Phase I/II Trial of Concurrent RAD001 (Everolimus) With Temozolomide/Radiation Followed by Adjuvant RAD001/Temozolomide in Newly Diagnosed Glioblastoma
OBJECTIVES:
Primary
- To define the maximum tolerated dose of everolimus (up to an established dose of 10
mg/day) when combined with concurrent radiotherapy and temozolomide in patients with
newly diagnosed glioblastoma multiforme. (Phase I)
- To determine the efficacy of everolimus in combination with radiotherapy and
temozolomide followed by adjuvant everolimus in combination with temozolomide, as
measured by progression-free survival, in these patients. (Phase II)
Secondary
- To characterize the safety profile of everolimus in combination with radiotherapy and
temozolomide in these patients. (Phase I)
- To determine the overall survival of these patients. (Phase II)
- To further evaluate the safety profile of everolimus in combination with radiotherapy
and temozolomide in these patients. (Phase II)
- To determine if activation of the Akt/mTOR axis predicts response to everolimus. (Phase
II)
- To determine if there is an association between tumor MGMT gene methylation status and
response to everolimus. (Phase II)
OUTLINE: This is a multicenter, phase I, dose-escalation study of everolimus followed by a
phase II, randomized study.
- Phase I: Patients undergo radiotherapy (intensity-modulated or 3-dimensional conformal
radiotherapy) 5 days a week for 6 weeks and receive oral everolimus and oral
temozolomide once daily for 6 weeks. Beginning 28 days after the completion of therapy,
patients receive adjuvant oral everolimus once daily on days 1-28 and oral temozolomide
once daily on days 1-5. Treatment with adjuvant everolimus and temozolomide repeats
every 28 days for up to 12 courses in the absence of disease progression or
unacceptable toxicity.
- Phase II: Patients are stratified according to recursive partitioning analysis class
(III vs IV vs V). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients undergo radiotherapy (intensity-modulated or 3-dimensional
conformal radiotherapy) 5 days a week for 6 weeks and receive oral temozolomide
once daily for 6 weeks. Beginning 28 days after the completion of therapy,
patients receive adjuvant oral temozolomide once daily on days 1-5. Treatment with
adjuvant temozolomide repeats every 28 days for up to 12 courses in the absence of
disease progression or unacceptable toxicity.
- Arm II: Patients receive treatment as in phase I. Tumor tissue, plasma, and urine
samples may be collected for correlative laboratory studies (mandatory for phase
II).
After completion of study treatment, patients are followed up every 3 months for 1 year,
every 4 months for 1 year, and then every 6 months thereafter.
Interventional
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Dose-limiting toxicity (phase I)
From start of treatment to eight weeks.
Yes
Prakash Chinnaiyan, MD
Principal Investigator
H. Lee Moffitt Cancer Center and Research Institute
United States: Federal Government
RTOG 0913
NCT01062399
December 2010
Name | Location |
---|---|
University of Texas Health Science Center at San Antonio | San Antonio, Texas 78284-7811 |
CCOP - Christiana Care Health Services | Wilmington, Delaware 19899 |
Medical College of Wisconsin Cancer Center | Milwaukee, Wisconsin 53226 |
Cleveland Clinic Taussig Cancer Center | Cleveland, Ohio 44195 |
Blumenthal Cancer Center at Carolinas Medical Center | Charlotte, North Carolina 28232-2861 |
Waukesha Memorial Hospital Regional Cancer Center | Waukesha, Wisconsin 53188 |
University of Florida Shands Cancer Center | Gainesville, Florida 32610-0232 |
Winship Cancer Institute of Emory University | Atlanta, Georgia 30322 |
Rhode Island Hospital Comprehensive Cancer Center | Providence, Rhode Island 02903 |
James P. Wilmot Cancer Center at University of Rochester Medical Center | Rochester, New York 14642 |
Baptist Cancer Institute - Jacksonville | Jacksonville, Florida 32207 |
St. Barnabas Medical Center Cancer Center | Livingston, New Jersey 07039 |
Huntsman Cancer Institute at University of Utah | Salt Lake City, Utah 84112 |
H. Lee Moffitt Cancer Center and Research Institute at University of South Florida | Tampa, Florida 33612 |
Regional Cancer Center at Singing River Hospital | Pascagoula, Mississippi 39581 |
Summa Center for Cancer Care at Akron City Hospital | Akron, Ohio 44309-2090 |
Barberton Citizens Hospital | Barberton, Ohio 44203 |
McGlinn Family Regional Cancer Center at Reading Hospital and Medical Center | Reading, Pennsylvania 19612-6052 |
York Cancer Center at Apple Hill Medical Center | York, Pennsylvania 17405 |
Dana-Farber/Brigham and Women's Cancer Center | Boston, Massachusetts 02115 |
Integrated Community Oncology Network | Jacksonville Beach, Florida 32250 |
Baptist Medical Center South | Jascksonville, Florida 32258 |
Florida Cancer Center - Palatka | Palatka, Florida 32177 |
Flagler Cancer Center | Saint Augustine, Florida 32086 |
Tyler Cancer Center | Tyler, Texas 75702 |
Integrated Community Oncology Network - Orange Park | Orange Park, Florida 32073 |
New York Oncology Hematology, PC at Albany Regional Cancer Care | Albany, New York 12208 |
St. Agnes Hospital Cancer Center | Baltimore, Maryland 21229 |
University Radiation Oncology at Parkridge Hospital | Rochester, New York 14626 |
Integrated Community Oncology Network at Southside Cancer Center | Jacksonville, Florida 32207 |
Willamette Valley Cancer Center - Eugene | Eugene, Oregon 97401 |
Adams Cancer Center | Gettysburg, Pennsylvania 17325 |
Cherry Tree Cancer Center | Hanover, Pennsylvania 17331 |
St. Vincent Oncology Center | Indianapolis, Indiana 46260 |