Carboplatin and Paclitaxel With or Without Vorinostat in Treating Patients With Advanced Non-Small Cell Lung Cancer
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Purpose
Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Vorinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known whether giving carboplatin and paclitaxel together is more effective with or without vorinostat in treating non-small cell lung cancer
| Condition | Intervention | Phase |
|---|---|---|
|
Stage IIIA Non-small Cell Lung Cancer Stage IIIB Non-small Cell Lung Cancer Stage IV Non-small Cell Lung Cancer |
Drug: paclitaxel Drug: carboplatin Drug: vorinostat Other: placebo Other: laboratory biomarker analysis Other: immunohistochemistry staining method Genetic: protein analysis Genetic: gene expression analysis Genetic: proteomic profiling |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Phase II Randomized Study of Vorinostat or Placebo in Combination With Carboplatin and Paclitaxel for Patients With Advanced Non-small Cell Lung Cancer |
- Progression-free survival, defined as time from randomization to progression or death due to any cause [ Time Frame: Up to 1 year ] [ Designated as safety issue: No ]
- Overall survival [ Time Frame: Up to 1 year ] [ Designated as safety issue: No ]
- Time to treatment failure [ Time Frame: Up to 1 year ] [ Designated as safety issue: No ]
- Percent of patients completing the planned therapy [ Time Frame: Up to 1 year ] [ Designated as safety issue: No ]
- Assessment of toxicity [ Time Frame: Up to 1 year ] [ Designated as safety issue: Yes ]
- Response [ Time Frame: Up to 1 year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 134 |
| Study Start Date: | November 2010 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm I (paclitaxel, carboplatin, vorinostat)
Patients receive paclitaxel IV over 3 hours, and carboplatin IV over 30 minutes on day 0. Patients also receive vorinostat PO once daily on days -2 to 2.
|
Drug: paclitaxel
Given IV
Other Names:
Drug: carboplatin
Given IV
Other Names:
Drug: vorinostat
Given PO
Other Names:
Other: laboratory biomarker analysis
Correlative studies
Other: immunohistochemistry staining method
Correlative studies
Other Name: immunohistochemistry
Genetic: protein analysis
Correlative studies
Genetic: gene expression analysis
Correlative studies
Genetic: proteomic profiling
Correlative studies
|
|
Active Comparator: Arm II (paclitaxel, carboplatin, placebo)
Patients receive paclitaxel and carboplatin as in arm I. Patients also receive placebo PO once daily on days -2 to 2.
|
Drug: paclitaxel
Given IV
Other Names:
Drug: carboplatin
Given IV
Other Names:
Other: placebo
Given PO
Other Name: PLCB
Other: laboratory biomarker analysis
Correlative studies
Other: immunohistochemistry staining method
Correlative studies
Other Name: immunohistochemistry
Genetic: protein analysis
Correlative studies
Genetic: gene expression analysis
Correlative studies
Genetic: proteomic profiling
Correlative studies
|
Detailed Description:
PRIMARY OBJECTIVES:
I. To compare progression-free survival associated with the combination of carboplatin, paclitaxel and vorinostat versus carboplatin, paclitaxel and placebo for patients with previously untreated, advanced NSCLC.
SECONDARY OBJECTIVES:
I. To determine the response rate, time to treatment failure, and overall survival for the two regimens.
II. To assess the safety profile of the regimen of vorinostat, carboplatin and paclitaxel for patients with advanced NSCLC.
III. To understand the mechanistic aspects of drug effect by conducting correlative science studies on peripheral blood and archived tumor tissue.
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive paclitaxel IV over 3 hours, and carboplatin IV over 30 minutes on day 0. Patients also receive vorinostat orally (PO) once daily on days -2 to 2.
ARM II: Patients receive paclitaxel and carboplatin as in arm I. Patients also receive placebo PO once daily on days -2 to 2.
