Trial Outcomes & Findings for Phase II Study of Everolimus (RAD001) in Children and Adults With Neurofibromatosis Type 2 (NCT NCT01419639)

NCT ID: NCT01419639

Last Updated: 2017-07-18

Results Overview

To estimate the objective response rates to RAD001 in patients with NF2-related tumors including cranial nerve schwannomas, meningiomas and ependymomas. Radiographic response for study purposes = greater than or equal to 15% reduction in tumor volume in any of the target tumors (partial response). Complete disappearance of any of the target tumors = complete response. MRI of the brain and spine will be performed every 3 months. If an objective response (15% reduction in tumor volume compared to baseline) is observed in any target tumor or stable disease, drug will be continued.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

1 Year

Results posted on

2017-07-18

Participant Flow

10 people enrolled; a total of 9 completed study

Participant milestones

Participant milestones
Measure
RAD001
RAD001 taken orally continuously until disease progression or unacceptable toxicity, dosed according to age
Overall Study
STARTED
10
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase II Study of Everolimus (RAD001) in Children and Adults With Neurofibromatosis Type 2

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RAD001
n=10 Participants
RAD001 taken orally continuously until disease progression or unacceptable toxicity, dosed according to age
Age, Categorical
<=18 years
2 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
27 years
n=99 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
Region of Enrollment
United States
10 participants
n=99 Participants

PRIMARY outcome

Timeframe: 1 Year

To estimate the objective response rates to RAD001 in patients with NF2-related tumors including cranial nerve schwannomas, meningiomas and ependymomas. Radiographic response for study purposes = greater than or equal to 15% reduction in tumor volume in any of the target tumors (partial response). Complete disappearance of any of the target tumors = complete response. MRI of the brain and spine will be performed every 3 months. If an objective response (15% reduction in tumor volume compared to baseline) is observed in any target tumor or stable disease, drug will be continued.

Outcome measures

Outcome measures
Measure
RAD001
n=12 Tumors
RAD001 taken orally continuously until disease progression or unacceptable toxicity, dosed according to age
Radiographic Response
0 participants

PRIMARY outcome

Timeframe: 1 Year

Outcome measures

Outcome measures
Measure
RAD001
n=12 Tumors
RAD001 taken orally continuously until disease progression or unacceptable toxicity, dosed according to age
Change in Tumor Size From Baseline
5.72 % of change in tumor size from baseline
Interval -14.0 to 25.71

SECONDARY outcome

Timeframe: 1 Year

Defined as improvement in speech discrimination score (SDS), defined as an improvement in the score above the 95% critical difference threshold, compared to baseline audiogram at initiation of treatment. Audiologic worsening: decrease in SDS score below the 95% critical difference threshold, compared to baseline audiogram at initiation of treatment. Patients with vestibular schwannomas will receive baseline audiograms within 28 days before enrollments and subsequent audiograms at the time of each MRI.

Outcome measures

Outcome measures
Measure
RAD001
n=9 Participants
RAD001 taken orally continuously until disease progression or unacceptable toxicity, dosed according to age
Audiologic Response
0 participants

