Everolimus (RAD001) in Primary Therapy of Waldenstrom's Macroglobulinemia

Dana-Farber Cancer Institute

Status and phase

Completed

Phase 2

Conditions

Waldenstrom's Macroglobulinemia

Treatments

Drug: RAD001

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT00976248

09-214

Details and patient eligibility

About

The purpose of this research study is to determine the safety of RAD001(Everolimus) and the highest dose of this drug that can be given to people safely. RAD001(Everolimus) is a drug that works by preventing cells in the body from growing and dividing. Information from basic and Phase I clinical research studies suggests that RAD001 also may help to prevent tumor growth in people with relapsed or refractory lymphoma.

Full description

Participants will take RAD001 orally once a day in the morning. Each treatment cycle lasts for four weeks. Participants will receive up to 72 cycles of treatment.
During each cycle, participants will be asked to visit the clinic for scheduled tests and exams. They will visit the clinic on the first day of each of the first three cycles, and then once every 3 cycles. During the visits, participants will have a physical exam and blood tests.. Participants may also have CT scans of the chest, abdomen and pelvis as well as a bone marrow aspirate and biopsy.

Enrollment

33 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

18 years of age or older
Adequate liver and renal function as outlined in the protocol
Fasting serum cholesterol 300mg/dl or less OR 7.75mmol/L or less AND fasting triglycerides 2.5 x institutional ULN or less.
Clinicopathological diagnosis of Waldenstrom's macroglobulinemia as defined by consensus panel of the Second International Workshop on Waldenstrom's macroglobulinemia
No previous therapy for WM
Measurable disease, defined as presence of immunoglobulin M (IgM) paraprotein with a minimum IgM level of 2 times the upper limit of each institution's normal value or greater is required
ECOG Performance status of 0-2
Patients must have a life expectancy of at least 3 months
Baseline platelet and absolute neutrophil as outlined in the protocol
INR and PTT 1.5 x normalized ratio or less
A male subject agrees to use an acceptable method for contraception for the duration of study and for 8 weeks after the last dose of the study drug
Female subject either post-menopausal or surgically sterilized or willing to use acceptable methods of birth control for the duration of the study and for 8 weeks after the last dose of study drug

Exclusion criteria

Patients experiencing symptomatic hyperviscosity and requiring plasmapheresis. This includes any patient who, in the judgement of the investigator requires urgent response and will not be eligible. These patients have hyperviscosity which includes serum IgM levels of 5000 mg/dL or greater. Symptoms may include nosebleeds, visual complications, fatigue, headaches, confusion, etc.
Patients, who have had a major surgery or significant traumatic injury within 4 weeks of start of study drug, patients who have not recovered from the side effects of any major surgery or patients that may require major surgery during the course of the study.
Patients receiving chronic, systemic treatment with corticosteroids or another immunosuppressive agent. Topical or inhaled corticosteroids are allowed.
Patients should not receive any immunization with attenuated live vaccines within one week of study entry or during study period.
Patients who have had any severe and/or uncontrolled medical conditions or other conditions that would affect their participation in the study.
Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001.
Female patients that are pregnant or breast feeding, or adults of reproductive potential who are not using effective birth control methods.
Patients with known hypersensitivity to RAD001 or other rapamycins or to its excipients
Patients with other malignancies within the past 3 years except for adequately treated carcinoma of the cervix or basal or squamous cell of the skin
Patients with known history of HIV seropositivity
History of noncompliance to medical regimens
Patients unwilling to or unable to comply with the protocol