Vorinostat in Treating Patients With Kidney Cancer

Stage IV Renal Cell Cancer Clinical Trial

Official title:

A Phase II, Pharmacokinetic and Biologic Correlative Study of Suberoylanilide Hydroxamic Acid (SAHA) in Patients With Advanced Renal Cell Carcinoma (RCC)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00278395
• Other study ID #: NCI-2009-00087
• Secondary ID: NCI-2009-00087CD
• Status: Completed
• Phase: Phase 2
• First received: January 16, 2006
• Last updated: October 13, 2017
• Start date: October 2005
• Est. completion date: February 2010

Study information

• Verified date: October 2017
• Source: National Cancer Institute (NCI)
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This phase II trial is studying how well vorinostat works in treating patients with advanced kidney cancer. Drugs used in chemotherapy, such as vorinostat, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Vorinostat may also stop the growth of tumor cells by blocking blood flow to the tumor.

Description:

PRIMARY OBJECTIVES:

I. Determine the antitumor activity of vorinostat (SAHA), in terms of objective response and progression rate, in patients with advanced renal cell carcinoma.

SECONDARY OBJECTIVES:

I. Evaluate the safety and tolerability of this drug, in terms of toxicity profile, in these patients.

II. Evaluate overall survival, progression-free survival, and survival rate at 12 months in patients treated with this drug.

III. Correlate changes in biologic measurements with outcomes of patients treated with this drug.

OUTLINE: This is an open-label, multicenter study.

Patients receive oral vorinostat (SAHA) twice daily on days 1-3, 8-10, 15-17, and 22-24. Courses repeat every 28 days for up to 52 weeks in the absence of disease progression or unacceptable toxicity. Patients may have the option of continuing treatment beyond 52 weeks at the discretion of the investigator.

After completion of study treatment, patients are followed within 1 month and then approximately every 2 months thereafter.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 14
• Est. completion date: February 2010
• Est. primary completion date: February 2010
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Histologically or cytologically confirmed diagnosis of advanced renal cell carcinoma that is either metastatic or inoperable

• Measurable disease, defined as = 1 unidimensionally measurable lesion = 20 mm by conventional techniques OR = 10 mm by spiral CT scan

• Disease is recurrent or refractory to interleukin-2 (IL-2) or interferon-based therapy OR new diagnosis in previously untreated patients who are not appropriate candidates to receive IL-2 based treatment

• Patients who have failed up to 4 lines of prior immunotherapy or biological therapy allowed

• No known brain metastases or leptomeningeal disease

• Stable brain metastases or curatively resected brain metastases without neurologic dysfunction for = 6 months allowed

• ECOG performance status 0-2 OR Karnofsky 70-100%

• Life expectancy = 12 weeks

• Absolute neutrophil count = 1,500/mm^3

• Platelet count = 100,000/mm^3

• Hemoglobin = 9.0 g/dL

• Serum creatinine = 1.5 times upper limit of normal (ULN) OR creatinine clearance > 50 mL/min

• Total bilirubin within normal limits

• AST/ALT = 2.5 times ULN (= 5 times ULN if liver metastasis is present)

• No history of active malignancy (other than renal cell carcinoma) within the past 3 years other than nonmelanomatous skin cancer, in situ breast cancer, or in situ cervical cancer

• No history of allergic reactions to compounds of similar chemical or biological composition to vorinostat (SAHA)

• No uncontrolled concurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia

• No psychiatric illness or social situation that would preclude study compliance

• No clinically significant hypercalcemia

• No significant traumatic injury within the past 21 days

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• No gastrointestinal disease resulting in an inability to take oral medication

• No requirement for IV alimentation

• No active peptic ulcer disease

• Recovered from prior therapy

• Prior nephrectomy or resection of metastatic lesions allowed provided full surgical recovery has occurred

• No chemotherapy within the past 4 weeks (6 weeks for nitrosoureas or mitomycin)

• No radiotherapy within the past 4 weeks

• No valproic acid for at least 2 weeks prior to study enrollment

• No prior surgical procedures affecting absorption

• No major surgery within the past 21 days

• No concurrent antiretroviral therapy for HIV-positive patients

• No other concurrent investigational agents

• No other concurrent anticancer therapy

Related Conditions & MeSH terms

• Carcinoma
• Carcinoma, Renal Cell
• Recurrent Renal Cell Carcinoma
• Stage IV Renal Cell Cancer

Intervention

Drug:
• Vorinostat
Given orally

Locations

Country	Name	City	State
United States	Cancer Therapy and Research Center at The UT Health Science Center at San Antonio	San Antonio	Texas
United States	Institute for Drug Development	San Antonio	Texas

Sponsors (1)

Lead Sponsor	Collaborator
National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Objective Response	Objective response is measured using the international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. Changes in only the largest diameter (unidimensional measurement) of the tumor lesions are used in RECIST criteria.; Complete Response (CR) - Disappearance of all target lesions, Partial Response (PR) - at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, Progressive Disease (PD) - At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions, Stable Disease (SD) - Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.	1 year
Secondary	Progression-free Survival		1 year
Secondary	Overall Survival (OS) and Median OS		1 year
Secondary	Safety and Tolerability		1 year