- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT00936702
Carboplatin, Paclitaxel, and Everolimus in Treating Patients With Previously Untreated Cancer of Unknown Primary
A Phase II Study of Carboplatin (CBDCA), Paclitaxel (TAXOL), and Everolimus (RAD001) in Previously Untreated Patients With Measurable Disease With Cancer of Unknown Primary (CUP)
RATIONALE: Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Everolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.
PURPOSE: This phase II trial is studying how well carboplatin given together with paclitaxel and everolimus works in treating patients with previously untreated cancer of unknown primary.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
OBJECTIVES:
Primary
- Evaluate the response rate in patients with previously untreated cancer of unknown primary treated with the combination of carboplatin, paclitaxel, and everolimus.
Secondary
- Assess time to progression, overall survival, duration of response, and time to treatment failure in patients treated with this regimen.
- Determine adverse events of this regimen in these patients.
- Perform descriptive correlative studies to determine response of specific tumor types, identified by the Origin-FFPE test, to this regimen.
OUTLINE: This is a multicenter study.
Patients receive carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on day 1. Patients also receive oral everolimus once daily on days 1, 8, and 15. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Patients' tumor tissue samples from the most recent biopsy are analyzed for correlative studies, including gene expression profiling by Origin-FFPE test.
After completion of study therapy, patients are followed up every 3 months until disease progression, and then every 6 months for up to 3 years.
Tipo de estudo
Inscrição (Real)
Estágio
- Fase 2
Contactos e Locais
Locais de estudo
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Colorado
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Fort Collins, Colorado, Estados Unidos, 80524
- Poudre Valley Hospital
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Fort Collins, Colorado, Estados Unidos, 80528
- Front Range Cancer Specialists
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Connecticut
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Hartford, Connecticut, Estados Unidos, 06105
- Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center
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Illinois
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Moline, Illinois, Estados Unidos, 61265
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Moline, Illinois, Estados Unidos, 61265
- Trinity Cancer Center at Trinity Medical Center - 7th Street Campus
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Indiana
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Elkhart, Indiana, Estados Unidos, 46515
- Elkhart General Hospital
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Elkhart, Indiana, Estados Unidos, 46514-2098
- Elkhart Clinic, LLC
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Elkhart, Indiana, Estados Unidos, 46514
- Michiana Hematology-Oncology, PC - Elkhart
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Indianapolis, Indiana, Estados Unidos, 46237
- St. Francis Hospital Cancer Care Services
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Kokomo, Indiana, Estados Unidos, 46904
- Howard Community Hospital
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La Porte, Indiana, Estados Unidos, 46350
- Center for Cancer Therapy at LaPorte Hospital and Health Services
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Mishawaka, Indiana, Estados Unidos, 46545-1470
- Michiana Hematology-Oncology, PC - South Bend
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Mishawaka, Indiana, Estados Unidos, 46545-1470
- Saint Joseph Regional Medical Center
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Plymouth, Indiana, Estados Unidos, 46563
- Michiana Hematology Oncology PC - Plymouth
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Richmond, Indiana, Estados Unidos, 47374
- Reid Hospital & Health Care Services
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South Bend, Indiana, Estados Unidos, 46601
- Memorial Hospital of South Bend
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South Bend, Indiana, Estados Unidos, 46601
- CCOP - Northern Indiana CR Consortium
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Westville, Indiana, Estados Unidos, 46391
- Michiana Hematology Oncology PC - La Porte
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Iowa
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Ames, Iowa, Estados Unidos, 50010
- McFarland Clinic, PC
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Bettendorf, Iowa, Estados Unidos, 52722
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Cedar Rapids, Iowa, Estados Unidos, 52403
- Cedar Rapids Oncology Associates
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Cedar Rapids, Iowa, Estados Unidos, 52403
- Mercy Regional Cancer Center at Mercy Medical Center
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Clive, Iowa, Estados Unidos, 50325
- Medical Oncology and Hematology Associates - West Des Moines
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Des Moines, Iowa, Estados Unidos, 50309
- CCOP - Iowa Oncology Research Association
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Des Moines, Iowa, Estados Unidos, 50309
- John Stoddard Cancer Center at Iowa Methodist Medical Center
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Des Moines, Iowa, Estados Unidos, 50309
- Medical Oncology and Hematology Associates at John Stoddard Cancer Center