In both arms, treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up at 30 days, quarterly for 1 year, and then twice a year thereafter.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients must have histologically confirmed non-small cell lung cancer
- No prior chemotherapy for advanced or metastatic disease
- ECOG performance status 0 or 1
- Patients must have measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) as >= 20 mm with conventional techniques or as >= 10 mm with spiral CT scan
- Life expectancy of greater than 12 weeks
- Leukocytes >= 3,000/mcL
- Absolute neutrophil count >= 1,500/mcL
- Platelets >= 100,000/mcL
- Total bilirubin within normal institutional limits
- AST(SGOT)/ALT(SGPT) =< 2.5 x institutional upper limit of normal
- Creatinine within normal institutional limits OR creatinine clearance >= 60 mL/min/1.73 m^2 for patients with creatinine levels above institutional normal
- Ability to understand and the willingness to sign a written informed consent document
Exclusion Criteria:
- Patients who have had chemotherapy or radiotherapy in a metastatic setting
- Patients may not be receiving any other investigational agents
- Patients with untreated brain metastases should be excluded from this clinical trial; however, patients who have stable brain disease (should be off corticosteroids) at least 3 weeks after completion of appropriate therapy are eligible
- Patients who have received any prior HDAC inhibitor (except valproic acid for seizure control provided that the valproic acid has been stopped at least 30 days before beginning therapy on this protocol) are excluded from this study
- Peripheral neuropathy of severity greater than grade 1
- Known history of allergic reactions to paclitaxel
- Prior therapy with paclitaxel
- Inability to take oral medications on a continuous basis; patients unable to swallow the vorinostat capsules whole are ineligible (the capsules cannot be crushed or broken)
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Pregnant women are excluded from this study; breastfeeding should be discontinued if the mother is treated with vorinostat; women of childbearing potential must use an appropriate double barrier method of birth control (such as female use of a diaphragm, intrauterine device [IUD], sponge and spermicide, in addition to the male use of a condom) or a prescribed birth control implant or practice abstinence; both double barrier contraception and implants must be used for at least one week prior to the start of the research study and continue for at least two weeks following the last study visit; please note that birth control pills should not be used while on this study as they may have a negative interaction with the experimental drug in this study
- HIV-positive patients receiving combination antiretroviral therapy are ineligible
Contacts and Locations| United States, California | |
| City of Hope Medical Center | Not yet recruiting |
| Duarte, California, United States, 91010 | |
| Contact: New Patient Services 800-826-4673 becomingapatient@coh.org | |
| Principal Investigator: Marianna Koczywas | |
| University of Southern California | Not yet recruiting |
| Los Angeles, California, United States, 90033-0804 | |
| Contact: Gina Tse 323-865-0514 Tse_G@med.usc.edu | |
| Principal Investigator: Barbara J. Gitlitz | |
| UC Davis Comprehensive Cancer Center | Not yet recruiting |
| Sacramento, California, United States, 95817 | |
| Contact: Corinne E. Turrell 916-734-3089 corinne.turrell@ucdmc.ucdavis.edu | |
| Principal Investigator: David R. Gandara | |
| United States, Florida | |
| H. Lee Moffitt Cancer Center and Research Institute | Not yet recruiting |
| Tampa, Florida, United States, 33612 | |
| Contact: Melissa Joiner 813-745-1896 melissa.joiner@moffitt.org | |
| Principal Investigator: Jhanelle E. Gray | |
| United States, Georgia | |
| Emory University | Not yet recruiting |
| Atlanta, Georgia, United States, 30322 | |
| Contact: Sherry A. Edwards 404-778-5523 saedwar@emory.edu | |
| Principal Investigator: Suresh S. Ramalingam | |
| United States, Illinois | |
| Illinois CancerCare-Peoria | Recruiting |
| Peoria, Illinois, United States, 61615 | |
| Contact: Angel D. Griffin 773-702-5928 agriffi1@medicine.bsd.uchicago.edu | |
| Principal Investigator: Sachdev P. Thomas | |
| Southern Illinois University School of Medicine - Obstetrics and Oncology | Not yet recruiting |
| Springfield, Illinois, United States, 62794 | |
| Contact: Angel D. Griffin 773-702-5928 agriffi1@medicine.bsd.uchicago.edu | |
| Principal Investigator: John W. Goodwin | |
| United States, Missouri | |
| Saint John's Mercy Medical Center | Not yet recruiting |
| Saint Louis, Missouri, United States, 63141 | |
| Contact: Angel D. Griffin 773-702-5928 agriffi1@medicine.bsd.uchicago.edu | |
| Principal Investigator: Bethany G. Sleckman | |
| United States, North Carolina | |
| University of North Carolina | Not yet recruiting |
| Chapel Hill, North Carolina, United States, 27599 | |
| Contact: Amy K. Marzinsky 919-966-4432 amy_marzinsky@med.unc.edu | |
| Principal Investigator: Thomas E. Stinchcombe | |
| United States, Pennsylvania | |
| Penn State Milton S Hershey Medical Center | Recruiting |
| Hershey, Pennsylvania, United States, 17033-0850 | |
| Contact: Rebecca L. Miller 717-531-1003 rmiller13@hmc.psu.edu | |
| Principal Investigator: Chandra P. Belani | |
| University of Pittsburgh Cancer Institute | Recruiting |
| Pittsburgh, Pennsylvania, United States, 15232 | |
| Contact: Rita M. Johnson 412-647-8571 johnsonr1@upmc.edu | |
| Principal Investigator: Athanassios Argiris | |
| United States, Tennessee | |
| Vanderbilt University | Not yet recruiting |
| Nashville, Tennessee, United States, 37232 | |
| Contact: Kazel L. LaPorte 615-936-7171 kazel.laporte@vanderbilt.edu | |
| Principal Investigator: Leora Horn | |
| United States, Virginia | |
| Virginia Commonwealth University | Not yet recruiting |
| Richmond, Virginia, United States, 23298 | |
| Contact: Marjorie M. Halverson 804-628-1888 mmhalverson@vcu.edu | |
| Principal Investigator: John D. Roberts | |
| Principal Investigator: | Chandra Belani | Beckman Research Institute |
More Information
No publications provided
| Responsible Party: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT01413750 History of Changes |
| Other Study ID Numbers: | NCI-2010-02203, PHII-102, N01CM00038, B01AA12345, N01CM62209, N01CM00071, N01CM00100 |
| Study First Received: | August 5, 2011 |
| Last Updated: | March 4, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Vorinostat Carboplatin |
Paclitaxel Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action Antineoplastic Agents, Phytogenic Histone Deacetylase Inhibitors Enzyme Inhibitors |
ClinicalTrials.gov processed this record on May 19, 2013