Trial Outcomes & Findings for Everolimus in Treating Patients With Lymphoma That Has Relapsed or Not Responded to Previous Treatment (NCT NCT00436618)

NCT ID: NCT00436618

Last Updated: 2019-10-22

Results Overview

CLL (subset of patients in the Relapsed Indolent Non-Hodgkin Lymphoma group): 50% decrease in peripheral blood lymphocytes, lymphadenopathy, liver/spleen size, presence/absence of constitutional symptoms; plus ≥1 of the following: ≥1500/μL polymorphonuclear leukocytes, \>100000/μL platelets, \>11.0 g/dL hemoglobin or 50% improvement for these parameters without transfusions. Waldenstrom (subset of patients in the Uncommon Lymphomas group): \>50% reduction in serum immunoglobulin M(IgM) levels (by serum protein electrophoresis (SPEP)) during any point while in this study, and no appearance of new lesions. All others: at least a 50% decrease in the sum of the products of the greatest diameters (SPD) of the six largest dominant nodes or nodal masses and no increase in the size of other nodes, liver, or spleen and splenic and hepatic nodules must regress by at least 50% in the SPD and no new sites of disease.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

277 participants

Primary outcome timeframe

5 years

Results posted on

2019-10-22

Participant Flow

277 patients were accrued from 4 medical clinics in the United States between August 2005 and May 2010. One patient withdrew before starting treatment and thus excluded from the results.

Participant milestones

Participant milestones
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Overall Study
STARTED
114
55
107
Overall Study
COMPLETED
84
28
46
Overall Study
NOT COMPLETED
30
27
61

Reasons for withdrawal

Reasons for withdrawal
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Overall Study
Withdrawal by Subject
5
8
11
Overall Study
Adverse Event
8
8
9
Overall Study
Alternate Treatment
3
4
12
Overall Study
Other Medical Problems
3
1
7
Overall Study
Death
4
2
3
Overall Study
New Primary or Other Reasons
6
2
12
Overall Study
Still on treatment
1
2
7

Baseline Characteristics

Everolimus in Treating Patients With Lymphoma That Has Relapsed or Not Responded to Previous Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
n=114 Participants
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
n=55 Participants
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
n=107 Participants
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Total
n=276 Participants
Total of all reporting groups
Age, Continuous
70 years
n=93 Participants
67 years
n=4 Participants
60 years
n=27 Participants
66 years
n=483 Participants
Sex: Female, Male
Female
41 Participants
n=93 Participants
25 Participants
n=4 Participants
28 Participants
n=27 Participants
94 Participants
n=483 Participants
Sex: Female, Male
Male
73 Participants
n=93 Participants
30 Participants
n=4 Participants
79 Participants
n=27 Participants
182 Participants
n=483 Participants
Region of Enrollment
United States
114 participants
n=93 Participants
55 participants
n=4 Participants
107 participants
n=27 Participants
276 participants
n=483 Participants
Hodgkin versus Non-Hodgkin Lymphoma
Hodgkin Lymphoma
0 participants
n=93 Participants
0 participants
n=4 Participants
29 participants
n=27 Participants
29 participants
n=483 Participants
Hodgkin versus Non-Hodgkin Lymphoma
Non-Hodgkin Lymphoma
114 participants
n=93 Participants
55 participants
n=4 Participants
78 participants
n=27 Participants
247 participants
n=483 Participants

PRIMARY outcome

Timeframe: 5 years

Population: 276 out of 277 were analyzed for response. One patient was excluded because of patient refusal before starting treatment.

CLL (subset of patients in the Relapsed Indolent Non-Hodgkin Lymphoma group): 50% decrease in peripheral blood lymphocytes, lymphadenopathy, liver/spleen size, presence/absence of constitutional symptoms; plus ≥1 of the following: ≥1500/μL polymorphonuclear leukocytes, \>100000/μL platelets, \>11.0 g/dL hemoglobin or 50% improvement for these parameters without transfusions. Waldenstrom (subset of patients in the Uncommon Lymphomas group): \>50% reduction in serum immunoglobulin M(IgM) levels (by serum protein electrophoresis (SPEP)) during any point while in this study, and no appearance of new lesions. All others: at least a 50% decrease in the sum of the products of the greatest diameters (SPD) of the six largest dominant nodes or nodal masses and no increase in the size of other nodes, liver, or spleen and splenic and hepatic nodules must regress by at least 50% in the SPD and no new sites of disease.

