Everolimus for Patients With Relapsed/Refractory Germ Cell Cancer
RADIT
A Single Arm, Open-label Multicenter Phase II Trial of Everolimus in Patients With Relapsed/Refractory Germ Cell Cancer
2 other identifiers
interventional
25
1 country
8
Brief Summary
The purpose of this study is to determine whether the drug everolimus is effective in the treatment of patients with relapsed cancer of the testis. This is a phase II study where all patients will receive the study drug (everolimus 10 mg daily). The primary endpoint of the study is the rate of patients that have no progressive disease after 12 weeks of treatment. Twenty-five evaluable patients will be treated in this study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Nov 2010
Typical duration for phase_2
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2010
CompletedFirst Submitted
Initial submission to the registry
November 16, 2010
CompletedFirst Posted
Study publicly available on registry
November 17, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedFebruary 25, 2015
February 1, 2015
3.3 years
November 16, 2010
February 24, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Progression-free rate at 12 weeks
Percentage of patients that have not progressed after 12 weeks of treatment.
12 weeks
Secondary Outcomes (3)
Objective response rate
6 months
Overall survival
12 months
Safety profile
6 months
Study Arms (1)
Everolimus 10 mg daily
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Male patients \>= 18 years old.
- Patients with histologically proven seminomatous or non-seminomatous germ cell cancer
- Disease progression during cisplatin-based chemotherapy or
- Disease progression or relapse after high-dose chemotherapy or
- Disease progression or relapse after at least 2 different cisplatin-based regimens and contraindications for high-dose chemotherapy.
- Patients must have received prior combination chemotherapy with gemcitabine, oxaliplatin and paclitaxel (GOP). Prior treatment with a combination of two of these drugs is allowed in case of contraindications for GOP.
- Disease progression at study entry: progressive disease according to RECIST criteria in baseline examinations or tumor marker increase \> 25% within 4 weeks before study entry.
- ECOG performance status \<= 2.
- Life expectancy \>= 3 months.
- Adequate bone marrow function: absolute neutrophil count \>= 1.5 x 109/1, platelets \>= 75 x 109/1, hemoglobin \>= 9 g/dl.
- Adequate liver function: serum bilirubin: \<= 1.5x ULN, ALT and AST \<= 2.5x ULN. For patients with known liver metastases: AST and ALT \<= 5x ULN.
- Adequate renal function: serum creatinine \<= 2.0x ULN.
- Patients must be surgically sterile or must agree to use effective contraception during study treatment.
- Signed written informed consent.
You may not qualify if:
- Systemic antitumor treatment within 21 days before study entry.
- Simultaneous radiotherapy of the only target lesion(s).
- Patients who have undergone major surgery within 4 weeks prior to starting study drug (e.g. intra-thoracic, intra-abdominal, or intra-pelvic) or significant traumatic injury, or who have not recovered from the side effects of any of the above
- Patients who have previously received mTOR inhibitors (sirolimus, temsirolimus, everolimus).
- Patients receiving chronic systemic treatment with corticosteroids (dose of \>= 20 mg/day methylprednisone equivalent) or another immunosuppressive agent.
- Patients with unstable angina pectoris, myocardial infarction \<= 6 months prior to first study treatment, congestive heart failure NYHA III-IV or serious uncontrolled cardiac arrhythmias.
- Patients with severely impaired lung function: spirometry or DLCO \< 50% of the normal predicted value.
- Uncontrolled diabetes: fasting serum glucose \> 2.0x ULN.
- Patients with an active or uncontrolled infection, incl. chronic Hepatitis B or C
- Patients who have a history of another primary malignancy and are off treatment for \<= 3 years, with the exception of non-melanoma skin cancer.
- Patients who have participated in another clinical trial within 30 days before study entry.
- Other serious medical conditions that could impair the ability of the patient to participate in the study.
- Patients unwilling or unable to comply with the protocol.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hannover Medical Schoollead
- Novartiscollaborator
Study Sites (8)
Vivantes Klinikum am Urban
Berlin, 10967, Germany
Universitatsklinikum Essen
Essen, 45122, Germany
Universitatsklinikum Hamburg-Eppendorf
Hamburg, 20246, Germany
Hannover Medical School
Hanover, 30625, Germany
Universitatsklinikum Schieswig-Holstein - Campus Kiel
Kiel, 24105, Germany
Universitatsklinikum Marburg
Marburg, 35043, Germany
Klinikum Harlaching München
München, 81545, Germany
Universitatsklinikum der Eberhard-Karls-Universitat Tübingen
Tübingen, 72076, Germany
Related Publications (1)
Fenner M, Oing C, Dieing A, Gauler T, Oechsle K, Lorch A, Hentrich M, Kopp HG, Bokemeyer C, Honecker F. Everolimus in patients with multiply relapsed or cisplatin refractory germ cell tumors: results of a phase II, single-arm, open-label multicenter trial (RADIT) of the German Testicular Cancer Study Group. J Cancer Res Clin Oncol. 2019 Mar;145(3):717-723. doi: 10.1007/s00432-018-2752-z. Epub 2018 Sep 19.
PMID: 30232558DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martin H Fenner, MD
Hannover Medical School
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 16, 2010
First Posted
November 17, 2010
Study Start
November 1, 2010
Primary Completion
March 1, 2014
Study Completion
March 1, 2014
Last Updated
February 25, 2015
Record last verified: 2015-02