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Study Summary
No. 2004-0758:.......Breast......Stacy Moulder......Breast Medical Oncology
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Study Summary Title
Study Summary
Number:
2004-0758
Study Title:Phase I/II, Open Label, Dose Escalation Study of the Safety, Tolerability, and Pharmacokinetics of the Combination RAD001 plus Docetaxel in Patients with Metastatic Breast Cancer
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Physician New Patient Referral
Name:Stacy MoulderPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Breast Medical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2817
Contact us about clinical trials
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General Information
Disease Group:BreastSupported By:N/A
Phase of Study:Phase I/Phase IIReturn
Visit:
Every 3 weeks
Treatment
Agents:
Docetaxel
RAD001
Home Care:none
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
none
Description/
Intervention:
The goal of this clinical research study is to find the highest safe dose of
docetaxel and RAD001 that can be given in combination in the treatment of
metastatic breast cancer. The safety and effectiveness of this combination
will also be studied.
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Study Objectives / Outcomes
Primary:

To assess the safety and tolerability and to find the maximum tolerated dose of the combination administration of RAD001 plus docetaxel when given to patients with metastatic breast cancer who are being considered for standard docetaxel treatment (phase I).

To characterize the pharmacokinetics of RAD001 and docetaxel when co-administered (phase I).

Secondary:

To assess the clinical efficacy of the combination regimens in this patient population as shown by response (according to the modified RECIST criteria) (phase II).

To determine the phosphorylation status of the components of the mTOR signaling pathway and the expression of modifiers of apoptosis in the primary breast tumors, in order to determine whether these markers can be used as predictors of sensitivity to the combination of RAD001 and docetaxel

To determine the effect of the combination of RAD001 and docetaxel on the expression and phosphorylation of mTOR's targets in the accessible tumor tissue, in order to identify potential pharmocodynamic markers of response to this drug combination
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Study Status Information
Study Activation / Registration Date:11/01/2005
IRB Review and Approval Date:11/03/2004
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Open
Projected Accrual:N/A
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) 18 years of age or older

2) Diagnosis of metastatic breast cancer with at least one measurable or evaluable lesion. For the phase II portion of the study patients will be required to have measurable disease. Response will be determined using the RECIST criteria.

3) No limit on the prior number of chemotherapies for the phase I portion of the study. No more than one prior chemotherapy regimen for the phase II portion of the study.

4) Signed informed consent to participate in the study must be obtained from patients after they have been fully informed on the nature and potential risks by the investigator with the aid of written information

5) Adequate bone marrow function as shown by: ANC > or = 1.5 x 10(9 )/L, Platelets > or = 100 x 10(9)/L, Hgb > or = 10g/dL

6) Normal renal function as shown by serum creatinine < or = 1.5 x ULN

7) Hepatic Function Variables: Bilirubin < or = ULN ·Alkaline phosphatase < or = 5 x ULN ·If alkaline phosphatase is < or = 2.5 x ULN, ALT/AST must be < or = 2.0 x ULN. ·If alkaline phosphatase is > 2.5 but < or = 5 x ULN, ALT/AST must be < or = 1.5 x ULN.

8) Performance Status 0-2 on the WHO scale

Exclusion Criteria:1) Patients enrolled in the Phase I portion of the trial may have received prior docetaxel in the adjuvant or metastatic setting. Patients enrolled in the Phase II portion of the trial will not be considered eligible if they have received prior docetaxel as treatment for metastatic breast cancer. For the purposes of this protocol, patients who develop systemic metastasis <6 months from adjuvant docetaxel will be considered to have had treatment with docetaxel for metastatic breast cancer and will be ineligible for protocol participation.

2) Patients with a history of thromboembolism within the prior 6 months or active thrombophlebitis

3) For the phase I portion of the study, patients with grade > 2 neuropathy, for the phase II portion of the trial, patients with > or = grade 2 neuropathy.

4) For the phase I portion of the trial, patients with treated brain metastasis that are stable for 3 months will be eligible for protocol participation; however, patients with brain metastasis will be excluded from the phase II portion of the trial.

5) Patients with an uncontrolled infection

6) Patients with a known history of HIV seropositivity

7) Patients with an active, bleeding diathesis or on oral anti-vitamin K medication (except patients receiving 1 mg of warfarin to prevent central venous catheter thrombosis)

8) Patients with other concurrent severe and/or uncontrolled medical disease which could compromise participation in the study (i.e., uncontrolled diabetes, uncontrolled hypertension, congestive cardiac failure, ventricular arrhythmias, active ischemic heart disease, myocardial infarction within six months, chronic liver or renal disease, active upper GI tract ulceration)

9) Patients with 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)

10) Patients who received any other investigational drugs within the preceding 30 days

11) Patients who have received mitomycin C or nitrosourea

12) Patients receiving anti-neoplastic therapy less than 14 days prior to entry onto this study or who have not recovered from the toxic effects of such therapy

13) Patients who received radiation therapy within 3 weeks prior to entry on this study or who have not recovered from the toxic effects of such therapy.

14) Patients who had surgery within 2 weeks prior to entry on this study or who have not recovered from the side effects of such therapy

15) Patients with a history of noncompliance to medical regimens

16) Patients unwilling to or unable to comply with the protocol

17) Patients being treated with drugs recognized as being strong inhibitors or inducers of the isoenzyme CYP3A4 or patients taking lithium chloride

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Links
Registration Number: NCT00253318
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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