Safety and Tolerability Profile of RAD001 Daily in Chinese Patients With Advanced Pulmonary Neuroendocrine Tumor

• Status: Unknown status
• Trial end date: 2012-01-01
• Target enrollment: 0
• Participant gender: All

Summary

RAD001 continues to be investigated as an anticancer agent on new indications such as neuroendocrine tumors (incl. carcinoid), breast cancer, liver cancer, gastric cancer and lymphoma based on its potential to act:

• directly on the tumor cells by inhibiting tumor cell growth and proliferation

• indirectly by inhibiting angiogenesis leading to reduced tumor vascularity (via potent inhibition of tumor cell HIF-1 activity and VEGF production and VEGF-induced proliferation of endothelial cells)

A role for RAD001 in combination with Sandostatin LAR® Depot in the treatment of advanced carcinoid tumor is suggested by data on the regulatory role of mTOR in cell growth and protein translation and the finding that somatostatin-induced growth arrest is mediated in part by inhibition of the PI3K pathway (Charland, et al. 2001).

The present study is designed to collect safety/tolerability data and evidences for efficacy of RAD001 in the medically highly unmet indication of advanced pulmonary neuroendocrine tumor in Chinese patients.

• Phase: Phase 1/Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Guangdong General Hospital; Guangdong Provincial People's Hospital
• Collaborator: Novartis
• Treatments: Everolimus; Sirolimus

Criteria

For carcinoid tumor

Inclusion Criteria:

• Histologically confirmed carcinoid tumors

• Newly diagnosed advanced carcinoid tumors

• Measurable tumors

• Chinese men and women, age ≥ 18 years

• ECOG performance status ≤ 2

• Written informed consent obtained

Exclusion Criteria:

• Patients with either clinically apparent central nervous system metastases or carcinomatous meningitis(non-clinical symptoms with brain lesions is eligible)

• Received Cytotoxic chemotherapy, immunotherapy or radiotherapy prior to enrollment

• Patients with a concurrent malignancy, or history of prior malignancy within the past three years, except for basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, treated early stage (T1a) prostate cancer or treated early stage (DCIS or LCIS) breast cancer

• Prior therapy with RAD001 or other mTOR inhibitors (sirolimus, temsirolimus, everolimus)

• Major surgery in the past two weeks

• Any medical condition resulting in >CTC grade 2 dyspnea

• Patients with recent hemoptysis associated with carcinoid tumor (> 1 teaspoon in a single episode within 4 weeks)

• Serious, severe or uncontrolled medical or psychiatric condition

• Patients receiving chronic treatment with corticosteroids or another immunosuppressive agent

• Patients with a known history of HIV seropositivity

• Women of childbearing potential must have had a negative serum pregnancy test within 3 days prior to the administration of RAD001

• Patients who have received an investigative drug or therapy within the last 30 days

For adenocarcinoma and Large cell lung cancer with significant neuroendocrine carcinoma characteristics

Inclusion Criteria:

• Histologically confirmed locally unresectable or advanced well differentiated （adenocarcinoma,squamous cancer and large cell lung cancer ）with significant neuroendocrine carcinoma characteristics tumors : CgA and/or Synaptophysin +(at least 10% of cells that would have to be positive ).( the pathology shows a neuroendocrine component histologically should be at least 10% of tissue within the specimen that is read as "neuroendocrine component").

• Measurable tumors

• Patients with newly diagnosed advanced cancer or progressed after 1st line treatment is eligible

• Chinese men and women, age ≥ 18 years

• ECOG performance status ≤ 2

• Written informed consent obtained

Exclusion Criteria:

• Patients with either clinically apparent central nervous system metastases or carcinomatous meningitis(non-clinical symptoms with brain lesions is eligible)

• Radiotherapy to primary tumor in lung lesions prior to enrollment

• Patients with a concurrent malignancy, or history of prior malignancy within the past three years, except for basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, treated early stage (T1a) prostate cancer or treated early stage (DCIS or LCIS) breast cancer

• Prior therapy with RAD001 or other mTOR inhibitors (sirolimus, temsirolimus, everolimus)

• Major surgery in the past two weeks

• Any medical condition resulting in > CTC grade 2 dyspnea

• Patients with recent hemoptysis associated with carcinoid tumor (> 1 teaspoon in a single episode within 4 weeks)

• Serious, severe or uncontrolled medical or psychiatric condition

• Patients receiving chronic treatment with corticosteroids or another immunosuppressive agent

• Patients with a known history of HIV seropositivity

• Women of childbearing potential must have had a negative serum pregnancy test within 3 days prior to the administration of RAD001

• Patients who have received an investigative drug or therapy within the last 30 days