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Vorinostat in Treating Patients With Progressive Metastatic Prostate Cancer
This study is ongoing, but not recruiting participants.

First Received on May 25, 2006.   Last Updated on September 24, 2010   History of Changes
Sponsor: University of Michigan Cancer Center
Collaborator: National Cancer Institute (NCI)
Information provided by: University of Michigan Cancer Center
ClinicalTrials.gov Identifier: NCT00330161
  Purpose

RATIONALE: Drugs used in chemotherapy, such as vorinostat, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Vorinostat may also stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying how well vorinostat works in treating patients with progressive metastatic prostate cancer.


Condition Intervention Phase
Prostate Cancer
Drug: SAHA (Suberoylanilide Hydroxamic Acid)
Phase II

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase II Evaluation of Suberoylanilide Hydroxamic Acid (NSC 701852) in Patients With Advanced Prostate Cancer That Has Progressed on One Prior Chemotherapy

Resource links provided by NLM:


Further study details as provided by University of Michigan Cancer Center:

Primary Outcome Measures:
  • efficacy of oral SAHA [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
    To evaluate the efficacy of oral SAHA in patients with castrate metastatic prostate cancer who have progressed on one prior chemotherapy, as measured by the proportion of patients not progressed at 6 months.


Secondary Outcome Measures:
  • assess the rate of PSA decline of > 50%. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    To assess the rate of PSA decline of > 50%.


Estimated Enrollment: 29
Study Start Date: March 2006
Estimated Study Completion Date: June 2015
Primary Completion Date: February 2007 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: SAHA (Suberoylanilide Hydroxamic Acid)

    Suberoylanilide Hydroxamic Acid (SAHA) Administration

    Treatment will be administered on an outpatient basis continuously. Each cycle will be 21 days. Patients are to start treatment at -1 dose level of 300 mg/day for cycle 1. If tolerated, may increase to dose level 0 of 400 mg/day for subsequent cycles.

    Other Names:
    • Suberoylanilide Hydroxamic Acid
    • N-hydroxy-N'-phenyl-octane-1,8-diotic acid diamide;
    • N-hydroxyl-N'phenyl (9CI) octanediamide
    • suberoylanilide hydroxamic acid
    • SAHA
    • L-001079038
    • WIN 64652
    • MSK390
    • AP390
Detailed Description:

OBJECTIVES:

Primary

  • Evaluate the efficacy of vorinostat (SAHA), as measured by the proportion of patients who do not progress at 6 months, in patients with castrate metastatic prostate cancer that has progressed on 1 prior chemotherapy regimen.

Secondary

  • Evaluate the safety of SAHA in these patients.
  • Assess the objective response rate in patients with measurable disease treated with SAHA.
  • Assess the rate of prostate-specific antigen (PSA) decline of ≥ 50% in these patients.
  • Assess progression-free and median survival of these patients.
  • Evaluate pre- and post-treatment tumor biopsies for the presence of changes in the expression of androgen receptor (AR) and heat shock protein-90 (Hsp90) client proteins, thioredoxin, thioredoxin binding protein, histone deacetylase (HDAC) 3 (class I), HDAC 7 (class II), enhancer of zestes homolog 2 (EZH2), and p21 expression.
  • Determine the effects of SAHA on interleukin-6 (IL-6), soluble IL-6 receptor, and soluble gp130 levels in the blood.

OUTLINE: This is a multicenter study.

Patients receive oral vorinostat (SAHA) once daily on days 1-21. Treatment repeats every 21 days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Patients who achieve complete response (CR) after 4 courses receive an additional 3 courses. All other patients may continue treatment in the absence of disease progression or unacceptable toxicity.

Blood samples are taken on day 15 of course 1, day 1 of course 2, during the last week of course 4, and at completion of study treatment. Blood is examined for interleukin (IL)-6, IL-6 receptor, and gp130 levels.

After completion of study treatment, patients are followed periodically for survival.

