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| ID | Type | Description | Link |
|---|---|---|---|
| 2011-002887-26 | Registry Identifier | EudraCT |
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The purpose of this study is to compare the antitumor activity of everolimus plus best supportive care versus placebo plus best supportive care in patients with progressive nonfunctional neuroendocrine tumor (NET) of gastrointestinal (GI) or lung origin without a history of, or current symptoms of carcinoid syndrome.
This was a prospective, multi-center, randomized, double-blind, parallel-group, placebo-controlled, two-arm Phase III study comparing the efficacy and safety of everolimus 10 mg daily to placebo in patients with advanced NET of GI or lung origin without a history of, or current symptoms of carcinoid syndrome.
After assessment of eligibility, participants qualifying for the study were randomized in a 2:1 ratio to receive either everolimus or matching placebo. Participants received daily oral doses of 10 mg everolimus or matching placebo as study drug. In both arms, the study drug was combined with best supportive care and treatment cycles were defined as 28 days. Participants were treated until disease progression as per Response Evaluation Criteria In Solid Tumors (RECIST) 1.0, intolerable toxicity, death, lost to follow-up or consent withdrawal. Regardless of the reason for study drug discontinuation, participants had a safety follow-up visit scheduled 30 days after the last dose of the study drug.
Per data monitoring committee recommendation, all participants on treatment with placebo were allowed to crossover to open-label treatment with everolimus. This change was implemented through protocol amendment 3 (issued on 06-May-2016) after which remaining participants entered into open-label phase of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Everolimus + BSC | Experimental | Participants received everolimus 10 mg once daily plus best supportive care (BSC) throughout the study |
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| Placebo + BSC | Placebo Comparator | Participants received matching placebo once daily plus best supportive care (BSC) during the blinded period. Participants were allowed to crossover to treatment with everolimus 10mg once daily plus BSC during the open-label period. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Everolimus | Drug | Participants were treated with everolimus 10 mg (two 5 mg tablets) once daily orally taken |
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| Measure | Description | Time Frame |
|---|---|---|
| Probability of Participants Remaining Event-Free in Progression-Free Survival (PFS) Based on Central Radiology Assessment | PFS is defined as the time from randomization to the date of the first documented tumor progression or death from any cause, whichever comes first. Progression was defined using modified RECIST 1.0 and as per central radiology assessment as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. Progression was assessed by cat scan (CT) and/or magnetic resonance imaging (MRI). For participants who had not progressed or died at the analysis cut-off date, PFS was censored at the date of the last adequate tumor evaluation date. An adequate tumour assessment is a tumour assessment with an overall response other than unknown. The percentage event-free probability estimate is the estimated probability that a patient will remain event-free in PFS up to the specified time point. | From date of randomization to progression or death, whichever comes first, assessed up to 27 months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival (OS) | OS is defined as the time from the date of randomization to date of death due to any cause. If a death had not been observed by the date of analysis cut-off, then OS was censored at the date of last contact. All participants randomized to placebo arm who crossed over to everolimus were censored. | From date of randomization to date of death, assessed up to approximately 8 years |
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Inclusion Criteria:
Exclusion Criteria:
Patients with poorly differentiated neuroendocrine carcinoma, high-grade neuroendocrine carcinoma, adenocarcinoid, pancreatic islet cell carcinoma, insulinoma, glucagonoma, gastrinoma, goblet cell carcinoid, large cell neuroendocrine carcinoma and small cell carcinoma
Patients with pancreatic NET or NET of origins other than GI or Lung
Patients with history of or active symptoms of carcinoid syndrome (e.g. flushing, diarrhea)
Patients with more than one line of prior chemotherapy
Prior targeted therapy
Hepatic intra-arterial embolization within the last 6 months. Cryoablation or radiofrequency ablation of hepatic metastases within 2 months of randomization
Prior therapy with mTOR inhibitors (e.g. sirolimus, temsirolimus, deforolimus)
Known intolerance or hypersensitivity to everolimus or other rapamycin analogs (e.g. sirolimus, temsirolimus)
Known impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral everolimus
Uncontrolled diabetes mellitus as defined by HbA1c >8% despite adequate therapy
Patients who had any severe and/or uncontrolled medical conditions such as:
Chronic treatment with corticosteroids or other immunosuppressive agents
Known history of HIV seropositivity
Pregnant or nursing (lactating) women
Other protocol-defined inclusion/exclusion criteria might apply.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California San Diego - Moores Cancer Center Regulatory | La Jolla | California | 92093-0658 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33560090 | Derived | Chan DL, Yao JC, Carnaghi C, Buzzoni R, Herbst F, Ridolfi A, Strosberg J, Kulke MH, Pavel M, Singh S. Markers of Systemic Inflammation in Neuroendocrine Tumors: A Pooled Analysis of the RADIANT-3 and RADIANT-4 Studies. Pancreas. 2021 Feb 1;50(2):130-137. doi: 10.1097/MPA.0000000000001745. | |
| 29081664 | Derived |
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Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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At baseline, participants were randomized to either everolimus+BSC or placebo+BSC arm. Two patients randomized to the everolimus arm were not treated due to withdrawal of consent and protocol deviation.
