Myelodysplastic Syndromes Clinical Trial
Official title:
A Phase 2 Trial of RAD001(Everolimus) in Low and Intermediate-1 Risk Myelodysplastic Syndrome
RATIONALE: RAD001(Everolimus) may stop the growth of cancer cells by blocking some of the
enzymes needed for their growth and by blocking blood flow to the cancer.
PURPOSE: This phase II trial is studying how well RAD001(everolimus) works in treating
patients with myelodysplastic syndromes.
OBJECTIVES:
Primary
- Determine the clinical activity (improvement in erythroid response and/or improvement in
other cytopenias, bone marrow morphology/cytogenetics) of RAD001(everolimus) in patients
with low or intermediate-1 risk myelodysplastic syndromes.
- Assess the toxicity of this drug in these patients.
Secondary
- Examine laboratory correlates (S6K1 levels, angiogenesis pre- and post-treatment) and
determine how these correlates correspond to dosing and clinical activity of
RAD001(everolimus).
- Evaluate the presence of HLA-DR15 and cytotoxic T-cell populations in patients pre- and
post-treatment and correlate this with response to treatment.
- Examine the incidence of the null GSTT-1 phenotype in myelodysplastic syndromes patients
and correlate this with response to RAD001(everolimus).
OUTLINE: Patients receive oral RAD001(everolimus) once daily on days 1-21. Courses repeat
every 28 days in the absence of disease progression or relapse.
Blood samples are collected periodically during study. Samples are analyzed for S6K1
activity, effector T cells by flow cytometry, GSTT-1 by PCR, and HLA-DR15 levels.
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