PROJECTED ACCRUAL: A total of 29 patients will be accrued for this study.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed prostate cancer

    • Metastatic disease
  • Measurable and/or bony disease that has progressed despite androgen-deprivation therapy and 1 prior chemotherapy regimen for castrate metastatic disease
  • Prostate specific antigen (PSA) progression

    • Must have a minimum PSA ≥ 5 ng/mL
    • At least 2 rises in PSA documented over a reference value (measure 1)
    • First rising PSA (measure 2) must be taken at least 7 days after the reference value
    • Second rising PSA (measure 3) must be taken at least 7 days after measure 2 and be greater than the second measure OR a fourth PSA (measure 4) taken is greater than the second measure
  • Testosterone < 50 ng/dL

    • Must continue primary androgen deprivation with a luteinizing hormone-releasing hormone (LHRH) analogue if no prior orchiectomy
  • No known brain metastases
  • Treated controlled epidural disease allowed

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • Life expectancy > 6 months
  • WBC ≥ 3,000/mm³
  • Absolute neutrophil count ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Creatinine < 2 mg/dL
  • Bilirubin normal
  • AST/ALT ≤ 2.5 times upper limit of normal
  • Fertile patients must use effective contraception
  • No New York Heart Association class III or IV heart disease
  • No active angina pectoris
  • No myocardial infarction within the last 6 months
  • No symptomatic congestive heart failure
  • No cardiac arrhythmia
  • No other significant cardiovascular disease
  • Patients who require additional diagnostic testing due to either history or clinical findings must meet the following additional criteria:

    • Ejection fraction > 45% by radionuclide angiocardiography (RNCA)
    • No evidence of ventricular aneurysm or other abnormal wall motion by RNCA
    • No reversible defect by stress thallium test
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to vorinostat (SAHA)
  • No psychiatric illness/social situation that would limit compliance with study requirements
  • No ongoing or active infection
  • No other "currently active" malignancy other than nonmelanoma skin cancer

    • Patients are not considered to have a "currently active" malignancy if they have completed therapy and have no evidence of disease
  • No other uncontrolled intercurrent illness

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • At least 4 weeks since prior major surgery
  • At least 4 weeks since prior radiotherapy
  • At least 2 weeks since prior valproic acid
  • No prior radiopharmaceuticals
  • No other concurrent anticancer investigational or commercial agents or therapies, including hormonal agents such as steroids, megestrol, or antiandrogens, or herbal medications

    • LHRH analogue allowed
    • Low-dose megestrol to treat hot flashes allowed
  • No concurrent oral anti-androgens

    • A washout period of 4 weeks for flutamide and 6 weeks for bicalutamide or nilutamide is required if a patient has continued on antiandrogen therapy as part of combined androgen deprivation and has never had antiandrogen withdrawal despite progression on combined androgen deprivation
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00330161

Locations
United States, Illinois
University of Chicago Cancer Research Center
Chicago, Illinois, United States, 60637-1470
United States, Maryland
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, United States, 21231-2410
United States, Michigan
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, United States, 48109-0942
United States, New York
Memorial Sloan-Kettering Cancer Center
New York, New York, United States, 10021
United States, Wisconsin
University of Wisconsin Comprehensive Cancer Center
Madison, Wisconsin, United States, 53792-6164
Sponsors and Collaborators
University of Michigan Cancer Center
Investigators
Study Chair: Maha Hadi A. Hussain, MD University of Michigan Cancer Center
  More Information

Additional Information:
Publications:
Hussain M, Dunn R, Rathkopf D, et al.: Suberoylanilide hydroxamic acid (vorinostat) post chemotherapy in hormone refractory prostate cancer (HRPC) patients (pts): a phase II trial by the Prostate Cancer Clinical Trials Consortium (NCI 6862). [Abstract] J Clin Oncol 25 (Suppl 18): A-5132, 267s, 2007.

Responsible Party: Dr. Maha Hussain, The University of Michigan Comprehensive Cancer Center
ClinicalTrials.gov Identifier: NCT00330161     History of Changes
Other Study ID Numbers: CDR0000478886, CCUM-HUM00002854, UMCC-2005.127, NCI-6862
Study First Received: May 25, 2006
Last Updated: September 24, 2010
Health Authority: United States: Food and Drug Administration

Keywords provided by University of Michigan Cancer Center:
recurrent prostate cancer
stage IV prostate cancer

Additional relevant MeSH terms:
Prostatic Neoplasms
Genital Neoplasms, Male
Urogenital Neoplasms
Neoplasms by Site
Neoplasms
Genital Diseases, Male
Prostatic Diseases
Vorinostat
Histone Deacetylase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antineoplastic Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on February 09, 2012