As per Data Monitoring Committee recommendation (03-Jun-2015), implemented through protocol amendment 3 (issued on 06-May-2016), remaining participants entered the open-label part of the study, where participants in the placebo arm were allowed to crossover to open-label treatment with everolimus
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| ID | Title | Description |
|---|---|---|
| FG000 | Everolimus + BSC (Throughout Study) | Participants received everolimus 10 mg once daily BSC throughout the study |
| FG001 | Placebo+BSC (Blinded Period) | Participants received matching placebo once daily plus BSC during the blinded period |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Blinded Period |
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| Placebo | Drug | Participants were treated with two tablets of matching placebo once daily orally taken. |
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| Best suportive care (BSC) | Other | Best supportive care includes all care provided to participants deemed necessary by the treating physician, such as but not restricted to anti-diarrheals and analgesics. The optimal care of the patient is based on the treating physician's best medical judgment. |
|
| Overall Response Rate (ORR) as Per Modified RECIST 1.0 According to Central Evaluation | ORR is defined as the proportion of patients with best overall response (BOR) of complete response (CR) or partial response (PR), according to central evaluation and as per modified RECIST 1.0. CR: disappearance of all target lesions. PR: 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. | From randomization until end of treatment, assessed up to approximately 2.5 years |
| Disease Control Rate (DCR) Based on Modified RECIST 1.0 and as Per Central Radiology Assessment | DCR is defined as the proportion of subjects with best overall response of CR or PR or stable disease based on modified RECIST 1.0 and as per central radiology assessment. CR: disappearance of all target lesions. PR: 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. Stable disease: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progression. | From randomization until end of treatment, assessed up to approximately 2.5 years |
| Time to Definitive Deterioration in Functional Assessment of Cancer Therapy - General (FACT-G) Questionnaire Total Score | FACT-G is a self-assessed health-related quality of life questionnaire. The questionnaire is comprised of 27 questions examining physical, social/family, emotional, and functional well-being. Participants responded to the items on a five-point scale, ranging from 0: "Not at all" to 4: "Very much." The total score ranges from 0 to 108, with higher scores indicating a better patient-reported outcome/quality of life. Definitive deterioration is defined as a decrease in the total score by at least 7 points compared to baseline with no further improvement. Death was considered as worsening of the FACT-G total score if it occurred close to the last available assessment, where "close" was defined as twice the planned period between two assessments. Patients without definitive worsening prior to analysis cut-off or prior to start of another anticancer therapy were censored at the date of their last assessment. | From randomization to definitive deterioration of FACT-G total score, assessed up to approximately 3 years |
| Change From Baseline in Chromogranin A (CgA) Levels | CgA is a potential biomarker for tumor response. Blood samples were collected for assessment of CgA levels. Change from Baseline at a particular visit was calculated as the CgA level at that visit minus Baseline. | From baseline (every 4 weeks) up to 116 weeks |
| Change From Baseline in Neuron Specific Enolase (NSE) Levels | NSE is a potential biomarker for tumor response. Blood samples were collected for assessment of NSE levels. Change from Baseline at a particular visit was calculated as the NSE level at that visit minus Baseline. | From baseline (every 4 weeks) up to Week 116 |
| Time to Definitive Deterioration in World Health Organization (WHO) Performance Status (PS) Change | WHO PS is a scale rated from 0 (fully active) to 5 (death) by a healthcare professional to assess the overall status of a patient: a lower score represents a higher ability to perform daily tasks. Deterioration is defined as an increase of at least one point compared to baseline. Deterioration is considered definitive if no improvements in the WHO PS status is observed at a subsequent time of measurement during the treatment period following the time point where the deterioration is observed. Death was considered as worsening of the WHO PS if it occurred close to the last available assessment, where "close" was defined as twice the planned period between two assessments. Patients without definitive worsening prior to analysis cut-off or prior to start of another anticancer therapy were censored at the date of their last assessment. | From randomization to definitive deterioration of WHO performance status, assessed up to approximately 3 years |
