<?xml version="1.0" encoding="UTF-8"?>
<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    http://clinicaltrials.gov/ct2/html/images/info/public.xsd
 and an XML DTD at:
    http://clinicaltrials.gov/ct2/html/images/info/public.dtd -->
  <required_header>
    <download_date>Information obtained from ClinicalTrials.gov on May 22, 2013</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>http://clinicaltrials.gov/show/NCT01149668</url>
  </required_header>
  <id_info>
    <org_study_id>PCYC-0405-CA</org_study_id>
    <secondary_id>PCI-24781</secondary_id>
    <nct_id>NCT01149668</nct_id>
  </id_info>
  <brief_title>A Safety and Tolerability Study of PCI-24781 in Subjects With Cancer</brief_title>
  <official_title>A Long-term Safety Study of the Pan-histone Deacetylase (HDAC) Inhibitor, PCI-24781, in Subjects With Cancer</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Pharmacyclics</agency>
      <agency_class>Industry</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Pharmacyclics</source>
  <oversight_info>
    <authority>United States: Food and Drug Administration</authority>
    <has_dmc>No</has_dmc>
  </oversight_info>
  <brief_summary>
    <textblock>
      The purpose of this study is to determine the long-term (&gt; 6 months) safety of PCI 24781 PO
      in subjects with lymphoma.
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      An open-label, monotherapy, multicenter, extension study open to subjects who have derived
      benefit from PCI 24781 PO for at least 6 months and want to continue receiving study drug.

      Subjects enrolled in this study will receive PCI-24781 at the schedule and dosage from their
      prior protocol.  Treatment may be continued as long as there is no evidence of progressive
      disease or unacceptable toxicity.
    </textblock>
  </detailed_description>
  <overall_status>Active, not recruiting</overall_status>
  <start_date>June 2010</start_date>
  <primary_completion_date type="Anticipated">April 2015</primary_completion_date>
  <phase>Phase 1</phase>
  <study_type>Interventional</study_type>
  <study_design>Allocation:  Non-Randomized, Endpoint Classification:  Safety Study, Intervention Model:  Single Group Assignment, Masking:  Open Label, Primary Purpose:  Treatment</study_design>
  <primary_outcome>
    <measure>Safety</measure>
    <time_frame>30 days after last dose of study drug</time_frame>
    <safety_issue>Yes</safety_issue>
    <description>frequency, severity and relatedness of adverse events</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Tumor Response</measure>
    <time_frame>frequency of tumor assessments done per standard of care</time_frame>
    <safety_issue>No</safety_issue>
    <description>tumor response will be assessed per established response criteria.  This study will capture time to disease progression and duration of response.</description>
  </secondary_outcome>
  <number_of_arms>1</number_of_arms>
  <enrollment type="Anticipated">100</enrollment>
  <condition>Lymphoma</condition>
  <condition>Non-Hodgkin's Lymphoma</condition>
  <condition>Hodgkin Disease</condition>
  <condition>Multiple Myeloma</condition>
  <condition>Leukemia</condition>
  <condition>Lymphocytic</condition>
  <condition>Chronic</condition>
  <arm_group>
    <arm_group_label>PCI-24781</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
  </arm_group>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>PCI-24781</intervention_name>
    <description>Subjects enrolled in this study will receive PCI-24781 administered orally at the schedule and dosage from their prior protocol.</description>
    <arm_group_label>PCI-24781</arm_group_label>
    <other_name>PCI-24781</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:

          1. Men and women with cancer that did not progress while treated with PCI 24781 PO for
             at least 6 months and who want to continue receiving study drug

          2. Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2

          3. Agreement to use contraception during the study and for 30 days after the last dose
             of study drug if sexually active and able to bear children

          4. Willing and able to participate in all required evaluations and procedures in this
             study protocol including swallowing capsules without difficulty

          5. Ability to understand the purpose and risks of the study and provide signed and dated
             informed consent and authorization to use protected health information (in accordance
             with national and local subject privacy regulations)

        Exclusion Criteria:

