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A Study to Evaluate the Use of the Drug Combination Vorinostat, Niacinamide, and Etoposide in Patients With Lymphoid Malignancies That Have Reoccurred
This study is currently recruiting participants.
Verified by New York University, August 2009
First Received: June 3, 2008   Last Updated: August 26, 2009   History of Changes
Sponsor: New York University
Collaborator: Merck
Information provided by: New York University
ClinicalTrials.gov Identifier: NCT00691210
  Purpose

The purpose of this study is to test the safety of a combination of two anticancer medicines, called vorinostat and etoposide, with a high dose of a vitamin called niacinamide. These medications will be tested at different dose levels. We want to find out what effects, good and/or bad, it has on patients and their recurrent lymphoma. The first two drugs, vorinostat and niacinamide, suppress survival signals that lymphoma cells depend on. The third drug, etoposide can kill sensitive lymphoma cells alone or in combination with other chemotherapy drugs.Vorinostat is an anticancer agent that been approved by the Food and Drug Administration for use in cutaneous Tcell lymphoma. It is being evaluated in this study in combination with other anticancer medicines for use in other types of lymphoma. Vorinostat's use in combination with anticancer regimens is experimental.Niacinamide is a vitamin that is investigational or experimental when given at high doses as an anticancer agent. Niacinamide has not yet been approved by the Food and Drug Administration for use in lymphoma. Etoposide has been approved by the Food and Drug Administration for use in aggressive nonHodgkin's lymphoma. However, the way it will be given in this clinical study is experimental.


Condition Intervention Phase
Hodgkin's Disease
Non-Hodgkin's Lymphoma
Drug: Vorinostat (SAHA) and Niacinamide
Drug: Vorinostat, Niacinamide and Etoposide
Phase I

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: Phase I Study of Vorinostat in Combination With Niacinamide, and Etoposide for the Treatment of Patients With Relapsed and Refractory Lymphoid Malignancies

Resource links provided by NLM:


Further study details as provided by New York University:

Primary Outcome Measures:
  • Determine the maximum tolerated dose (MTD) of all combinations of drugs used in study as specified in protocol; evaluate the safety and toxicity of the studied combinations of vorinostat, niacinamide and etoposide [ Time Frame: continuous ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Describe the maximum number of cycles received in each part of the study [ Time Frame: continuous ] [ Designated as safety issue: Yes ]
  • Describe the number of dose delays and reductions at the MTD [ Time Frame: continuous ] [ Designated as safety issue: Yes ]
  • Describe the anti-tumor activity [ Time Frame: continuous ] [ Designated as safety issue: Yes ]
  • Evaluate pharmacodynamic markers of target effect in paired tissue biopsies [ Time Frame: continuous ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 48
Study Start Date: June 2008
Estimated Study Completion Date: May 2013
Estimated Primary Completion Date: May 2011 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Vorinostat (SAHA) and Niacinamide
    dose escalation scheme
    Drug: Vorinostat, Niacinamide and Etoposide
    dose escalation scheme
  Eligibility

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

Inclusion Criteria:

  1. Histologically confirmed relapsed or refractory non-Hodgkin's lymphoma or Hodgkin's Disease (WHO criteria), for which standard curative or palliative measures do not exist or are no longer effective.
  2. Must have received first line chemotherapy. No upper limit to number of prior therapies
  3. Evaluable Disease
  4. Age >18 years.
  5. ECOG performance status <2
  6. Life expectancy of greater than 3 months.
  7. Patients must have adequate organ and marrow function
  8. Adequate Contraception
  9. Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  1. Prior Therapy

    • Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier.
    • Patient is on any systemic steroids that have not been stabilized to the equivalent of ≤10 mg/day prednisone during the 30 days prior to the start of the study drugs.
    • No monoclonal antibody within 3 months without evidence of progression
    • Prior history of receiving etoposide is not a contraindication
  2. Patients may not be receiving any other investigational agents.
  3. Patients with known central nervous system metastases, including lymphomatous meningitis
  4. History of allergic reactions attributed to compounds of similar chemical or biologic composition to vorinostat, niacinamide or etoposide
  5. Uncontrolled intercurrent illness
  6. Pregnant women
  7. Nursing women
  8. Patient with a history of a prior malignancy
  9. Patient is known to be Human Immunodeficiency Virus (HIV)-positive, if CD4 count is less than 200
  10. Active Hepatitis A, Hepatitis B, or Hepatitis C infection
  11. Patient has a history of surgery that would interfere with the administration or absorption of the oral study drugs
  12. Prior or concurrent therapy with any Histone Deacetylase Inhibitor, including valproic acid
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00691210

Contacts
Contact: Owen A O'Connor, MD, PhD 212-305-3653

Locations
United States, New York
Columbia University Medical Center Recruiting
NY, New York, United States, 10032
Contact: Tasha Smith, MS     212-305-8615     ts2257@columbia.edu    
NYU Cancer Institute Not yet recruiting
New York, New York, United States, 10016
Contact: Victoria Serrano, MPH, CCRP     212-263-4415     Victoria.Serrano@nyumc.org    
Principal Investigator: Owen O'Connor, MD, PhD            
Sponsors and Collaborators
New York University
Merck
Investigators
Principal Investigator: Owen A O'Connor, MD, PhD Columbia University
  More Information

Additional Information:
No publications provided

Responsible Party: Columbia University ( Owen A. O'Connor, MD, PhD )
Study ID Numbers: AAAD0235
Study First Received: June 3, 2008
Last Updated: August 26, 2009
ClinicalTrials.gov Identifier: NCT00691210     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by New York University:
Hodgkin's Disease
Non-Hodgkin's Lymphoma

Additional relevant MeSH terms:
Anticarcinogenic Agents
Anti-Inflammatory Agents
Antimetabolites
Vasodilator Agents
Niacinamide
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Etoposide phosphate
Nicotinic Acids
Sensory System Agents
Therapeutic Uses
Vitamins
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Micronutrients
Etoposide
Lymphoma
Hodgkin Disease
Immunoproliferative Disorders
Neoplasms by Histologic Type
Vitamin B Complex
Immune System Diseases
Antilipemic Agents
Growth Substances
Vorinostat
Enzyme Inhibitors
Cardiovascular Agents
Protective Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on February 08, 2010