Outcome measures

Outcome measures
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
n=114 Participants
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
n=55 Participants
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
n=107 Participants
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Tumor Response, Defined by Disease: Chronic Lymphocytic Leukemia(CLL): Clinical Complete or Complete or Nodular Partial or Partial Remission, Waldenstrom: Complete or Partial Response, All Others: Complete or Complete Unconfirmed or Partial Response.
26 percentage of patients in group
Interval 19.0 to 35.0
35 percentage of patients in group
Interval 22.0 to 49.0
49 percentage of patients in group
Interval 39.0 to 58.0

SECONDARY outcome

Timeframe: 5 years

Population: 276 out of 277 were analyzed for response. One patient was excluded because of patient refusal before starting treatment.

The overall survival or survival time is defined as the time from registration to death due to any cause. The distribution of overall survival was estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
n=114 Participants
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
n=55 Participants
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
n=107 Participants
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Overall Survival
0.66 years
Interval 0.44 to 0.99
2.45 years
Interval 1.04 to 4.97
3.41 years
Interval 2.31 to 5.13

SECONDARY outcome

Timeframe: 5 years

Population: 276 out of 277 were analyzed for response. One patient was excluded because of patient refusal before starting treatment.

Progression-free survival is defined as the time from registration to the time of progression or death due to any cause. Progression-free survival was estimated using the method of Kaplan-Meier. Progression is defined as the following: CLL (subset of patients in the Relapsed Indolent Non-Hodgkin Lymphoma group): \>=50% increase in nodes from nadir or \>=50% increase in liver/spleen size from nadir. Waldenstrom (subset of patients in the Uncommon Lymphomas group): \>50% lymph node increase in SPD of \> 1 node or new nodes, or \>50% liver/spleen size increase, or \> 25% IgM (by SPEP) increase, or lymphocyte morphology transformation to a more aggressive histology. All Others: New lesions or \>=50% lymph nodes.

Outcome measures

Outcome measures
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
n=114 Participants
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
n=55 Participants
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
n=107 Participants
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Progression-free Survival
0.18 years
Interval 0.16 to 0.27
0.60 years
Interval 0.41 to 1.03
0.79 years
Interval 0.52 to 1.09

SECONDARY outcome

Timeframe: 5 years

Population: 276 out of 277 were analyzed for response. One patient was excluded because of patient refusal before starting treatment.

The time to progression is defined as the time from registration to the time of progression. The distribution of time to progression was estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
n=114 Participants
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
n=55 Participants
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
n=107 Participants
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Time to Progression
0.18 years
Interval 0.16 to 0.29
0.60 years
Interval 0.42 to 1.16
0.90 years
Interval 0.62 to 1.49

Adverse Events

Relapsed Aggressive Non-Hodgkin Lymphoma

Serious events: 38 serious events
Other events: 113 other events
Deaths: 0 deaths

