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PXD101 and 17-N-Allylamino-17-Demethoxygeldanamycin in Treating Patients With Metastatic or Unresectable Solid Tumors or Lymphoma
This study has been completed.
Sponsors and Collaborators: University of Wisconsin, Madison
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00354185
  Purpose

RATIONALE: PDX101 may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the cancer. Drugs used in chemotherapy, such as 17-N-allylamino-17-demethoxygeldanamycin (17-AAG), work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving PXD101 together with 17-AAG may kill more cancer cells.

PURPOSE: This phase I trial is studying the side effects and best dose of giving PDX101 together with 17-AAG in treating patients with metastatic or unresectable solid tumors or lymphoma.


Condition Intervention Phase
Lymphoma
Lymphoproliferative Disorder
Small Intestine Cancer
Unspecified Adult Solid Tumor, Protocol Specific
Drug: belinostat
Drug: tanespimycin
Procedure: pharmacological study
Phase I

MedlinePlus related topics: Cancer Fungal Infections Hodgkin's Disease Intestinal Cancer Leukemia, Adult Acute Leukemia, Adult Chronic Lymphoma
Drug Information available for: IPI-504 17-(Allylamino)-17-demethoxygeldanamycin Belinostat
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I Study of PXD101 in Combination With 17-AAG in Advanced Malignancies

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

Primary Outcome Measures:
  • Toxicity by NCI Common Terminology Criteria for adverse events (CTCAE), version 3.0 [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Pharmacokinetics of PXD101 on day 1 of course 1 [ Designated as safety issue: No ]
  • Pharmacokinetics of 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) on day 4 of course 1 [ Designated as safety issue: No ]
  • Pharmacokinetics of PXD101 in combination with 17-AAG on day 4 of course 4 [ Designated as safety issue: No ]

Estimated Enrollment: 36
Detailed Description:

OBJECTIVES:

Primary

  • Evaluate the safety and tolerability of PXD101 and 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) administered to patients with metastatic or unresectable solid tumors or lymphoma.
  • Determine the maximum tolerated dose (MTD) and recommended phase II dose of PXD101 and 17-AAG in these patients.

Secondary

  • Evaluate the pharmacokinetics of PXD101 and 17-AAG in these patients.
  • Evaluate the antitumor activity of this combination, by tumor measurements using the RECIST criteria.

Tertiary

  • Evaluate the effect of treatment with PXD101 and 17-AAG on the transcriptional upregulation of targeted genes in tumor and surrogate tissue (peripheral blood mononuclear cells [PBMCs]) by means of reverse transcriptase polymerase chain reaction and incorporation of the chromatin immunoprecipitation assay.
  • Evaluate the effect of this combination treatment on the post-translational modification of histones from tumor and surrogate tissue (PBMCs).

OUTLINE: This is a dose-escalation study.

Patients receive 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) IV over 2 hours on days 1, 4, 8, and 11 and PXD101 IV over 30 minutes on days 1-5. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of 17-AAG and PDX101 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Up to 12 patients are treated at the MTD.

Patients undergo blood collection on days 1 and 4 of course 1 for pharmacokinetic studies.

After completion of study treatment, patients are followed periodically.

PROJECTED ACCRUAL: A total of 36 patients will be accrued for this study.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor or lymphoma
  • Metastatic or unresectable disease for which standard curative or palliative measures do not exist or are no longer effective
  • No known brain metastases

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 (Karnofsky PS 60-100%)
  • Life expectancy > 12 weeks
  • WBC ≥ 3,000/mm³
  • Absolute neutrophil count ≥ 1,500/mm³
  • Platelet count ≥ 75,000/mm³
  • Bilirubin normal
  • AST/ALT ≤ 2.5 times upper limit of normal
  • Creatinine normal OR creatinine clearance ≥ 60 mL/min
  • Left ventricular ejection fraction ≥ 45% by nuclear cardiac imaging or echocardiogram
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 28 days after completion of study therapy
  • QTc < 450 msec for men and < 470 msec for women
  • No history of long QT syndrome
  • No history of serious ventricular arrhythmia (ventricular tachycardia or ventricular fibrillation ≥ 3 beats in a row)
  • No poorly controlled or unstable angina pectoris
  • No uncontrolled hypertension
  • No New York Heart Association class III or IV heart failure
  • No condition requiring anti-arrhythmic therapy
  • No uncontrolled dysrhythmias
  • No ischemic or severe valvular heart disease
  • No myocardial infarction within the past 12 months
  • No other significant cardiac disease
  • No ongoing or active infection
  • No other uncontrolled illness
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to PXD101
  • No known egg allergy
  • No psychiatric illness or social situation that would preclude study compliance

