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Vorinostat, Paclitaxel, and Radiation Therapy in Treating Patients With Stage III Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), July 2009
First Received: April 18, 2008   Last Updated: July 7, 2009   History of Changes
Sponsor: Fred Hutchinson Cancer Research Center
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00662311
  Purpose

RATIONALE: Vorinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving vorinostat together with paclitaxel and radiation therapy may kill more tumor cells.

PURPOSE: This phase I/II trial is studying the side effects and best dose of vorinostat and to see how well it works when given together with paclitaxel and radiation therapy in treating patients with stage III non-small cell lung cancer that cannot be removed by surgery.


Condition Intervention Phase
Lung Cancer
Drug: paclitaxel
Drug: vorinostat
Radiation: radiation therapy
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label
Official Title: Phase I/II Clinical Trial Evaluating the Use of Vorinostat Combined With Paclitaxel and Radiotherapy in Patients With Inoperable Stage III Non-Small Cell Lung Cancer Unable to Tolerate Cisplatin

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Maximum tolerated dose of vorinostat [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Safety of vorinostat as evidenced by the number and percentage of patients that experience adverse events as categorized in the NCI CTCAE version 3.0 [ Designated as safety issue: Yes ]
  • Efficacy of vorinostat, in terms of response rate, by CT scan [ Designated as safety issue: No ]
  • Duration of response in patients with responding disease [ Designated as safety issue: No ]
  • Progression-free survival on the date of the last tumor assessment [ Designated as safety issue: No ]
  • Overall survival time [ Designated as safety issue: No ]

Estimated Enrollment: 35
Study Start Date: March 2008
Estimated Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose (MTD) of vorinostat when administered in combination with paclitaxel and thoracic radiotherapy in patients with locally advanced non-small cell lung cancer (NSCLC).

Secondary

  • Assess the safety and toxicity of vorinostat when administered in combination with paclitaxel and thoracic radiotherapy in patients with locally advanced NSCLC.
  • Determine the radiological response rate, by CT scan, of vorinostat when administered in combination with paclitaxel and thoracic radiotherapy in patients with locally advanced NSCLC.
  • Describe the progression-free survival and overall survival of patients treated with this regimen over 3 years of follow up.

OUTLINE: This is a phase I, dose-escalation study of vorinostat followed by a phase II study.

Patients receive paclitaxel IV over 1 hour once weekly and oral vorinostat once daily in weeks 1-7. Patients also undergo thoracic radiotherapy once daily, 5 days a week in weeks 1-7. Treatment continues in the absence of progressive disease or unacceptable toxicity.

After completion of study therapy, patients are followed at 30 days, 12 weeks, every 3 months for 2 years, and then every 6 months for 1 year.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed non-small cell lung cancer (NSCLC)

    • Unresectable stage IIIA or IIIB (excluding malignant pleural effusion) disease
  • At least one site of measurable disease, as defined by the modified RECIST criteria
  • Unable to tolerate full-dose cisplatin as defined by 1 of the following criteria:

    • Creatinine clearance < 50 mL/min
    • Sensory hearing loss > grade 2
    • Performance status ≥ 2
    • Age ≥ 75 years
    • Cardiac history, such as myocardial infarction within the past 6 months, angina, or heart disease as defined by the New York Heart Association class III or IV
    • Any other comorbid disease or condition that would increase the risk of toxicity of cisplatin therapy

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • Life expectancy ≥ 12 weeks
  • Not pregnant or breast feeding
  • Negative pregnancy test
  • Fertile patients must use effective double-barrier contraception
  • Absolute neutrophil count ≥ 1,500/mcL
  • Platelet count ≥ 100,000/mcL
  • Hemoglobin ≥ 9 g/dL
  • Prothrombin time or INR ≤ 1.5 times upper limit of normal (ULN) (unless the patient is receiving therapeutic anticoagulation)
  • Partial thromboplastin time (PTT) ≤ 1.2 times the ULN (unless the patient is receiving therapeutic anticoagulation)
  • K levels normal
  • Mg levels normal
  • Creatinine clearance ≥ 20 mL/min
  • Serum total bilirubin ≤ 1.5 times ULN
  • AST and ALT ≤ 2.5 times ULN
  • Alkaline phosphatase ≤ 2.5 times ULN
  • No symptomatic neuropathy ≥ grade 2
  • No known hypersensitivity to the components of study drug or its analogs or paclitaxel
  • No NYHA class III or IV congestive heart failure
  • No myocardial infarction within the past 6 months
  • QTc ≤ 0.47 seconds
  • No uncontrolled arrhythmia
  • No "currently active" second malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix

    • Patients are not considered to have a "currently active" malignancy if they have completed therapy for a prior malignancy, are disease free from prior malignancies for > 5 years or are considered by their physician to be at less than 30% risk of relapse
  • No history or current evidence of any condition, therapy, or lab abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study or is not in the best interest of the patient to participate

PRIOR CONCURRENT THERAPY:

  • More than 5 years since prior chemotherapy, radiotherapy, or biological therapy for NSCLC
  • More than 30 days since prior and no concurrent participation on a study with an investigational compound or device
  • No prior treatment with an HDAC inhibitor (e.g., romidespin [depsipeptide], NSC- 630176, MS 275, LAQ-824, belinostat [PXD-101], LBH589, MGCD0103, or CRA024781)
  • More than 30 days since prior compounds with HDAC inhibitor-like activity for other indications (e.g., valproic acid for epilepsy)
  • No concurrent systemic steroids that have not been stabilized to the equivalent of ≤ 10 mg/day prednisone during the past 30 days
  • No concurrent chemotherapy, radiotherapy, biological therapy or investigational anticancer therapy
  • No concurrent other HDAC inhibitor (e.g., valproic acid)
  • No concurrent prophylactic hematopoietic growth factors
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00662311

Locations
United States, Washington
Fred Hutchinson Cancer Research Center Recruiting
Seattle, Washington, United States, 98109-1024
Contact: Patel Shilpen, MD     206-667-4692        
Seattle Cancer Care Alliance Recruiting
Seattle, Washington, United States, 98109-1023
Contact: Clinical Trials Office - Seattle Cancer Care Alliance     800-804-8824        
Sponsors and Collaborators
Fred Hutchinson Cancer Research Center
Investigators
Principal Investigator: Patel Shilpen, MD University of Washington
  More Information

Additional Information:
No publications provided

Responsible Party: Fred Hutchinson Cancer Research Center ( Patel Shilpen )
Study ID Numbers: CDR0000594175, UWCC-6600, MERCK-UWCC-6600, UWCC-UW 6600, UWCC-08-0469-H/A
Study First Received: April 18, 2008
Last Updated: July 7, 2009
ClinicalTrials.gov Identifier: NCT00662311     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
stage IIIA non-small cell lung cancer
stage IIIB non-small cell lung cancer

Additional relevant MeSH terms:
Anticarcinogenic Agents
Anti-Inflammatory Agents
Thoracic Neoplasms
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Neoplasms by Site
Respiratory Tract Diseases
Lung Neoplasms
Sensory System Agents
Therapeutic Uses
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Vorinostat
Mitosis Modulators
Enzyme Inhibitors
Antimitotic Agents
Protective Agents
Pharmacologic Actions
Carcinoma
Neoplasms
Paclitaxel
Analgesics, Non-Narcotic
Lung Diseases
Tubulin Modulators
Peripheral Nervous System Agents
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on February 08, 2010