Trial Search Results

Safety and Efficacy of RAD001 in Patients With Mantle Cell Lymphoma Who Are Refractory or Intolerant to Velcade® Therapy.

This study is to evaluate the safety and efficacy of a daily, oral dose of 10 mg RAD001 in patients with Mantle Cell Lymphoma who are refractory or intolerant to Velcade® therapy and who have received at least one prior antineoplastic agent other than Velcade®, either separately or in combination with Velcade® (see inclusion criteria). Intolerance to Velcade® therapy is determined by the study investigator based on clinical evaluations. Patients are considered refractory to Velcade® if they have documented radiological progression on or within 12 months of the last dose of Velcade® when given alone or, on or within 12 months of the last dose of the last component of a combination therapy which included Velcade®.

Stanford is currently not accepting patients for this trial.

Lead Sponsor:

Novartis Pharmaceuticals

Stanford Investigator(s):

Intervention(s):

  • Drug: RAD001

Phase:

Phase 2

Eligibility


Inclusion Criteria:

   - Adult patients (> 18 years old) with Mantle Cell Lymphoma that has been confirmed by
   central pathology review (archival diagnostic tumor specimen required)

   - Patients with mantle cell lymphoma who have documented refractory disease to
   bortezomib (Velcade®) or who have documented intolerance to Velcade® therapy.
   Intolerance to Velcade® is determined by the study investigator based on clinical
   evaluations. Patients are considered refractory to Velcade® if they have documented
   radiological progression on or within 12 months of last dose of Velcade® when given
   alone or, on or within 12 months from the last dose of the last component of a
   combination therapy which included Velcade®). Patients are considered refractory to
   Velcade®, if Velcade® is part of a combination treatment for the disease.

   - Patients must have received at least one prior antineoplastic agent, other than
   Velcade® either separately or in combination with bortezomib (Velcade®).

   - At least one site of measurable nodal disease at baseline >2.0 cm in the longest
   transverse diameter and clearly measurable in at least two perpendicular dimensions,
   as determined by CT scan (or MRI, only if CT scan can not be performed)

   - ECOG performance status = 0, 1 or 2

   - Life expectancy ≥ 3 months

   - Adequate bone marrow, liver and renal function

   - Platelets ≥ 75 x 109/L (untransfused platelets)

Exclusion Criteria:

   - Patients who are currently receiving anticancer therapies or have received anticancer
   therapies within 4 weeks of the start of study drug (including chemotherapy,
   radiation, antibodies, targeted therapy etc.) are not eligible

   - Previous treatment with mTOR inhibitors (e.g. everolimus, sirolimus, temsirolimus,
   etc)

   - Patients with prior allogeneic stem cell transplant

   - Grade 3 or 4 unresolved toxicity from prior antineoplastic therapies

   - Currently taking other investigational agents or received other investigational drugs
   within 4 weeks of the start of study drug

   - Patients with CNS lymphoma are not eligible; head MRI (or CT if MRI is not available)
   is required prior to study entry

   - Use of chronic, systemic corticosteroids or another immunosuppressive agent, except
   prednisone ≤ 20 mg daily (or equivalent) for adrenal insufficiency (must have been on
   a stable dosage regimen for ≥ 4 weeks prior to the first treatment with RAD001)

   - HIV positive patients are not eligible; (HIV testing is not required for study entry;
   review of previous medical records is required)

   - Uncontrolled hyperlipidemia (≥ Grade 3 hyperlipidemia despite optimal supportive
   medical therapy)

   - Active, bleeding disorders or major surgery within 4 weeks of starting study drug

   - Severe and/or uncontrolled medical conditions such as symptomatic congestive heart
   failure (NYHA Class III or IV), unstable angina, myocardial infarction within 6 months
   or study start, severely impaired lung function, cirrhosis, chronic active/persistent
   hepatitis.

   - History of another primary malignancy ≤ 3 years prior to study entry

Ages Eligible for Study

18 Years - 90 Years

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Cancer Clinical Trials Office
650-498-7061
Not Recruiting