A Phase IB/II Multicenter, Two-Arm, Dose-Escalation Study of Oral AEE788 Administered in Combination With Oral RAD001 on a Continuous Once Daily Dosing Schedule in Adult Patients With First or Second Recurrent or Relapsing Glioblastoma Multiforme
OBJECTIVES:
Primary
- Determine the maximum tolerated dose and dose-limiting toxicity of AEE788 when
administered in combination with 1 of 2 different doses of everolimus in patients with
recurrent or relapsed glioblastoma multiforme.
Secondary
- Determine the safety and tolerability of this regimen, including acute and chronic
toxic effects, in these patients.
- Determine the single-dose and repeated-dose pharmacokinetic profile of this regimen in
these patients.
- Determine, preliminarily, the efficacy of this regimen, in terms of response rate,
progression-free survival, and overall survival, in these patients. (Phase II)
- Determine the antiangiogenic effects of this regimen in these patients.
OUTLINE: This is an open-label, multicenter, dose-escalation study of AEE788.
- Phase I: Patients are assigned to 1 of 2 treatment groups.
- Group 1: Patients receive oral AEE788 once daily and oral everolimus once daily on
days 1-28.
- Group 2: Beginning at the first occurrence of dose-limiting toxicity in group 1,
patients receive AEE788 as in group 1 and a higher-dose of oral everolimus once
daily on days 1-28.
In both groups, courses repeat every 28 days in the absence of disease progression or
unacceptable toxicity.
Cohorts of 3-6 patients per group receive escalating doses of AEE788 until the maximum
tolerated dose is determined.
- Phase II: Patients are assigned to 1 of 2 treatment groups according to eligibility for
surgery.
- Group 1 (eligible for tumor biopsy, surgical resection, or tumor debulking):
Patients receive oral AEE788 once daily at the MTD and oral everolimus once daily
for 5-9 days. Patients then undergo surgery. Beginning 15-21 days after surgery,
patients receive oral AEE788 and oral everolimus once daily on days 1-28.
- Group 2 (ineligible for surgery): Patients receive oral AEE788 once daily at the
MTD and oral everolimus once daily on days 1-28.
In both groups, courses repeat every 28 days in the absence of disease progression or
unacceptable toxicity. In both phases, if treatment with AEE788 or everolimus is stopped due
to toxicity, patients may continue to receive AEE788 or everolimus alone once daily.
After the completion of study treatment, patients are followed every 3 months for as long as
the investigator deems necessary.
Interventional
Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Maximum tolerated dose and dose-limiting toxicity of AEE788
Yes
Novartis Pharmaceuticals
Study Director
Novartis Pharmaceuticals
United States: Food and Drug Administration
CAEE788A2106
NCT00107237
October 2003
June 2006
Name | Location |
---|---|
Jonsson Comprehensive Cancer Center at UCLA | Los Angeles, California 90095-1781 |
MD Anderson Cancer Center/University of Texas | Houston, Texas 77030 |
Duke Univaersity Medical Center | Durham, North Carolina 27710 |