Small-Cell Lung Cancer
Conditions
Keywords
Small-Cell Lung Cancer, SCLC, Advanced Lung Cancer, RAD, RAD001, Chemotherapy, Cisplatin, Etoposide
Brief summary
This study aims to establish a tolerable dose level and regimen of RAD001 in combination with cisplatin and etoposide (standard-of-care chemotherapy) in patients with extensive stage small-cell lung cancer (SCLC) who have not previously been treated with systemic chemotherapy.
Interventions
RAD001 will be supplied by Novartis as tablets in 3 different dosage strengths, 2.5, 5 and 10 mg. The drug will be packaged in blisters containing 10 tablets per blister. Blisters and packaging will be compliant with local regulations and be printed in local language.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with histologically or cytologically confirmed diagnosis of extensive disease small-cell lung cancer (ED SCLC) * Age ≥ 18 years * WHO Performance Status Grade ≤ 1 (ie. ability to perform normal daily functions) * Adequate bone marrow, liver and renal function
Exclusion criteria
* Chronic steroid treatment * Prior treatment with chemotherapy for advanced lung cancer * Prior treatment with mTOR inhibitors * Active bleeding conditions, skin conditions, gastrointestinal disorders, mouth ulcers, eye conditions, chronic liver or kidney disorders, uncontrolled diabetes, infections or other severe medical conditions * Symptomatic or uncontrolled brain metastases * Other cancers within the past 5 years * Pregnant or breastfeeding women Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dose limiting toxicity (DLT) rate will be measured at End-of-Cycle 1 | Day 21 |
Secondary
| Measure | Time frame |
|---|---|
| Overall tumor response | Every 6-8 weeks |
| Relative dose intensity (RDI) of carboplatin and paclitaxel will be evaluated upon completion of the dose escalation within each regimen | within 6 cycles (Day 126) |
| PK parameters derived from the PK profile of treatment drugs when administered alone or in combination will be evaluated during the first 6 cycles | During the first 6 cycles |
Countries
France, United States