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Vorinostat in Treating Patients With Acute Myeloid Leukemia
This study is ongoing, but not recruiting participants.
First Received: March 21, 2006   Last Updated: April 14, 2009   History of Changes
Sponsors and Collaborators: Mayo Clinic
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00305773
  Purpose

RATIONALE: Vorinostat may stop the growth of cancer cells by blocking some of the enzymes needed for their growth. Giving the drug in different ways may kill more cancer cells.

PURPOSE: This randomized phase II trial is studying two different schedules of vorinostat to see how well they work in treating patients with acute myeloid leukemia.


Condition Intervention Phase
Leukemia
Myelodysplastic Syndromes
Drug: vorinostat
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized
Official Title: A Phase II Study of Suberoylanilide Hydroxamic Acid (SAHA) in Acute Myeloid Leukemia (AML)

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Complete remission attainment following study treatment. [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Toxicity during study treatment [ Designated as safety issue: Yes ]
  • Evidence of re-expression of epigenetically silenced genes during course 1 [ Designated as safety issue: No ]

Estimated Enrollment: 44
Study Start Date: January 2006
Estimated Primary Completion Date: January 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm I: Experimental
Patients receive oral vorinostat (SAHA) once a day on days 1-21.
Drug: vorinostat
Given orally
Arm II: Experimental
Patients receive oral SAHA three times a day on days 1-14.
Drug: vorinostat
Given orally

Detailed Description:

OBJECTIVES:

Primary

  • Determine the toxicity and the proportion of complete remissions associated with two different treatment schedules of vorinostat (SAHA) in patients with acute myeloid leukemia.

Secondary

  • Determine the toxic effects of SAHA in this study population.
  • Examine for preliminary evidence of re-expression of silenced genes in leukemic blasts in response to SAHA.

OUTLINE: This is a multicenter, randomized study.

Patients are stratified according to disease status (relapsed vs untreated). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral vorinostat (SAHA) once a day on days 1-21.
  • Arm II: Patients receive oral SAHA three times a day on days 1-14. In both arms, treatment repeats every 21 days for up to 17 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed periodically for up to 2 years.

PROJECTED ACCRUAL: A total of 44 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:

  • Diagnosis of acute myeloid leukemia (AML), meeting 1 of the following criteria:

    • Relapsed AML in the following categories:

      • Good-risk cytogenetics [inv(16), t (8;21)] in second relapse or in first relapse following a remission of < 12 months
      • Acute promyelocytic leukemia (M3) in second relapse or greater AND must have relapsed following both tretinoin-anthracycline-based therapy and arsenic trioxide-based therapy
      • All other relapsed patients are eligible
    • Untreated AML in the following categories:

      • At least 65 years of age
      • Myelodysplastic syndromes-AML (AML with trilineage dysplasia)
      • AML with del5Q or monosomy 5, monosomy 7, or complex cytogenetics (≥ 3 cytogenetic abnormalities)
  • Refused or ineligible for potentially curative options such as allogeneic stem cell transplantation
  • No clinical evidence of CNS or pulmonary leukostasis, disseminated intravascular coagulation, or CNS leukemia

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 or Karnofsky PS ≥ 60%
  • Life expectancy ≥ 3 months
  • Bilirubin normal unless attributed to hemolysis or Gilbert's disease in the opinion of the investigator
  • AST/ALT ≤ 2.5 times upper limit of normal (ULN)
  • Creatinine normal OR creatinine clearance ≥ 60 mL/min
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to vorinostat
  • No uncontrolled intercurrent illness, including any of the following:

    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Psychiatric illness or social situation that would limit compliance with study requirements
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No known HIV positivity

PRIOR CONCURRENT THERAPY:

  • More than 4 weeks since prior radiotherapy
  • More than 2 weeks since prior valproic acid
  • More than 3 weeks since other prior treatment for AML, including hematopoietic growth factors

