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Everolimus as Second-line Therapy in Metastatic Renal Cell Carcinoma

Conditions
Metastatic Renal Cell Carcinoma
MedDRA version: 17.0Level: PTClassification code 10050513Term: Metastatic renal cell carcinomaSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2010-020447-13-BG
Lead Sponsor
ovartis Pharma Services AG
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
201
Inclusion Criteria

- Advanced renal cell carcinoma of a histological or cytological confirmation of clear cell (or with a component of clear cell) renal carcinoma that have previously progressed on or were intolerant to firstline therapy with sunitinib, sorafenib, pazopanib, axitinib, bevacizumab, or cytokine therapy
- Prior nephrectomy (partial or total)
- Patients with at least one measurable lesion at baseline as per the RECIST 1.0 criteria
- Karnofsky Performance Status = 70%
- Age = 18 years old

Other protocol-defined inclusion criteria may apply.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 100
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 101

Exclusion Criteria

- Patients who have received more than one prior treatment regimen for metastatic renal-cell carcinoma
- Patients who have received adjuvant therapy for RCC
- Patients who have previously received systemic mTOR inhibitors (eg, sirolimus, temsirolimus, everolimus)
- Patients with brain metastases
- Patients within 4 weeks post-major surgery, open biopsy, or significant traumatic injury to avoid wound healing complications.
- Patients who had radiation therapy within 4 weeks prior to start of study treatment (palliative radiotherapy to bone lesions allowed up to 2 weeks prior to study treatment start).
- Concurrent severe and/or uncontrolled medical conditions (e.g., uncontrolled diabetes, active or uncontrolled infection) that could cause unacceptable safety risks or compromise compliance with the protocol

Other protocol-defined exclusion criteria may apply.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To assess the progression-free survival (PFS) in patients who receive<br>everolimus as second-line treatment for metastatic renal cell carcinoma;Secondary Objective: - To assess the safety profile of everolimus for the overall study<br>population as well as for each first-line treatment cohort<br>- To assess the progression-free survival (PFS) separately for each firstline treatment cohort<br>- To assess the overall survival (OS) for patients treated with secondline therapy with everolimus, as well as for each first-line treatment cohort<br>- To assess the clinical benefit rate and duration of response in patients who receive everolimus in second-line setting, as well as for each firstline treatment cohort;Primary end point(s): Progression-free survival in patients who receive everolimus as secondline treatment for metastatic renal cell carcinoma;Timepoint(s) of evaluation of this end point: every 8 weeks until the occurrence of documented disease progression<br>per RECIST 1.0
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1- Safety profile of everolimus for the overall study population as well as<br>for each first-line treatment cohort.<br>2- Progression-free survival separately for each first-line treatment<br>cohort<br>3- Overall survival<br>4- Clinical benefit rate<br>5- Objective response rate<br>6- Duration of response;Timepoint(s) of evaluation of this end point: 1- Continuously<br>2- Every 8 weeks until the occurrence of documented disease<br>progression per RECIST 1.0<br>3- Continuously<br>4- Every 8 weeks until the occurrence of documented disease<br>progression per RECIST 1.0<br>5- Every 8 weeks until the occurrence of documented disease<br>progression per RECIST 1.0<br>6- Every 8 weeks until the occurrence of documented disease<br>progression per RECIST 1.0
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