| Pharmacokinetics (PK): Predose Concentration (Cmin) of Everolimus at Day 29 | A pre-dose blood sample at day 29 was collected to determine the exposure of everolimus at the steady-state pre-dose concentration (Cmin). Cmin is provided for participants randomized to everolimus+BSC who received 10mg of everolimus daily and also for participants randomized to everolimus+BSC who received 5mg of everolimus daily which was required for a number of participants in the study experiencing adverse events requiring dose modifications | Pre-dose at Day 29. |
| Scripps Clinic Regulatory |
| La Jolla |
| California |
| 92121 |
| United States |
| Cedars Sinai Medical Center SC | Los Angeles | California | 90048 | United States |
| University of Colorado Cancer Centre SC | Aurora | Colorado | 80045 | United States |
| H Lee Moffitt Cancer Center and Research Institute HLM | Tampa | Florida | 33612 | United States |
| University of Chicago UC SC | Chicago | Illinois | 60637 | United States |
| Goshen Center for Cancer Care IU Health SC | Indianapolis | Indiana | 46202 | United States |
| Dana Farber Cancer Institute SC | Boston | Massachusetts | 02215 | United States |
| Memorial Sloan Kettering MSkCC SC | New York | New York | 10017 | United States |
| Montefiore Medical Center MMC | The Bronx | New York | 10467 | United States |
| Oregon Health and Science University OH&SU | Portland | Oregon | 97239 | United States |
| Vanderbilt University Medical Center Vanderbilt Med Ctr | Nashville | Tennessee | 37232 | United States |
| Texas Oncology P A Texas Oncology Amarillo | Dallas | Texas | 75251 | United States |
| Texas Oncology P A TX Oncology Baylor | Dallas | Texas | 75251 | United States |
| University of Texas Southwestern Medical Center | Dallas | Texas | 75390 | United States |
| University of Texas MD Anderson Cancer Center UT MD Anderson Cancer Ctr | Houston | Texas | 77030 | United States |
| University of Wisconsin / Paul P. Carbone Comp Cancer Center Univ Wisc | Madison | Wisconsin | 53792-6164 | United States |
| Novartis Investigative Site | Innsbruck | Tyrol | 6020 | Austria |
| Novartis Investigative Site | Vienna | A-1090 | Austria |
| Novartis Investigative Site | Edegem | Antwerpen | 2650 | Belgium |
| Novartis Investigative Site | Brussels | 1200 | Belgium |
| Novartis Investigative Site | Ghent | 9000 | Belgium |
| Novartis Investigative Site | Leuven | 3000 | Belgium |
| Novartis Investigative Site | Calgary | Alberta | T2N 4N2 | Canada |
| Novartis Investigative Site | Vancouver | British Columbia | V5Z 4E6 | Canada |
| Novartis Investigative Site | Halifax | Nova Scotia | B3H 1V7 | Canada |
| Novartis Investigative Site | London | Ontario | N6A 4L6 | Canada |
| Novartis Investigative Site | Ottawa | Ontario | K1H 8L6 | Canada |
| Novartis Investigative Site | Toronto | Ontario | M4N 3M5 | Canada |
| Novartis Investigative Site | Montreal | Quebec | H1T 2M4 | Canada |
| Novartis Investigative Site | Beijing | Beijing Municipality | 100730 | China |
| Novartis Investigative Site | Beijing | 100021 | China |
| Novartis Investigative Site | Beijing | 100029 | China |
| Novartis Investigative Site | Beijing | 100036 | China |
| Novartis Investigative Site | Beijing | 100039 | China |
| Novartis Investigative Site | Bogotá | Cundinamarca | Colombia |
| Novartis Investigative Site | Brno | 65653 | Czechia |
| Novartis Investigative Site | Olomouc | 775 20 | Czechia |
| Novartis Investigative Site | Prague | 12808 | Czechia |
| Novartis Investigative Site | Bad Berka | 99438 | Germany |
| Novartis Investigative Site | Berlin | 13353 | Germany |
| Novartis Investigative Site | Essen | 45147 | Germany |
| Novartis Investigative Site | Frankfurt | 60590 | Germany |
| Novartis Investigative Site | Hanover | 30625 | Germany |
| Novartis Investigative Site | Magdeburg | 39120 | Germany |
| Novartis Investigative Site | Mainz | 55131 | Germany |
| Novartis Investigative Site | Athens | 115 27 | Greece |
| Novartis Investigative Site | Budapest | 1062 | Hungary |
| Novartis Investigative Site | Budapest | 1085 | Hungary |
| Novartis Investigative Site | Bologna | BO | 40138 | Italy |
| Novartis Investigative Site | Brescia | BS | 25123 | Italy |
| Novartis Investigative Site | Viagrande | CT | 95029 | Italy |
| Novartis Investigative Site | Florence | FI | 50134 | Italy |
| Novartis Investigative Site | Milan | MI | 20133 | Italy |
| Novartis Investigative Site | Milan | MI | 20141 | Italy |
| Novartis Investigative Site | Rozzano | MI | 20089 | Italy |
| Novartis Investigative Site | Modena | MO | 41124 | Italy |
| Novartis Investigative Site | Roma | RM | 00168 | Italy |
| Novartis Investigative Site | Roma | RM | 00189 | Italy |
| Novartis Investigative Site | Verona | VR | 37126 | Italy |
| Novartis Investigative Site | Naples | 80131 | Italy |
| Novartis Investigative Site | Naples | 80132 | Italy |
| Novartis Investigative Site | Fukuoka | Fukuoka | 812-8582 | Japan |
| Novartis Investigative Site | Osaka | Osaka | 553-0003 | Japan |
| Novartis Investigative Site | Chuo Ku | Tokyo | 104 0045 | Japan |
| Novartis Investigative Site | Beirut | 1107 2020 | Lebanon |
| Novartis Investigative Site | El Achrafiyé | 166830 | Lebanon |
| Novartis Investigative Site | Amsterdam | 1066 CX | Netherlands |
