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Everolimus and Vatalanib in Treating Patients With Advanced Solid Tumors

This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), June 2008

Sponsors and Collaborators: Mayo Clinic
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00655655
  Purpose

RATIONALE: Everolimus and vatalanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Giving everolimus together with vatalanib may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of everolimus and vatalanib in treating patients with advanced solid tumors.


Condition Intervention Phase
Gastrointestinal Carcinoid Tumor
Head and Neck Cancer
Islet Cell Tumor
Kidney Cancer
Lung Cancer
Melanoma (Skin)
Neuroendocrine Carcinoma of the Skin
Pheochromocytoma
Unspecified Adult Solid Tumor, Protocol Specific
Drug: everolimus
Drug: vatalanib
Procedure: dynamic contrast-enhanced magnetic resonance imaging
Procedure: high performance liquid chromatography
Procedure: immunohistochemistry staining method
Procedure: laboratory biomarker analysis
Procedure: mass spectrometry
Procedure: pharmacological study
Procedure: protein expression analysis
Procedure: ultrasound imaging
Phase I

MedlinePlus related topics:   Cancer    Carcinoid Tumors    Head and Neck Cancer    Kidney Cancer    Lung Cancer    Melanoma    Pheochromocytoma   

ChemIDplus related topics:   Vatalanib    Butanedioic acid, compd. with N-(4-chlorophenyl)-4-(4-pyridinylmethyl)-1-phthalazinamine (1:1)    Everolimus    Thyroid    Tyrosine   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment
Official Title:   A Phase I Trial of the mTOR Inhibitor RAD001 in Combination With VEGF Receptor Tyrosine Kinase Inhibitor PTK787/ZK 222584 in Patients With Advanced Solid Tumors

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Maximum tolerated dose of everolimus and vatalanib (Cohort 1) (Closed to enrollment as of 12/6/06) [ Designated as safety issue: Yes ]
  • Toxicity associated with everolimus and vatalanib (Cohort 1) (Closed to enrollment as of 12/6/06) [ Designated as safety issue: Yes ]
  • Therapeutic antitumor activity of everolimus and vatalanib (Cohort 1) (Closed to enrollment as of 12/6/06) [ Designated as safety issue: No ]
  • Recommended phase II dose (RPTD) of everolimus and vatalanib (Cohort 1) (Closed to enrollment as of 12/6/06) [ Designated as safety issue: No ]
  • Biological activity and therapeutic antitumor activity of everolimus and vatalanib when given at the MTD/RPTD (Cohort 2) [ Designated as safety issue: No ]
  • Evaluation of pharmacogenetic, metabolic, and clinical markers that may predict hypertension induced by anti-VEGF therapy (Cohort 2) [ Designated as safety issue: No ]
  • Efficacy outcomes in patients with metastatic kidney cancer, neuroendocrine carcinoma, non-small cell lung cancer, or melanoma (Cohort 2) [ Designated as safety issue: No ]

Estimated Enrollment:   96
Study Start Date:   December 2004
Estimated Primary Completion Date:   December 2009 (Final data collection date for primary outcome measure)

Show detailed description  Show Detailed Description

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor

    • Histologically confirmed metastatic kidney cancer, neuroendocrine carcinoma, melanoma, or non-small cell lung cancer (cohort 2B)
  • Unresectable disease
  • No known standard therapy that is potentially curative or definitely capable of extending life expectancy exists
  • Tumor amenable to biopsy (cohort 2A)
  • No lymphoma
  • No CNS metastases

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • Life expectancy ≥ 12 weeks
  • ANC ≥ 1,500/μL
  • Hemoglobin ≥ 9 g/dL
  • Platelet count ≥ 100,000/μL
  • Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST ≤ 3 times ULN (5 times ULN if liver involvement)
  • Creatinine ≤ 1.5 times ULN
  • INR ≤ 1.4 (cohort 2A)
  • Urine protein negative by dipstick OR total urine protein ≤ 500 mg and measured creatinine clearance ≥ 50mL/min by 24-hour urine collection
  • Willing to return to Mayo Clinic Rochester for follow-up visits
  • Willing to provide blood specimens for required translational research studies (cohorts 2A and 2B)
  • Willing to undergo brachial artery ultrasound measurements (cohorts 2A and 2B)
  • Willing to undergo dynamic contrasted-enhanced MRI (cohort 2A)
  • No contraindications for dynamic contrasted-enhanced MRI (e.g., MRI-incompatible metallic implants or prosthetic heart valves [e.g., pacemakers]) (cohort 2A)
  • No uncontrolled infection
  • No New York Heart Association class III or IV heart disease
  • No uncontrolled hypertension, labile hypertension, or history of poor compliance with antihypertensive medication
  • No active bleeding diathesis
  • No seizure disorder
  • No concurrent, severe and/or uncontrolled medical condition that would compromise study participation or pose as unnecessary risk to the patient, including, but not limited, any of the following:

    • Unstable angina
    • Myocardial infarction within the past 6 months
    • Serious uncontrolled cardiac arrhythmia
    • Uncontrolled diabetes
    • Interstitial pneumonia or extensive, symptomatic interstitial fibrosis of the lung
    • QTc > 500 msec
  • No impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of vatalanib, including any of the following:

    • Ulcerative disease
    • Uncontrolled nausea, vomiting, or diarrhea
    • Malabsorption syndrome
    • Bowel obstruction
    • Inability to swallow the tablets
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception

PRIOR CONCURRENT THERAPY:

  • More than 3 weeks since prior chemotherapy (6 weeks for mitomycin C or nitrosoureas) and recovered
  • More than 2 weeks since prior immunotherapy or biological therapy
  • More than 4 weeks since prior investigational therapy
  • More than 4 weeks since prior full-field radiotherapy

    • Full-field radiotherapy encompasses the entire area of known disease involvement and surrounding uninvolved, at-risk areas (e.g., sub-total nodal [mantle and upper abdomen] or total nodal irradiation)
  • More than 2 weeks since prior limited-field radiotherapy

    • Limited-field radiotherapy is restricted to treating only the known areas of clinical disease (e.g., involved-field therapy for lymphoma)
  • More than 4 weeks since prior major surgery (i.e., laparotomy)*
  • More than 2 weeks since prior minor surgery*
  • Prior anti-VEGF therapy allowed
  • No prior radiotherapy to > 30% of the bone marrow
  • No concurrent anticoagulant therapy except heparin for deep venous thrombosis prophylaxis
  • No other concurrent chemotherapy, immunotherapy, radiotherapy, or ancillary therapy considered investigational (e.g., utilized for a non-FDA-approved indication and in the context of a research investigation)
  • No concurrent chronic treatment with proton pump inhibitors (e.g., omeprazole or lansoprazole) or H2 antagonists (e.g., ranitidine or famotidine)
  • No concurrent prophylactic colony-stimulating factors NOTE: *Insertion of a vascular access device is not considered major or minor surgery
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00655655

Locations
United States, Minnesota
Mayo Clinic Cancer Center     Recruiting
      Rochester, Minnesota, United States, 55905
      Contact: Clinical Trials Office - All Mayo Clinic Locations     507-538-7623        

Sponsors and Collaborators

Investigators
Study Chair:     Julian Molina, MD, PhD     Mayo Clinic    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000592921, MAYO-MC0414
First Received:   April 9, 2008
Last Updated:   October 8, 2008
ClinicalTrials.gov Identifier:   NCT00655655
Health Authority:   Unspecified

Keywords provided by National Cancer Institute (NCI):
unspecified adult solid tumor, protocol specific  
stage IV renal cell cancer  
recurrent renal cell cancer  
stage IV melanoma  
recurrent melanoma  
stage IV non-small cell lung cancer  
recurrent non-small cell lung cancer  
metastatic gastrointestinal carcinoid tumor  
recurrent gastrointestinal carcinoid tumor  
gastrinoma  
glucagonoma
insulinoma
recurrent islet cell carcinoma
pancreatic polypeptide tumor
somatostatinoma
recurrent neuroendocrine carcinoma of the skin
thyroid gland medullary carcinoma
metastatic pheochromocytoma
recurrent pheochromocytoma
stage III neuroendocrine carcinoma of the skin

Study placed in the following topic categories:
Thoracic Neoplasms
Pancreatic Neoplasms
Urogenital Neoplasms
Urologic Neoplasms
Vatalanib
Lung Neoplasms
Neuroepithelioma
Kidney Diseases
Endocrine Gland Neoplasms
Non-small cell lung cancer
Digestive System Neoplasms
Carcinoma, Islet Cell
Insulinoma
Endocrine System Diseases
Adenoma, Islet Cell
Malignant Carcinoid Syndrome
Renal cancer
Carcinoma
Carcinoma, Merkel Cell
Neuroectodermal Tumors
Gastrinoma
Lung Diseases
Gastrointestinal Neoplasms
Pancreatic Diseases
Carcinoid Tumor
Nevus
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial
Carcinoma, Neuroendocrine
Gastrointestinal Diseases

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Neoplasms, Nerve Tissue
Physiological Effects of Drugs
Enzyme Inhibitors
Immunosuppressive Agents
Protein Kinase Inhibitors
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Nevi and Melanomas

ClinicalTrials.gov processed this record on October 10, 2008




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