Relapsed Indolent Non-Hodgkin Lymphoma

Serious events: 11 serious events
Other events: 55 other events
Deaths: 0 deaths

Uncommon Lymphomas

Serious events: 25 serious events
Other events: 107 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
n=114 participants at risk
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
n=55 participants at risk
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
n=107 participants at risk
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Blood and lymphatic system disorders
Febrile neutropenia
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Blood and lymphatic system disorders
Hemoglobin decreased
1.8%
2/114 • Number of events 2
0.00%
0/55
4.7%
5/107 • Number of events 6
Cardiac disorders
Atrial tachycardia
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Cardiac disorder
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Cardiac disorders
Cardiopulmonary arrest
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Cardiac disorders
Myocardial ischemia
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Restrictive cardiomyopathy
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Ventricular tachycardia
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Abdominal pain
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Colonic perforation
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Diarrhea
1.8%
2/114 • Number of events 2
0.00%
0/55
1.9%
2/107 • Number of events 3
Gastrointestinal disorders
Gastritis
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Intra-abdominal hemorrhage
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Mucositis oral
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Nausea
2.6%
3/114 • Number of events 3
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Upper gastrointestinal hemorrhage
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Vomiting
2.6%
3/114 • Number of events 3
0.00%
0/55
0.00%
0/107
General disorders
Disease progression
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
General disorders
Fatigue
0.00%
0/114
0.00%
0/55
1.9%
2/107 • Number of events 2
General disorders
Fever
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Hepatobiliary disorders
Cholecystitis
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Immune system disorders
Hypersensitivity
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Biliary tract infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Colitis, infectious (e.g., Clostridium difficile)
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Gingival infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Opportunistic infection
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Infections and infestations
Pneumonia
4.4%
5/114 • Number of events 5
7.3%
4/55 • Number of events 5
3.7%
4/107 • Number of events 4
Infections and infestations
Sepsis
0.88%
1/114 • Number of events 1
3.6%
2/55 • Number of events 2
2.8%
3/107 • Number of events 3
Infections and infestations
Skin infection
0.88%
1/114 • Number of events 1
0.00%
0/55
1.9%
2/107 • Number of events 2
Infections and infestations
Upper respiratory infection
1.8%
2/114 • Number of events 2
0.00%
0/55
2.8%
3/107 • Number of events 5
Infections and infestations
Urinary tract infection
1.8%
2/114 • Number of events 2
0.00%
0/55
0.00%
0/107
Injury, poisoning and procedural complications
Fracture
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Investigations
Creatinine increased
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 1
Investigations
Leukocyte count decreased
2.6%
3/114 • Number of events 3
0.00%
0/55
0.93%
1/107 • Number of events 1
Investigations
Neutrophil count decreased
4.4%
5/114 • Number of events 5
5.5%
3/55 • Number of events 3
1.9%
2/107 • Number of events 2
Investigations
Platelet count decreased
13.2%
15/114 • Number of events 17
9.1%
5/55 • Number of events 7
11.2%
12/107 • Number of events 18
Metabolism and nutrition disorders
Blood glucose increased
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Metabolism and nutrition disorders
Dehydration
2.6%
3/114 • Number of events 3
0.00%
0/55
0.00%
0/107
Metabolism and nutrition disorders
Serum calcium decreased
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Metabolism and nutrition disorders
Serum potassium decreased
1.8%
2/114 • Number of events 2
0.00%
0/55
0.00%
0/107
Metabolism and nutrition disorders
Serum sodium decreased
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
1.8%
2/114 • Number of events 2
0.00%
0/55
0.00%
0/107
Nervous system disorders
Ischemia cerebrovascular
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Nervous system disorders
Speech disorder
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Psychiatric disorders
Confusion
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Psychiatric disorders
Depression
0.00%
0/114
1.8%
1/55 • Number of events 1
0.93%
1/107 • Number of events 1
Renal and urinary disorders
Renal failure
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Renal and urinary disorders
Urethral obstruction
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/114
1.8%
1/55 • Number of events 1
1.9%
2/107 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Vascular disorders
Hypertension
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Vascular disorders
Hypotension
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Vascular disorders
Thrombosis
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107

