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Sorafenib and RAD001 Renal Cell Carcinoma
This study is currently recruiting participants.
Verified by University of California, San Francisco, August 2008
Sponsors and Collaborators: University of California, San Francisco
Novartis
Information provided by: University of California, San Francisco
ClinicalTrials.gov Identifier: NCT00384969
  Purpose

The objective of the phase I part of the study is to determine the maximum tolerated dose and dose limiting toxicities of the combination of RAD001 and sorafenib in patients with untreated metastatic kidney cancer. Phase II part of the study will determine safety, response rate,progression free survival and time to disease progression in kidney cancer patients.


Condition Intervention Phase
Renal Cell Carcinoma
Drug: RAD001 and Sorafenib
Phase I
Phase II

MedlinePlus related topics: Cancer Kidney Cancer
Drug Information available for: Sorafenib Sorafenib tosylate Everolimus
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Active Control, Single Group Assignment, Safety Study
Official Title: A Phase I/II Study of Sorafenib and RAD001 in Patients With Metastatic Renal Cell Carcinoma

Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • Maximum tolerated dose [ Time Frame: weekly ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Objective response rate [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 73
Study Start Date: October 2006
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
RAD001 and Sorafenib
Drug: RAD001 and Sorafenib
RAD001 2.5mg to 10.0mg PO QD Sorafenib 400mg PO BID

Detailed Description:

Phase I of the study will be an open-label dose escalation study to determine the MTD of the combination of sorafenib and RAD001. There will be a 7-day sorafenib run-in period prior to starting of RAD001 during cycle 1 to determine the pharmacokinetic effect of adding RAD001 on sorafenib drug levels. Starting doses will be set at RAD001 2.5 mg PO QD and sorafenib 400mg PO BID, continuously. Cycle length will be 4 weeks. Between 3 and 18 patients will be treated in the phase I portion of this study.

In Phase II, 49 patients will be treated at the RP2D of the combination of RAD001 and sorafenib (including the 6 patients treated at the MTD on the phase I portion of this study). Patients will take the RP2 doses of sorafenib PO BID and RAD001 PO QD. Drug dosing will continue until disease progression or unacceptable toxicity.

  Eligibility

Ages Eligible for Study:   21 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Histologically- or cytologically-confirmed renal cell carcinoma containing predominant (>50%) clear cell histology, which is metastatic or unresectable
  2. Cytoreductive nephrectomy is allowed
  3. Evidence of RECIST-defined measurable disease (lesions that can be accurately measured in at least one dimension with the longest diameter ≥ 20mm using conventional techniques or ≥10 mm with spiral CT scan)
  4. Male or female at least 21 years old
  5. ECOG performance status 0-1
  6. Adequate bone marrow function:

    1. ANC ≥ 1500/uL
    2. platelet count ≥ 100,000/uL
    3. hemoglobin ≥ 9.0 g/dL
  7. Adequate hepatic function:

    1. Total bilirubin ≤ 1.5 X ULN
    2. AST (SGOT) ≤ 2.5 X ULN
    3. ALT (SGPT) ≤ 2.5 X ULN
  8. Adequate renal function as determined by either:

    1. Calculated or measured creatinine clearance ≥ 40 mL/min (for calculated creatinine clearance, Cockroft-Gault equation will be used) Modified Cockcroft-Gault formula: ((140 - age(yrs)) x (actual weight(kg))) / (72 x serum creatinine(mg/dl))

      * Multiply by another factor of 0.85 if female

    2. Serum creatinine ≤ 1.5 X ULN
  9. Able to swallow oral medications
  10. Resolution of any pre-existing toxicity from prior therapy to NCI CTCAE V3.0 ≤ grade 1
  11. Signed and dated informed consent document
  12. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
  13. More than 28 days since any prior therapy, including investigational agents and surgical procedures

Exclusion Criteria:

  1. Collecting duct, papillary, or chromophobe type renal cell carcinoma without a clear cell component are excluded. Transitional cell carcinoma of the renal pelvis is excluded
  2. No more than two prior systemic regimens for renal cell carcinoma
  3. Phase I: No prior treatment with sorafenib. Phase II: No prior treatment with prior anti-VEGF therapies, including sorafenib, sunitinib, thalidomide, or bevacizumab
  4. No prior treatment with RAD001, CCI-779, or similar agents
  5. Prior surgery, radiation therapy, or systemic therapy for renal cell carcinoma within 4 weeks of starting study treatment
  6. History of or known brain metastasis, spinal cord compression, or carcinomatous meningitis, or new evidence of brain or leptomeningeal disease on screening CT or MRI scan
  7. Any of the following within 12 months prior to study drug administration: myocardial infarction, unstable or severe angina, coronary or peripheral artery bypass graft, NYHA functional Class II, III, IV congestive heart failure, cerebrovascular accident or transient ischemic attack, or pulmonary embolism
  8. Hypertension that is unable to be controlled with medications
  9. Known human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS)-related illness
  10. "Currently active" second malignancy other than non-melanoma skin cancers. Patients are not considered to have a "currently active" malignancy if they have completed therapy and are considered to have a less than 30% risk of relapse
  11. Current treatment on another clinical trial
  12. Pregnant or breastfeeding
  13. Chronic treatment with systemic steroids or other immunosuppressive agent
  14. Patients with an active bleeding diathesis or on oral vitamin K antagonist medication (except low dose warfarin)
  15. History of malabsorption syndrome, disease significantly affecting gastrointestinal function or major resection of stomach or small bowel that could interfere with absorption, distribution, metabolism, or excretion of study drugs
  16. Any serious and/or unstable pre-existing medical, psychiatric, or other condition (including lab abnormalities) that could interfere with subject safety or obtaining informed consent. Examples of such include uncontrolled diabetes, nonhealing wound, severe infection, severe malnutrition, ventricular arrhythmias, active ischemic heart disease, chronic liver or renal disease, or active upper GI tract ulceration -
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00384969

Locations
United States, California
University of California, San Francisco Recruiting
San Francisco, California, United States, 94115
Contact: Julie Russell, RN     415-353-7085     julie.russell@ucsfmedctr.org    
Contact: Jay Trovato, RN     415-353-9268     jay.trovato@ucsfmedctr.org    
Principal Investigator: Andrea Harzstark, MD            
Sponsors and Collaborators
University of California, San Francisco
Novartis
Investigators
Principal Investigator: Andrea Harzstark, MD University of California, San Francisco
  More Information

Responsible Party: University of California, San Francisco ( Andrea Harzstark, MD )
Study ID Numbers: UCSF06523
Study First Received: October 3, 2006
Last Updated: August 5, 2008
ClinicalTrials.gov Identifier: NCT00384969  
Health Authority: United States: Food and Drug Administration

Keywords provided by University of California, San Francisco:
RAD001
Sorafenib
Renal Cell Carcinoma
Metastatic

Study placed in the following topic categories:
Everolimus
Urogenital Neoplasms
Renal cancer
Urologic Neoplasms
Kidney cancer
Carcinoma
Urologic Diseases
Kidney Neoplasms
Carcinoma, Renal Cell
Kidney Diseases
Adenocarcinoma
Sorafenib
Urinary tract neoplasm
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Therapeutic Uses
Physiological Effects of Drugs
Enzyme Inhibitors
Protein Kinase Inhibitors
Immunosuppressive Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009