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Des Moines, Iowa, Estados Unidos, 50314
- Medical Oncology and Hematology Associates at Mercy Cancer Center
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Des Moines, Iowa, Estados Unidos, 50314
- Mercy Cancer Center at Mercy Medical Center - Des Moines
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Des Moines, Iowa, Estados Unidos, 50316
- John Stoddard Cancer Center at Iowa Lutheran Hospital
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Ottumwa, Iowa, Estados Unidos, 52501
- McCreery Cancer Center at Ottumwa Regional
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Sioux City, Iowa, Estados Unidos, 51101
- Siouxland Hematology-Oncology Associates, LLP
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Sioux City, Iowa, Estados Unidos, 51102
- Mercy Medical Center - Sioux City
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Sioux City, Iowa, Estados Unidos, 51104
- St. Luke's Regional Medical Center
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Kansas
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Chanute, Kansas, Estados Unidos, 66720
- Cancer Center of Kansas, PA - Chanute
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Dodge City, Kansas, Estados Unidos, 67801
- Cancer Center of Kansas, PA - Dodge City
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El Dorado, Kansas, Estados Unidos, 67042
- Cancer Center of Kansas, PA - El Dorado
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Fort Scott, Kansas, Estados Unidos, 66701
- Cancer Center of Kansas - Fort Scott
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Independence, Kansas, Estados Unidos, 67301
- Cancer Center of Kansas-Independence
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Kingman, Kansas, Estados Unidos, 67068
- Cancer Center of Kansas, PA - Kingman
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Lawrence, Kansas, Estados Unidos, 66044
- Lawrence Memorial Hospital
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Liberal, Kansas, Estados Unidos, 67901
- Cancer Center of Kansas, PA - Liberal
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Newton, Kansas, Estados Unidos, 67114
- Cancer Center of Kansas, PA - Newton
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Parsons, Kansas, Estados Unidos, 67357
- Cancer Center of Kansas, PA - Parsons
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Pratt, Kansas, Estados Unidos, 67124
- Cancer Center of Kansas, PA - Pratt
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Salina, Kansas, Estados Unidos, 67401
- Cancer Center of Kansas, PA - Salina
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Wellington, Kansas, Estados Unidos, 67152
- Cancer Center of Kansas, PA - Wellington
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Wichita, Kansas, Estados Unidos, 67208
- Cancer Center of Kansas, PA - Medical Arts Tower
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Wichita, Kansas, Estados Unidos, 67214
- Cancer Center of Kansas, PA - Wichita
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Wichita, Kansas, Estados Unidos, 67214
- CCOP - Wichita
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Wichita, Kansas, Estados Unidos, 67214
- Via Christi Cancer Center at Via Christi Regional Medical Center
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Wichita, Kansas, Estados Unidos, 67208
- Associates in Womens Health, PA - North Review
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Winfield, Kansas, Estados Unidos, 67156
- Cancer Center of Kansas, PA - Winfield
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Michigan
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Adrian, Michigan, Estados Unidos, 49221
- Hickman Cancer Center at Bixby Medical Center
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Ann Arbor, Michigan, Estados Unidos, 48106-0995
- Saint Joseph Mercy Cancer Center
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Ann Arbor, Michigan, Estados Unidos, 48106
- CCOP - Michigan Cancer Research Consortium
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Battle Creek, Michigan, Estados Unidos, 49017
- Battle Creek Health System Cancer Care Center
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Dearborn, Michigan, Estados Unidos, 48123-2500
- Oakwood Cancer Center at Oakwood Hospital and Medical Center
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Escanaba, Michigan, Estados Unidos, 49431
- Green Bay Oncology, Limited - Escanaba
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Flint, Michigan, Estados Unidos, 48503
- Hurley Medical Center
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Flint, Michigan, Estados Unidos, 48503
- Genesys Hurley Cancer Institute
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Grand Rapids, Michigan, Estados Unidos, 49503
- Butterworth Hospital at Spectrum Health
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Grand Rapids, Michigan, Estados Unidos, 49503
- CCOP - Grand Rapids
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Grand Rapids, Michigan, Estados Unidos, 49503
- Lacks Cancer Center at Saint Mary's Health Care
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Grosse Pointe Woods, Michigan, Estados Unidos, 48236
- Van Elslander Cancer Center at St. John Hospital and Medical Center
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Iron Mountain, Michigan, Estados Unidos, 49801
- Dickinson County Healthcare System
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Jackson, Michigan, Estados Unidos, 49201
- Foote Memorial Hospital
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Lansing, Michigan, Estados Unidos, 48912-1811
- Sparrow Regional Cancer Center
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Livonia, Michigan, Estados Unidos, 48154