| Novartis Investigative Site | Gliwice | Silesian Voivodeship | 44-101 | Poland |
| Novartis Investigative Site | Poznan | 60-355 | Poland |
| Novartis Investigative Site | Rostov-on-Don | 344037 | Russia |
| Novartis Investigative Site | Riyadh | 11211 | Saudi Arabia |
| Novartis Investigative Site | Bratislava | Slovak Republic | 833 10 | Slovakia |
| Novartis Investigative Site | Parktown | 2193 | South Africa |
| Novartis Investigative Site | Seoul | Korea | 05505 | South Korea |
| Novartis Investigative Site | Seoul | Seocho Gu | 06591 | South Korea |
| Novartis Investigative Site | Seoul | 03080 | South Korea |
| Novartis Investigative Site | Seoul | 03722 | South Korea |
| Novartis Investigative Site | Seoul | 06351 | South Korea |
| Novartis Investigative Site | Seville | Andalusia | 41009 | Spain |
| Novartis Investigative Site | Barcelona | Catalonia | 08035 | Spain |
| Novartis Investigative Site | L'Hospitalet de Llobregat | Catalonia | 08907 | Spain |
| Novartis Investigative Site | Taipei | Taiwan, ROC | 11217 | Taiwan |
| Novartis Investigative Site | Kuei-Shan Chiang | Taoyuan/ Taiwan ROC | 33305 | Taiwan |
| Novartis Investigative Site | Kaohsiung City | 833 | Taiwan |
| Novartis Investigative Site | Taichung | 40705 | Taiwan |
| Novartis Investigative Site | Taipei | 10048 | Taiwan |
| Novartis Investigative Site | Bangkok | THA | 10330 | Thailand |
| Novartis Investigative Site | Chiang Mai | 50200 | Thailand |
| Novartis Investigative Site | Gaziantep | 27310 | Turkey (Türkiye) |
| Novartis Investigative Site | Istanbul | 34303 | Turkey (Türkiye) |
| Novartis Investigative Site | Glasgow | Scotland | G12 0YN | United Kingdom |
| Novartis Investigative Site | Cambridge | CB2 2QQ | United Kingdom |
| Novartis Investigative Site | London | SE1 9RT | United Kingdom |
| Novartis Investigative Site | London | W12 0HS | United Kingdom |
| Novartis Investigative Site | Manchester | M20 2BX | United Kingdom |
| Novartis Investigative Site | Southampton | SO16 6YD | United Kingdom |
| Buzzoni R, Carnaghi C, Strosberg J, Fazio N, Singh S, Herbst F, Ridolfi A, Pavel ME, Wolin EM, Valle JW, Oh DY, Yao JC, Pommier R. Impact of prior therapies on everolimus activity: an exploratory analysis of RADIANT-4. Onco Targets Ther. 2017 Oct 16;10:5013-5030. doi: 10.2147/OTT.S142087. eCollection 2017. |
| 29055056 | Derived | Fazio N, Buzzoni R, Delle Fave G, Tesselaar ME, Wolin E, Van Cutsem E, Tomassetti P, Strosberg J, Voi M, Bubuteishvili-Pacaud L, Ridolfi A, Herbst F, Tomasek J, Singh S, Pavel M, Kulke MH, Valle JW, Yao JC. Everolimus in advanced, progressive, well-differentiated, non-functional neuroendocrine tumors: RADIANT-4 lung subgroup analysis. Cancer Sci. 2018 Jan;109(1):174-181. doi: 10.1111/cas.13427. Epub 2017 Nov 9. |
| 28838862 | Derived | Pavel ME, Singh S, Strosberg JR, Bubuteishvili-Pacaud L, Degtyarev E, Neary MP, Carnaghi C, Tomasek J, Wolin E, Raderer M, Lahner H, Valle JW, Pommier R, Van Cutsem E, Tesselaar MET, Fave GD, Buzzoni R, Hunger M, Eriksson J, Cella D, Ricci JF, Fazio N, Kulke MH, Yao JC. Health-related quality of life for everolimus versus placebo in patients with advanced, non-functional, well-differentiated gastrointestinal or lung neuroendocrine tumours (RADIANT-4): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2017 Oct;18(10):1411-1422. doi: 10.1016/S1470-2045(17)30471-0. Epub 2017 Aug 30. |
| 26703889 | Derived | Yao JC, Fazio N, Singh S, Buzzoni R, Carnaghi C, Wolin E, Tomasek J, Raderer M, Lahner H, Voi M, Pacaud LB, Rouyrre N, Sachs C, Valle JW, Fave GD, Van Cutsem E, Tesselaar M, Shimada Y, Oh DY, Strosberg J, Kulke MH, Pavel ME; RAD001 in Advanced Neuroendocrine Tumours, Fourth Trial (RADIANT-4) Study Group. Everolimus for the treatment of advanced, non-functional neuroendocrine tumours of the lung or gastrointestinal tract (RADIANT-4): a randomised, placebo-controlled, phase 3 study. Lancet. 2016 Mar 5;387(10022):968-977. doi: 10.1016/S0140-6736(15)00817-X. Epub 2015 Dec 17. |
| FG002 | Everolimus+BSC (Crossover) | Participants who crossed over from placebo arm (blinded period) to open-label treatment with everolimus 10mg once daily plus BSC |
| COMPLETED | Participants who entered the open-label part of the study |
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| NOT COMPLETED |
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| Open-label Period |
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| ID | Title | Description |
|---|---|---|
| BG000 | Everolimus + BSC | Participants received everolimus 10 mg once daily BSC throughout the study |
| BG001 | Placebo+BSC | Participants received matching placebo once daily plus BSC during the blinded period. Participants were allowed to crossover to treatment with everolimus 10mg once daily plus BSC during the open-label period |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
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| Age, Continuous | Age continuous at Baseline: Blinded Period | Mean | Standard Deviation | years |