PRIOR CONCURRENT THERAPY:

  • Prior treatment with any histone deacetylase (HDAC) inhibitor or 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) allowed if patient did not experience dose-limiting toxicity
  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C) and recovered
  • At least 4 weeks since prior radiotherapy and recovered
  • At least 2 weeks since prior valproic acid
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No concurrent medications that prolong or may prolong QTc or may cause torsade des pointes
  • No other concurrent investigational agents
  • No concurrent grapefruit or grapefruit juice
  • No other concurrent anticancer agents or therapies
  • No prophylactic growth factor support during course 1 of study therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00354185

Sponsors and Collaborators
University of Wisconsin, Madison
Investigators
Study Chair: Anne M. Traynor, MD University of Wisconsin, Madison
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000489088, WCCC-CO-05906, NCI-7277
Study First Received: July 19, 2006
Last Updated: October 18, 2008
ClinicalTrials.gov Identifier: NCT00354185  
Health Authority: United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
unspecified adult solid tumor, protocol specific
anaplastic large cell lymphoma
angioimmunoblastic T-cell lymphoma
extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue
intraocular lymphoma
nodal marginal zone B-cell lymphoma
recurrent adult Burkitt lymphoma
recurrent adult diffuse large cell lymphoma
recurrent adult diffuse mixed cell lymphoma
recurrent adult diffuse small cleaved cell lymphoma
recurrent adult Hodgkin lymphoma
recurrent adult immunoblastic large cell lymphoma
recurrent adult lymphoblastic lymphoma
recurrent adult T-cell leukemia/lymphoma
recurrent cutaneous T-cell non-Hodgkin lymphoma
recurrent grade 1 follicular lymphoma
recurrent grade 2 follicular lymphoma
recurrent grade 3 follicular lymphoma
recurrent mantle cell lymphoma
recurrent marginal zone lymphoma
recurrent mycosis fungoides/Sezary syndrome
recurrent small lymphocytic lymphoma
small intestine lymphoma
splenic marginal zone lymphoma
stage III adult Burkitt lymphoma
stage III adult diffuse large cell lymphoma
stage III adult diffuse mixed cell lymphoma
stage III adult diffuse small cleaved cell lymphoma
stage III adult Hodgkin lymphoma
stage III adult immunoblastic large cell lymphoma

Study placed in the following topic categories:
Sezary syndrome
Hodgkin lymphoma, adult
Lymphoma, Mantle-Cell
Lymphoma, small cleaved-cell, diffuse
Ileal Diseases
Lymphoma, large-cell, immunoblastic
Duodenal Neoplasms
Lymphomatoid granulomatosis
Mycoses
Leukemia, Lymphocytic, Chronic, B-Cell
Lymphoma, Large-Cell, Anaplastic
Hodgkin Disease
Chronic lymphocytic leukemia
Lymphoma, Large B-Cell, Diffuse
Immunoproliferative Disorders
Digestive System Neoplasms
Leukemia, B-cell, chronic
Waldenstrom Macroglobulinemia
B-cell lymphomas
Leukemia, T-Cell
Gastrointestinal Neoplasms
Anaplastic large cell lymphoma
Lymphoma, Non-Hodgkin
Lymphoma, T-Cell, Cutaneous
Hodgkin's disease
Gastrointestinal Diseases
Cutaneous T-cell lymphoma
Lymphoma, Follicular
Lymphoma, B-Cell, Marginal Zone
Sezary Syndrome

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Immune System Diseases
Jejunal Diseases

ClinicalTrials.gov processed this record on January 14, 2009