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.
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
- Conditions the study is for
- Advanced and Metastatic Silent Neuro-Endocrine Tumors, Carcinoma, Neuroendocrine
- 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
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
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
France4 sites
Novartis Investigative Site
Bordeaux
Novartis Investigative Site
Lyon
Novartis Investigative Site
Marseille
Novartis Investigative Site
Paris
United Kingdom4 sites
Novartis Investigative Site
Glasgow
Novartis Investigative Site
Glasgow - Scotland, G12 OYN
Novartis Investigative Site
Manchester, M20 9BX
Novartis Investigative Site
Manchester
Poland3 sites
Novartis Investigative Site
Gdansk, 80-952
Novartis Investigative Site
Gdansk
Novartis Investigative Site
Warsaw
Sweden2 sites
Novartis Investigative Site
Stockholm
Novartis Investigative Site
Uppsala, SE-751 85
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.
- Conditions
- Advanced and Metastatic Silent Neuro-Endocrine Tumors, Carcinoma, Neuroendocrine, Non Functioning Neuroendocrine Tumors (NETs), Non Syndromic Neuroendocrine Tumors, Carcinoids
- 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 group | Role | What they receive |
|---|---|---|
| Everolimus | Experimental | Everolimus Receives: Drug: Everolimus |
What is being measured
The primary outcome is the main question the study is designed to answer.
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
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
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
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)
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
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
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
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.
- First posted3 Jun 2008 (estimated)
- Study start24 Jun 2009
- Primary completion7 Nov 2016
- Study completion7 Nov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Advanced and Metastatic Silent Neuro-Endocrine TumorsStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
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
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- No
- FDA-regulated device
- No