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| Sponsor: | The Methodist Hospital System |
|---|---|
| Information provided by: | The Methodist Hospital System |
| ClinicalTrials.gov Identifier: | NCT00837174 |
Purpose
The purpose of this study is to determine the rate of response to the drugs bortezomib (Velcade) and vorinostat (Zolinza), when used in combination, in patients with relapsed (recurrent) and/or refractory (difficult to treat) non-Hodgkin Lymphoma, and to determine the safety and tolerability of this regimen.
| Condition | Intervention | Phase |
|---|---|---|
|
Non-Hodgkin Lymphoma |
Drug: Vorinostat in combination with Bortezomib |
Phase II |
| Study Type: | Interventional |
| Study Design: | Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study |
| Official Title: | Phase II Study of Combination Vorinostat and Bortezomib in Patients With Relapsed and/or Refractory Non-Hodgkin Lymphoma |
| Estimated Enrollment: | 95 |
| Study Start Date: | April 2009 |
| Estimated Primary Completion Date: | April 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Combination Vorinostat + Bortezomib: Experimental
Six cycle combination therapy with vorinostat and bortezomib.
|
Drug: Vorinostat in combination with Bortezomib
Patients will be treated with oral vorinostat on days 1 through 14 followed by a 7-day rest period, for a 21-day treatment cycle for up to 6 cycles in the absence of disease progression or unacceptable toxicity. The patients will receive once-daily oral vorinostat (400 mg) with bortezomib 1.3 mg/m2 as an IV push on days 1, 4, 8, 11.
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More selective and less toxic therapeutic strategies are needed to improve cure rates and prolong survival in patients with relapsed and/or refractory non-Hodgkin Lymphoma.
Amongst the multiple new pathways recently studied two have emerged as potentially important targets for new agents in lymphoma. These include the ubiquitin proteasome pathway and the biochemical reactions that control histone acetylation. The first two agents in each class to have been studied in lymphomas are: bortezomib and vorinostat. Bortezomib has been granted FDA approval for the treatment of mantle cell lymphoma and has established activity in a variety of B-cell lymphomas including follicular, marginal zone and diffuse large B-cell lymphoma. Vorinostat or SAHA (suberoylanilide hydroxamic acid) has been FDA approved for the treatment of refractory cutaneous T-cell lymphomas and has also shown activity in other lymphomas.
Synergistic activity between vorinostat and bortezomib has been observed in different cell lines. The proposed study will be a phase II trial of the combination of vorinostat and bortezomib at the recommended dose-schedule in patients with recurrent and/or refractory lymphomas, indolent and aggressive, and B or T.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Bi-dimensionally measurable disease documented within 30 days prior to enrollment. Bidimensionally measurable disease is defined as:
Adequate organ and marrow function obtained < or = to 14 days prior to enrollment as defined by a(n):
Exclusion Criteria:
Treatment with the following within the timeframe specified prior to enrollment:
Uncontrolled current illness including, but not limited to:
Contacts and Locations| Contact: Melissa R Daly, BSN | 713-441-3248 | mrdaly@tmhs.org |
| Principal Investigator: | Hector A Preti, M.D. | The Methodist Hospital System |
More Information
| Responsible Party: | The Methodist Hospital System ( H. Alejandro Preti, M.D. / Principal Investigator ) |
| Study ID Numbers: | 0908-0284 |
| Study First Received: | February 3, 2009 |
| Last Updated: | February 4, 2009 |
| ClinicalTrials.gov Identifier: | NCT00837174 History of Changes |
| Health Authority: | United States: Institutional Review Board |
|
non-Hodgkin Lymphoma aggressive lymphoma indolent lymphoma B cell lymphoma T cell lymphoma Diffuse large B cell lymphoma anaplastic large B cell lymphoma lymphoblastic lymphoma Burkitt's lymphoma transformed follicular center cell lymphoma transformed marginal zone lymphoma transformed small lymphocytic lymphoma grade 3 follicular center cell lymphoma |
blastic form marginal zone lymphoma transformed cutaneous T cell lymphoma mycosis fungoides stage IV angioimmunoblastic lymphadenopathy-like T-cell lymphoma nasal NK/T cell lymphoma peripheral T-cell lymphoma small lymphocytic lymphoma lymphoplasmacytic lymphoma follicular center cell lymphoma grade 1 follicular center cell lymphoma grade 2 mantle cell lymphoma marginal zone lymphoma mycosis fungoides |
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Anti-Inflammatory Agents Anticarcinogenic Agents Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Physiological Effects of Drugs Sensory System Agents Therapeutic Uses Anti-Inflammatory Agents, Non-Steroidal Analgesics Lymphoma Immunoproliferative Disorders Neoplasms by Histologic Type Immune System Diseases Bortezomib |
Vorinostat Enzyme Inhibitors Protective Agents Pharmacologic Actions Protease Inhibitors Lymphatic Diseases Neoplasms Analgesics, Non-Narcotic Peripheral Nervous System Agents Lymphoproliferative Disorders Lymphoma, Non-Hodgkin Antirheumatic Agents Central Nervous System Agents |