Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Efficacy of RAD001 in Breast Cancer Patients With Bone Metastases (RADAR)
This study is currently recruiting participants.
Verified by German Breast Group, November 2008
Sponsors and Collaborators: German Breast Group
Novartis
Information provided by: German Breast Group
ClinicalTrials.gov Identifier: NCT00466102
  Purpose

The purpose of this study is to determine wether RAD001 can inhibit growth of tumour cells and/or stop the formation and activity of bone degrading osteoclasts.


Condition Intervention Phase
Breast Cancer
Drug: RAD001
Drug: Placebo
Phase II

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
Drug Information available for: Everolimus
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: RADAR: A Randomized Discontinuation Phase II Study to Determine the Efficacy of RAD001 in Breast Cancer Patients With Bone Metastases

Further study details as provided by German Breast Group:

Primary Outcome Measures:
  • To determine the time to progression (TTP) in patients with no change in bone metastases after an 8 week run in treatment with RAD001 compared to placebo [ Time Frame: 40 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To determine the objective response rate after 8 weeks of RAD001 [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
  • To determine the TTP in patients with a response after 8 weeks of RAD001 [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
  • To determine the overall clinical benefit defined as CR, PR or stable disease > 24 weeks for patients continuing RAD001 after the 8 week run in phase [ Time Frame: 40 weeks ] [ Designated as safety issue: No ]
  • To evaluate the safety and toxicity of RAD001 [ Time Frame: 40 weeks ] [ Designated as safety issue: Yes ]
  • To assess the frequency of bone related events [ Time Frame: 40 weeks ] [ Designated as safety issue: Yes ]
  • To assess changes of pain intensity during treatment [ Time Frame: 40 weeks ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 110
Study Start Date: December 2006
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Patients with stable disease after 8 week run in randomized to RAD001 (blinded)
Drug: RAD001
Tablet of 5 mg, 2 tablets (10 mg) are taken once daily during study therapy
2: Placebo Comparator
Patients with stable disease after 8 week run in receive placebo (blinded)
Drug: Placebo
2 tablets are taken once daily during study therapy

Detailed Description:

RAD001 is an orally bioavailable and well tolerated rapamycin ester analogue, which acts by selectively inhibiting mTOR (mammalian target of rapamycin). mTor is an intracellular protein kinase implicated in the control of cellular proliferation in neoplastic cells. Treatment with RAD001 has been shown to inhibit these signalling events and leads to growth retardation of tumour cells. In addition RAD001 in vitro stops the formation and activity of osteoclasts. Therefore a therapy of advanced breast cancer with progressive bone metastases seems to be reasonable with RAD001.

Comparison:

All patients receive RAD001 in an 8 week run in phase. Patients who show a response after 8 weeks will continue receiving RAD001. All patients with stable disease after the run in phase will be randomised to receive either RAD001 or placebo and will be followed up until progression of disease. Patients with progressive disease after the 8 week run in phase will be withdrawn from the trial.

  Eligibility

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

Inclusion Criteria:

  • Written informed consent prior to beginning specific protocol procedures, including expected cooperation of the patients for the treatment and follow-up, must be obtained and documented according to the local regulatory requirements.
  • Histologically confirmed invasive adenocarcinoma of the breast.
  • Primary tumour or metastasis negative or positive (≥ 10% positive stained cells) for oestrogen and/or progesterone receptor detected by immunohistochemistry.
  • Single or multiple bone metastasis (x-ray, CT or MRI) as only metastatic site.
  • Hormone receptor positive patients should have received an aromatase inhibitor in any given previous breast cancer therapy. Endocrine pre-treatment for metastatic bone disease is allowed. Previous treatment with bisphosphonates is allowed.
  • Up to one previous chemotherapy for metastatic disease is allowed
  • Patients must have either measurable or non-measurable target lesions according to the WHO criteria.
  • At least 1 target lesion must be completely outside the radiation portal or there must be pathologic proof of progressive disease.
  • At least 2 weeks since major surgery with full recovery.
  • Complete staging within 4 weeks prior to registration.
  • Karnofsky performance status evaluation > 60%.
  • Age >18 years.
  • Absolute neutrophil count >1,500 cells/µl, platelet count >100,000 cells/µl.
  • Bilirubin >1.5x the upper normal limit for the institution (UNL); elevation of transaminases, alkaline phosphatase < 2.5x UNL and serum albumin < 30g/l. Normal renal function (creatinine >1.5x upper normal limit)
  • If of childbearing potential, negative pregnancy test. In addition the patient has to agree to use an effective method to avoid pregnancy for the duration of the study.

