Advanced pancreatic neuroendocrine tumors (NET). MedDRA version: 14.1 Level: LLT Classification code 10033630 Term: Pancreatic islet cell neoplasm malignant NOS System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Advanced (unresectable or metastatic) biopsy-proven pancreatic NET •Confirmed low-grade or intermediate-grade neuroendocrine carcinoma •Objective disease progression by RECIST criteria while receiving cytotoxic chemotherapy or at any time after receiving an adequate course of cytotoxic chemotherapy (i.e., at least 3 consecutive cycles or months of treatment with the same cytotoxic drug or regimen) •Presence of at least one measurable disease using RECIST criteria at screening (CT or MRI) •Adequate bone marrow, liver and kidney function Other protocol-defined inclusion criteria may apply Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: •Patients with poorly differentiated neuroendocrine carcinoma •Hepatic artery embolization within the last 6 months •Prior therapy with everolimus or other rapamycins (sirolimus, temsirolimus) •Other concurrent malignancy •Other serious intercurrent infections or nonmalignant uncontrolled medical illnesses Other protocol-defined exclusion criteria may apply
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine the objective response rate (ORR) (including complete response and partial response) of RAD001 10 mg po qd monotherapy in patients with advanced (unresectable or metastatic) pancreatic NETs after the failure of cytotoxic chemotherapy (stratum 1).;Secondary Objective: To determine: • response duration of RAD001 10 mg po qd monotherapy (stratum 1). • objective response rate (ORR) and response duration of RAD001 10 mg po qd plus Sandostatin LAR Depot therapy in patients whose tumors have progressed while receiving Sandostatin LAR Depot therapy and after the failure of cytotoxic chemotherapy (stratum 2). • safety and tolerability of RAD001 monotherapy (10 mg/d) in patients with Pancreatic NET (stratum 1). • safety and tolerability of the combination of RAD001 (10 mg/d) plus Sandostatin LAR Depot in patients with Pancreatic NET (stratum 2). • progression free survival (PFS) and the overall survival (OS) of patients receiving RAD001 10 mg per day in combination with Sandostatin LAR and of patients receiving RAD001 10 mg per day monotherapy. To assess the steady state exposure to RAD001 and to estimate the effect of co-administering Sandostatin LAR® Depot on RAD001 exposure.;Primary end point(s): Objective response rate | — |
Countries
Argentina, Australia, Belgium, Canada, France, Germany, Italy, Netherlands, Spain, Sweden, United States