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Valproic Acid-Based 2-Agent Oral Regimens for Patients With Advanced Solid Tumor
This study is currently recruiting participants.
Verified by M.D. Anderson Cancer Center, October 2008
First Received: July 2, 2007   Last Updated: October 2, 2008   History of Changes
Sponsored by: M.D. Anderson Cancer Center
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00495872
  Purpose

Primary Objectives:

  • To determine maximum tolerated doses of valproic acid in combination with sunitinib, sorafenib, dasatinib, erlotinib, lapatinib, or lenalidomide for the treatment of patients with advanced solid tumors.
  • To describe the toxicity profile of each combination.

Secondary Objectives:

  • To estimate the treatment response of each combination.
  • To assess the association between histone H3 and H4 acetylation of tumor tissue and peripheral blood monocytes, and major clinical outcomes.

Condition Intervention Phase
Solid Tumors
Drug: Dasatinib
Drug: Erlotinib
Drug: Lapatinib
Drug: Lenalidomide
Drug: Sorafenib
Drug: Sunitinib
Drug: Valproic Acid
Phase I

MedlinePlus related topics: Cancer
Drug Information available for: Divalproex sodium Valproic acid Erlotinib hydrochloride Erlotinib Lenalidomide Lapatinib Sorafenib Dasatinib Sunitinib malate Lapatinib Ditosylate CC 5013 Sorafenib tosylate Sunitinib Valproate Sodium Malic acid
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title: A Multi-Arm Complete Phase 1 Trial of Valproic Acid-Based 2-Agent Oral Regimens for Patients With Advanced Solid Tumor

Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • To find the highest tolerable dose of valproic acid in combination with either dasatinib, erlotinib hydrochloride, lapatinib, lenalidomide, sorafenib, or SU011248 (sunitinib malate) that can be given to patients with advanced cancer. [ Time Frame: 3 Years ] [ Designated as safety issue: No ]
  • To review the safety of each combination of study drugs [ Time Frame: 3 Years ] [ Designated as safety issue: No ]

Estimated Enrollment: 192
Study Start Date: June 2007
Estimated Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
VN: Experimental
Valproic Acid + Sorafenib
Drug: Sorafenib
400 mg PO Daily for 21 Days Every 28 Days
Drug: Valproic Acid
40 mg/kg PO Daily for 7 Days, then 7 Days Off
VS: Experimental
Valproic Acid + Sunitinib
Drug: Sunitinib
25 mg PO Daily for 21 Days Every 28 Days
Drug: Valproic Acid
40 mg/kg PO Daily for 7 Days, then 7 Days Off
VD: Experimental
Valproic Acid + Dasatinib
Drug: Dasatinib
50 mg PO Twice Daily for 28 Days Every 28 Days
Drug: Valproic Acid
40 mg/kg PO Daily for 7 Days, then 7 Days Off
VT: Experimental
Valproic Acid + Erlotinib
Drug: Erlotinib
100 mg PO Daily for 28 Days Every 28 Days
Drug: Valproic Acid
40 mg/kg PO Daily for 7 Days, then 7 Days Off
VL: Experimental
Valproic Acid + Lapatinib
Drug: Lapatinib
1000 mg PO Daily for 28 Days Every 28 Days
Drug: Valproic Acid
40 mg/kg PO Daily for 7 Days, then 7 Days Off
VR: Experimental
Valproic Acid + Lenalidomide
Drug: Lenalidomide
15 mg PO Daily for 28 Days Every 28 Days
Drug: Valproic Acid
40 mg/kg PO Daily for 7 Days, then 7 Days Off

  Show Detailed Description

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients must have advanced solid tumor: they have either a disease where there is no established standard of care therapy or have failed one or more prior therapy. (for all treatment arms)
  2. Patients must have ECOG performance status < or = 2 (0-2). (for all treatment arms)
  3. Patients must have normal organ and marrow function as defined below: Platelets > 50,000/uL Total bilirubin < 2.0 mg/dL and ALT <3 x the institutional upper limit of normal Creatinine < 2.0 mg/dL or creatinine clearance > 40mL/min. (for all treatment arms)
  4. Patients must be able to understand and the willingness to sign an IRB-approved written informed consent document. (for all treatment arms)
  5. Women of child-bearing potential and men must agree to use adequate contraception prior to study entry, for the duration of study participation, and for 30 days after the last dose. (for all treatment arms)