Other adverse events

Other adverse events
Measure
Relapsed Aggressive Non-Hodgkin Lymphoma
n=114 participants at risk
Study 1. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Relapsed Indolent Non-Hodgkin Lymphoma
n=55 participants at risk
Study 2. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Uncommon Lymphomas
n=107 participants at risk
Study 3. Includes Hodgkin's lymphomas. Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time. Everolimus : Everolimus 10 mg orally daily for 4 week cycle. Repeat until progression, unacceptable toxicity, refusal, or alternative therapy at any time.
Injury, poisoning and procedural complications
Vascular access complication
0.00%
0/114
0.00%
0/55
1.9%
2/107 • Number of events 2
Investigations
Alanine aminotransferase increased
0.00%
0/114
0.00%
0/55
1.9%
2/107 • Number of events 5
Investigations
Alkaline phosphatase increased
0.88%
1/114 • Number of events 1
0.00%
0/55
4.7%
5/107 • Number of events 12
Investigations
Aspartate aminotransferase increased
7.0%
8/114 • Number of events 12
5.5%
3/55 • Number of events 3
1.9%
2/107 • Number of events 7
Investigations
Cardiac troponin I increased
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Investigations
Creatinine increased
2.6%
3/114 • Number of events 3
0.00%
0/55
4.7%
5/107 • Number of events 5
Investigations
Leukocyte count decreased
61.4%
70/114 • Number of events 190
45.5%
25/55 • Number of events 78
62.6%
67/107 • Number of events 285
Investigations
Lymphocyte count decreased
0.00%
0/114
1.8%
1/55 • Number of events 2
0.00%
0/107
Investigations
Neutrophil count decreased
54.4%
62/114 • Number of events 106
45.5%
25/55 • Number of events 58
47.7%
51/107 • Number of events 148
Investigations
Platelet count decreased
79.8%
91/114 • Number of events 380
72.7%
40/55 • Number of events 177
69.2%
74/107 • Number of events 375
Investigations
Serum cholesterol increased
10.5%
12/114 • Number of events 21
10.9%
6/55 • Number of events 13
6.5%
7/107 • Number of events 16
Investigations
Weight loss
3.5%
4/114 • Number of events 4
1.8%
1/55 • Number of events 2
4.7%
5/107 • Number of events 14
Metabolism and nutrition disorders
Anorexia
7.9%
9/114 • Number of events 10
5.5%
3/55 • Number of events 3
3.7%
4/107 • Number of events 5
Metabolism and nutrition disorders
Blood glucose increased
23.7%
27/114 • Number of events 45
14.5%
8/55 • Number of events 19
14.0%
15/107 • Number of events 31
Metabolism and nutrition disorders
Blood uric acid increased
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Metabolism and nutrition disorders
Dehydration
0.88%
1/114 • Number of events 1
3.6%
2/55 • Number of events 2
0.93%
1/107 • Number of events 1
Metabolism and nutrition disorders
Glucose intolerance
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Metabolism and nutrition disorders
Serum albumin decreased
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/114
0.00%
0/55
2.8%
3/107 • Number of events 4
Blood and lymphatic system disorders
Hemoglobin decreased
93.9%
107/114 • Number of events 426
89.1%
49/55 • Number of events 207
96.3%
103/107 • Number of events 770
Cardiac disorders
Atrial fibrillation
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Cardiac disorder
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Cardiac disorders
Cardiac pain
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Cardiac disorders
Left ventricular failure
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 3
Cardiac disorders
Myocardial ischemia
0.00%
0/114
0.00%
0/55
1.9%
2/107 • Number of events 2
Cardiac disorders
Myocarditis
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Palpitations
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Restrictive cardiomyopathy
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Supraventricular tachycardia
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Cardiac disorders
Ventricular tachycardia
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Ear and labyrinth disorders
Hearing impaired
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 2
Endocrine disorders
Adrenal insufficiency
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Eye disorders
Eye disorder
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 2
Gastrointestinal disorders
Abdominal distension
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Abdominal pain
1.8%
2/114 • Number of events 2
3.6%
2/55 • Number of events 2
1.9%
2/107 • Number of events 2
Gastrointestinal disorders
Constipation
1.8%
2/114 • Number of events 4
1.8%
1/55 • Number of events 5
1.9%
2/107 • Number of events 2
Gastrointestinal disorders
Diarrhea
32.5%
37/114 • Number of events 57
40.0%
22/55 • Number of events 48
38.3%
41/107 • Number of events 93
Gastrointestinal disorders
Dry mouth
0.00%
0/114
0.00%
0/55
1.9%
2/107 • Number of events 3
Gastrointestinal disorders
Dyspepsia
1.8%
2/114 • Number of events 2
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Dysphagia
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Ear, nose and throat examination abnormal
0.88%
1/114 • Number of events 1
1.8%
1/55 • Number of events 2
0.93%
1/107 • Number of events 1
Gastrointestinal disorders
Gastrointestinal disorder
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Gastrointestinal disorders
Hemorrhoids
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Gastrointestinal disorders
Mucositis oral
11.4%
13/114 • Number of events 16
14.5%
8/55 • Number of events 11
19.6%
