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Study of efficacy and safety of everolimus in pediatric patients with Hodgkin lymphoma

Conditions
relapsed or refractory Hodgkin lymphoma
MedDRA version: 16.0Level: PTClassification code 10020206Term: Hodgkin's diseaseSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2013-000256-18-ES
Lead Sponsor
ovartis Farmacéutica S.A.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
30
Inclusion Criteria

1.Pediatric patients between the ages of 6 and 17 years old with classical Hodgkin lymphoma 2.Patients must meet one of the following:a.Patients eligible for ASCT must have documented progression after high-dose chemotherapy followed by autologous stem cells transplantation (ASCT), b. Patients ineligible for ASCT must be refractory to or progressed after at least two prior chemotherapy regimens; note: prior treatment with brentuximab vedotin is permitted
3.Prior therapy with at least one gemcitabine-, vinorelbine-, or vinblastine-containing regimen
4.Progressive HL on or within 12 months following the last treatment administration
5.ECOG performance status ?2

Other protocol defined inclusion criteria may apply
Are the trial subjects under 18? yes
Number of subjects for this age range: 30
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1.Concomitant anticancer therapy (monoclonal antibody, chemotherapy, or any investigational drug); 2. Concomitant immunosuppressive agents or chronic corticosteroids use, at the time of study entry with the following exceptions: Topical applications (e.g. rash), inhaled sprays (e.g. obstructive airways diseases), eye drops or local injections (e.g. intra-articular) are allowed;
3.Radiotherapy within four weeks prior to study entry. Patients must have recovered from radiotherapy toxicities prior to study entry;
4. Prior therapy with mTOR inhbitors (e.g. sirolimus, temsirolimus, deforolimus);
5. Previous treatment with an PI3K or AKT inhibitors;

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 estimate the overall response rate (ORR), defined as the percentage of patients who achieve a CR or PR according to the revised response criteria for malignant lymphoma;Secondary Objective: 1. Estimate time to response, duration of response<br>2. Estimate progression-free survival (PFS)<br>3. Estimate the disease control rate (DCR), defined as the percentage of patients who achieve a best overall response of CR, PR, or stable disease (SD),<br>4. Estimate overall survival (OS),<br>5. To evaluate pharmacokinetics<br>6. Safety;Primary end point(s): overall response rate (ORR);Timepoint(s) of evaluation of this end point: 6 months after Last patient first visit
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1. Time to response, duration of response<br>2. progression-free survival (PFS)<br>3. disease control rate (DCR)<br>4. overall survival (OS)<br>5. Everolimus exposure in terms of pre-dose concentration (Cmin), Dose-proportionality of Cmin<br>Relationship between everolimus Cmin and the responses (CR or PR vs SD, PD etc., as defined for the primary analysis)<br>6. Incidence of adverse events, incidence of SAEs, change in vital signs, change in laboratory results (hematology, blood chemistry, urinalysis, coagulation, lipid profile, pregnancy tests);Timepoint(s) of evaluation of this end point: 1. 6 months after Last patient first visit<br>2. 6 months after Last patient first visit<br>3. 6 months after Last patient first visit<br>4. 18 months after Last patient last visit<br>5. 6 months after Last patient first visit<br>6. At the time of the primary analysis and upon LPLV
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