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| Sex: Female, Male | Gender at Baseline: Blinded period | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Race at Baseline: Blinded-period | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Probability of Participants Remaining Event-Free in Progression-Free Survival (PFS) Based on Central Radiology Assessment | PFS is defined as the time from randomization to the date of the first documented tumor progression or death from any cause, whichever comes first. Progression was defined using modified RECIST 1.0 and as per central radiology assessment as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. Progression was assessed by cat scan (CT) and/or magnetic resonance imaging (MRI). For participants who had not progressed or died at the analysis cut-off date, PFS was censored at the date of the last adequate tumor evaluation date. An adequate tumour assessment is a tumour assessment with an overall response other than unknown. The percentage event-free probability estimate is the estimated probability that a patient will remain event-free in PFS up to the specified time point. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. | Posted | Number | 95% Confidence Interval | Percent event-free probability in PFS | From date of randomization to progression or death, whichever comes first, assessed up to 27 months |
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| Secondary | Overall Survival (OS) | OS is defined as the time from the date of randomization to date of death due to any cause. If a death had not been observed by the date of analysis cut-off, then OS was censored at the date of last contact. All participants randomized to placebo arm who crossed over to everolimus were censored. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. | Posted | Median | 95% Confidence Interval | Months | From date of randomization to date of death, assessed up to approximately 8 years |
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| Secondary | Overall Response Rate (ORR) as Per Modified RECIST 1.0 According to Central Evaluation | ORR is defined as the proportion of patients with best overall response (BOR) of complete response (CR) or partial response (PR), according to central evaluation and as per modified RECIST 1.0. CR: disappearance of all target lesions. PR: 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. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. | Posted | Number | 95% Confidence Interval | Percentage of participants | From randomization until end of treatment, assessed up to approximately 2.5 years |
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| Secondary | Disease Control Rate (DCR) Based on Modified RECIST 1.0 and as Per Central Radiology Assessment | DCR is defined as the proportion of subjects with best overall response of CR or PR or stable disease based on modified RECIST 1.0 and as per central radiology assessment. CR: disappearance of all target lesions. PR: 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. Stable disease: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progression. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. | Posted | Number | 95% Confidence Interval | Percentage of participants | From randomization until end of treatment, assessed up to approximately 2.5 years |
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| Secondary | Time to Definitive Deterioration in Functional Assessment of Cancer Therapy - General (FACT-G) Questionnaire Total Score | FACT-G is a self-assessed health-related quality of life questionnaire. The questionnaire is comprised of 27 questions examining physical, social/family, emotional, and functional well-being. Participants responded to the items on a five-point scale, ranging from 0: "Not at all" to 4: "Very much." The total score ranges from 0 to 108, with higher scores indicating a better patient-reported outcome/quality of life. Definitive deterioration is defined as a decrease in the total score by at least 7 points compared to baseline with no further improvement. Death was considered as worsening of the FACT-G total score if it occurred close to the last available assessment, where "close" was defined as twice the planned period between two assessments. Patients without definitive worsening prior to analysis cut-off or prior to start of another anticancer therapy were censored at the date of their last assessment. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. | Posted | Median | 95% Confidence Interval | Months | From randomization to definitive deterioration of FACT-G total score, assessed up to approximately 3 years |
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| Secondary | Change From Baseline in Chromogranin A (CgA) Levels | CgA is a potential biomarker for tumor response. Blood samples were collected for assessment of CgA levels. Change from Baseline at a particular visit was calculated as the CgA level at that visit minus Baseline. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. Number analyzed signified number of participants with available data for this outcome measure at specified timepoints. | Posted | Mean | Standard Deviation | microgram/liter (ug/L) | From baseline (every 4 weeks) up to 116 weeks |
