A Study to Determine the Effectiveness of Escalating Doses of RAD001 (Everolimus) in Patients With Lymphangioleiomyomatosis
This study has been completed.
Sponsor:
Novartis Pharmaceuticals
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier:
NCT01059318
First received: January 28, 2010
Last updated: October 22, 2012
Last verified: October 2012
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Purpose
This is an exploratory study. The purpose of the study is to determine whether escalating doses of RAD001 (everolimus) is safe and effective in patients with Lymphangioleiomyomatosis
| Condition | Intervention | Phase |
|---|---|---|
|
Lymphangioleiomyomatosis |
Drug: Everolimus |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Exploratory, Open Label, Non-randomized, Within-patient Multiple Dose-escalation Safety, Tolerability, PK and Efficacy Trial of RAD001 (Everolimus) in Patients With Lymphangioleiomyomatosis |
Resource links provided by NLM:
Further study details as provided by Novartis:
Primary Outcome Measures:
- Assess safety, pharmacokinetics (PK) and pharmacodynamics (PD), Measure: Safety (vital signs, ECGs, safety labs, AEs), PK (concentration of everolimus), PD (serum VEGF-D) [ Time Frame: 26 weeks ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Clinical efficacy of everolimus Measure: improvement in pulmonary function (FVC) [ Time Frame: 26 weeks ] [ Designated as safety issue: Yes ]
- Clinical efficacy of everolimus Measure: improvement in other measures of pulmonary function (FEV-1, lung volumes (TLC, TGV, RV), DLCO) [ Time Frame: 26 weeks ] [ Designated as safety issue: Yes ]
- Clinical efficacy of everolimus Measure: improvement in exercise capacity (6-minute walk test), and change in O2 saturation (with supplemental oxygen unchanged) [ Time Frame: 26 weeks ] [ Designated as safety issue: Yes ]
| Enrollment: | 22 |
| Study Start Date: | December 2009 |
| Study Completion Date: | June 2012 |
| Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: RAD001 2.5mg | Drug: Everolimus |
| Experimental: RAD001 5mg | Drug: Everolimus |
| Experimental: RAD001 10mg | Drug: Everolimus |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Female aged >/= 18 years with a diagnosis of LAM
- Pulmonary function abnormalities as follows:
- FEV1 of ≤ 80% of the predicted value following administration of a standard dose of a short acting β2-agonist (*200 µg Salbutamol, measured between 10 and 15 minutes of inhalation) OR
- FEV1 < 90% of the predicted value of bronchodilator following administration of a standard dose of a short acting β2-agonist (*200 µg Salbutamol, measured between 10 and 15 minutes of inhalation) and DLco (uncorrected) <80% predicted.
- Female patients including those of childbearing potential will be included in this study.
- Negative pregnancy test at screening and baseline
Exclusion Criteria:
- FEV1<50% of predicted post-bronchodilator.
- Change in FVC (ml) > ± 15% of screening value at baseline visit (not less than 14d after screening visit).
- Use of any medicine containing estrogen in the 4 months prior to the screening visit and for the duration of the study
- Significant hematologic, renal, hepatic laboratory abnormality or amylase > 1.5x the upper limit of the normal range at the screening or baseline visits
- Fasting blood glucose > 126mg/dl or random blood glucose >200mg/dl at screening and/or baseline
- Recent surgery (involving entry into a body cavity or requiring sutures) within 2 months of the screening visit or any evidence of unhealed surgical wound.
- Uncontrolled hyperlipidemia (defined as persistent elevation of total cholesterol or triglycerides >6.5nM/L) or a history of clinical atherosclerotic disease including heart attack, angina, peripheral vascular disease or stroke.
- Previous organ transplantation
- Inability to give informed consent
- Inability to perform pulmonary function or 6 minute walk tests and imaging assessments
Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01059318
Locations
| United States, Massachusetts | |
| Center for LAM Research and Clinical Care | |
| Boston, Massachusetts, United States, 02115 | |
| United States, Ohio | |
| University of Cincinnati, Department of Internal Medicine, Pulmonary, Critical Care & Sleep Medicine, | |
| Cincinnati, Ohio, United States, 45267 | |
| France | |
| Novartis Investigative Site | |
| Lyon, France | |
| Germany | |
| Novartis Investigative Site | |
| Grosshansdorf, Germany | |
| Novartis Investigative Site | |
| Leipzig, Germany | |
| Italy | |
| Novartis Investigative Site | |
| Milan, Italy | |
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
| Study Director: | Novartis | Novartis Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | Novartis ( Novartis Pharmaceuticals ) |
| ClinicalTrials.gov Identifier: | NCT01059318 History of Changes |
| Other Study ID Numbers: | CRAD001X2201 |
| Study First Received: | January 28, 2010 |
| Last Updated: | October 22, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Novartis:
|
Lymphangioleiomyomatosis, High Resolution CT scan, chest x-ray, 6 minute walk test, |
pulse oximetry, renal MRI, Pikometer |
Additional relevant MeSH terms:
|
Lymphangioleiomyomatosis Lymphangiomyoma Lymphatic Vessel Tumors Neoplasms by Histologic Type Neoplasms Perivascular Epithelioid Cell Neoplasms Neoplasms, Connective and Soft Tissue Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Everolimus |
Sirolimus Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Antifungal Agents Anti-Infective Agents Anti-Bacterial Agents |
ClinicalTrials.gov processed this record on May 16, 2013