Treatment of Patients With RAD001 With Progressive Sarcoma

Phase 2

Completed

Conditions: Progressive Sarcoma

Interventions: Drug: Everolimus

Registration Number: NCT00767819

Lead Sponsor: Novartis Pharmaceuticals

Brief Summary: The purpose of this multicenter, three-arm, exact binomial single-stage, phase II trial is to determine the preliminary efficacy and safety of RAD001 in patients with histological evidence of progressive or metastatic bone or soft tissue sarcoma.

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 71

Inclusion Criteria

Histological evidence of progressive or metastatic bone or soft tissue sarcoma.

The following tumor types are included:

malignant fibrous histiocytoma
liposarcoma
synovial sarcoma
malignant paraganglioma
fibrosarcoma
leiomyosarcoma
angiosarcoma including haemangiopericytoma
malignant peripheral nerve sheath tumor
STS, not otherwise specified
miscellaneous sarcoma including mixed mesodermal tumors of the uterus
osteosarcoma
Ewing's sarcoma
rhabdomyosarcoma
gastrointestinal stromal tumor (only after failure or intolerance of imatinib or sunitinib in 1st and 2nd line)
alveolar soft part sarcoma (ASPS)
- Objective progression of disease may be documented by RECIST criteria. Any of the following would be sufficient according to RECIST:
a 20% increase in the sum of unidimensionally measured target lesions
a new lesion
unequivocal increase in non-measurable disease.
- Patients must have disease not amenable to surgery, radiation, or combined modality therapy with curative intent.
- ECOG performance status 0 - 2.

Exclusion Criteria

Anticancer therapy within 3 weeks of enrollment including chemotherapy, hormonal therapy, immunotherapy, or radiotherapy.

The following tumor types will not be included:
- gastrointestinal stromal tumor (except for patients after treatment with imatinib or sunitinib in 1st and 2nd line)
- chondrosarcoma
- malignant mesothelioma
- neuroblastoma.
Prior therapy with RAD001 (everolimus) or other rapamycins (sirolimus, temsirolimus).
Neurotoxicity > grade 2 CTC.
Radiation of the lung.

Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Arm 1	Everolimus	Progressive or metastatic bone or soft tissue sarcomas
Arm 3	Everolimus	Progressive or metastatic alveolar soft part sarcoma (ASPS)
Arm 2	Everolimus	Progressive gastrointestinal stromal tumors (GIST) after failure of prior imatinib and sunitinib 1st and 2nd line

Primary Outcome Measures

Name	Time	Method
Best Overall Response Rates by Week 16 (ITT)	Baseline up to 16 weeks	The best overall response is the best response recorded from treatment start until disease progression/recurrence (both measurement and confirmation criteria). Best lesion response was defined by (Resist Criteria V1 for target and non-target lesions): Complete Response (CR)=at least two determinations of CR 4 weeks apart before progression, Partial Response (PR)=at least two determinations of CR 4 weeks apart before progression (and not qualifying for a CR), Stable Disease (SD)=at least one SD assessment \>6 weeks after start of treatment and Progressive Disease (PD)=Progression or death due to underlying cancer ≤16 weeks after start of treatment. PD without radiologic evidence were classified as progression only, when clear evidence of clinical deterioration was available and patient discontinued due to "disease progression". Unknown (UNK) = all other cases.

Secondary Outcome Measures

Name	Time	Method
Time to Progression (TTP) (ITT)	Baseline up to 16 weeks	Time to progression (TTP) was defined as the time from the date of start of treatment to the date of event defined as the first documented progression or death from underlying disease. If a patient had not had an event, TTP was censored at the date of the last adequate tumor assessment, which was the date of Visit 6 (Week 16) for the core phase and the last available tumor assessment for the follow-up phase. TTP was explored by using the Kaplan-Meier method.
Percentage of Participants With Overall Survival (OS) at Week 16 (ITT)	Baseline up to 16 weeks	Overall survival (OS) was defined as the time from the date of start of treatment to death from any cause. If a patient was not known to have died (was alive), OS was censored at the date of the last contact, which was the date of Visit 6 (Week 16) for the core phase and the last available visit for the follow-up phase. OS was explored by using the Kaplan-Meier method. One death occurred in Arm 3 after Week 16.
Objective Tumor Response Rates (Complete Response and Partial Response) at Week 16 (ITT)	Baseline up to approximately 16 weeks	The best overall response is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for PD the smallest measurements recorded since the treatment started). In general, the patient's best response assignment will depend on the achievement of both measurement and confirmation criteria. Best lesion response was defined by (Resist Criteria V1 for target and non-target lesions).
Percentage of Participants With Progression-free Survival (PFS) at 16 Weeks	16 weeks	Progression-free Survival (PFS) was defined as the time from the date of start of treatment to the date of event defined as the first documented progression or death from any cause. If a patient had not had an event, PFS was censored at the date of the last adequate tumor assessment at week 16
Percentage of Participants With Duration of Response (CR, PR, SD) at 16 Weeks.	Baseline up to 16 weeks	Duration of response (CR, PR or SD) applied only to those patients whose best overall response was CR, PR or SD based on local radiologic assessments and was defined as the time from start of treatment to progression or death from underlying disease. Patients not experiencing progression or death at 16 weeks were censored with the date of their last tumor assessment. Duration of response was explored using the Kaplan-Meier method.