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Advanced and Metastatic Silent Neuro-Endocrine TumorsPhase 2RAMSETE/CDE16NCT00688623

RAMSETE: RAD001 in Advanced and Metastatic Silent Neuro-endocrine Tumors in Europe

A Phase 2 study testing Everolimus in people with Advanced and Metastatic Silent Neuro-Endocrine Tumors and Carcinoma, run by Novartis Pharmaceuticals at 40 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

To evaluate the preliminary efficacy and safety of RAD001 as monotherapy for first-line treatment of patients with metastatic papillary carcinoma of the kidney. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Everolimus
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
73 participants
Where
40 sitesin 8 countries
Study dates
24 Jun 2009to 7 Nov 2016
Phase
Phase 2

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ≥ 18 years old
  • Patients with advanced (unresectable or metastatic) biopsy proven non-syndromic neuro-endocrine carcinoma, low or intermediate grade
  • Radiological documentation of disease progression within 12 months prior to study entry. If patients received anti-tumor therapy during the past 12 months, they must have radiological documentation of progressive disease (PD) while on or after receiving the therapy
  • Patients may have received previous treatments (chemotherapy, biotherapy, peptide-receptor radionuclide therapy); an overall maximum of 3 systemic treatment is allowed
  • Patients with at least one measurable lesion
  • Patients with an ECOG (Eastern Cooperative Oncology Group) Performance Status 0-2
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  • Adequate bone marrow function
  • Adequate liver function
  • Adequate renal function
  • Adequate lipid profile

Who cannot join

  • Patients with poorly differentiated neuroendocrine carcinoma, high-grade neuroendocrine carcinoma, adenocarcinoid, goblet cell carcinoid and small cell carcinoma
  • Patients with carcinoid with hormone related symptoms (diarrhea ≥ 4 stools per day and/or flushes)
  • Patients with Islet cell carcinomas or pancreatic NET
  • Patients who received prior therapy with Vascular Endothelial Growth Factor (VEGF) pathway inhibitor within 4 weeks prior to study entry
  • Patients who entered peptide receptor radionuclide therapy (PRRT) within 3 months prior to study entry
  • Patients who received CT, biotherapy or radiotherapy within 4 weeks prior to study entry
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  • Patients who have previously received systemic (mammalian target of rapamycin) mTOR inhibitors
  • Patients with a known hypersensitivity to everolimus or other rapamycins or to its excipients
  • Patients with uncontrolled central nervous system (CNS) metastases
  • Patients receiving chronic systemic treatment with corticosteroids or another immunosuppressive agent
  • Patients with a known history of HIV seropositivity
  • Patients with autoimmune hepatitis
  • Patients with an active, bleeding diathesis
  • Patients who have any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study
  • Patients who have a history of another primary malignancy and off treatment ≤ 3 years, with the exception of non-melanoma skin cancer and carcinoma in situ of the uterine cervix
  • Female patients who are pregnant or breast feeding, or adults of reproductive potential who are not using effective birth control methods
  • Patients who are using other investigational agents or who had received investigational drugs ≤ 4 weeks prior to study treatment start
  • Patients unwilling to or unable to comply with the protocol

Trial locations and contacts

40 sites in 8 countries.

40 sites in 8 countries

Germany11 sites
  • Novartis Investigative Site

    Bad Berka, 99438

  • Novartis Investigative Site

    Bad Berka

  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Berlin

  • Novartis Investigative Site

    Bonn

  • Novartis Investigative Site

    Frankfurt

  • Novartis Investigative Site

    Heidelberg, 69120

  • Novartis Investigative Site

    Heidelberg

  • Novartis Investigative Site

    Mainz, 55131

  • Novartis Investigative Site

    Mainz

  • Novartis Investigative Site

    Munich

Other trials in Germany

Italy10 sites
  • Novartis Investigative Site

    Bologna, BO, 40138

  • Novartis Investigative Site

    Bologna

  • Novartis Investigative Site

    Milan, MI, 20141

  • Novartis Investigative Site

    Milan

  • Novartis Investigative Site

    Perugia, PG, 06129

  • Novartis Investigative Site

    Perugia

  • Novartis Investigative Site

    Roma, RM, 00189

  • Novartis Investigative Site

    Roma

  • Novartis Investigative Site

    Viagrande, CT, 95029

  • Novartis Investigative Site

    Viagrande

Other trials in Italy

Spain5 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08907

  • Novartis Investigative Site

    Barcelona, Catalonia

  • Novartis Investigative Site

    Barcelona

  • Novartis Investigative Site

    Madrid

  • Novartis Investigative Site

    Uppsala

Other trials in Spain

France4 sites
  • Novartis Investigative Site

    Bordeaux

  • Novartis Investigative Site

    Lyon

  • Novartis Investigative Site

    Marseille

  • Novartis Investigative Site

    Paris

Other trials in France

United Kingdom4 sites
  • Novartis Investigative Site

    Glasgow

  • Novartis Investigative Site

    Glasgow - Scotland, G12 OYN

  • Novartis Investigative Site

    Manchester, M20 9BX

  • Novartis Investigative Site

    Manchester

Other trials in United Kingdom

Poland3 sites
  • Novartis Investigative Site

    Gdansk, 80-952

  • Novartis Investigative Site

    Gdansk

  • Novartis Investigative Site

    Warsaw

Other trials in Poland

Sweden2 sites
  • Novartis Investigative Site

    Stockholm

  • Novartis Investigative Site

    Uppsala, SE-751 85

Other trials in Sweden

Netherlands1 site
  • Novartis Investigative Site

    Rotterdam

Other trials in Netherlands

About this study

Official title: A Single Arm, Multicenter Single Stage Phase II Trial of RAD001 as Monotherapy in the Treatment of Metastatic Non Syndromic Neuro-endocrine Tumors

To evaluate the preliminary efficacy and safety of RAD001 as monotherapy for first-line treatment of patients with metastatic papillary carcinoma of the kidney.