    • Hydroxyurea for WBC > 30,000/mm^3 allowed
  • Recovered from prior therapy
  • No concurrent filgrastim (G-CSF), sargramostim (GM-CSF), epoetin alfa, or darbepoetin alfa
  • No other concurrent investigational agents
  • No other concurrent anticancer agents or therapies for this cancer
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00305773

Locations
United States, Arizona
Mayo Clinic Scottsdale
Scottsdale, Arizona, United States, 85259-5499
United States, Florida
Mayo Clinic - Jacksonville
Jacksonville, Florida, United States, 32224
United States, Maryland
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, United States, 21231-2410
United States, Michigan
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, United States, 48201-1379
United States, Missouri
Siteman Cancer Center at Barnes-Jewish Hospital
Saint Louis, Missouri, United States, 63110
United States, Wisconsin
University of Wisconsin Paul P. Carbone Comprehensive Cancer Center
Madison, Wisconsin, United States, 53792-6164
Sponsors and Collaborators
Mayo Clinic
Investigators
Study Chair: Steven D. Gore, MD Sidney Kimmel Comprehensive Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: Mayo Clinic Cancer Center ( Charles Erlichman )
Study ID Numbers: CDR0000465213, MAYO-MC0483, JHOC-J0557, JHOC-J0550, NCI-6882
Study First Received: March 21, 2006
Last Updated: April 14, 2009
ClinicalTrials.gov Identifier: NCT00305773     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
recurrent adult acute myeloid leukemia
untreated adult acute myeloid leukemia
adult acute erythroid leukemia (M6)
adult acute megakaryoblastic leukemia (M7)
adult acute monoblastic leukemia (M5a)
adult acute monocytic leukemia (M5b)
adult acute myeloblastic leukemia with maturation (M2)
adult acute myeloblastic leukemia without maturation (M1)
adult acute myeloid leukemia with 11q23 (MLL) abnormalities
adult acute myeloid leukemia with inv(16)(p13;q22)
adult acute myeloid leukemia with t(15;17)(q22;q12)
adult acute myeloid leukemia with t(16;16)(p13;q22)
adult acute myeloid leukemia with t(8;21)(q22;q22)
adult acute myelomonocytic leukemia (M4)
adult acute promyelocytic leukemia (M3)
refractory cytopenia with multilineage dysplasia
secondary acute myeloid leukemia
adult acute minimally differentiated myeloid leukemia (M0)

Study placed in the following topic categories:
Anticarcinogenic Agents
Leukemia, Monocytic, Acute
Anti-Inflammatory Agents
Precancerous Conditions
Acute Myelomonocytic Leukemia
Acute Monoblastic Leukemia
Leukemia, Myeloid, Acute
Leukemia
Preleukemia
Acute Myelocytic Leukemia
Acute Erythroblastic Leukemia
Acute Myeloid Leukemia, Adult
Leukemia, Promyelocytic, Acute
Neoplasm Metastasis
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Congenital Abnormalities
Hematologic Diseases
Myelodysplastic Syndromes
Vorinostat
Leukemia, Myeloid
Recurrence
Leukemia, Myelomonocytic, Acute
Leukemia, Erythroblastic, Acute
Analgesics, Non-Narcotic
Peripheral Nervous System Agents
Antirheumatic Agents
Bone Marrow Diseases
Acute Promyelocytic Leukemia
Di Guglielmo's Syndrome

Additional relevant MeSH terms:
Anticarcinogenic Agents
Anti-Inflammatory Agents
Molecular Mechanisms of Pharmacological Action
Precancerous Conditions
Antineoplastic Agents
Physiological Effects of Drugs
Leukemia, Myeloid, Acute
Leukemia
Preleukemia
Pathologic Processes
Sensory System Agents
Syndrome
Therapeutic Uses
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Disease
Neoplasms by Histologic Type
Hematologic Diseases
Myelodysplastic Syndromes
Vorinostat
Enzyme Inhibitors
Leukemia, Myeloid
Protective Agents
Pharmacologic Actions
Neoplasms
Analgesics, Non-Narcotic
Peripheral Nervous System Agents
Bone Marrow Diseases
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on August 24, 2009