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PXD101 in Treating Patients With Liver Cancer That Cannot Be Removed By Surgery
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), April 2008
First Received: May 2, 2006   Last Updated: April 14, 2009   History of Changes
Sponsors and Collaborators: Cancer Therapeutics Research Group
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00321594
  Purpose

RATIONALE: PXD101 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase I/II trial is studying the side effects and best dose of PXD101 and to see how well it works in treating patients with liver cancer that cannot be removed by surgery.


Condition Intervention Phase
Liver Cancer
Drug: belinostat
Phase I
Phase II

MedlinePlus related topics: Cancer Liver Cancer Surgery
Drug Information available for: Belinostat
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I/II Study of PXD101 in Patients With Unresectable Hepatocellular Carcinoma With Pharmacokinetic and Pharmacodynamic Evaluation

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

Primary Outcome Measures:
  • Dose-limiting toxicities (DLT) and maximum tolerated dose (MTD) (Phase I) [ Designated as safety issue: Yes ]
  • Pharmacokinetic profiles (Phase I) [ Designated as safety issue: No ]
  • Tumor response as measured by RECIST (Phase II) [ Designated as safety issue: No ]

Estimated Enrollment: 61
Study Start Date: May 2006
Estimated Primary Completion Date: March 2008 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the dose-limiting toxicity (DLT) and establish the maximum tolerated dose (MTD) of PXD101 in patients with unresectable hepatocellular carcinoma (HCC). (Phase I)
  • Assess the pharmacokinetic profiles of PXD101 in these patients. (Phase I)
  • Assess tumor response in patients treated with this drug. (Phase II)

OUTLINE: This is a multicenter, dose-escalation phase I study followed by a phase II study.

  • Phase I: Patients receive PXD101 IV over 30 minutes on days 1-5. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of PXD101 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.
  • Phase II: Patients receive PXD101 (as in phase I) at the MTD determined in phase I.

After completion of study therapy, patients are followed for up to 8 weeks.

PROJECTED ACCRUAL: A total of 24 patients will be accrued for the phase I portion of this study. A total of 37 patients will be accrued for the phase II portion of this study.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed hepatocellular carcinoma that is not amenable to curative resection
  • Measurable disease, defined as ≥ 1 lesion that can be accurately measured in ≥ 1 dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques OR as ≥ 10 mm with MRI or spiral CT scan
  • No known brain metastases
  • No clinical ascites or encephalopathy

PATIENT CHARACTERISTICS:

  • Life expectancy > 12 weeks
  • ECOG performance status (PS) 0-2 or Karnofsky PS 60-100%
  • WBC ≥ 3,000/mm³
  • Absolute neutrophil count ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Bilirubin ≤ 1.7 mg/dL
  • Albumin ≥ 2.8 mg/dL
  • ALT ≤ 5.0 times upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 6 times ULN
  • Prothrombin time ≤ 4 sec above ULN
  • Creatinine ≤ 1.6 mg/dL
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients use effective contraception
  • No Child's-Pugh's grading Class C hepatic impairment
  • No history of allergic reaction attributed to compounds of similar chemical or biologic composition to PXD101
  • No marked baseline prolongation of QT/QTc interval, including the following:

    • Repeated demonstration of a QTc interval > 500 msec
    • Long QT Syndrome
  • No ongoing or active infection
  • No significant cardiovascular disease, including any of the following:

    • Unstable angina pectoris
    • Uncontrolled hypertension
    • Congestive heart failure related to primary cardiac disease
    • Condition requiring anti-arrhythmic therapy
    • Ischemic or severe valvular heart disease
    • Myocardial infarction within the past 6 months
  • No psychiatric illness or social situation that would preclude study compliance
  • No other uncontrolled illness

PRIOR CONCURRENT THERAPY:

  • More than 4 weeks since prior chemotherapy (6 weeks for nitrosureas or mitomycin C) and recovered
  • More than 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 participation in another investigational study
  • No other concurrent investigational agents
  • No other concurrent anticancer therapy
  • No concurrent use of any of the following:

    • Disopyramide
    • Dofetilide
    • Ibutilide
    • Procainamide
    • Quinidine
    • Sotalol
    • Bepridil
    • Amiodarone
    • Arsenic trioxide
    • Cisapride
    • Calcium channel blockers (e.g., lidoflazine)
    • Clarithromycin
    • Erythromycin
    • Halofantrine
    • Pentamidine
    • Sparfloxacin
    • Domperidone
    • Droperidol
    • Chlorpromazine
    • Haloperidol
    • Mesoridazine
    • Thiordazine
    • Pimozide
    • Methadone
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00321594

Locations
Hong Kong
Prince of Wales Hospital Recruiting
Shatin, New Territories, Hong Kong
Contact: Winnie Yeo     852-2632-2118        
Singapore
Cancer Institute at National University Hospital Recruiting
Singapore, Singapore, 119074
Contact: Boon C. Goh, MD     65-6772-4617        
National Cancer Centre - Singapore Recruiting
Singapore, Singapore, 169610
Contact: Toh Han Chong, MD, MBBS, MRCP     65-6436-8200        
Sponsors and Collaborators
Cancer Therapeutics Research Group
Investigators
Principal Investigator: Winnie Yeo Prince of Wales Hospital
  More Information

Additional Information:
No publications provided

Responsible Party: Mayo Clinic Cancer Center ( Charles Erlichman )
Study ID Numbers: CDR0000463519, CTRG-HC06/21/05, NCI-7237
Study First Received: May 2, 2006
Last Updated: April 14, 2009
ClinicalTrials.gov Identifier: NCT00321594     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
adult primary hepatocellular carcinoma
localized unresectable adult primary liver cancer
advanced adult primary liver cancer
recurrent adult primary liver cancer

Study placed in the following topic categories:
Liver Neoplasms
Liver Diseases
Digestive System Diseases
Digestive System Neoplasms
Carcinoma, Hepatocellular
Gastrointestinal Neoplasms
Hepatocellular Carcinoma
Adenocarcinoma
Recurrence
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Liver Neoplasms
Liver Diseases
Neoplasms
Digestive System Diseases
Neoplasms by Site
Digestive System Neoplasms
Neoplasms by Histologic Type
Carcinoma, Hepatocellular
Adenocarcinoma
Neoplasms, Glandular and Epithelial
Carcinoma

ClinicalTrials.gov processed this record on May 07, 2009