- St. Mary Mercy Hospital
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Monroe, Michigan, Estados Unidos, 48162
- Community Cancer Center of Monroe
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Monroe, Michigan, Estados Unidos, 48162
- Mercy Memorial Hospital - Monroe
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Muskegon, Michigan, Estados Unidos, 49444
- Mercy General Health Partners
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Pontiac, Michigan, Estados Unidos, 48341-2985
- St. Joseph Mercy Oakland
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Port Huron, Michigan, Estados Unidos, 48060
- Mercy Regional Cancer Center at Mercy Hospital
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Reed City, Michigan, Estados Unidos, 49677
- Spectrum Health Reed City Hospital
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Saginaw, Michigan, Estados Unidos, 48601
- Seton Cancer Institute at Saint Mary's - Saginaw
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Saint Joseph, Michigan, Estados Unidos, 49085
- Lakeside Cancer Specialists, PLLC
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Saint Joseph, Michigan, Estados Unidos, 49085
- Lakeland Regional Cancer Care Center - St. Joseph
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Traverse City, Michigan, Estados Unidos, 49684
- Munson Medical Center
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Warren, Michigan, Estados Unidos, 48093
- St. John Macomb Hospital
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Minnesota
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Bemidji, Minnesota, Estados Unidos, 56601
- MeritCare Bemidji
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Duluth, Minnesota, Estados Unidos, 55805
- CCOP - Duluth
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Duluth, Minnesota, Estados Unidos, 55805
- Miller - Dwan Medical Center
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Duluth, Minnesota, Estados Unidos, 55805-1983
- Essentia Health - Duluth Clinic
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Rochester, Minnesota, Estados Unidos, 55905
- Mayo Clinic Cancer Center
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Missouri
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Springfield, Missouri, Estados Unidos, 65804
- St. John's Regional Health Center
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Springfield, Missouri, Estados Unidos, 65807
- Hulston Cancer Center at Cox Medical Center South
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Springfield, Missouri, Estados Unidos, 65804
- CCOP - Cancer Research for the Ozarks
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Montana
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Billings, Montana, Estados Unidos, 59101
- CCOP - Montana Cancer Consortium
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Billings, Montana, Estados Unidos, 59101
- St. Vincent Healthcare Cancer Care Services
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Billings, Montana, Estados Unidos, 59107-7000
- Billings Clinic - Downtown
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Billings, Montana, Estados Unidos, 59102
- Hematology-Oncology Centers of the Northern Rockies - Billings
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Bozeman, Montana, Estados Unidos, 59715
- Bozeman Deaconess Cancer Center
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Butte, Montana, Estados Unidos, 59701
- St. James Healthcare Cancer Care
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Great Falls, Montana, Estados Unidos, 59405
- Sletten Cancer Institute at Benefis Healthcare
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Helena, Montana, Estados Unidos, 59601
- St. Peter's Hospital
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Kalispell, Montana, Estados Unidos, 59901
- Kalispell Regional Medical Center
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Missoula, Montana, Estados Unidos, 59807-7877
- Montana Cancer Specialists at Montana Cancer Center
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Missoula, Montana, Estados Unidos, 59807
- Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
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North Dakota
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Bismarck, North Dakota, Estados Unidos, 58501
- Medcenter One Hospital Cancer Care Center
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Bismarck, North Dakota, Estados Unidos, 58501
- Mid Dakota Clinic, PC
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Bismarck, North Dakota, Estados Unidos, 58502
- St. Alexius Medical Center Cancer Center
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Fargo, North Dakota, Estados Unidos, 58122
- CCOP - MeritCare Hospital
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Fargo, North Dakota, Estados Unidos, 58102
- MeritCare Broadway
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Ohio
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Bowling Green, Ohio, Estados Unidos, 43402
- Wood County Oncology Center
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Dayton, Ohio, Estados Unidos, 45405
- Grandview Hospital
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Dayton, Ohio, Estados Unidos, 45406
- Good Samaritan Hospital
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Dayton, Ohio, Estados Unidos, 45409
- David L. Rike Cancer Center at Miami Valley Hospital
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Dayton, Ohio, Estados Unidos, 45415
- Samaritan North Cancer Care Center
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Dayton, Ohio, Estados Unidos, 45420
- CCOP - Dayton