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| Secondary | Change From Baseline in Neuron Specific Enolase (NSE) Levels | NSE is a potential biomarker for tumor response. Blood samples were collected for assessment of NSE levels. Change from Baseline at a particular visit was calculated as the NSE level at that visit minus Baseline. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. Number analyzed signified number of participants with available data for this outcome measure at specified timepoints. | Posted | Mean | Standard Deviation | microgram/liter (ug/L) | From baseline (every 4 weeks) up to Week 116 |
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| Secondary | Time to Definitive Deterioration in World Health Organization (WHO) Performance Status (PS) Change | WHO PS is a scale rated from 0 (fully active) to 5 (death) by a healthcare professional to assess the overall status of a patient: a lower score represents a higher ability to perform daily tasks. Deterioration is defined as an increase of at least one point compared to baseline. Deterioration is considered definitive if no improvements in the WHO PS status is observed at a subsequent time of measurement during the treatment period following the time point where the deterioration is observed. Death was considered as worsening of the WHO PS if it occurred close to the last available assessment, where "close" was defined as twice the planned period between two assessments. Patients without definitive worsening prior to analysis cut-off or prior to start of another anticancer therapy were censored at the date of their last assessment. | The full analysis set (FAS) consists of all randomized patients. Following the intent-to-treat principle, patients were analyzed according to the treatment arm and stratification factors they were assigned to at randomization. | Posted | Median | 95% Confidence Interval | Months | From randomization to definitive deterioration of WHO performance status, assessed up to approximately 3 years |
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| Secondary | Pharmacokinetics (PK): Predose Concentration (Cmin) of Everolimus at Day 29 | A pre-dose blood sample at day 29 was collected to determine the exposure of everolimus at the steady-state pre-dose concentration (Cmin). Cmin is provided for participants randomized to everolimus+BSC who received 10mg of everolimus daily and also for participants randomized to everolimus+BSC who received 5mg of everolimus daily which was required for a number of participants in the study experiencing adverse events requiring dose modifications | All patients who received at least one dose of the study drug with evaluable blood samples for this endpoint. | Posted | Mean | Standard Deviation | nanogram/milliliter (ng/mL) | Pre-dose at Day 29. |
|
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| Post-Hoc | All Collected Deaths | Deaths on-treatment were collected from first dose of study treatment until end of study treatment plus 30 days post treatment, up to maximum duration of approximately 8 years. Total Deaths were collected from first dose of study treatment until end of post-treatment survival follow, up to maximum duration of approximately 8 years. | The safety set consists of all participants who received at least one dose of the study drug and had at least one post-baseline safety evaluation. Participants were analyzed according to treatment actually received: One participant randomized to everolimus arm received only placebo and therefore, appears in the placebo arm in the safety set | Posted | Number | Participants | On-treatment deaths: up to approximately 8 years. All deaths: up to approximately 8 years |
|
Adverse events and all-cause mortality were collected from date of first dose of study treatment until end of study treatment plus 30 days post treatment, assessed up to a maximum duration of approximately 8 years
Any sign or symptom that occurs during the study treatment plus the 30 days post treatment. The safety set consists of all participants who received at least one dose of the study drug and had at least one post-baseline safety evaluation. Participants were analyzed according to treatment actually received: One participant randomized to everolimus arm received only placebo and therefore, appears in the placebo arm in the safety set
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Everolimus+BSC (Throughout Study) | Participants received everolimus 10 mg once daily plus BSC throughout the study | 10 | 202 | 93 | 202 | 197 | 202 |
| EG001 | Everolimus +BSC (Crossover) | Participants who crossed over from placebo arm (blinded period) to open-label treatment with everolimus 10mg once daily plus BSC | 0 | 6 | 1 | 6 | 6 | 6 |
| EG002 | Everolimus+BSC (All) | All participants who received everolimus 10 mg once daily plus BSC (including those who received everolimus+BSC from start to end of the study and those who received everolimus+BSC after crossover) | 10 | 208 | 94 | 208 | 203 | 208 |
