RAD001 Plus Bevacizumab in Metastatic Melanoma

NCT ID: NCT00591734

Last Updated: 2021-11-24

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2011-10-31

Brief Summary

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This is a non-randomized, open label Phase II study comparing bevacizumab and everolimus in the treatment of metastatic melanoma.

Detailed Description

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All patients will begin treatment with the same doses of RAD001 and bevacizumab. Patients will receive 6 weeks of treatment, followed by re evaluation. Patients with objective response or stable disease will continue treatment until disease progression.

During the study, all patients will receive 10 mg of RAD001 orally daily and 15 mg/kg of bevacizumab intravenously (IV) once every 3 weeks.

Fifty-five patients will be enrolled in this multi-centered study

Conditions

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Metastatic Melanoma

Keywords

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Metastatic Melanoma Everolimus RAD001 Bevacizumab

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

All patients received bevacizumab 15 mg/kg, administered by intravenous (IV) infusion on day 1 of each 21 day course. In addition, patients received everolimus 10 mg orally on a daily basis.

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

15 mg/kg of bevacizumab intravenously (IV) once every 3 weeks.

Everolimus

Intervention Type DRUG

10 mg by mouth daily

Interventions

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Bevacizumab

15 mg/kg of bevacizumab intravenously (IV) once every 3 weeks.

Intervention Type DRUG

Everolimus

10 mg by mouth daily

Intervention Type DRUG

Other Intervention Names

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Avastin Afinitor RAD001

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed melanoma.
2. Unresectable stage IV disease, or recurrent disease with metastases.
3. Measurable disease (by Response Evaluation Criteria in Solid Tumors \[RECIST\]) or measurable skin lesions.
4. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2.
5. Life expectancy \>=12 weeks.
6. Patients are allowed 0-2 prior treatment regimens containing chemotherapy and/or immunotherapy (interferon, interleukin 2).
7. Women of childbearing potential must have a negative serum pregnancy test with 7 days before beginning treatment.
8. Absolute neutrophil count (ANC) \>=1500/µL, and platelets \>=100,000/µL.
9. Serum creatinine \<=2.0 mg/dL.
10. Serum bilirubin \<=1.5 mg/dL institutional upper limit of normal (ULN); aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \<2.5 × ULN or \<5 × ULN in patients with documented liver metastases.

Exclusion Criteria

1. Previous treatment with bevacizumab or other anti-angiogenesis agents.
2. Previous treatment with mTOR inhibitors.
3. Drugs or substances known to be inhibitors or inducers of the isoenzyme CYP3A are not allowed.
4. Treatment with investigational agents within 4 weeks of study entry.
5. Treatment with more than two previous chemotherapy regimens.
6. Immunization with attenuated live vaccines within one week of study or anytime during study treatment period.
7. Female patients who are pregnant or breastfeeding.
8. Central nervous system (CNS) involvement by metastatic melanoma.
9. CNS disease (e.g., seizures not controlled with standard medical therapy, history of stroke).
10. Any severe and/or uncontrolled medical conditions or other conditions that could affect participation in the study such as:

* Severely impaired lung function.
* Uncontrolled diabetes as defined by fasting serum glucose \>1.5 ULN,
* Any acute or chronic uncontrolled infection/disorder.
* Non-malignant medical illnesses that are uncontrolled or whose control may be jeopardize by the treatment with the study therapy.
* Any acute or chronic uncontrolled infection/disorder.
* Non-malignant medical illnesses that are uncontrolled or whose control may be jeopardize by the treatment with the study therapy.
* Liver disease such as cirrhosis, chronic active hepatitis or chronic persistent hepatitis.
11. Acute myocardial infarction (MI) with the previous 6 months.
12. Clinically significant cardiovascular disease (e.g., uncontrolled hypertension, unstable angina, New York Heart Association \[NYHA\] Class II or greater congestive heart failure \[CHF\], serious cardiac arrhythmia requiring medication), or \>= grade 2 vascular disease.
13. Clinical history of hemoptysis or hematemesis.
14. Clinical evidence or history of a bleeding diathesis or coagulopathy.
15. Major surgical procedures, fine-needle aspirations, or core biopsies with 7 days of starting treatment.
16. Patients with PEG tubes or G-tubes.
17. Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection).
18. Proteinuria at screening as demonstrated by either

1. Urine protein:creatinine (UPC) ratio \>= 1.0 at screening OR
2. Urine dipstick for proteinuria \>= 2+ (patients discovered to have \>=2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate \<= 1g of protein in 24 hours to be eligible).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role collaborator

SCRI Development Innovations, LLC

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John D. Hainsworth, M.D.

Role: STUDY_CHAIR

SCRI Development Innovations, LLC

Locations

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Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Watson Clinic Center for Cancer Care and Research

Lakeland, Florida, United States

Site Status

Florida Hospital Cancer Institute

Orlando, Florida, United States

Site Status

Gulfcoast Oncology Associates

St. Petersburg, Florida, United States

Site Status

Northeast Georgia Medical Center

Gainesville, Georgia, United States

Site Status

Oncology Hematology Associates of SW Indiana

Evansville, Indiana, United States

Site Status

Center for Cancer and Blood Disorders

Bethesda, Maryland, United States

Site Status

Grand Rapids Clinical Oncology Program

Grand Rapids, Michigan, United States

Site Status

St. Louis Cancer Care

Chesterfield, Missouri, United States

Site Status

Methodist Cancer Center

Omaha, Nebraska, United States

Site Status

Consultants in Medical Oncology and Hematology

Drexel Hill, Pennsylvania, United States

Site Status

Chattanooga Oncology & Hematology Associates

Chattanooga, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

South Texas Oncology and Hematology

San Antonio, Texas, United States

Site Status

Virginia Cancer Institute

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Hainsworth JD, Infante JR, Spigel DR, Peyton JD, Thompson DS, Lane CM, Clark BL, Rubin MS, Trent DF, Burris HA 3rd. Bevacizumab and everolimus in the treatment of patients with metastatic melanoma: a phase 2 trial of the Sarah Cannon Oncology Research Consortium. Cancer. 2010 Sep 1;116(17):4122-9. doi: 10.1002/cncr.25320.

Reference Type RESULT
PMID: 20564157 (View on PubMed)

Other Identifiers

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SCRI MEL 16

Identifier Type: -

Identifier Source: org_study_id