Clinical trial NCT01152801 (phase 1, status: completed)
Conditions: metastatic renal cell carcinoma
ICD codes: C22.0, C4A.9, C7B.1, C4A.0, C4A.31, C4A.51, C4A.8
Drugs: everolimus (rad001)
SMILES: [H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\C=C(C)\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\C=C\C=C\C=C(C)\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](OCCO)[C@@H](C1)OC
Eligibility criteria:

        Inclusion Criteria:

          -  Patients of Chinese origin who are ≥ 18 years old.

          -  Patients with histologically or cytologically confirmed metastatic renal cell
             carcinoma.

          -  Patients who are intolerant of or who have progression on or after stopping treatment
             with VEGF-targeted therapies within 6 months. Note: Prior treatment with vaccine
             therapy in the adjuvant setting and prior treatment with cytokines (i.e., IL-2,
             Interferon) or chemotherapy is permitted.

          -  Patients with at least 1 measurable lesion determined according to the RECIST Criteria
             Guidelines.

          -  Patients with history of brain metastasis who are clinically judged by the
             investigator as neurologically stable following definitive radiation or surgery and do
             not require corticosteroids may be enrolled in the study.

          -  Patients with a Karnofsky Performance Status ≥ 70%.

          -  Patients with adequate bone marrow function defined as ANC ≥ 1.5 x 109/L, Platelets ≥
             100 x 109/L, Hgb >9 g/dL.

          -  Patients with adequate liver function defined as serum bilirubin ≤ 1.5 x ULN, ALT and
             AST ≤ 2.5x ULN. Patients with known liver metastases who have an AST and ALT ≤ 5x ULN.

          -  Patients with adequate renal function which is defined as serum creatinine ≤ 2 x ULN.

          -  Women of childbearing potential must have had a negative serum pregnancy test within
             14 days prior to the administration of RAD001.

          -  Patients must give written informed consent according to local guidelines

        Exclusion Criteria:

          -  Patients who have received chemotherapy, immunotherapy, radio-therapy or any other
             investigational agent (including pazopanib, axitinib) within 4 weeks of study entry,
             or have received sunitinib® and/or sorafenib® within 2 weeks of the first dose of
             RAD001.

          -  Patients who have previously received RAD001 or other mTOR inhibitors.

          -  Patients with a known hypersensitivity to RAD001 or other rapamycin analogs
             (sirolimus, temsirolimus), or to its excipients.

          -  Patients who have a history of another primary malignancy ≤ 3 years, with the
             exception of non-melanoma skin cancer, and carcinoma in situ of uterine cervix.

          -  Patients receiving chronic and systemic treatment with corticosteroids or another
             immunosuppressive agent. Patients may receive low dose treatment of corticosteroids
             with a maximum dose of 20 mg prednisone or 10 mg dexamethasone per day, if they are
             being given for disorders such as rheumatoid arthritis, asthma, or adrenal
             insufficiency. Topical or inhaled corticosteroids are permitted.

          -  Patients with a clinically significant active bleeding diathesis.

          -  Patients with known HIV seropositivity, hepatitis B or C seropositivity. Patients with
             prior hepatitis B vaccination may be entered in the study after review of hepatitis
             test results by the investigator.

          -  Patients who have undergone major surgery within 4 weeks prior to starting study drug
             (e.g., intra-thoracic, intra-abdominal, or intra-pelvic), open biopsy, or significant
             traumatic injury, or who have not recovered from the side effects of any of the above.

          -  Patients with any severe and/or uncontrolled medical conditions such as: unstable
             angina pectoris,symptomatic congestive heart failure,myocardial infarction ≤ 6
             months,serious uncontrolled cardiac arrhythmia, uncontrolled hypercholesterolemia
             (>300 mg/dL or 7.75 mmol/L),uncontrolled diabetes (fasting glucose > 2x ULN),an active
             or uncontrolled severe infection, cirrhosis, chronic or persistent active hepatitis.

          -  Female patients who are pregnant or breast feeding, or adults of reproductive
             potential who are not using effective birth control methods. If barrier contraceptives
             are used, they must be continued throughout the study by both sexes, and up to 8 weeks
             after ending treatment. Hormonal contraceptives are not acceptable as a sole method of
             contraception

        Other protocol related inclusion/exclusion criteria