| EG003 | Placebo+BSC (Blinded Period) | Participants received matching placebo once daily plus best supportive care (BSC) during the blinded period. | 5 | 98 | 21 | 98 | 81 | 98 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Acute coronary syndrome | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Atrial flutter | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cardiac failure chronic | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cardiovascular disorder | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Myocardial ischaemia | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pericardial effusion | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Supraventricular tachycardia | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Adrenal insufficiency | Endocrine disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Blindness unilateral | Eye disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Colitis | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Enterocolitis | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Gastric ulcer | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Gastrointestinal oedema | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Ileus | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Intestinal perforation | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Jejunal perforation | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Obstructive pancreatitis | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pancreatic necrosis | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Rectal haemorrhage | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Small intestinal perforation | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Subileus | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Chest discomfort | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Chills | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| General physical health deterioration | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Mucosal inflammation | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Organ failure | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Performance status decreased | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Bile duct stone | Hepatobiliary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cholangitis | Hepatobiliary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cholecystitis | Hepatobiliary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hepatic failure | Hepatobiliary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hepatic pain | Hepatobiliary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Contrast media allergy | Immune system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Bronchopulmonary aspergillosis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Campylobacter gastroenteritis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Clostridium difficile infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Incision site cellulitis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Peritonitis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Pneumocystis jirovecii pneumonia | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Pneumonia bacterial | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Respiratory tract infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Salmonellosis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Septic shock | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Skin infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Viral myocarditis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Facial bones fracture | Injury, poisoning and procedural complications | MedDRA (23.0.) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (23.0.) | Systematic Assessment |
| |
| Incisional hernia | Injury, poisoning and procedural complications | MedDRA (23.0.) | Systematic Assessment |
| |
| Ejection fraction decreased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Gastrointestinal stoma output decreased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Troponin increased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypovolaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Breast cancer recurrent | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0.) | Systematic Assessment |
| |
| Cancer pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0.) | Systematic Assessment |
| |
| Pituitary tumour benign | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0.) | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0.) | Systematic Assessment |
| |
| Tumour associated fever | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0.) | Systematic Assessment |
| |
