Status:

TERMINATED

Study to Evaluate the Efficacy and Safety of Sirolimus in Subjects With Metastatic, Mismatch Repair Deficient Solid Tumors After Immunotherapy

Lead Sponsor:

Albert Einstein College of Medicine

Conditions:

Metastatic dMMR Solid Cancer

Solid Tumor

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

Brief Summary

To evaluate the efficacy of sirolimus by estimating the overall response rate (ORR) as assessed by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST v1.1) in patients with metastatic dM...

Detailed Description

Despite recent therapeutic strategies, including immunotherapy, treatment alternatives for patients with metastatic mismatch-repair deficient (dMMR) solid tumors remain scarce. Pre-clinical data sugge...

Eligibility Criteria

Inclusion

  • Metastatic solid cancer tumor after immunotherapy (either due to progression of disease or inability to tolerate treatment)
  • dMMR by immunohistochemistry (IHC) defined as the loss of expression in any of the four major MMR proteins (MLH1, MSH2, MSH6 and PMS2) or by next- generation sequencing (NGS)
  • Age older than 18 at the time of informed consent
  • Eastern Cooperative Oncology Group performance status of 0-2
  • ≥1 measurable lesion based on RECIST, version 1.1 (16)
  • Absolute neutrophil count (ANC) ≥1,500 mm3
  • Platelet count ≥75,000 mm3
  • Hemoglobin ≥ 9 g/dl
  • Aspartate aminotransferase (AST) ≤3.0 times the upper normal limit (UNL)
  • Alanine aminotransferase (ALT) ≤3.0 times the upper normal limit (UNL) Bilirubin ≤1.5 times the UNL
  • Serum creatinine ≤1.5 times the UNL

Exclusion

  • Received immunotherapy in the prior 21 days.
  • Have not recovered from toxicities of prior treatments to at least grade 1.
  • Symptomatic central nervous system (CNS) metastases
  • Pregnancy or Breast-feeding.

Key Trial Info

Start Date :

November 16 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 16 2023

Estimated Enrollment :

6 Patients enrolled

Trial Details

Trial ID

NCT04393454

Start Date

November 16 2020

End Date

May 16 2023

Last Update

July 25 2024

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Montefiore Medical Center

The Bronx, New York, United States, 10461