Recurrent Mantle Cell Lymphoma Clinical Trial
Official title:
A Phase I/II Study of Vorinostat Plus Rituximab, Ifosphamide, Carboplatin, and Etoposide for Patients With Relapsed or Refractory Lymphoid Malignancies or Untreated T- or Mantle Cell Lymphoma
This phase I/II trial is studying the side effects and best dose of vorinostat when given together with rituximab, ifosfamide, carboplatin, and etoposide and to see how well they work in treating patients with relapsed or refractory lymphoma or previously untreated T-cell non-Hodgkin lymphoma or mantle cell lymphoma. Vorinostat may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. Drugs used in chemotherapy, such as ifosfamide, carboplatin, and etoposide, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving vorinostat together with rituximab and combination chemotherapy may kill more cancer cells
OBJECTIVES:
I. To determine maximally tolerated dose of vorinostat that can be combined with RICE
chemotherapy in patients with relapsed lymphoid malignancies.
II. To determine the safety and toxicity of the above regimen. III. To gain a preliminary
assessment of the efficacy of the above regimen. IV. To determine the ability to proceed to
peripheral blood stem cell collection following the above regimens (the impact of above
regimen on stem cell reserve).
V. To describe vorinostat concentration attained at or near the MTD. VI. To evaluate the
change of histone acetylation patterns and pro-apoptotic proteins of primary target (tumor)
and non-target peripheral blood mononuclear cells (PBMC) cells following high-dose HDAC
inhibition.
VII. To describe the gene expression profile changes of tumor and non-tumor cells following
high-dose HDAC inhibition.
OUTLINE: This is a phase I/II dose-escalation study of vorinostat.
Patients receive vorinostat orally (PO) once daily (QD) on days 1-5, ifosfamide IV
continuously over 24 hours and carboplatin IV over 1 hour on day 4, and etoposide IV over 1
hour on days 3-5. Patients who are CD20+ also receive rituximab IV once on day 3, 4, or 5.
Treatment repeats every 21 days for 2 courses in the absence of disease progression or
unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months for 1 year and
then every 6 months for 4 years.
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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