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Phase I/Randomized Phase II Study of Second Line Therapy With Irinotecan + Cetuximab +/- RAD001 for Colorectal Cancer
This study is currently recruiting participants.
Verified by Hoosier Oncology Group, January 2009
First Received: August 28, 2007   Last Updated: January 22, 2009   History of Changes
Sponsors and Collaborators: Hoosier Oncology Group
Novartis Pharmaceuticals
Pfizer
Information provided by: Hoosier Oncology Group
ClinicalTrials.gov Identifier: NCT00522665
  Purpose

The addition of RAD001, an mTOR inhibitor, to irinotecan and anti-EGFR antibody cetuximab may increase efficacy for patients with metastatic colorectal cancer who progressed on prior chemotherapy. This approach is biologically directed to overall target the cancer cell at multiple levels, and potentially preventing chemotherapy and EGFR-therapy resistance.


Condition Intervention Phase
Colorectal Cancer
Drug: Irinotecan
Biological: Cetuximab
Biological: RAD001
Phase I
Phase II

MedlinePlus related topics: Cancer Colorectal Cancer
Drug Information available for: Irinotecan U 101440E Irinotecan hydrochloride Everolimus Cetuximab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Uncontrolled, Crossover Assignment, Safety/Efficacy Study
Official Title: Phase I / Randomized Phase II Study of Second Line Therapy With Irinotecan and Cetuximab With or Without RAD001, an Oral mTOR Inhibitor for Patients With Metastatic Colorectal Cancer: Hoosier Oncology Group GI05-102

Further study details as provided by Hoosier Oncology Group:

Primary Outcome Measures:
  • To determine the MTD of RAD001 in combination with irinotecan and cetuximab as second line therapy in patients with metastatic colorectal cancer [ Time Frame: Phase I ] [ Designated as safety issue: Yes ]
  • To evaluate the objective response (CR or PR) rates of patients treated with irinotecan and cetuximab with or without RAD001 in patients with metastatic colorectal cancer [ Time Frame: Phase II ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To evaluate the pharmacokinetic (PK) profile for RAD001 after one cycle of therapy, on cycle 2 day 1 [ Time Frame: Phase I ] [ Designated as safety issue: No ]
  • To evaluate the time to progression, duration of objective response (CR or PR) and overall survival of patients treated with irinotecan and cetuximab with or without RAD001 [ Time Frame: Phase II ] [ Designated as safety issue: No ]

Estimated Enrollment: 110
Study Start Date: August 2007
Estimated Study Completion Date: August 2009
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Active Comparator Drug: Irinotecan
Irinotecan 125 mg/m2 IV days 1 and 8
Biological: Cetuximab
Cetuximab 250mg/m2 IV days 1, 8 and 15
Biological: RAD001
Patients on Arm A will crossover and receive RAD001 at disease progression
B: Active Comparator Drug: Irinotecan
Irinotecan 125 mg/m2 IV days 1 and 8
Biological: Cetuximab
Cetuximab 250mg/m2 IV days 1, 8 and 15
Biological: RAD001
Patients on Arm A will crossover and receive RAD001 at disease progression

  Show Detailed Description

  Eligibility

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

Inclusion Criteria:

  • Histological or cytological proof of colon or rectal adenocarcinoma
  • Measurable site of disease according to RECIST that has not been previously irradiated
  • Must have metastatic colorectal cancer which progressed after first line chemotherapy +/- bevacizumab
  • Blood sample collected within 21 days prior to being registered for protocol therapy for UTG1A1 genotype analysis. (Patients with the UGT1A1 *28 7/7 genotype (homozygosity for the TA7 allele) will be excluded from the Phase I stage of the study. During the Phase II stage of the study, subjects will be allowed to participate but must begin treatment at dose level -1 of irinotecan.)
  • A history of other malignancies (non-colorectal) is allowed, provided it has been curatively treated and demonstrates no evidence for recurrence of that cancer
  • Prior radiation therapy allowed to < 25% of the bone marrow
  • Age ≥ 18 years at the time of consent
  • Written informed consent and HIPAA authorization for release of personal health information
  • Females of childbearing potential and males must be willing to use an effective method of contraception
  • Females of childbearing potential must have a negative pregnancy test within 7 days of being registered for protocol therapy