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Elyria, Ohio, Estados Unidos, 44035
- Community Cancer Center
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Elyria, Ohio, Estados Unidos, 44035
- Hematology Oncology Center
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Findlay, Ohio, Estados Unidos, 45840
- Blanchard Valley Medical Associates
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Franklin, Ohio, Estados Unidos, 45005-1066
- Middletown Regional Hospital
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Greenville, Ohio, Estados Unidos, 45331
- Wayne Hospital
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Kettering, Ohio, Estados Unidos, 45429
- Charles F. Kettering Memorial Hospital
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Lima, Ohio, Estados Unidos, 45804
- Lima Memorial Hospital
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Maumee, Ohio, Estados Unidos, 43537-1839
- Northwest Ohio Oncology Center
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Oregon, Ohio, Estados Unidos, 43616
- St. Charles Mercy Hospital
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Oregon, Ohio, Estados Unidos, 43616
- Toledo Clinic - Oregon
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Sylvania, Ohio, Estados Unidos, 43560
- Flower Hospital Cancer Center
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Tiffin, Ohio, Estados Unidos, 44883
- Mercy Hospital of Tiffin
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Toledo, Ohio, Estados Unidos, 43608
- St. Vincent Mercy Medical Center
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Toledo, Ohio, Estados Unidos, 43606
- Toledo Hospital
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Toledo, Ohio, Estados Unidos, 43614
- Medical University of Ohio Cancer Center
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Toledo, Ohio, Estados Unidos, 43617
- CCOP - Toledo Community Hospital
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Toledo, Ohio, Estados Unidos, 43623
- Toledo Clinic, Incorporated - Main Clinic
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Toledo, Ohio, Estados Unidos, 43623
- St. Anne Mercy Hospital
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Troy, Ohio, Estados Unidos, 45373-1300
- UVMC Cancer Care Center at Upper Valley Medical Center
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Wauseon, Ohio, Estados Unidos, 43567
- Fulton County Health Center
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Xenia, Ohio, Estados Unidos, 45385
- Ruth G. McMillan Cancer Center at Greene Memorial Hospital
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South Dakota
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Sioux Falls, South Dakota, Estados Unidos, 57117-5039
- Sanford Cancer Center at Sanford USD Medical Center
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Virginia
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Fredericksburg, Virginia, Estados Unidos, 22401
- Fredericksburg Oncology, Incorporated
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Wisconsin
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Green Bay, Wisconsin, Estados Unidos, 54307-3508
- St. Vincent Hospital Regional Cancer Center
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Green Bay, Wisconsin, Estados Unidos, 54301-3526
- Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
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Green Bay, Wisconsin, Estados Unidos, 54303
- Green Bay Oncology, Limited at St. Mary's Hospital
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Green Bay, Wisconsin, Estados Unidos, 54303
- St. Mary's Hospital Medical Center - Green Bay
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Manitowoc, Wisconsin, Estados Unidos, 54221-1450
- Holy Family Memorial Medical Center Cancer Care Center
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Marinette, Wisconsin, Estados Unidos, 54143
- Bay Area Cancer Care Center at Bay Area Medical Center
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Oconto Falls, Wisconsin, Estados Unidos, 54154
- Green Bay Oncology, Limited - Oconto Falls
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Sheboygan, Wisconsin, Estados Unidos, 53081
- St. Nicholas Hospital
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Sturgeon Bay, Wisconsin, Estados Unidos, 54235
- Green Bay Oncology, Limited - Sturgeon Bay
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria
- Histological confirmation of metastatic adenocarcinoma, poorly differentiated non-small cell carcinoma, or poorly differentiated squamous carcinoma
- Adequate FFPE tissue or re-biopsy planned after registration but prior to treatment
- Measurable disease as defined; for patients having only lesions measuring at least 1 cm to =< 2 cm must use spiral computed tomography (CT) imaging for both pre- and post-treatment tumor assessments; disease that has received prior radiation (performed for palliative reasons) cannot be used for measurable disease
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
- Hemoglobin (Hgb) >= 9.0 g/dL
- Absolute neutrophil count (ANC) >= 1,500/uL
- Platelet count >= 100,000/uL
- Total bilirubin =< upper limits of normal (ULN); if liver metastases are present, total bilirubin =< 2 x ULN
- Aspartate aminotransferase (AST) =< 2.5 x ULN; if liver metastases are present, AST =< 5 x ULN
- Creatinine =< 1.25 x ULN; if > 1.25 x ULN calculated creatinine clearance must be >= 60 ml/min
- Negative pregnancy test done =< 7 days prior to registration, for women of childbearing potential only
- Provide informed written consent
- Willingness to return to NCCTG enrolling institution for follow-up
- Willingness to abstain from eating grapefruit or drinking grapefruit juice for the duration of the study
