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RAD001 in Patients With Metastatic, Hormone-Refractory Prostate Cancer
This study is currently recruiting participants.
Verified by Duke University, February 2008
Sponsors and Collaborators: Duke University
Novartis
Information provided by: Duke University
ClinicalTrials.gov Identifier: NCT00629525
  Purpose

The purpose of this study is to determine the biochemical response rate (PSA) to single agent RAD001 in patients with metastatic hormone-refractory prostate cancer.


Condition Intervention Phase
Hormone Refractory Prostate Cancer
Drug: RAD001
Phase II

MedlinePlus related topics: Cancer Prostate Cancer
Drug Information available for: Everolimus
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment, Efficacy Study
Official Title: A Single Arm, Two Center, Phase II Study of RAD001 in Patients With Metastatic, Hormone-Refractory Prostate Cancer

Further study details as provided by Duke University:

Primary Outcome Measures:
  • Biochemical response rate [ Time Frame: every 4 weeks and when applicable ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Pathologic response defined as either a 50% or greater decrease in proliferation index or a 50% or greater increase in apoptotic index [ Time Frame: screening and again at 4 weeks ] [ Designated as safety issue: No ]
  • Functional extent of mTOR inhibition by changes in the phosphorylation status of S6K and CA IX protein in prostate tumors.(Molecular response). [ Time Frame: at screening and again at 4 weeks ] [ Designated as safety issue: No ]
  • To identify patient subsets more likely to respond to mTOR inhibition (Predictive response) [ Time Frame: at screening and again at 4 weeks ] [ Designated as safety issue: No ]
  • To determine the measurable response rate to RAD001 using RECIST criteria (Clinical response) [ Time Frame: every 2 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 60
Study Start Date: August 2005
Estimated Study Completion Date: March 2009
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
RAD001
Drug: RAD001
RAD001 at a dose of 10 mg PO daily

Detailed Description:

This is a single center, Phase II study of RAD001 in men with HRPC. The study design is a straight forward, two-stage design with tumor biopsies scheduled at screening and again at 4 weeks. FLT-PET scans are performed at screening and again at day 28, following initiation of treatment in the first 10 patients. Patients are assessed for adverse events every two weeks for the first month and monthly thereafter. Patients are assessed for response by PSA every 4 weeks and when applicable, for objective response every 2 months. If 4 or more responses are seen in the first 39 patients then the study will expand to 60 patients.

  Eligibility

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

Inclusion Criteria:

  • Histologically confirmed diagnosis of adenocarcinoma of the prostate
  • Clinical or radiographic evidence of metastatic disease
  • ADT using LHRH agonist (eg leuprolide, goserelin) must continue on therapy. However, ketoconazole, estrogens, and all other forms of hormonal manipulation are not permitted on study.
  • Evidence of disease progression on ADT as evidenced by:

    • 2 consecutive PSA levels 50% or greater above the PSA nadir achieved on ADT and separated at least 1 week apart, or
    • Radiographic evidence of disease progression defined by RECIST criteria and compared to prior studies on ADT.
  • A minimum of 6 weeks has elapsed off of anti-androgen therapy without withdrawal response.
  • A minimum of 4 weeks from any prior radiation therapy, surgery, chemotherapy or other investigational agent
  • Biopsies will not be performed if platelet counts < 75,000/ ul, PTT, PT or INR > 1.4 times control
  • Patients must have normal organ and marrow function as defined below:
  • hemoglobin > 9.0g/dL
  • absolute neutrophil count > 1,500/μl
  • platelets > 100,000/μl
  • total bilirubin < 1.5 X upper limit of normal (ULN)
  • AST(SGOT)/ALT(SGPT) < 2.5 X ULN
  • creatinine < 1.5 X ULN
  • total fasting cholesterol < 350
  • total triglycerides < 300
  • Patients on antilipid therapy may participate in this study.
  • Age > 18 years
  • ECOG performance status 0 or 1
  • Ability to swallow and retain oral medication
  • Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  • History of solid organ or stem cell transplantation
  • Also, no current use of chronic immunosuppressive therapy is allowed
  • Patients with known brain metastases (or history of brain metastases)
  • History of HIV, hepatitis B, or hepatitis C infection
  • Patients who have received investigational, biologic, hormonal (other than ADT), immunotherapy, or chemotherapy less than 4 weeks prior to entry on this study or have not recovered from the toxic effects of such therapy
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection (requiring antifungal, antibiotic or antiviral therapy), symptomatic congestive heart failure (NYHC III or greater), unstable angina pectoris, cardiac arrhythmia (uncontrolled SUT or any VT), or psychiatric illness/social situations that would limit compliance with study requirements
  • History of malabsorption syndrome, disease significantly affecting gastrointestinal function or major resection of the stomach or small bowel that could affect absorption, distribution, metabolism or excretion of study drugs.
  • Any unresolved bowel obstruction or diarrhea
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00629525

Contacts
Contact: Karla Morris, RN 919-668-8375 karla.morris@duke.edu

Locations
United States, North Carolina
Duke University MEdical Center Recruiting
Durham, North Carolina, United States, 27705
Principal Investigator: Daniel J George, MD            
Sponsors and Collaborators
Duke University
Novartis
Investigators
Principal Investigator: Daniel J George, MD Duke University Health System
  More Information

Responsible Party: Duke University Medical Center ( Daniel J George, MD )
Study ID Numbers: 7521
Study First Received: February 27, 2008
Last Updated: February 27, 2008
ClinicalTrials.gov Identifier: NCT00629525  
Health Authority: United States: Food and Drug Administration;   United States: Institutional Review Board

Study placed in the following topic categories:
Everolimus
Prostatic Diseases
Genital Neoplasms, Male
Urogenital Neoplasms
Genital Diseases, Male
Prostatic Neoplasms

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

ClinicalTrials.gov processed this record on January 16, 2009