Exclusion Criteria:

  • No more than one prior chemotherapy regimen for metastatic colorectal cancer, at least 28 days prior to being registered for protocol therapy
  • No prior treatment with cetuximab
  • No prior treatment with an mTOR inhibitor
  • No known hypersensitivity to cetuximab, RAD001 (everolimus), other rapamycins (sirolimus, temsirolimus) or to its excipients
  • No treatment with any investigational agent within 28 days prior to being registered for protocol therapy
  • No symptomatic brain metastasis
  • No uncontrolled diabetes as defined by a fasting serum glucose >1.5 x ULN
  • No chronic treatment with systemic steroids or another immuno-suppressive agent
  • No serious non-healing wound, ulcer, bone fracture, major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to being registered for protocol therapy
  • No liver disease such as cirrhosis, chronic active hepatitis or chronic persistent hepatitis
  • No active bleeding or a pathological condition that is associated with a high risk of bleeding
  • No uncontrolled systemic disease including active infections or uncontrolled hypertension
  • No known history of HIV seropositivity
  • No impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection)
  • No nonmalignant medical illnesses that are uncontrolled or whose control may be jeopardized by the treatment with protocol therapy
  • No planned immunization with attenuated live viruses during the study period
  • Females must not be breastfeeding
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00522665

Contacts
Contact: Gabriela Chiorean, M.D. 317-278-6942 gchiorea@iupui.edu
Contact: Jayme Harvey 317-921-2050 harveyj@iupui.edu

Locations
United States, Indiana
Indiana University Simon Cancer Center Recruiting
Indianapolis, Indiana, United States, 46202
Contact: Gabriela Chiorean, M.D.     317-274-6942     gchiorea@iupui.edu    
Contact: Kerry Bridges     317-274-2552     kdbridge@iupui.edu    
Northern Indiana Cancer Research Consortium Recruiting
South Bend, Indiana, United States, 46601
Contact: Jose Bufill, M.D.     574-234-5123        
Contact: Susan Haithcox, R.N.     (574) 647-7977     shaithcox@memorialsb.org    
United States, Missouri
Siteman Cancer Center Recruiting
St. Louis, Missouri, United States, 63110
Contact: Joel Picus, M.D.     314-747-1367        
Contact: Henry Robinson     314-747-1375     hrobinso@im.wustl.edu    
Sponsors and Collaborators
Hoosier Oncology Group
Novartis Pharmaceuticals
Pfizer
Investigators
Study Chair: Gabriela Chiorean, M.D. Hoosier Oncology Group, Inc.
  More Information

Additional Information:
No publications provided

Responsible Party: Hoosier Oncology Group ( Elena Gabriela Chiorean, M.D. )
Study ID Numbers: GI05-102
Study First Received: August 28, 2007
Last Updated: January 22, 2009
ClinicalTrials.gov Identifier: NCT00522665     History of Changes
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Everolimus
Digestive System Neoplasms
Immunologic Factors
Gastrointestinal Diseases
Colonic Diseases
Irinotecan
Cetuximab
Intestinal Diseases
Immunosuppressive Agents
Rectal Diseases
Intestinal Neoplasms
Digestive System Diseases
Gastrointestinal Neoplasms
Antineoplastic Agents, Phytogenic
Colorectal Neoplasms

Additional relevant MeSH terms:
Everolimus
Digestive System Neoplasms
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Gastrointestinal Diseases
Physiological Effects of Drugs
Colonic Diseases
Irinotecan
Cetuximab
Enzyme Inhibitors
Intestinal Diseases
Immunosuppressive Agents
Rectal Diseases
Pharmacologic Actions
Intestinal Neoplasms
Neoplasms
Neoplasms by Site
Digestive System Diseases
Therapeutic Uses
Gastrointestinal Neoplasms
Antineoplastic Agents, Phytogenic
Colorectal Neoplasms

ClinicalTrials.gov processed this record on May 07, 2009