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| Sponsor: | M.D. Anderson Cancer Center |
|---|---|
| Collaborator: |
Merck |
| Information provided by: | M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00555399 |
Purpose
Primary Objective (Phase I):
1. To determine the maximum tolerated dose (MTD) of vorinostat/isotretinoin (cRA), carboplatin (CBT)/cRA and vorinostat/cRA/CBT combinations in adult patients with recurrent glioblastoma multiforme (GBM) and anaplastic gliomas.
Primary Objective (Phase II):
- To determine the efficacy of vorinostat/cRA versus CBT/cRA versus vorinostat/cRA/CBT in patients with recurrent GBM as determined by time to progression (TTP) using an adaptive randomization phase II trial design.
Secondary Objectives (Phase II):
| Condition | Intervention | Phase |
|---|---|---|
|
Glioblastoma Multiforme Anaplastic Glioma |
Drug: Vorinostat Drug: Carboplatin Drug: Isotretinoin Other: No Surgery Procedure: Surgical Resection |
Phase I Phase II |
| Study Type: | Interventional |
| Study Design: | Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study |
| Official Title: | Phase I/II Adaptive Randomized Trial of Vorinostat, Isotretinoin and Carboplatin in Adults With Recurrent Glioblastoma Multiforme |
| Estimated Enrollment: | 189 |
| Study Start Date: | November 2007 |
| Estimated Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Ph I: Arm 1: Experimental |
Drug: Vorinostat
Phase I/Arm 1: Level 0 = 300 mg PO x 14 days; Level I = 400 mg PO x 14 days; Level II = 500 mg PO x 14 days. Phase I/Arm 3: Level -II = 300 mg PO x 14 days; Level -I = 400 mg PO x 14 days; Level 0 = 400 mg PO x 14 days; Level I = 500 mg PO x 14 days. Phase I/Arm 1: Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. Phase I/Arm 2: Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. Phase I/Arm 3: Level -II = 100 mg/m^2/day PO x 21 days; Level -I = 100 mg/m^2/day PO x 21 days; Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. |
| Ph I: Arm 2: Experimental |
Drug: Carboplatin
Phase I/Arm 2: Level 0 = 4 mg/mL x min IV on Day 1; Level I = 5 mg/mL x min IV on Day 1; Level II = 6 mg/mL x min IV on Day 1. Phase I/Arm 3: Level -II = 2 mg/mL x min IV on Day 1; Level -1 = 3 mg/mL x min IV on Day 1; Level 0 = 4 mg/mL x min IV on Day 1; Level I = 5 mg/mL x min IV Phase I/Arm 1: Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. Phase I/Arm 2: Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. Phase I/Arm 3: Level -II = 100 mg/m^2/day PO x 21 days; Level -I = 100 mg/m^2/day PO x 21 days; Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. |
| Ph I: Arm 3: Experimental |
Drug: Vorinostat
Phase I/Arm 1: Level 0 = 300 mg PO x 14 days; Level I = 400 mg PO x 14 days; Level II = 500 mg PO x 14 days. Phase I/Arm 3: Level -II = 300 mg PO x 14 days; Level -I = 400 mg PO x 14 days; Level 0 = 400 mg PO x 14 days; Level I = 500 mg PO x 14 days. Phase I/Arm 2: Level 0 = 4 mg/mL x min IV on Day 1; Level I = 5 mg/mL x min IV on Day 1; Level II = 6 mg/mL x min IV on Day 1. Phase I/Arm 3: Level -II = 2 mg/mL x min IV on Day 1; Level -1 = 3 mg/mL x min IV on Day 1; Level 0 = 4 mg/mL x min IV on Day 1; Level I = 5 mg/mL x min IV Phase I/Arm 1: Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. Phase I/Arm 2: Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. Phase I/Arm 3: Level -II = 100 mg/m^2/day PO x 21 days; Level -I = 100 mg/m^2/day PO x 21 days; Level 0 = 100 mg/m^2/day PO x 21 days; Level I = 100 mg/m^2/day PO x 21 days; Level II = 100 mg/m^2/day PO x 21 days. |
|
Ph II: Arm 1
Non-Surgical
|
Other: No Surgery
No Surgery
|
|
Ph II: Arm 2
Surgical Arm
|
Procedure: Surgical Resection
Surgical Resection for recurrent Glioblastoma Multiforme
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Vinay K. Puduvalli, MD | 713-792-2883 |
| United States, Texas | |
| U.T.M.D. Anderson Cancer Center | Recruiting |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: Vinay K. Puduvalli, MD | |
| Principal Investigator: | Vinay K. Puduvalli, MD | U.T.M.D. Anderson Cancer Center |
More Information
| Responsible Party: | U.T.M.D. Anderson Cancer Center ( Vinay K. Puduvalli, MD/Associate Professor ) |
| Study ID Numbers: | 2006-0709 |
| Study First Received: | November 6, 2007 |
| Last Updated: | September 14, 2009 |
| ClinicalTrials.gov Identifier: | NCT00555399 History of Changes |
| Health Authority: | United States: Institutional Review Board |
|
Glioblastoma Multiforme Anaplastic Glioma Vorinostat Suberoylanilide Hydroxamic Acid SAHA MSK-390 Zolinza |
Isotretinoin Accutane 13-cis-Retinoic Acid Carboplatin Paraplatin CBT |
|
Anticarcinogenic Agents Anti-Inflammatory Agents Glioblastoma Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Neoplasms, Nerve Tissue Physiological Effects of Drugs Keratolytic Agents Sensory System Agents Neoplasms, Germ Cell and Embryonal Therapeutic Uses Isotretinoin Anti-Inflammatory Agents, Non-Steroidal Glioma Analgesics |
Dermatologic Agents Neoplasms by Histologic Type Astrocytoma Vorinostat Enzyme Inhibitors Carboplatin Protective Agents Pharmacologic Actions Neuroectodermal Tumors Neoplasms Analgesics, Non-Narcotic Tretinoin Peripheral Nervous System Agents Antirheumatic Agents Neoplasms, Neuroepithelial |