Neoplasms
Conditions
Brief summary
This 2 part study will assess the safety, tolerability and efficacy of a combination of oral daily RAD001 and intravenous 3-weekly R1507 in patients with advanced solid tumors. In Part 1 of the study, patients will be enrolled sequentially to receive 5mg by mouth (po) RAD001 daily + 16mg/kg intravenous (iv) R1507 every 3 weeks (level 1) and if tolerated, 10mg po RAD001 daily + 16mg/kg iv R1507 every 3 weeks (level 2).In Part 2 of the study, patients with 1) advanced renal cell cancer and 2) advanced pancreatic neuroendocrine tumors will receive the maximum tolerated dose regimen from Part 1 (5mg or 10mg po RAD001 + 16mg/kg iv R1507). The anticipated time on study treatment is until disease progression, and the target sample size is 100-500 individuals.
Interventions
5mg or 10mg po daily
16mg/kg iv every 3 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>=18 years of age; * histologically confirmed recurrent or refractory advanced solid tumor (Part 1); * advanced metastatic renal cell cancer OR advanced metastatic pancreatic neuroendocrine tumors, with evidence of progressive disease (Part 2); * measurable disease (Part 2); * ECOG performance status 0-2.
Exclusion criteria
* prior treatment with agents acting via inhibition of IGF-IR pathway; * prior treatment with agents acting via inhibition of mTOR (Part 2); * untreated CNS metastases; * current anti-cancer therapy, or radiotherapy or chemotherapy \<=4 weeks prior to enrollment; * other known malignancy requiring treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum tolerated dose of RAD001, in combination with R1507 (Part 1 | First 3 week cycle of treatment |
| Progression-free survival (Part 2) | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Overall objective response rate; duration of response; overall survival | Event driven; monitored throughout study |
Countries
Italy, United States