Exclusion Criteria
Any of the following:
- Pregnant women
- Nursing women
- Men or women of childbearing potential who are unwilling to employ adequate contraception; note: adequate contraception must be used throughout the trial and for 8 weeks after the last dose of RAD001, by both sexes
- Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens
History of any of the following:
- Known to be human immunodeficiency virus (HIV) positive
- Known prior/current history of hepatitis related to hepatitis B or hepatitis C
Uncontrolled intercurrent illness including, but not limited to the following:
- Ongoing or active infection (acute or chronic)
- Symptomatic congestive heart failure
- Unstable angina pectoris
- Cardiac arrhythmia
- Severely impaired lung function
- Uncontrolled diabetes as defined by fasting serum glucose > 1.5 x ULN (note: optimal glycemic control should be achieved before starting trial therapy)
- Liver disease such as cirrhosis or severe hepatic impairment
- Psychiatric illness/social situations that would limit compliance with study requirements
- Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm =< 4 weeks prior to registration
- Other active malignancy =< 5 years prior to registration; EXCEPTIONS: non-melanotic skin cancer or carcinoma-in-situ of the cervix; NOTE: if there is a history of prior malignancy, they must not be receiving other specific treatment for their cancer
- Untreated brain metastases; NOTE: patients with treated, stable brain metastases for at least 12 weeks prior to study entry are eligible for enrollment
- Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection)
- Active, bleeding diathesis
- Receiving chronic, systemic treatment with corticosteroids or another immunosuppressive agent; topical or inhaled corticosteroids are allowed
- Currently on enzyme inducing anti-convulsants (EIACs) or other strong inducers or strong inhibitors of cytochrome P450, family 3, subfamily A, polypeptide 4 (CYP3A4)
- Current use of warfarin (Coumadin); EXCEPTION: current use of low-molecular weight heparin is allowed
- Known to be HIV positive
- Inoculated with live attenuated vaccines =< 2 weeks prior to registration; note: close contact with those who have received attenuated live vaccines should be avoided during treatment with everolimus; examples of live vaccines include intranasal influenza, measles, mumps, rubella, oral polio, Bacillus Calmette-Guerin (BCG), yellow fever, varicella and TY21a typhoid vaccines
- =< 4 weeks from major surgery; note: for this study, diagnostic laparoscopy (without other intervention) and/or biopsies (needle aspirate, core biopsy, open biopsy, etc.) are not considered major surgery
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: Treatment (carboplatin, paclitaxel, and everolimus)
Patients receive carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on day 1.
Patients also receive everolimus PO QD on days 1, 8, and 15.
Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
|
Dado IV
Dado IV
Dado PO
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Percentage of Participants With Confirmed Tumor Responses
Prazo: First 6 Cycles of treatment (an average of 6 months)
|
Confirmed tumor response was defined to be either a complete response (CR) or partial response (PR) noted as the objective status on 2 consecutive evaluations at least 4 weeks apart. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria:
|
First 6 Cycles of treatment (an average of 6 months)
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Overall Survival
Prazo: Time from registration to death or last follow-up (up to 3 years)
|
Overall survival was defined as the time from study enrollment to the time of death from any cause or last follow-up.
|
Time from registration to death or last follow-up (up to 3 years)
|
|
Progression-free Survival
Prazo: Time from registration to the disease progression or death (up to 3 years)
|
The progression-free survival (PFS) was defined as the time from date of registration to the documentation of disease progression or death as a result of any cause, whichever comes first.
|
Time from registration to the disease progression or death (up to 3 years)
|
|
Duration of Response
Prazo: Up to 3 years
|
Duration of response was defined for all evaluable participants who have achieved an objective response as the date at which the participant's objective status is first noted to be either CR or PR to the date progression is documented.
|
Up to 3 years
|
|
Time to Treatment Failure
Prazo: Up to 3 years
|
Time to treatment failure was defined to be the time from the date of registration to the date at which the participant is removed from treatment due to progression, adverse events, or refusal.
|
Up to 3 years
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Cadeira de estudo: Matthew P. Goetz, MD, Mayo Clinic
Publicações e links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
- Processos Patológicos
- Neoplasias por Tipo Histológico
- Neoplasias
- Neoplasias Glandulares e Epiteliais
- Processos Neoplásicos
- Neoplasia Metástase
- Carcinoma
- Neoplasias Primárias Desconhecidas
- Efeitos Fisiológicos das Drogas
- Mecanismos Moleculares de Ação Farmacológica
- Agentes Antineoplásicos
- Agentes imunossupressores
- Fatores imunológicos
- Moduladores de Tubulina
- Agentes Antimitóticos
- Moduladores de Mitose
- Agentes Antineoplásicos Fitogênicos
- Carboplatina
- Paclitaxel
- Everolimo
Outros números de identificação do estudo
- NCCTG-N0871
- NCI-2011-01926 (Identificador de registro: CTRP (Clinical Trials Reporting System))
- CDR0000643361 (Identificador de registro: PDQ (Physician Data Query))
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .
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