Exclusion Criteria:

  1. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure (NYHA Class III or IV), unstable angina pectoris, symptomatic cardiac arrhythmia, active bleeding, active thrombosis, or psychiatric illness/social situations that would limit compliance with study requirements. (for all treatment arms)
  2. History of allergic reactions to the study drugs or their analogs. (for all treatment arms)
  3. Failure to recover from any prior surgery within 4 weeks of study entry. (for all treatment arms)
  4. Any treatment specific for tumor control within 3 weeks of study drugs; or within 2 weeks if cytotoxic agents were given weekly (within 6 weeks for nitrosoureas or mitomycin C), or within 4 half-lives for target agents with half lives and pharmacodynamic effects lasting less than 5 days (that include but are not limited to erlotinib, sorafenib, sunitinib, bortezomib, and other similar agents); or failure to recover from the toxic effect of any therapy prior to study entry. (for all treatment arms)
  5. Patients who received the same combination of the study agents for cancer control and who are currently on valproic acid treatment for seizure control. (for all treatment arms)
  6. Study agents cannot be obtained for any reason since this study does not provide free agents. (for all treatment arms)
  7. Inadequately controlled hypertension (defined as systolic blood pressure 140 and/or diastolic blood pressure > 90 mmHg on antihypertensive medications) and any prior history of hypertensive crisis or hypertensive encephalopathy. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  8. New York Heart Association (NYHA) Grade II or greater congestive heart failure and history of myocardial infarction or unstable angina within 6 months prior to study enrollment. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  9. History of stroke or transient ischemic attack within 6 months prior to study enrollment and, for the sunitinib arm only, known history of brain or leptomeningeal metastases. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  10. Significant vascular disease (e.g., aortic aneurysm, aortic dissection) and symptomatic peripheral vascular disease. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  11. Evidence of bleeding diathesis or coagulopathy. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  12. Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study enrollment or anticipation of need for major surgical procedure during the course of the study. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  13. Minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to study enrollment. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  14. History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to study enrollment; and serious, non-healing wound, ulcer, or bone fracture. (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  15. Urine dipstick for proteinuria > 2+ (patients discovered to have > 2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate < 1g of protein in 24 hours to be eligible). (for the treatment arms of valproic acid plus sorafenib, and valproic acid plus sunitinib)
  16. Concomitant use of potent inhibitors or inducers of the hepatic cytochrome P450 enzyme 3A4. (for the treatment arms of valproic acid plus sunitinib, valproic acid plus dasatinib, valproic acid plus erlotinib and valproic acid plus lapatinib)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00495872

Contacts
Contact: Aung Aung, MD 713-563-0181

Locations
United States, Texas
U.T.M.D. Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Principal Investigator: Aung Naing, MD            
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Principal Investigator: Aung Naing, MD U.T.M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: U.T.M.D. Anderson Cancer Center ( Aung Naing PhD/Assistant Professor )
Study ID Numbers: 2007-0170
Study First Received: July 2, 2007
Last Updated: October 2, 2008
ClinicalTrials.gov Identifier: NCT00495872     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by M.D. Anderson Cancer Center:
Solid Tumors
Advanced Cancer
Dasatinib
Erlotinib
Lapatinib
Lenalidomide
Sorafenib
Erlotinib Hydrochloride
Sunitinib Malate
Sunitinib
Valproic Acid
SU011248

Study placed in the following topic categories:
Erlotinib
Neurotransmitter Agents
Tranquilizing Agents
Lenalidomide
Psychotropic Drugs
Central Nervous System Depressants
Lapatinib
Antimanic Agents
Angiogenesis Inhibitors
Protein Kinase Inhibitors
Valproic Acid
Sunitinib
Dasatinib
Sorafenib
Anticonvulsants

Additional relevant MeSH terms:
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Psychotropic Drugs
Valproic Acid
Protein Kinase Inhibitors
Sunitinib
Dasatinib
Therapeutic Uses
Growth Inhibitors
Angiogenesis Modulating Agents
Erlotinib
Tranquilizing Agents
Growth Substances
Lenalidomide
Central Nervous System Depressants
Lapatinib
Enzyme Inhibitors
Antimanic Agents
Angiogenesis Inhibitors
Pharmacologic Actions
GABA Agents
Central Nervous System Agents
Sorafenib
Anticonvulsants

ClinicalTrials.gov processed this record on May 06, 2009