condition, such as uncontrolled diabetes mellitus or hypertension; active infections requiring systemic antibiotics, antivirals, or antifungals; clinical evidence of cardiac or pulmonary dysfunction including, but not limited to: unstable CHF; uncontrolled arrhythmias; unstable coagulation disorders; or recent myocardial infarction (within 6 months).
The patient has received any investigational agent(s) within 4 weeks of study entry.
Patients with evidence of mucosal or internal bleeding and/or platelet refractory (i.e., unable to maintain a platelet count > 50,000 cells/mm3).
Patients unable to maintain an absolute neutrophil count (ANC) of < 1,500 cells/mm3.
Any condition, including laboratory abnormalities, that in the opinion of the Investigator places the patient at unacceptable risk if he/she were to participate in the study.
Prior malignancy (within the last 3 years) except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for at least 3 years.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert J Amato, DO
Organizational Affiliation
Baylor College of Medicine - Methodist Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Baylor College of Medicine - Methodist Hospital
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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Safety Study of RAD001 to Treat Patients With Metastatic Kidney Cancer
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