21/107 • Number of events 27
Gastrointestinal disorders
Nausea
28.9%
33/114 • Number of events 46
30.9%
17/55 • Number of events 22
32.7%
35/107 • Number of events 54
Gastrointestinal disorders
Oral pain
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Pancreatitis
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Gastrointestinal disorders
Proctoscopy abnormal
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Gastrointestinal disorders
Rectal hemorrhage
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Gastrointestinal disorders
Rectal pain
0.88%
1/114 • Number of events 1
0.00%
0/55
1.9%
2/107 • Number of events 2
Gastrointestinal disorders
Vomiting
22.8%
26/114 • Number of events 31
12.7%
7/55 • Number of events 8
19.6%
21/107 • Number of events 29
General disorders
Chills
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
General disorders
Disease progression
0.88%
1/114 • Number of events 1
1.8%
1/55 • Number of events 1
0.00%
0/107
General disorders
Edema limbs
3.5%
4/114 • Number of events 7
1.8%
1/55 • Number of events 8
3.7%
4/107 • Number of events 18
General disorders
Fatigue
29.8%
34/114 • Number of events 42
38.2%
21/55 • Number of events 22
29.9%
32/107 • Number of events 63
General disorders
Fever
7.0%
8/114 • Number of events 8
3.6%
2/55 • Number of events 2
0.93%
1/107 • Number of events 1
General disorders
General symptom
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
General disorders
Ill-defined disorder
0.88%
1/114 • Number of events 2
0.00%
0/55
0.00%
0/107
General disorders
Pain
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 1
General disorders
Visceral edema
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Hepatobiliary disorders
Gallbladder obstruction
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Abdominal infection
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Anal infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Bladder infection
1.8%
2/114 • Number of events 2
0.00%
0/55
0.00%
0/107
Infections and infestations
Bronchitis
0.00%
0/114
3.6%
2/55 • Number of events 3
1.9%
2/107 • Number of events 2
Infections and infestations
Catheter related infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Cecal infection
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Colitis, infectious (e.g., Clostridium difficile)
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Gastric infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 2
Infections and infestations
Gingival infection
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Infection
1.8%
2/114 • Number of events 2
1.8%
1/55 • Number of events 1
2.8%
3/107 • Number of events 3
Infections and infestations
Lip infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Mucosal infection
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Otitis externa
0.00%
0/114
0.00%
0/55
1.9%
2/107 • Number of events 2
Infections and infestations
Penile infection
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Pharyngitis
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Pleural infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Pneumonia
4.4%
5/114 • Number of events 6
10.9%
6/55 • Number of events 6
8.4%
9/107 • Number of events 11
Infections and infestations
Sepsis
0.00%
0/114
3.6%
2/55 • Number of events 2
1.9%
2/107 • Number of events 3
Infections and infestations
Sinusitis
1.8%
2/114 • Number of events 3
3.6%
2/55 • Number of events 2
3.7%
4/107 • Number of events 5
Infections and infestations
Skin infection
6.1%
7/114 • Number of events 8
3.6%
2/55 • Number of events 2
3.7%
4/107 • Number of events 5
Infections and infestations
Tooth infection
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Upper aerodigestive tract infection
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Infections and infestations
Upper respiratory infection
1.8%
2/114 • Number of events 2
1.8%
1/55 • Number of events 1
6.5%
7/107 • Number of events 10
Infections and infestations
Urinary tract infection
2.6%
3/114 • Number of events 3
1.8%
1/55 • Number of events 2
1.9%
2/107 • Number of events 4
Infections and infestations
Viral hepatitis
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Infections and infestations
Wound infection
0.00%
0/114
1.8%
1/55 • Number of events 2
0.93%
1/107 • Number of events 2
Injury, poisoning and procedural complications
Radiation recall reaction (dermatologic)
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Metabolism and nutrition disorders
Serum calcium decreased
0.00%
0/114
0.00%
0/55
2.8%
3/107 • Number of events 3
Metabolism and nutrition disorders
Serum glucose decreased
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Metabolism and nutrition disorders
Serum potassium decreased
0.00%
0/114
1.8%
1/55 • Number of events 1
1.9%
2/107 • Number of events 2
Metabolism and nutrition disorders
Serum potassium increased
1.8%
2/114 • Number of events 3
0.00%
0/55
0.93%
1/107 • Number of events 1
Metabolism and nutrition disorders
Serum sodium decreased
0.88%
1/114 • Number of events 1
5.5%
3/55 • Number of events 3
0.93%
1/107 • Number of events 1
Metabolism and nutrition disorders
Serum triglycerides increased
12.3%
14/114 • Number of events 24
12.7%
7/55 • Number of events 13
8.4%
9/107 • Number of events 25
Metabolism and nutrition disorders
Tumor lysis syndrome
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Musculoskeletal and connective tissue disorders
Arthralgia
4.4%
5/114 • Number of events 6
5.5%
3/55 • Number of events 4