Being tested
Everolimus
Keywords
Neuroendocrine tumors, non functioning neuroendocrine tumors, Non syndromic neuroendocrine tumors, carcinoids, non-functioning carcinoids, adults, everolimus, NET, RAMSETE, CRAD001, non-functioning neuroendocrine tumors carcinoids
Medical subject headings
Carcinoma, Carcinoid Tumor, Neuroendocrine Tumors

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EverolimusDrug

    Everolimus 5 mg tablets were supplied in blister packs

Study groups in NCT00688623
Study groupRoleWhat they receive
EverolimusExperimentalEverolimus
Receives: Drug: Everolimus

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants' Best Overall Response Rate at 12 Months - Per Protocol Set (PP)

    Overall response rate (ORR) was based on RECIST central assessment and defined as the percentage of patients with best overall response (BOR) of a confirmed complete response (CR) or partial response (PR). The BOR was calculated on basis of the tumor of overall lesion response evaluated at each visit. To be assigned a status of PR or CR, changes in tumor measurements had to be confirmed by repeat assessments obtained within 4 weeks after the criteria for response were first met. Assessments was based on RECIST criteria 1.0. Measurable disease lesions had to be accurately measured in at least one dimension with longest diameter ≥ 20 mm using conventional techniques or ≥ 10 mm with spiral CT scan (with minimum lesion size no less than double the slice thickness). PR required at least a 30% decrease in the sum of the longest diameter of all target lesions, taking as reference the baseline sum of the longest diameters. CR required disappearance of all target and non-target lesions.

    Measured: baseline up to approximately 12 months

  2. Percentage of Participants With Objective Response Rate at 12 Months - Per Protocol Set (PP)

    Overall Response Rate (ORR) was calculated for total PP population based on central review as confirmatory, primary analysis as well as for ITT population as sensitivity analysis. It was presented with relative frequencies and the exact 2-sided 80% confidence limit (CI) computed using the Clopper-Pearson method). If the lower limit of the CI did not include p0=5%, the hypothesis that p ≤ 5% was rejected. The primary analysis was based on the PP Set

    Measured: baseline up to approximately 12 months

  3. Percentage of Participants With a Overall Response Rate With a Complete Response (CR) or Partial Response (PR) at 12 Months ITT Set

    The best overall response (BOR) was calculated on basis of the tumor of overall lesion response evaluated at each visit. To be assigned a status of PR or CR, changes in tumor measurements had to be confirmed by repeat assessments that should have been performed not less than 4 weeks after the criteria for response were first met. Assessments was based on RECIST criteria 1.0. Measurable disease lesions had to be accurately measured in at least one dimension with longest diameter ≥ 20 mm using conventional techniques or ≥ 10 mm with spiral CT scan (with minimum lesion size no less than double the slice thickness). PR required at least a 30% decrease in the sum of the longest diameter of all target lesions, taking as reference the baseline sum of the longest diameters.

    CR required disappearance of all target and non-target lesions.

    Measured: baseline up to approximately 12 months

  4. Percentage of Participants With Objective Response Rate at 12 Months ITT Set

    Overall Response Rate (ORR) was presented for ITT population as sensitivity analysis. It was presented with relative frequencies and the exact 2-sided 80% confidence limit (CL; computed using the Clopper-Pearson method). If the lower limit of the CI did not include p0=5%, the hypothesis that p ≤ 5% was rejected.

    Measured: baseline up to approximately 12 months

Secondary outcomes (4)
  1. Percentage of Participants With Disease Control Rate (DCR) at 12 Months for Per Protocol (PP) and ITT Sets

    DCR was based on central radiologic review and is defined as the percentage of patients with a best overall response of 'Complete response' (CR), 'Partial response' (PR) or 'Stable disease' (SD). Relative frequencies together with their exact 2-sided 80% confidence intervals were presented

    Measured: baseline up to approximately 12 months

  2. Percentage of Participants' Biochemical Response Rate Based on the Tumor Marker Chromogranin A (CgA)

    Biochemical response was defined as level and change from baseline in CgA during the course of the trial. The resulting values showed a high variation and were not interpretable, as different methodology was used for the assessment of CgA at the individual centers.

    Measured: baseline up to approximately 12 months

  3. Duration of Progression Free Survival (PFS) for Per Protocol (PP) and ITT Sets

    Duration of PFS was defined as the time from first study drug administration to objective tumor progression or death from any cause. Observations from patients not experiencing tumor progression or death at date of database closure were censored with the date of their last adequate tumor assessment. Progression was either 1) a 20% increase in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of longest diameter of all target lesions recorded at or after baseline or 2) the appearance of a new lesion or 3) the unequivocal progression of non-target lesions.

    Measured: baseline up to approximately 12 months

  4. Overall Survival (OS) for Per Protocol (PP) and ITT Sets

    OS was defined as the time from first study drug administration to death from any cause. If a patient was not known to have died at date of database closure, overall survival was censored at the date of last contact.

    Measured: baseline up to approximately 15 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jun 2008 (estimated)
  2. Study start24 Jun 2009
  3. Primary completion7 Nov 2016
  4. Study completion7 Nov 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
73 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00688623
Sponsor's protocol ID
CRAD001CDE16
Acronym
RAMSETE/CDE16
Status last verified
Aug 2018
First submitted
30 May 2008
Last updated
25 Jan 2019
FDA-regulated drug
No
FDA-regulated device
No

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