Adverse Events

RAD001

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
RAD001
n=10 participants at risk
RAD001 taken orally continuously until disease progression or unacceptable toxicity, dosed according to age
Investigations
alkaline phosphatase increased
20.0%
2/10 • Continuously throughout 1 year of study
Blood and lymphatic system disorders
anemia
50.0%
5/10 • Continuously throughout 1 year of study
Psychiatric disorders
anxiety
10.0%
1/10 • Continuously throughout 1 year of study
Musculoskeletal and connective tissue disorders
arthralgia
10.0%
1/10 • Continuously throughout 1 year of study
Investigations
AST increased
30.0%
3/10 • Continuously throughout 1 year of study
Reproductive system and breast disorders
azoospermia
10.0%
1/10 • Continuously throughout 1 year of study
Injury, poisoning and procedural complications
bruising
10.0%
1/10 • Continuously throughout 1 year of study
General disorders
chills
10.0%
1/10 • Continuously throughout 1 year of study
Investigations
cholesterol high
70.0%
7/10 • Continuously throughout 1 year of study
Gastrointestinal disorders
constipation
10.0%
1/10 • Continuously throughout 1 year of study
Respiratory, thoracic and mediastinal disorders
cough
10.0%
1/10 • Continuously throughout 1 year of study
Psychiatric disorders
depression
10.0%
1/10 • Continuously throughout 1 year of study
Gastrointestinal disorders
diarrhea
40.0%
4/10 • Continuously throughout 1 year of study
Skin and subcutaneous tissue disorders
dry skin
30.0%
3/10 • Continuously throughout 1 year of study
Nervous system disorders
dysgeusia
10.0%
1/10 • Continuously throughout 1 year of study
Respiratory, thoracic and mediastinal disorders
dyspnea
10.0%
1/10 • Continuously throughout 1 year of study
Respiratory, thoracic and mediastinal disorders
epistaxis
10.0%
1/10 • Continuously throughout 1 year of study
General disorders
fatigue
60.0%
6/10 • Continuously throughout 1 year of study
General disorders
fever
10.0%
1/10 • Continuously throughout 1 year of study
Nervous system disorders
headache
60.0%
6/10 • Continuously throughout 1 year of study
Metabolism and nutrition disorders
hyperglycemia
50.0%
5/10 • Continuously throughout 1 year of study
Metabolism and nutrition disorders
hypernatremia
50.0%
5/10 • Continuously throughout 1 year of study
Vascular disorders
hypertension
20.0%
2/10 • Continuously throughout 1 year of study
Metabolism and nutrition disorders
hypertriglyceridemia
40.0%
4/10 • Continuously throughout 1 year of study
Metabolism and nutrition disorders
hypoglycemia
10.0%
1/10 • Continuously throughout 1 year of study
Metabolism and nutrition disorders
hyponatremia
10.0%
1/10 • Continuously throughout 1 year of study
Metabolism and nutrition disorders
hypophosphatemia
20.0%
2/10 • Continuously throughout 1 year of study
Reproductive system and breast disorders
irregular menstruation
10.0%
1/10 • Continuously throughout 1 year of study
Investigations
lymphocyte count decreased
50.0%
5/10 • Continuously throughout 1 year of study
Gastrointestinal disorders
mucositis oral
100.0%
10/10 • Continuously throughout 1 year of study
Musculoskeletal and connective tissue disorders
muscle weakness- right sided
10.0%
1/10 • Continuously throughout 1 year of study
Respiratory, thoracic and mediastinal disorders
nasal congestion
10.0%
1/10 • Continuously throughout 1 year of study
Gastrointestinal disorders
nausea
10.0%
1/10 • Continuously throughout 1 year of study
Musculoskeletal and connective tissue disorders
neck pain
10.0%
1/10 • Continuously throughout 1 year of study
Investigations
neutrophil count decreased
30.0%
3/10 • Continuously throughout 1 year of study
General disorders
non-cardiac chest pain
10.0%
1/10 • Continuously throughout 1 year of study
Musculoskeletal and connective tissue disorders
pain (to bone; right clavicula)
10.0%
1/10 • Continuously throughout 1 year of study
Musculoskeletal and connective tissue disorders
pain (to extremity; left 4th finger)
10.0%
1/10 • Continuously throughout 1 year of study
Musculoskeletal and connective tissue disorders
pain (to right flank)
10.0%
1/10 • Continuously throughout 1 year of study
Investigations
platelet count decreased
60.0%
6/10 • Continuously throughout 1 year of study
Skin and subcutaneous tissue disorders
pruritis
40.0%
4/10 • Continuously throughout 1 year of study
Skin and subcutaneous tissue disorders
rash
50.0%
5/10 • Continuously throughout 1 year of study
Skin and subcutaneous tissue disorders
rash acneiform
10.0%
1/10 • Continuously throughout 1 year of study
Skin and subcutaneous tissue disorders
rash maculo-papular
10.0%
1/10 • Continuously throughout 1 year of study
Skin and subcutaneous tissue disorders
scalp pain
10.0%
1/10 • Continuously throughout 1 year of study
Infections and infestations
skin infection
10.0%
1/10 • Continuously throughout 1 year of study
Gastrointestinal disorders
toothache
10.0%
1/10 • Continuously throughout 1 year of study
Gastrointestinal disorders
vomiting
10.0%
1/10 • Continuously throughout 1 year of study
Investigations
white blood cell decreased
40.0%
4/10 • Continuously throughout 1 year of study

Additional Information

Matthias A. Karajannis

NYU Langone Medical Center

Phone: 212 263 9959

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place