          1. A life-threatening illness, medical condition or organ system dysfunction which, in
             the investigator's opinion, could compromise the subject's safety, interfere with the
             absorption or metabolism of oral PCI-24781, or put the study outcomes at undue risk

          2. Significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias,
             congestive heart failure, or myocardial infarction within 6 months of screening, or
             any Class 3 or 4 cardiac disease as defined by the New York Heart Association
             Functional Classification

          3. Malabsorption syndrome, disease significantly affecting gastrointestinal function, or
             resection of the stomach or small bowel or ulcerative colitis, symptomatic
             inflammatory bowel disease, or partial or complete bowel obstruction

          4. Immunotherapy, chemotherapy, radiotherapy, corticosteroids (at dosages equivalent to
             prednisone &gt; 20 mg/day) or experimental therapy (other than PCI-24781 PO) within 4
             weeks before first dose of study drug

          5. Concomitant use of medicines known to cause QT prolongation or torsades de points
             (see Appendix 2)

          6. Central nervous system involvement by lymphoma

          7. Known history of Human Immunodeficiency Virus (HIV) or active infection with
             Hepatitis C Virus (HCV) or Hepatitis B Virus (HBV) or any uncontrolled active
             systemic infection

          8. Creatinine &gt; 1.5 x institutional upper limit of normal (ULN); total bilirubin &gt; 1.5 x
             ULN (unless due to Gilbert's disease); and aspartate aminotransferase (AST) or
             alanine aminotransferase (ALT) &gt; 2.5 x ULN

          9. Lactating or pregnant
      </textblock>
    </criteria>
    <gender>Both</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Lei Zhou, MD</last_name>
    <role>Study Director</role>
    <affiliation>Pharmacyclics</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>Univ of California San Fransico Med Center</name>
      <address>
        <city>San Fransisco</city>
        <state>California</state>
        <zip>94143</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Northwestern Univ. Med School</name>
      <address>
        <city>Chicago</city>
        <state>Illinois</state>
        <zip>60611</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Horizon Oncology Center</name>
      <address>
        <city>Lafayette</city>
        <state>Indiana</state>
        <zip>47905</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Washington Univ. School of Medicine</name>
      <address>
        <city>St. Louis</city>
        <state>Missouri</state>
        <zip>63110</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Univ. of Nebraska Medical Center</name>
      <address>
        <city>Omaha</city>
        <state>Nebraska</state>
        <zip>68198</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Nebraska Methodist Hospital</name>
      <address>
        <city>Omaha</city>
        <state>Nebraska</state>
        <zip>68114</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Sarah Cannon Research Institute</name>
      <address>
        <city>Nashville</city>
        <state>Tennessee</state>
        <zip>37203</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>United States</country>
  </location_countries>
  <verification_date>October 2012</verification_date>
  <lastchanged_date>October 22, 2012</lastchanged_date>
  <firstreceived_date>June 21, 2010</firstreceived_date>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>PCI-24781</keyword>
  <keyword>Lymphoma</keyword>
  <keyword>Non-Hodgkin's</keyword>
  <keyword>Hodgkin Disease</keyword>
  <keyword>Multiple Myeloma</keyword>
  <keyword>Leukemia</keyword>
  <keyword>Lymphocytic</keyword>
  <keyword>Chronic</keyword>
  <is_fda_regulated>Yes</is_fda_regulated>
  <is_section_801>No</is_section_801>
  <has_expanded_access>No</has_expanded_access>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm  -->
    <mesh_term>Hodgkin Disease</mesh_term>
    <mesh_term>Leukemia</mesh_term>
    <mesh_term>Lymphoma</mesh_term>
    <mesh_term>Lymphoma, Non-Hodgkin</mesh_term>
    <mesh_term>Multiple Myeloma</mesh_term>
    <mesh_term>Neoplasms, Plasma Cell</mesh_term>
  </condition_browse>
  <intervention_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm  -->
    <mesh_term>Histone Deacetylase Inhibitors</mesh_term>
  </intervention_browse>
  <!-- Results have not yet been posted for this study                                -->
</clinical_study>
