Phase 1
N=33
Trial of RAD001 in Patients With Operable Non-Small Cell Lung Cancer (NSCLC)
Lung Cancer
Bottom Line
View on ClinicalTrials.gov: NCT00401778 ↗Enrolled (actual)
33
Serious AEs
3.0%
Results posted
Jul 2015
Primary outcome: Primary: Clinical Response as Assessed Metabolically by Changes in Positron Emission Tomography (PET) Scan Between Baseline and Immediately Prior to Surgery. — 78; 64; 50; 22 percentage of patients
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- RAD001 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Emory University
- Primary completion
- Dec 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Clinical Response as Assessed Metabolically by Changes in Positron Emission Tomography (PET) Scan Between Baseline and Immediately Prior to Surgery. |
78; 64; 50; 22; 36; 50 | — |
| PRIMARY Effects of RAD001 on the Regulation of Key Proteins Involved With the Mammalian Target of Rapamycin (mTOR) Axis in Tumor Specimens and Buccal Mucosa in Patients With Operable Non-small Cell Lung Cancer (NSCLC). |
-36.06; -13.69; -77.03; -41.25; -61.57; -47.21 | — |
| PRIMARY Inhibition of Proliferation (Ki67) and Induction of Apoptosis (TUNEL Assay) in Tumor Specimens and Buccal Mucosa. |
— | — |
| SECONDARY Safety and Tolerability of RAD001 as Pre-operative Therapy. |
— | — |
| SECONDARY Duration of Hospital Stay Following Surgery. |
5; 5 | — |
Summary
This is a Phase 1b pre-operative lung cancer trial wherein patients with operable lung cancer will be treated with RAD001 to evaluate the target effects of this compounds on relevant molecular pathways and on the 18F-2-fluoro-2-deoxy-D-glucose fluorodeoxyglucose (FDG) uptake of the tumor by a positron emission tomography (PET) scan at baseline and immediately prior to surgery. The safety profile of RAD001 will also be evaluated.
Eligibility Criteria
Inclusion Criteria
- Patient must have histologically confirmed Stage I-IIIA non-small cell lung cancer (NSCLC) which is accessible to biopsy.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2.
- Life-expectancy greater than 6 months.
- Adequate bone marrow, renal, hepatic, pulmonary and cardiac function as defined in the protocol.
- Patient must be at least 18 years of age.
- Must meet pre-entry requirements for timing of study parameters as specified in section 7.0.
- Female patients of child-bearing potential must have a negative serum pregnancy test within 48 hours of study initiation and be non-lactating.
- 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.
- The use of granulocyte-colony stimulating factor (G-CSF) will be permitted in study participants.
- Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Exclusion Criteria
- Patient has received previous treatment for NSCLC.
- Known hypersensitivity to everolimus, sirolimus, or any of its excipients.
- Patient is pregnant or breast-feeding.
- Patient has incurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
- Patient is unable to swallow RAD001 tablet.
- History of other invasive malignancies, with the exception of non-melanoma skin cancer, are excluded if there is any evidence of the malignancy being present within the past five 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.
- Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Data sourced from ClinicalTrials.gov (NCT00401778). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.