Status:
COMPLETED
Vorinostat, Fluorouracil, and Leucovorin Calcium in Treating Patients With Metastatic Colorectal Cancer That Has Not Responded to Previous Treatment
Lead Sponsor:
Roswell Park Cancer Institute
Collaborating Sponsors:
Merck Sharp & Dohme LLC
Conditions:
Adenocarcinoma of the Colon
Adenocarcinoma of the Rectum
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Vorinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as fluorouracil and leucovorin calcium, work in differ...
Detailed Description
PRIMARY OBJECTIVES: I. Describe the 2-months progression free rate on vorinostat 800mg/day x 3 in combination with 5-FU/L V every 2 weeks. (Arm I) II. Describe the 2-months progression free rate on vo...
Eligibility Criteria
Inclusion
- Inclusion
- Patients must have histologically or cytologically confirmed colorectal adenocarcinoma that is metastatic and which has failed standard treatment or for which no standard treatment is available
- Patients should have fluoropyrimidine-refractory disease; radiographic evidence of progression within 4 weeks from the last dose of a fluoropyrimidine-based regimen (at least 6 weeks of fluoropyrimidine-based treatment)
- Patients should have received and progressed on (or proved to be intolerant to) oxaliplatin and irinotecan; progression within 6 months from oxaliplatin-based therapy or irinotecan-based therapy is acceptable for eligibility
- Patients with KRAS wild-type or unknown KRAS status tumors should have progressed on or within 6 months from last cetuximab or panitumumab-based therapy; no prior cetuximab therapy is required for KRAS mutant tumors
- ECOG performance status =\< 2
- Life expectancy \>= 12 weeks
- Ability to understand and the willingness to sign a written informed consent document
- Ability to swallow pills
- Absolute neutrophil count \>= 1,500/uL
- Platelets \>= 100,000/uL
- Total bilirubin =\< institutional upper limit of normal
- AST(SGOT)/ALT(SGPT) =\< 3 x institutional upper limit of normal in the absence of metastatic disease to the liver and =\< 5 x institutional upper limit of normal in the setting of metastatic disease to the liver
- Creatinine =\< 1.5 x institutional upper limit of normal
- Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation
- Males undergoing study treatment should also agree to adequate measures of contraception (partner contraception and use of condoms or abstinence, or vasectomy)
- Exclusion
- Patients who have had chemotherapy or radiotherapy within 3 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from significant adverse events due to agents administered more than 3 weeks earlier
- Patients may not be receiving any other investigational agents
- Patients with known brain metastases should be excluded from this clinical trial
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to vorinostat or other agents used in study
- Greater than Grade 2 neuropathy as defined by CTCAE version 3.0
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Baseline EKG with QTc prolongation that is grade 2 or higher by CTCAE version 3.0
- Pregnant women are excluded from this study; breastfeeding should be discontinued if the mother is treated with vorinostat
- Patients should not have taken valproic acid or other histone deacetylase inhibitors, for at least 4 weeks prior to enrollment
- Patients with known HIV infection or known active viral hepatitis
- Prior treatment with vorinostat
- Other non-study medications known to increase the QTc interval
Exclusion
Key Trial Info
Start Date :
July 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 1 2011
Estimated Enrollment :
58 Patients enrolled
Trial Details
Trial ID
NCT00942266
Start Date
July 1 2009
End Date
December 1 2011
Last Update
June 23 2014
Active Locations (1)
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1
Roswell Park Cancer Institute
Buffalo, New York, United States, 14263