Full Text View
Tabular View
No Study Results Posted
Related Studies
Vorinostat in Treating Patients With Locally Recurrent or Metastatic Cancer of the Urothelium
This study is ongoing, but not recruiting participants.
First Received: August 10, 2006   Last Updated: April 14, 2009   History of Changes
Sponsor: California Cancer Consortium
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00363883
  Purpose

RATIONALE: Vorinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying how well vorinostat works in treating patients with locally recurrent or metastatic cancer of the urothelium.


Condition Intervention Phase
Bladder Cancer
Transitional Cell Cancer of the Renal Pelvis and Ureter
Urethral Cancer
Drug: vorinostat
Genetic: microarray analysis
Other: immunohistochemistry staining method
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase II Study of Oral Suberoylanilide Hydroxamic Acid (SAHA) in Recurrent or Metastatic Transitional Cell Carcinoma of the Urethelium

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Objective tumor response rate as measured by RECIST criteria [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Time to progression [ Designated as safety issue: No ]
  • Overall survival [ Designated as safety issue: No ]
  • Toxicity profile as measured by NCI CTCAE v3.0 at the beginning of each treatment course [ Designated as safety issue: Yes ]
  • Feasibility and clinical efficacy of vorinostat (SAHA) using molecular correlates in tissue, oral mucosa, and blood [ Designated as safety issue: No ]

Estimated Enrollment: 37
Study Start Date: June 2006
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine response rate (as measured by RECIST criteria) in patients with locally recurrent or metastatic transitional cell carcinoma of the urothelium treated with vorinostat (SAHA).

Secondary

  • Determine the time to progression and overall survival of patients treated with this regimen.
  • Determine the safety and toxicity profile of SAHA in these patients.
  • Determine, preliminarily, feasibility and clinical efficacy of SAHA using molecular correlates in tissue, oral mucosa, and blood.

OUTLINE: This is a multicenter study.

Patients receive oral vorinostat (SAHA) twice daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Patients undergo blood and buccal mucosa collection and tumor biopsies (if accessible) at baseline and periodically during study for correlative studies. Samples are examined by gene expression profiling and immunohistochemistry.

After completion of study treatment, patients are followed for up to 26 weeks.

PROJECTED ACCRUAL: A total of 37 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Pathological diagnosis of transitional cell carcinoma of the bladder or other sites of the urothelium

    • Less than 25% component of other cell types (e.g., small cell, neuroendocrine, or squamous cell carcinoma)
  • Locally recurrent or metastatic disease
  • Disease must have recurred or progressed on or subsequent to platinum-based chemotherapy in the adjuvant or advanced setting
  • Measurable disease, defined as ≥ 1 lesion that can be accurately measured in ≥ 1 dimension as ≥ 20 mm with conventional techniques or as ≥ 10 mm with spiral CT scan

    • Bone metastases allowed provided there is measurable nonosseous disease
  • No known brain metastases
  • Must be willing to undergo biopsy prior to study entry OR archival tumor tissue must be available for classification and correlates

PATIENT CHARACTERISTICS:

  • Life expectancy > 3 months
  • ECOG performance status (PS) 0-2 or Karnofsky PS 60-100%
  • Absolute neutrophil count ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Bilirubin normal
  • AST and ALT ≤ 2.5 times upper limit of normal (ULN) (5 times ULN if liver metastases are present)
  • Creatinine ≤ 1.5 times ULN OR creatinine clearance ≥ 40 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No allergic reactions attributed to compounds of similar chemical or biological composition to vorinostat (SAHA), including any of the following:

    • Sodium butyrate
    • Trichostatin A (TSA)
    • Trapoxin (TPX)
    • MS-27-275
    • FR901228
  • No uncontrolled intercurrent illness including, but not limited to, any of the following:

    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Psychiatric illness or social situations that would limit study compliance

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Prior second-line chemotherapy for this cancer allowed provided > 6 months elapsed from the completion of first-line chemotherapy to start of second-line chemotherapy
  • Any number of prior intravesical therapies for superficial bladder cancer allowed
  • One prior experimental biologic therapy for metastatic urothelial cancer allowed provided it was not an agent known to act through histone deacetylation or demethylation (e.g., sodium butyrate, trichostatin A, trapoxin, MS-27-275, or FR901228)
  • More than 4 weeks since prior chemotherapy or radiotherapy (6 weeks for nitrosoureas or mitomycin C) and recovered
  • No more than 2 prior cytotoxic chemotherapy regimens for urothelial transitional cell cancer
  • At least 2 weeks since prior valproic acid
  • No other concurrent investigational agents
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No other concurrent anticancer agents or therapies
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00363883

Locations
United States, California
City of Hope Comprehensive Cancer Center
Duarte, California, United States, 91010-3000
City of Hope Medical Group
Pasadena, California, United States, 91105
Contra Costa Regional Medical Center
Martinez, California, United States, 94553
Tower Cancer Research Foundation
Beverly Hills, California, United States, 90211
University of California Davis Cancer Center
Sacramento, California, United States, 95817
USC/Norris Comprehensive Cancer Center and Hospital
Los Angeles, California, United States, 90033-0804
Veterans Affairs Outpatient Clinic - Martinez
Martinez, California, United States, 94553
United States, Pennsylvania
UPMC Cancer Centers
Pittsburgh, Pennsylvania, United States, 15232
Sponsors and Collaborators
California Cancer Consortium
Investigators
Study Chair: David I. Quinn, MD USC/Norris Comprehensive Cancer Center
  More Information

Additional Information:
Publications:
Cheung EM, Quinn DI, Tsao-Wei DD, et al.: Phase II study of vorinostat (Suberoylanilide Hydroxamic Acid, SAHA) in patients with advanced transitional cell urothelial cancer (TCC) after platinum-based therapy--California Cancer Consortium/University of Pittsburgh NCI/CTEP-sponsored trial. [Abstract] J Clin Oncol 26 (Suppl 15): A-16058.

Responsible Party: University of California Davis Cancer Center ( David R. Gandara )
Study ID Numbers: CDR0000491425, CCC-PHII-61, NCI-6879
Study First Received: August 10, 2006
Last Updated: April 14, 2009
ClinicalTrials.gov Identifier: NCT00363883     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
transitional cell carcinoma of the bladder
recurrent bladder cancer
recurrent transitional cell cancer of the renal pelvis and ureter
metastatic transitional cell cancer of the renal pelvis and ureter
stage IV bladder cancer
recurrent urethral cancer
urethral cancer associated with invasive bladder cancer
anterior urethral cancer
posterior urethral cancer

Additional relevant MeSH terms:
Anticarcinogenic Agents
Anti-Inflammatory Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Ureteral Diseases
Urogenital Neoplasms
Urologic Neoplasms
Carcinoma, Transitional Cell
Neoplasms by Site
Urologic Diseases
Kidney Neoplasms
Sensory System Agents
Therapeutic Uses
Urethral Diseases
Anti-Inflammatory Agents, Non-Steroidal
Kidney Diseases
Analgesics
Neoplasms by Histologic Type
Urinary Bladder Diseases
Vorinostat
Urinary Bladder Neoplasms
Enzyme Inhibitors
Protective Agents
Pharmacologic Actions
Carcinoma
Neoplasms
Analgesics, Non-Narcotic
Urethral Neoplasms
Peripheral Nervous System Agents

ClinicalTrials.gov processed this record on February 08, 2010