4.7%
5/107 • Number of events 7
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
1.8%
2/114 • Number of events 2
0.00%
0/55
2.8%
3/107 • Number of events 3
Musculoskeletal and connective tissue disorders
Chest wall pain
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Musculoskeletal and connective tissue disorders
Myalgia
2.6%
3/114 • Number of events 3
5.5%
3/55 • Number of events 4
5.6%
6/107 • Number of events 6
Musculoskeletal and connective tissue disorders
Osteoporosis
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/114
1.8%
1/55 • Number of events 1
0.93%
1/107 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Treatment related secondary malignancy
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Nervous system disorders
Accessory nerve disorder
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Nervous system disorders
Ataxia
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Nervous system disorders
Dizziness
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Nervous system disorders
Dysgeusia
3.5%
4/114 • Number of events 6
1.8%
1/55 • Number of events 1
3.7%
4/107 • Number of events 6
Nervous system disorders
Headache
2.6%
3/114 • Number of events 3
0.00%
0/55
2.8%
3/107 • Number of events 3
Nervous system disorders
Ischemia cerebrovascular
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Nervous system disorders
Mini mental status examination abnormal
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Nervous system disorders
Neurological disorder NOS
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 2
Nervous system disorders
Peripheral motor neuropathy
2.6%
3/114 • Number of events 4
0.00%
0/55
0.00%
0/107
Nervous system disorders
Peripheral sensory neuropathy
3.5%
4/114 • Number of events 25
0.00%
0/55
3.7%
4/107 • Number of events 4
Nervous system disorders
Radiculitis brachial
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Nervous system disorders
Speech disorder
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Nervous system disorders
Tremor
0.88%
1/114 • Number of events 1
0.00%
0/55
0.93%
1/107 • Number of events 1
Nervous system disorders
Trigeminal nerve disorder
0.88%
1/114 • Number of events 3
0.00%
0/55
0.00%
0/107
Psychiatric disorders
Confusion
0.88%
1/114 • Number of events 1
1.8%
1/55 • Number of events 1
0.00%
0/107
Psychiatric disorders
Depression
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Psychiatric disorders
Insomnia
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Renal and urinary disorders
Renal failure
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Renal and urinary disorders
Ureteric stenosis
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Renal and urinary disorders
Urinary incontinence
0.00%
0/114
1.8%
1/55 • Number of events 1
0.93%
1/107 • Number of events 1
Renal and urinary disorders
Urinary retention
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Cough
3.5%
4/114 • Number of events 4
7.3%
4/55 • Number of events 5
3.7%
4/107 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Dyspnea
7.9%
9/114 • Number of events 10
3.6%
2/55 • Number of events 4
8.4%
9/107 • Number of events 11
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.88%
1/114 • Number of events 1
3.6%
2/55 • Number of events 2
2.8%
3/107 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hiccups
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Laryngeal mucositis
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Laryngoscopy abnormal
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Pharyngeal examination abnormal
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pharyngeal stenosis
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/114
0.00%
0/55
2.8%
3/107 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Pneumonitis
3.5%
4/114 • Number of events 6
7.3%
4/55 • Number of events 4
3.7%
4/107 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pulmonary hemorrhage
0.00%
0/114
1.8%
1/55 • Number of events 1
0.00%
0/107
Respiratory, thoracic and mediastinal disorders
Voice alteration
0.88%
1/114 • Number of events 1
0.00%
0/55
0.00%
0/107
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1
Skin and subcutaneous tissue disorders
Nail disorder
0.88%
1/114 • Number of events 1
0.00%
0/55
1.9%
2/107 • Number of events 2
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/114
0.00%
0/55
3.7%
4/107 • Number of events 8
Skin and subcutaneous tissue disorders
Rash acneiform
1.8%
2/114 • Number of events 2
1.8%
1/55 • Number of events 1
0.93%
1/107 • Number of events 3
Skin and subcutaneous tissue disorders
Rash desquamating
7.0%
8/114 • Number of events 11
9.1%
5/55 • Number of events 6
12.1%
13/107 • Number of events 15
Skin and subcutaneous tissue disorders
Skin disorder
0.00%
0/114
1.8%
1/55 • Number of events 2
0.93%
1/107 • Number of events 1
Skin and subcutaneous tissue disorders
Sweating
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 6
Vascular disorders
Hypertension
0.00%
0/114
1.8%
1/55 • Number of events 3
0.00%
0/107
Vascular disorders
Hypotension
0.00%
0/114
1.8%
1/55 • Number of events 1
1.9%
2/107 • Number of events 2
Vascular disorders
Thrombosis
1.8%
2/114 • Number of events 2
0.00%
0/55
0.00%
0/107
Vascular disorders
Vascular disorder
0.00%
0/114
0.00%
0/55
0.93%
1/107 • Number of events 1

Additional Information

Thomas E. Witzig M.D.

Mayo Clinic

Phone: (507) 284-0527

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place