Clinical trial · Interventional
Gamma-Secretase/Notch Signalling Pathway Inhibitor RO4929097 and Temsirolimus in Treating Patients With Advanced Solid Tumors
Safety and Efficacy of RO4929097 in Combination With Temsirolimus: A Pharmacokinetic and Pharmacodynamic Phase I Study in Patients With Advanced Solid Tumours With an Expansion of Cohort With Patients With Recurrent/Metastatic Endometrial and Renal Cell Cancers
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This phase I trial is studying the side effects and best dose of giving gamma-secretase/Notch signalling pathway inhibitor RO4929097 and temsirolimus together in treating patients with advanced solid tumors. Gamma-secretase/Notch signalling pathway inhibitor RO4929097 and temsirolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Conditions
Conditions (8)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Endometrial Papillary Serous Carcinoma | Endometrial Neoplasm | PROBABILISTIC | 0.70 |
| Recurrent Endometrial Carcinoma | Endometrial Carcinoma | CURATED_BROADER | 0.78 |
| Recurrent Renal Cell Cancer | Renal Cell Carcinoma | CURATED_BROADER | 0.80 |
| Stage III Endometrial Carcinoma | Endometrial Carcinoma | CURATED_BROADER | 0.78 |
| Stage III Renal Cell Cancer | Renal Cell Carcinoma | CURATED_BROADER | 0.80 |
| Stage IV Endometrial Carcinoma | Endometrial Carcinoma | CURATED_BROADER | 0.78 |
| Stage IV Renal Cell Cancer | Renal Cell Carcinoma | CURATED_BROADER |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| gamma-secretase/Notch signalling pathway inhibitor RO4929097 | Drug | — | UNRESOLVED |
| laboratory biomarker analysis | Other | — | UNRESOLVED |
| pharmacological study | Other | — | UNRESOLVED |
| temsirolimus | Drug | Temsirolimus | ALIAS |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Treatment (temsirolimus and RO4929097)
- description
- Patients receive temsirolimus IV over 30 minutes on day -6 (course 1 only). Patients then receive temsirolimus IV or PO on days 1, 8, and 15 and gamma-secretase/Notch signalling pathway inhibitor RO4929097 PO once daily on days 1-3, 8-10, and 15-17. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
- interventionNames
- Drug: temsirolimus
- Drug: gamma-secretase/Notch signalling pathway inhibitor RO4929097
- Other: laboratory biomarker analysis
- Other: pharmacological study
Primary outcomes (2)
- measure
- Recommended phase II dose defined as the dose level at which less than or equal to 1 of 6 patients experienced DLT assessed using NCI CTCAE version 4.0
- timeFrame
- 21 days
- measure
- Safety profile assessed using NCI CTCAE version 4.0
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria:
* Meets one of the following sets of criteria:
* Dose-escalation group:
* Histologically and/or cytologically confirmed solid malignancy
* Metastatic or unresectable disease
* Disease for which standard curative or palliative measures do not exist or are no longer effective
* Expansion group:
* Histologically and/or cytologically confirmed endometrial (endometrioid, uterine papillary serious carcinoma, or carcinosarcoma) or renal cell cancer
* Metastatic or unresectable disease
* Disease for which standard curative or palliative measures do not exist or are no longer effective
* Measurable or non-measurable disease
* Measurable disease is defined as ≥ 1 lesion that can be accurately measured in ≥ 1 dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques or as ≥ 10 mm with spiral CT scan
* No known brain metastases
* ECOG performance status (PS) 0-1 (Karnofsky PS 70-100%)
* Life expectancy \> 12 weeks
* Leukocytes ≥ 3,000/mm\^3
* ANC ≥ 1,500/mm\^3
* Platelet count ≥ 100,000/mm\^3
* Hemoglobin ≥ 90 g/L (or ≥ 9 g/dL)
* Total bilirubin normal
* AST/ALT ≤ 2.5 times upper limit of normal
* Serum creatinine normal OR creatine clearance ≥ 60 mL/min
* Fasting cholesterol ≤ 350 mg/dL (9.0 mmol/L)
* Fasting triglycerides ≤ 400 mg/dL (4.56 mmol/L)
* No uncontrolled hypocalcemia, hypomagnesemia, hyponatremia, hypophosphatemia or hypokalemia defined as less than the lower limit of normal for the institution, despite adequate electrolyte supplementation
* Note: it is acceptable to use corrected calcium when interpreting calcium levels
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use two effective forms of contraception (i.e., barrier contraception and one other method of contraception) for ≥ 4 weeks before, during, and for ≥ 12 months after completion of study therapy
* Able to swallow medication
* No malabsorption syndrome or other condition that would interfere with intestinal absorption
* No diarrhea ≥ grade 2 that is not under control with standard anti-diarrhea medications
* No uncontrolled concurrent illness including, but not limited to, any of the following:
* Ongoing or active infection
* Symptomatic congestive heart failure
* Unstable anginal pectoris
* Cardiac arrhythmia other than chronic, stable atrial fibrillation
* Psychiatric illness or social situations that would limit compliance with study medications
* QTc ≤ 450 msec in males and a QTc ≤ 470 msec in females, as measured by ECG using Bazett formula
* No history of risk factors for QT interval prolongation including, but not limited to, a family or personal history of any of the following:
* Long QT syndrome
* Torsades de pointes
* Recurrent syncope without known etiology
* Sudden unexpected death
* No pre-existing significant pulmonary infiltrates of unknown origin
* No serologic positivity for hepatitis A, B, or C or history of liver disease or other forms of hepatitis or cirrhosis
* No HIV-positive patients on combination antiretroviral therapy
* No history of allergic reactions attributed to compounds of similar chemical or biologic composition to gamma-secretase inhibitor RO4929097 or temsirolimus
* Female patients may not donate ova during or after study treatment
* Male patients may not donate sperm during and for ≥ 12 months after completion of study treatment
* Patients may not donate blood during and for ≥ 12 months after completion of study treatment
* Any number of prior therapies allowed
* Recovered from side effects of previous systemic anticancer therapy to \< CTCAE grade 2 toxicity (except alopecia)
* Concurrent leuteinizing hormone-releasing hormone agonist allowed in patients with castration-resistant prostate cancer
* No prior gamma-secretase inhibitor or any inhibitor of the PI3K/Akt/mTOR pathway
* At least 4 weeks since prior radiotherapy or systemic therapy (6 weeks for carmustine, nitrosoureas, or mitomycin C)
* Exceptions may be made for low-dose, non-myelosuppressive radiotherapy for symptomatic palliation
* No other concurrent investigational agents
* No concurrent medications with narrow therapeutic indices that are metabolized by cytochrome P450 (CYP450), including warfarin sodium (Coumadin®)
* No concurrent medications that are strong inducers, inhibitors, or substrates of CYP3A4
* No antiarrhythmics or other concurrent medications with known potential to prolong QT interval
* No concurrent food that may interfere with the metabolism of gamma-secretase inhibitor RO4929097, including grapefruit or grapefruit juice
* No other concurrent anticancer agents or therapiesReferences
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