To estimate the difference in efficacy and safety of bevacizumab and RAD001 compared to bevacizumab and interferon alfa-2a for first-line treatment of patients with metastatic carcinoma of the kidney.

• Carcinoma, Renal Cell
• Adenocarcinoma, Renal Cell
• Nephroid Carcinoma
• Carcinoma, Hypernephroid

• Drug: bevacizumab, RAD001(Everolimus)
  Other Name: Afinitor
• Drug: bevacizumab, interferon alfa-2a

• bevacizumab, RAD001: Experimental
  Intervention: Drug: bevacizumab, RAD001(Everolimus)
• bevacizumab, interferon alfa-2a: Active Comparator
  bevacizumab plus RAD001(Everolimus) versus bevacizumab and interferon alfa-2a
  Intervention: Drug: bevacizumab, interferon alfa-2a

Inclusion Criteria:

1. Patients with metastatic renal cell carcinoma
2. Patients with at least one measurable lesion
3. Patients with progressive metastatic renal cell carcinoma
4. Patients who had a prior partial or complete nephrectomy
5. Patients with a Karnofsky Performance Status ≥70%.
6. Adequate bone marrow function
7. Adequate liver function
8. Adequate renal function
9. Adequate coagulation profile

Exclusion Criteria:

1. 4 weeks post-major surgery
2. Patients who had radiation therapy within 28 days prior to start of study
3. Patients in need for major surgical procedure during the course of the study.
4. Patients with a serious non-healing wound, ulcer, or bone fracture.
5. Patients with a history of seizure(s) not controlled with standard medical therapy.
6. Patients who have received prior systemic treatment for their metastatic RCC.
7. Patients who received prior therapy with VEGF pathway inhibitor
8. Patients who have previously received systemic mTOR inhibitors
9. Patients with a known hypersensitivity RAD001 (everolimus) or other rapamycins or to its excipients.
10. Patients with history or current central nervous system (CNS) metastases or spinal cord compression.
11. Patients with a history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to study enrollment.
12. Patients with proteinuria at screening.
13. Patients with inadequately controlled hypertension
14. Patients receiving ongoing or with recent need for full therapeutic dose of oral or parenteral anticoagulants or chronic daily treatment with aspirin
15. Patients receiving chronic systemic treatment with corticosteroids or another immunosuppressive agent.
16. Patients with a known history of HIV
17. Patients with hypersensitivity to interferon alfa-2a or any component of the product.

18. Patients with an active, bleeding diathesis or coagulopathy or recurrent thromboembolism

    • Patients who have any severe and/or uncontrolled medical conditions or other conditions

19. Patients who have a history of another primary malignancy ≤ 3 years
20. Female patients who are pregnant or breast feeding
21. Patients who are using other investigational agents or who had received investigational drugs ≤ 4 weeks prior to study treatment start.
22. Patients unwilling to or unable to comply with the protocol

Other protocol-defined inclusion/exclusion criteria may apply