Vorinostat (MK-0683) Phase I Study in Cutaneous T-Cell Lymphoma (CTCL) Patients (MK-0683-089 EXT1)
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Purpose
Part I evaluates the safety, tolerability and pharmacokinetics (PK) of vorinostat in Japanese patients with relapsed or refractory CTCL. Part II evaluates the safety of vorinostat in Japanese pts. with relapsed or refractory CTCL. Relapsed or refractory CTCL patients will be newly enrolled in Part II.
| Condition | Intervention | Phase |
|---|---|---|
|
Lymphoma |
Drug: vorinostat |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I Clinical Study of MK-0683 in Patients With Relapsed or Refractory Cutaneous T-Cell Lymphoma (CTCL) |
- Parts I & II: Number of Participants Experiencing Clinical or Laboratory Adverse Experiences (AE) [ Time Frame: Day 1 up until 30 days post study completion or early termination (up to approximately 506 days) ] [ Designated as safety issue: Yes ]A laboratory AE is defined as any unfavorable & unintended change in the chemistry of the body temporally associated with the use of study product, whether or not considered related to the use of the product. A clinical AE is defined similarly but also includes changes in structure or function of the body.
- Part I: Number of Participants Experiencing Dose Limiting Toxicity (DLT) [ Time Frame: Day 1 to Day 28 ] [ Designated as safety issue: Yes ]
A DLT was defined as any of the following (per Common Terminology Criteria for Adverse Events [CTCAE] version 3.0):
- Grade 3 (severe)-4 (life-threatening) neutropenia with fever ≥ 38.5ºC
- Grade 3-4 neutropenia with an infection requiring antibiotic or antifungal treatment
- Grade 4 neutropenia lasting at least 5 days
- Grade 4 thrombocytopenia
- Other Grade 4 hematologic toxicity, including a decrease in hemoglobin, only at the discretion of the principal investigator
- Grade 3 or 4 non-hematologic event, except which are manageable by supportive care or non-prohibited therapies
- Part I: Total Drug Exposure (Area Under the Concentration Curve, AUC[0-24 Hours]) [ Time Frame: Days 1 & 28 of Cycle 1 ] [ Designated as safety issue: No ]
Blood samples taken as follows:
Day 1 & Day 28 of Cycle 1: pre dose, and 0.25, 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0, 8.0, 10, 12 and 24 hours after dosing of vorinostat.
- Part I: Maximum Drug Concentration (Cmax) [ Time Frame: Days 1 & 28 of Cycle 1 ] [ Designated as safety issue: No ]
Blood samples taken as follows:
Day 1 & Day 28 of Cycle 1: pre dose, and 0.25, 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0, 8.0, 10, 12 and 24 hours after dosing of vorinostat.
- Part I: Time at Which Cmax Occurs (Tmax) [ Time Frame: Days 1 & 28 of Cycle 1 ] [ Designated as safety issue: No ]
Blood samples taken as follows:
Day 1 & Day 28 of Cycle 1: pre dose, and 0.25, 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0, 8.0, 10, 12 and 24 hours after dosing of vorinostat.
- Part I: The Amount of Time it Takes for the Drug Concentration to Decrease by Half (T1/2) [ Time Frame: Days 1 & 28 of Cycle 1 ] [ Designated as safety issue: No ]
Blood samples taken as follows:
Day 1 & Day 28 of Cycle 1: pre dose, and 0.25, 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0, 8.0, 10, 12 and 24 hours after dosing of vorinostat.
| Enrollment: | 10 |
| Study Start Date: | August 2008 |
| Study Completion Date: | July 2011 |
| Primary Completion Date: | July 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Vorinostat |
Drug: vorinostat
Parts I & II: Vorinostat (400 mg) Oral, daily (QD). Treatment period is 28 days per cycle.
Other Names:
|
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria (Parts I & II):
- Patients With CTCL Who Have Progressive, Persistent Or Recurrent Disease Subsequent To At Least One Prior Therapy
- Eastern Cooperative Oncology Group (ECOG) Performance Status Must Be 0-2
- Patients Have Adequate Bone Marrow, Liver Function And Renal Function
Exclusion Criteria (Parts I & II):
- Patients Had Prior Therapy Within 3 Weeks Before Registration, Or Have Not Recovered From Toxicities Of Prior Therapy
- Patients Have Uncontrolled Intercurrent Illness
- Pregnant Or Women Have A Will To Be Pregnant And Lactating Woman
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Merck |
| ClinicalTrials.gov Identifier: | NCT00771472 History of Changes |
| Other Study ID Numbers: | MK-0683-089, 2008_565 |
| Study First Received: | October 9, 2008 |
| Results First Received: | May 30, 2012 |
| Last Updated: | July 24, 2012 |
| Health Authority: | Japan: Pharmaceuticals and Medical Devices Agency |
Additional relevant MeSH terms:
|
Lymphoma Lymphoma, T-Cell Lymphoma, T-Cell, Cutaneous Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases |
Lymphoma, Non-Hodgkin Vorinostat Histone Deacetylase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 17, 2013