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A Phase 1 Study of SAHA (NSC# 701852 IND#71976) in Pediatric Patients With Recurrent or Refractory Solid Tumors (Including Lymphomas) and Leukemia Followed by a Phase I Study of SAHA in Combination With 13-Cis-Retinoic Acid for Patients With Selected Recurrent/Refractory Solid Tumors


Phase 1
1 Year
21 Years
Not Enrolling
Both
Childhood Acute Promyelocytic Leukemia (M3), Childhood Atypical Teratoid/Rhabdoid Tumor, Childhood Burkitt Lymphoma, Childhood Chronic Myelogenous Leukemia, Childhood Diffuse Large Cell Lymphoma, Childhood Immunoblastic Large Cell Lymphoma, Juvenile Myelomonocytic Leukemia, Recurrent Childhood Acute Lymphoblastic Leukemia, Recurrent Childhood Acute Myeloid Leukemia, Recurrent Childhood Grade III Lymphomatoid Granulomatosis, Recurrent Childhood Large Cell Lymphoma, Recurrent Childhood Lymphoblastic Lymphoma, Recurrent Childhood Medulloblastoma, Recurrent Childhood Small Noncleaved Cell Lymphoma, Recurrent Childhood Supratentorial Primitive Neuroectodermal Tumor, Recurrent Neuroblastoma, Recurrent/Refractory Childhood Hodgkin Lymphoma, Relapsing Chronic Myelogenous Leukemia, Unspecified Childhood Solid Tumor, Protocol Specific

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Trial Information

A Phase 1 Study of SAHA (NSC# 701852 IND#71976) in Pediatric Patients With Recurrent or Refractory Solid Tumors (Including Lymphomas) and Leukemia Followed by a Phase I Study of SAHA in Combination With 13-Cis-Retinoic Acid for Patients With Selected Recurrent/Refractory Solid Tumors


PRIMARY OBJECTIVES:

I. Determine the maximum tolerated dose (MTD) of vorinostat (SAHA) in young patients with
recurrent or refractory solid tumors or lymphomas.

II. Determine the MTD of SAHA administered in combination with isotretinoin in young
patients with recurrent or refractory neuroblastoma, medulloblastoma/CNS primitive
neuroectodermal tumor, or atypical teratoid rhabdoid tumor.

III. Determine the tolerability of the solid tumor MTD of SAHA in young patients with
recurrent or refractory leukemia.

IV. Determine the toxic effects of SAHA administered with or without isotretinoin in these
patients.

V. Determine the pharmacokinetics of this drug in these patients.

SECONDARY OBJECTIVES:

I. Determine, preliminarily, the antitumor activity of SAHA administered with or without
isotretinoin in these patients.

II. Correlate the pharmacokinetics of this drug with genetic polymorphisms (e.g., UGT1A1) in
these patients.

OUTLINE: This is a multicenter, dose-escalation study of vorinostat (SAHA).

Group 1 (solid tumor or lymphoma patients): Patients receive oral SAHA once daily on days
1-28. Treatment repeats every 28 days for up to 12 courses in the absence of disease
progression or unacceptable toxicity.Cohorts of 3-6 patients receive escalating doses of
SAHA until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose
preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. An
additional 6 patients may be treated at the MTD.

Group 2 (leukemia patients): Patients receive SAHA as in group 1 at the MTD.

Group 3 (select solid tumor patients): Patients receive oral isotretinoin twice daily on
days 1-14. Patients also receive SAHA once daily on days 1-28 OR once on days 1, 3, 5, 8,
10, 12, 15, 17, 19, 22, 24, and 26. Treatment repeats every 28 days for up to 12 courses in
the absence of disease progression or unacceptable toxicity.The MTD of SAHA is determined as
in group 1. An additional 6 patients may be treated at the MTD.

After completion of study treatment, patients are followed periodically.