| Amnesia | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cerebral haemorrhage | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cerebral infarction | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Disturbance in attention | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dysarthria | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Epilepsy | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Intracranial pressure increased | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Seizure | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Delirium | Psychiatric disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Panic attack | Psychiatric disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Stress | Psychiatric disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hydronephrosis | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Nephrolithiasis | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Renal impairment | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Urinary tract obstruction | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Ovarian cyst | Reproductive system and breast disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Obliterative bronchiolitis | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pulmonary alveolar haemorrhage | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pulmonary mass | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Angioedema | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Drug eruption | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Toxic skin eruption | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Aortic stenosis | Vascular disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA (23.0.) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Deafness | Ear and labyrinth disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Carcinoid syndrome | Endocrine disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Blindness | Eye disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dry eye | Eye disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Eye pain | Eye disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Visual impairment | Eye disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Aphthous ulcer | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Flatulence | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Mouth ulceration | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Proctalgia | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Tongue ulceration | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Chills | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Peripheral swelling | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypersensitivity | Immune system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Cystitis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Gastrointestinal viral infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Pulpitis dental | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Rhinitis | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (23.0.) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (23.0.) | Systematic Assessment |
| |
| Limb injury | Injury, poisoning and procedural complications | MedDRA (23.0.) | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Blood urea | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Blood uric acid | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA (23.0.) | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypercholesterolaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypercreatininaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Osteoporosis | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Carpal tunnel syndrome | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dysgeusia | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Polyneuropathy | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Taste disorder | Nervous system disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dysuria | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Proteinuria | Renal and urinary disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Laryngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Nail ridging | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA (23.0.) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (23.0.) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of pooled data (i.e.,data from all sites) in the clinical trial
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 | novartis.email@novartis.com |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| ID | Term |
|---|---|
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
Not provided
Not provided
| ID | Term |
|---|---|
| D000068338 | Everolimus |
| ID | Term |
|---|---|
| D020123 | Sirolimus |
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
Not provided
Not provided
| Adverse Event |
|
| Withdrawal by Subject |
|
| Protocol deviation |
|
| Male |
|
| Asian |
|
| Black |
|
| Other |
|
| 6 months |
|
| 8 months |
|
| 10 months |
|
| 12 months |
|
| 15 months |
|
| 18 months |
|
| 21 months |
|
| 24 months |
|
| 27 months |
|
|
|
| Counts |
|---|
| Participants |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
Participants received matching placebo once daily plus BSC during the blinded period. Participants were allowed to crossover to treatment with everolimus 10mg once daily plus BSC during the open-label period |
|
|
|
|
|
|
|
Participants received matching placebo once daily plus BSC during the blinded period. Participants were allowed to crossover to treatment with everolimus 10mg once daily plus BSC during the open-label period
|
|
|
|
| OG003 | Placebo + BSC (Blinded Period) | Participants received matching placebo once daily plus BSC during the blinded period |
|
|