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PXD101 in Treating Patients With Relapsed or Refractory Aggressive B-Cell Non-Hodgkin's Lymphoma
This study has been suspended.
Sponsors and Collaborators: Southwest Oncology Group
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00303953
  Purpose

RATIONALE: PXD101 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.

PURPOSE: This phase II trial is studying how well PXD101 works in treating patients with relapsed or refractory aggressive B-cell non-Hodgkin's lymphoma.


Condition Intervention Phase
Lymphoma
Drug: belinostat
Phase II

MedlinePlus related topics: Cancer Lymphoma
Drug Information available for: Belinostat
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase II Study of PXD101 (NSC-726630) in Relapsed and Refractory Aggressive B-Cell Lymphomas

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

Primary Outcome Measures:
  • Response probability [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Toxicity [ Designated as safety issue: Yes ]
  • Overall survival [ Designated as safety issue: No ]
  • Time to treatment failure [ Designated as safety issue: No ]
  • Time to progression [ Designated as safety issue: No ]

Estimated Enrollment: 40
Study Start Date: January 2006
Estimated Primary Completion Date: May 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Evaluate response rate in patients with relapsed or refractory aggressive B-cell non-Hodgkin's lymphoma treated with PXD101.

Secondary

  • Determine the toxicity of this drug in these patients.
  • Estimate the 6-month progression-free survival rate in patients treated with this drug.

Tertiary

  • Determine the major histocompatability complex of class II proteins (HLA-DR, -DP, -DQ), TUNEL, and CD8 infiltration status, by immunochemistry on paired pre- and post-treatment tumor samples, in the first 20 patients enrolled.
  • Measure CIITA and HLA-DR mRNA expression using quantitative reverse transcriptase-polymerase chain reaction and determine, preliminarily, the associations of these markers with progression-free survival.
  • Evaluate paired pre- and post-treatment peripheral blood mononuclear cells from patients for histone acetylation status and determine correlation with findings from duplicate experiments on pre- and post-needle core biopsies.

OUTLINE: This is a multicenter study.

Patients receive PXD101 IV over 30 minutes on days 1-5. Treatment repeats every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity.

Needle core biopsies and peripheral blood mononuclear cells are obtained from the first 20 patients pre- and post-treatment for biomarker correlative studies.

After completion of study treatment, patients are followed every 3-6 months for up to 3 years.

PROJECTED ACCRUAL: A total of 40 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:

  • Biopsy-proven* aggressive B-cell non-Hodgkin's lymphoma (NHL), including 1 of the following histology subtypes:

    • Diffuse large cell NHL
    • Burkitt's or Burkitt-like NHL
    • Primary mediastinal NHL NOTE: *No needle aspirations or cytologies
  • Relapsed or refractory disease
  • Bidimensionally measurable disease
  • Transformed NHL allowed
  • Not eligible for stem cell transplantation (for patients registered to study at first relapse)
  • No active CNS involvement by lymphoma

PATIENT CHARACTERISTICS:

  • Zubrod performance status 0-2
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to PXD101
  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • WBC ≥ 3,000/mm^3
  • Creatinine < 2 times upper limit of normal (ULN) OR creatinine clearance ≥ 60 mL/min
  • No significant EKG abnormalities
  • Bilirubin normal
  • SGOT/SGPT < 2.5 times ULN (≤ 5 times ULN if liver involvement)
  • No long QT syndrome or marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of QTc interval > 500 msec)
  • No other significant cardiovascular disease, including any of the following:

    • Unstable angina pectoris
    • Uncontrolled hypertension
    • Congestive heart failure related to primary cardiac disease
    • Any condition requiring anti-arrhythmic therapy
    • Ischemic or severe valvular heart disease
    • Myocardial infarction within the past 6 months
  • No clinical evidence of any of the following:

    • Severe peripheral vascular disease
    • Diabetic ulcers or venous stasis ulcers
    • History of deep venous or arterial thrombosis within the past 3 months
  • No known AIDS or HIV-associated complex
  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or in situ carcinoma of the cervix

PRIOR CONCURRENT THERAPY:

  • At least 2 weeks since prior therapy and recovered
  • No more than 5 prior chemotherapy regimens

    • Standard salvage chemotherapy followed by autologous stem cell transplantation is considered 1 regimen
    • Single-agent rituximab is not considered a chemotherapy regimen
    • Radioimmunotherapy is considered a chemotherapy regimen
  • No major surgery within 28 days prior to study entry
  • At least 2 weeks since prior valproic acid or any other histone deacetylase inhibitor
  • At least 14 days since prior radiotherapy
  • No concurrent medication that may cause Torsades de Pointes (i.e., prolongation of the QT interval > 500 msec)
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00303953

  Show 128 Study Locations
Sponsors and Collaborators
Southwest Oncology Group
Investigators
Study Chair: Steven H. Bernstein, MD James P. Wilmot Cancer Center
Investigator: Thomas P. Miller, MD University of Arizona
  More Information

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

Study ID Numbers: CDR0000462614, SWOG-S0520
Study First Received: March 15, 2006
Last Updated: January 13, 2009
ClinicalTrials.gov Identifier: NCT00303953  
Health Authority: United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
recurrent adult diffuse large cell lymphoma
recurrent adult Burkitt lymphoma

Study placed in the following topic categories:
Lymphoma, Large B-Cell, Diffuse
Immunoproliferative Disorders
Lymphoma, small cleaved-cell, diffuse
Recurrence
Lymphoma, B-Cell
Lymphoma, large-cell
Burkitt's lymphoma
Lymphatic Diseases
Burkitt Lymphoma
B-cell lymphomas
Lymphoma, Non-Hodgkin
Aggression
Lymphoproliferative Disorders
Lymphoma

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

ClinicalTrials.gov processed this record on January 16, 2009