Trial Outcomes & Findings for Trial of RAD001 and Erlotinib With Recurrent Head and Neck Squamous Cell Carcinoma (NCT NCT00942734)

NCT ID: NCT00942734

Last Updated: 2025-05-01

Results Overview

Tumor assessments performed by Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) after 4 weeks, 12 weeks, then every 8 weeks thereafter. Participants who received at least one dose of RAD001+erlotinib and who die before 12 weeks, counted as having progressive disease. Response Evaluation Criteria in Solid Tumors (RECIST) defined as Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): \>30% decrease in sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. Progression-free survival defined as stable disease or better. Progressive Disease (PD): \>20% increase in sum of LD of target lesions, taking as reference smallest sum LD recorded since treatment started or appearance of one or more new lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum LD since treatment started.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

49 participants

Primary outcome timeframe

12 weeks

Results posted on

2025-05-01

Participant Flow

Recruitment Period: July 17, 2009 to February 08, 2013. Recruitment was done in various medical clinics in the United States.

Of the forty-nine participants registered, six participants were ineligible and not treated.

Participant milestones

Participant milestones
Measure
RAD001 + Erlotinib
RAD001 5 mg orally and Erlotinib 150 mg orally every day of each 28 day study cycle.
Overall Study
STARTED
43
Overall Study
COMPLETED
35
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
RAD001 + Erlotinib
RAD001 5 mg orally and Erlotinib 150 mg orally every day of each 28 day study cycle.
Overall Study
Adverse Event
2
Overall Study
Protocol Violation
3
Overall Study
Disease Progression
2
Overall Study
Physician Decision
1

Baseline Characteristics

Trial of RAD001 and Erlotinib With Recurrent Head and Neck Squamous Cell Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RAD001 + Erlotinib
n=43 Participants
RAD001 5 mg orally and Erlotinib 150 mg orally every day of each 28 day study cycle.
Age, Continuous
61 years
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
Sex: Female, Male
Male
35 Participants
n=5 Participants
Region of Enrollment
United States
43 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: Eight participants were not evaluable.

Tumor assessments performed by Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) after 4 weeks, 12 weeks, then every 8 weeks thereafter. Participants who received at least one dose of RAD001+erlotinib and who die before 12 weeks, counted as having progressive disease. Response Evaluation Criteria in Solid Tumors (RECIST) defined as Complete Response (CR): Disappearance of all target lesions; Partial Response (PR): \>30% decrease in sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. Progression-free survival defined as stable disease or better. Progressive Disease (PD): \>20% increase in sum of LD of target lesions, taking as reference smallest sum LD recorded since treatment started or appearance of one or more new lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference smallest sum LD since treatment started.

Outcome measures

Outcome measures
Measure
RAD001 + Erlotinib
n=35 Participants
RAD001 5 mg orally and Erlotinib 150 mg orally every day of each 28 day study cycle.
12-Week Progression-Free Survival (PFS)
48.57 Percentage of Participants

Adverse Events

RAD001 + Erlotinib

Serious events: 1 serious events
Other events: 43 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
RAD001 + Erlotinib
n=43 participants at risk
RAD001 5 mg orally and Erlotinib 150 mg orally every day of each 28 day study cycle.
Metabolism and nutrition disorders
hypercalcaemia
2.3%
1/43 • Adverse events collected through 12 weeks of treatment (± 3 days).

Other adverse events

Other adverse events
Measure
RAD001 + Erlotinib
n=43 participants at risk
RAD001 5 mg orally and Erlotinib 150 mg orally every day of each 28 day study cycle.
Skin and subcutaneous tissue disorders
ACNE
62.8%
27/43 • Number of events 27 • Adverse events collected through 12 weeks of treatment (± 3 days).
Gastrointestinal disorders
ANOREXIA
7.0%
3/43 • Number of events 3 • Adverse events collected through 12 weeks of treatment (± 3 days).
Metabolism and nutrition disorders
CHOLESTEROL
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN
11.6%
5/43 • Number of events 5 • Adverse events collected through 12 weeks of treatment (± 3 days).
Gastrointestinal disorders
DIARRHEA
41.9%
18/43 • Number of events 18 • Adverse events collected through 12 weeks of treatment (± 3 days).
General disorders
DIZZINESS
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Gastrointestinal disorders
DYSPHAGIA
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Respiratory, thoracic and mediastinal disorders
DYSPNEA
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
General disorders
EDEMA: HEAD AND NECK
20.9%
9/43 • Number of events 9 • Adverse events collected through 12 weeks of treatment (± 3 days).
General disorders
EDEMA: LIMB
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
General disorders
FATIGUE
41.9%
18/43 • Number of events 18 • Adverse events collected through 12 weeks of treatment (± 3 days).
Investigations
FEVER WITHOUT NEUTROPINIA
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Skin and subcutaneous tissue disorders
HAND-FOOT SYNDROME
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Blood and lymphatic system disorders
HEMOGLOBIN
11.6%
5/43 • Number of events 5 • Adverse events collected through 12 weeks of treatment (± 3 days).
Metabolism and nutrition disorders
HYPERGLYCEMIA
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Metabolism and nutrition disorders
HYPERTRIGLYCERIDEMIA
7.0%
3/43 • Number of events 3 • Adverse events collected through 12 weeks of treatment (± 3 days).
Metabolism and nutrition disorders
HYPOKALEMIA
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Blood and lymphatic system disorders
LEUKOCYTES
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Gastrointestinal disorders
MUCOSITIS
41.9%
18/43 • Number of events 18 • Adverse events collected through 12 weeks of treatment (± 3 days).
Skin and subcutaneous tissue disorders
NAIL CHANGES
9.3%
4/43 • Number of events 4 • Adverse events collected through 12 weeks of treatment (± 3 days).
Gastrointestinal disorders
NAUSEA
20.9%
9/43 • Number of events 9 • Adverse events collected through 12 weeks of treatment (± 3 days).
Gastrointestinal disorders
PAIN (ORAL CAVITY)
4.7%
2/43 • Number of events 2 • Adverse events collected through 12 weeks of treatment (± 3 days).
Blood and lymphatic system disorders
PLATELETS LEVEL
11.6%
5/43 • Number of events 5 • Adverse events collected through 12 weeks of treatment (± 3 days).
Skin and subcutaneous tissue disorders
PRURITUS
9.3%
4/43 • Number of events 4 • Adverse events collected through 12 weeks of treatment (± 3 days).
Skin and subcutaneous tissue disorders
RASH/DESQUAMATION
11.6%
5/43 • Number of events 5 • Adverse events collected through 12 weeks of treatment (± 3 days).
Gastrointestinal disorders
VOMITING
11.6%
5/43 • Number of events 5 • Adverse events collected through 12 weeks of treatment (± 3 days).
General disorders
WEIGHT LOSS
25.6%
11/43 • Number of events 11 • Adverse events collected through 12 weeks of treatment (± 3 days).

Additional Information

Vali Papadimitrakopoulou, MD

University of Texas (UT) MD Anderson Cancer Center

Results disclosure agreements

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