Exclusion Criteria:

  • Known hypersensitivity reaction to the compounds or incorporated substances (e.g. everolimus or sirolimus [rapamycin] or lactose).
  • Concurrent immunotherapy or hormonal therapy (antihormonal, contraceptive and/or replacement therapy).
  • Need for chemotherapy or irradiation of bone metastasis during study treatment.
  • HER2 positive primary tumour and/or lesion.
  • Evidence of metastasis in other organs
  • Uncompensated diabetes mellitus; fasting value of blood sugar of >120 (mg/dl)
  • Corrected (adjusted for serum albumin) serum calcium concentration < 8.0 mg/dl (2.00 mmol/l) or > 12.0 mg/dl (3.00 mmol/l)
  • Abnormal renal function as evidenced by a calculated creatinine clearance < 30 ml/minute.
  • Life expectancy of less than 3 months.
  • Serious intercurrent medical or psychiatric illness that may interfere with the planned treatment (including AIDS and serious active infection).
  • History of other malignancy within the last 5 years which could affect the diagnosis or assessment of metastatic breast cancer.
  • Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational not marketed drug within 30 days prior to study entry.
  • Patients being treated with drugs recognized as being strong inhibitors or inducers of the isoenzyme CYP3A (e.g. rifabutin, rifampicin, clarithromycin, ketoconazole, itraconazole, ritonavir, telithromycin, erythromycin, verapamil, dilitazem) within the last 5 days or the expected need for these treatments during study participation.
  • Pregnant or nursing women.
  • The patient is not accessible for treatment and follow-up. Patients registered on this trial must be treated and followed at the participating centre which could be the Principal or Co-Investigator's site.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00466102

Contacts
Contact: Konstantin Reißmüller 0049-6102-7480 ext 438 konstantin.reissmueller@germanbreastgroup.de
Contact: Juliane Glötzner 0049-6102-7480 ext 306 radar@germanbreastgroup.de

Locations
Germany, Schleswig-Holstein
Prof. Dr. med. Nicolai Maass Recruiting
Kiel, Schleswig-Holstein, Germany, 24105
Sponsors and Collaborators
German Breast Group
Novartis
Investigators
Principal Investigator: Nicolai Maass, MD Universitätsfrauenklinik Kiel
  More Information

Related Info  This link exits the ClinicalTrials.gov site

Responsible Party: GBG Forschungs GmbH ( Dr. Sarah Burrack )
Study ID Numbers: GBG 41
Study First Received: April 25, 2007
Last Updated: November 21, 2008
ClinicalTrials.gov Identifier: NCT00466102  
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by German Breast Group:
Breast Cancer
Bone metastases as only metastatic site
Breast cancer, HER2 negative
Bone metastasis as only metastatic site
Pretreated with endocrine therapy
Up to one previous chemotherapy
Previous treatment with bisphosphonates allowed

Study placed in the following topic categories:
Everolimus
Diphosphonates
Skin Diseases
Neoplasm Metastasis
Breast Neoplasms
Breast Diseases

Additional relevant MeSH terms:
Neoplastic Processes
Neoplasms
Pathologic Processes
Neoplasms by Site
Immunologic Factors
Physiological Effects of Drugs
Immunosuppressive Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009