Main
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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
Register:
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ClinicalTrials.gov |
Last refreshed on:
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12 December 2020 |
Main ID: |
NCT01880749 |
Date of registration:
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11/06/2013 |
Prospective Registration:
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No |
Primary sponsor: |
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Public title:
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Exploring the Activity of RAD001 in Vestibular Schwannomas and Meningiomas
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Scientific title:
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Exploring the Activity of RAD001 in Vestibular Schwannomas and Meningiomas |
Date of first enrolment:
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June 2013 |
Target sample size:
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5 |
Recruitment status: |
Completed |
URL:
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https://clinicaltrials.gov/show/NCT01880749 |
Study type:
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Interventional |
Study design:
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Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Other. Masking: None (Open Label).
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Phase:
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Early Phase 1
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Countries of recruitment
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United States
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Contacts
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Name:
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Theodore Nicolaides, MD |
Address:
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Telephone:
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Email:
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Affiliation:
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NYU Langone Health |
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Key inclusion & exclusion criteria
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Inclusion Criteria:
- Patients must satisfy all of the following eligibility criteria:
- Karnofsky performance status (KPS) = 60%
- Absolute neutrophil count = 1,000/mm³ (unsupported)
- Platelet count = 100,000/mm³ (unsupported)
- Hemoglobin = 8 g/dl (transfusion support allowed)
- Creatinine = 1.5 times upper limit of normal (ULN*) OR corrected glomerular filtration
rate = 70 ml/min
- Total bilirubin = 1.5 times ULN*
- ALT = 2.5 times ULN*
- Serum albumin = 2 g/dl
- INR < 1.3 (or < 3 on anticoagulants)
- Patients taking a cholesterol-lowering agent must be on a single medication and on a
stable dose for at least 4 weeks
- Fasting serum cholesterol = 300 mg/dl OR = 7.75 mmol/l AND fasting triglycerides = 2.5
times ULN*.
- Fully recovered from acute toxic effects of any prior chemotherapy, biological
modifiers or radiotherapy
- Any neurologic deficits must be stable for = 1 week
- Patients with the potential for pregnancy or impregnating their partner must agree to
follow acceptable birth control methods to avoid conception. Women of childbearing
potential must have a negative pregnancy test. The anti-proliferative activity of this
experimental drug may be harmful to the developing fetus.
- Able to provide written informed consent
Exclusion Criteria:
- Patients with any of the following are ineligible for this research study:
- Patients with VS or meningiomas deemed very high surgical risk for stroke and/or other
complications by the attending surgeon, such as meningiomas with major vascular or
dural sinus infiltration.
- Patients with serious concurrent infection or medical illness, which would jeopardize
the ability of the patient to receive the treatment outlined in this protocol with
reasonable safety.
- Symptomatic congestive heart failure or unstable angina pectoris.
- Uncontrolled diabetes, as defined by fasting serum glucose >1.5 times ULN*.
- Current active hepatic or biliary disease such as cirrhosis, chronic active hepatitis,
or chronic persistent hepatitis (with exception of patients with Gilbert's syndrome
and asymptomatic gallstones).
- History of hepatitis B or C. Note: A detailed assessment of hepatitis B/C medical
history and risk factors must be done at screening for all patients. HBV serology, DNA
and/or HCV RNA PCR testing are required at screening for all patients with a positive
medical history based on risk factors and/or confirmation of prior HBV/HCV infection.
If no positive medical history for risk factors, serology is not required.
- Seropositivity or DNA/RNA positivity for hepatitis B or C, with the exception of
patients who have received prior Hepatitis B vaccination and are Anti-HBs positive
only.
- Known HIV seropositivity
- Neurologic deficits that are rapidly progressing: all neurologic signs and symptoms
must have been stable for a week prior to first dose
- Patients who are pregnant or breast-feeding. The anti-proliferative activity of this
experimental drug may be harmful to the developing fetus or nursing infant.
- Anti-tumor therapy (i.e. chemotherapeutics or investigational agents or immunotherapy)
within 4 weeks prior to enrollment
- Radiation therapy to a study target lesion within 6 months
- Prior therapy with mTOR inhibitors, including sirolimus, temsirolimus, deforolimus
within 6 months prior to enrollment
- Known hypersensitivity to RAD001 or other rapamycins (sirolimus, temsirolimus,
deforolimus)
- Patients with a concurrent malignancy
- Patients treatment with systemic steroids or another immunosuppressive agent. Patients
with endocrine deficiencies are allowed to receive physiologic or stress doses of
steroids if necessary.
- Patients cannot receive CYP3A4 inhibiting drugs including antibiotics (clarithromycin,
erythromycin, troleandomycin), anti-HIV agents (delaviridine, nelfinavir, amprenavir,
ritonavir, indinavir, saquinavir, lopinavir), antifungals (itraconazole, ketoconazole,
fluconazole at doses > 200 mg/day, voriconazole), antidepressants (nefazodone,
fluovoxamine), calcium channel blockers (verapamil, diltiazem) oramiodarone
- Patients should avoid CYP3A4 inhibiting foods including grapefruit and Seville orange
juice.
- Patients cannot receive CYP3A4 inducing anticonvulsants including carbamazepine,
felbamate, phenobarbital, phenytoin, primidone and oxcarbazepine, or other CYP3A4
inducers such as St. John's Wort
- Patients who previously received CYP3A4 inducers or inhibitors must have discontinued
these medications within at least 1 week prior to study entry and can re-start them 1
week post-operatively (or earlier if determined to be of clinical benefit, as
determined by the treating physician).
- of institutional norms
Age minimum:
18 Years
Age maximum:
N/A
Gender:
All
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Health Condition(s) or Problem(s) studied
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Neurofibromatosis Type 2
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Vestibular Schwannomas
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Meningiomas
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Intervention(s)
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Drug: RAD001
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Primary Outcome(s)
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Proportions of VS and meningiomas after exposure to RAD001
[Time Frame: 10 days]
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Source(s) of Monetary Support
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Please refer to primary and secondary sponsors
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Results
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Results available:
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Date Posted:
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Date Completed:
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URL:
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