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Study Summary
No. 2004-0937:.......Lung......Vali Papadimitrakopoulou......Thoracic and Head and Neck Med
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Study Summary Title
Study Summary
Number:
2004-0937
Study Title:A combined phase 1 and 2 study investigating the combination of RAD001 and erlotinib in patients with advanced NSCLC previously treated only with chemotherapy
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Physician New Patient Referral
Name:Vali PapadimitrakopoulouPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Thoracic and Head and Neck MedReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-6363
Contact us about clinical trials
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General Information
Disease Group:LungSupported By:N/A
Phase of Study:Phase I/Phase IIReturn
Visit:
Each week for the first 5 weeks, then every 4 weeks thereafter.
Treatment
Agents:
Erlotinib
RAD001
Home Care:N/A
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of RAD001 that can be given in combination with erlotinib in the treatment of
advanced lung cancer. The safety and effectiveness of this treatment
combination will also be studied. Researchers also want to learn if this
treatment combination can help to control the disease better than treatment
with RAD001 alone.
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Study Objectives / Outcomes
Overall, this study aims to assess the value of combined treatment with RAD001 and erlotinib in
patients with advanced NSCLC previously treated only with chemotherapy as systemic therapy.
The study consists of two consecutive phases, the primary aims which are:

Primary Objectives:

Phase 1
To assess the feasibility (in terms of both dose and regimen) of combined daily or weekly administration of RADOO1 with daily erlotinib based on
evaluation of safety and PK drug-drug interaction and to establish the appropriate doses to carry forward into phase
Phase 2
To estimate the Disease Control Rate at 3 months (DCR at 3 months) as measure of antitumor
activity in patients who receive RAD001 (daily and/or weekly schedule) together
with daily erlotinib as compared to the DCR at 3 months in patients who receive erlotinib
alone.

Secondary Objectives:

Phase 1
• To assess the clinical efficacy of RAD001 and erlotinib combination schedule(s), based on
evaluation of ORR (Objective Response Rate) and EPR (Early Progression Rate)

Phase 2
• To assess the safety describe the clinical efficacy of combined administrationall study
treatments in terms of RAD001ORR and, erlotinibPFS (Progression Free Survival) and
survival
• To describe the safety profile of all study treatments
• To assess steady state drug levels
• To investigate potential molecular markers
• To evaluate tumor metabolic response with FDG-PET imaging

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Study Status Information
Study Activation / Registration Date:06/02/2005
IRB Review and Approval Date:03/16/2005
Study Type:Therapeutic
Recruitment Status:Closed
Projected Accrual:132
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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) Patients with advanced NSCLC (unresectable or metastatic)

2) Age >/= 18 years old

3) Pathologic confirmation of NSCLC

4) Tumor tissue samples (paraffin block or unstained slides) must be available for central analysis of molecular markers for those patients entered on the Phase 2 part of the study. If possible, tumor tissue samples should be available for patients enrolled in Phase 1 part of the study

5) Patients entered on the phase 2 of the study must have at least one measurable site of disease according to RECIST criteria that has not been previously irradiated. If the patient has had previous radiation to the marker lesion(s), there must be evidence of progression since the radiation.

6) Patients must have been treated with chemotherapy for advanced disease and have documented tumor progression (serial CT scans demonstrating progressive disease according to RECIST must be available) despite </=2 chemotherapy schedules for treatment of advanced disease (previous therapy for localized disease is not counted), one of which must have included cisplatin or carboplatin

7) More than two weeks since any major surgery, completion of radiation, or completion of all prior chemotherapy (adequately recovered from the acute toxicities of any prior therapy)

8) WHO performance status </= 2

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

10) Adequate liver function as shown by serum: bilirubin </= grade 2 and transaminases activity </= 3 x ULN. With the exception of serum transaminases (< 5 x ULN) if the patient has liver metastases.

11) Signed informed consent

Exclusion Criteria:1) Concurrent therapy with agents otherwise used in treatment of cancer (for example, methotrexate for rheumatoid arthritis)

2) Treatment with any other investigational drugs within the preceding 4 weeks

3) Prior treatment with an EGFR inhibitor (either a small molecule EGFR TK inhibitor or anti-EGFR antibody)

4) Chronic treatment with steroids or another immunosuppressive agent

5) Leptomeningeal or uncontrolled brain metastases, including patients who continue to require glucocorticoids or intrathecal chemotherapy for brain or leptomeningeal metastases (documented by lumbar puncture)

6) Malignancies other than lung cancer within the past 2 years except for adequately treated carcinoma of the cervix or basal or squamous cell carcinomas of the skin.

7) Other concurrent severe and/or uncontrolled medical disease which could compromise participation in the study (i.e., uncontrolled diabetes, uncontrolled hypertension, severe infection, severe malnutrition, unstable angina, or congestive heart failure - New York Heart Association Class III or IV, ventricular arrhythmias active ischemic heart disease, myocardial infarction within six months, chronic liver or renal disease, active upper GI tract ulceration)

8) A known history of HIV or previous seropositivity for the virus

9) Patients with active skin, mucosa, ocular or GI disorders of grade > 1

10) Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 or erlotinib (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection)

11) Patients with an active, bleeding diathesis or on oral anti-vitamin K medication (except low dose coumadin)

12) Women who are pregnant or breast feeding, or women able to conceive and unwilling to practice an effective method of birth control. (Women of childbearing potential must have a negative urine or serum pregnancy test within 7 days prior to administration of RAD001 or erlotinib)

13) History of noncompliance to medical regimens

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

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Links
Registration Number: NCT00456833
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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