Inclusion Criteria:



- Histologically confirmed* diagnosis of 1 of the following:

- Recurrent or refractory solid tumor or lymphoma (for patients in group 1)

- Measurable or evaluable disease

- Recurrent or refractory leukemia (for patients in group 2)

- Greater than 25% blasts in the bone marrow (i.e., M3 bone marrow)

- Active extramedullary disease allowed except leptomeningeal disease

- Recurrent or refractory CNS tumor of 1 of the following types (for patients in
group 3):

- Neuroblastoma

- Medulloblastoma/CNS primitive neuroectodermal tumor

- Atypical teratoid rhabdoid tumor

- No known curative therapy or therapy proven to prolong survival with an acceptable
quality of life exists

- No bone marrow involvement by disease (for patients in groups 1 and 3)

- No active CNS leukemia

- Performance status - Lansky 50-100% (for patients ≤ 10 years of age)

- Performance status - Karnofsky 60-100% (for patients > 10 years of age)

- Absolute neutrophil count ≥ 1,000/mm^3 (for solid tumor patients)

- Platelet count ≥ 100,000/mm^3* (for solid tumor patients) (20,000/mm^3** for leukemia
patients)

- Hemoglobin ≥ 8.0 g/dL (RBC transfusion allowed) (for solid tumor and leukemia
patients)

- Triglycerides < 300 mg/dL (for patients in group 3)

- Bilirubin ≤ 1.5 times upper limit of normal (ULN)

- ALT ≤ 5 times ULN

- Albumin ≥ 2 g/dL

- Creatinine clearance or radioisotope glomerular filtration rate ≥ 70 mL/min

- Creatinine based on age as follows:

- No greater than 0.8 mg/dL (for patients ≤ 5 years of age)

- No greater than 1.0 mg/dL (for patients 6 to 10 years of age)

- No greater than 1.2 mg/dL (for patients 11 to 15 years of age)

- No greater than 1.5 mg/dL (for patients over 15 years of age)

- Negative dipstick for protein OR < 1,000 mg protein/24 hour urine collection (for
patients in group 3)

- No evidence of gross hematuria (for patients in group 3)

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- Body surface area ≥ 0.5 m^2

- Neurologic deficits in patients with CNS tumors must be stable for ≥ 1 week before
study entry

- Able to swallow whole capsules

- No uncontrolled infection

- Skin toxicity < grade 1 (for patients in group 3)

- Recovered from prior immunotherapy

- At least 7 days since prior hematopoietic growth factors

- At least 7 days since prior antineoplastic biologic agents

- At least 2 months since prior stem cell transplantation or rescue

- No evidence of active graft-versus-host disease

- No other concurrent biologic therapy or immunotherapy

- More than 3 weeks since prior myelosuppressive chemotherapy (6 weeks for
nitrosoureas) and recovered

- No concurrent chemotherapy

- Patients with CNS tumors must be on a stable or decreasing dose of dexamethasone for
≥ 7 days prior to study entry

- No concurrent dexamethasone for antinausea or antiemetic therapy

- Recovered from prior radiotherapy

- At least 2 weeks since prior local, palliative, small-port radiotherapy

- At least 3 months since prior total-body irradiation, radiotherapy to the
craniospinal area, or radiotherapy to ≥ 50% of the pelvis

- At least 6 weeks since other prior substantial radiotherapy to the bone marrow

- No concurrent radiotherapy

- At least 2 weeks since prior valproic acid

- No other concurrent investigational agents

- No other concurrent anticancer therapy

- No concurrent enzyme-inducing anticonvulsants

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Maximum tolerated dose (MTD) defined as the maximum dose at which fewer than one-third of patients experience dose-limiting toxicities DLT graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 3.0

Outcome Time Frame:

28 days

Safety Issue:

Yes

Principal Investigator

Maryam Fouladi

Investigator Role:

Principal Investigator

Investigator Affiliation:

Children's Oncology Group

Authority:

United States: Food and Drug Administration

Study ID:

NCI-2012-01821

NCT ID:

NCT00217412

Start Date:

August 2005

Completion Date:

Related Keywords:

  • Childhood Acute Promyelocytic Leukemia (M3)
  • Childhood Atypical Teratoid/Rhabdoid Tumor
  • Childhood Burkitt Lymphoma
  • Childhood Chronic Myelogenous Leukemia
  • Childhood Diffuse Large Cell Lymphoma
  • Childhood Immunoblastic Large Cell Lymphoma
  • Juvenile Myelomonocytic Leukemia
  • Recurrent Childhood Acute Lymphoblastic Leukemia
  • Recurrent Childhood Acute Myeloid Leukemia
  • Recurrent Childhood Grade III Lymphomatoid Granulomatosis
  • Recurrent Childhood Large Cell Lymphoma
  • Recurrent Childhood Lymphoblastic Lymphoma
  • Recurrent Childhood Medulloblastoma
  • Recurrent Childhood Small Noncleaved Cell Lymphoma
  • Recurrent Childhood Supratentorial Primitive Neuroectodermal Tumor
  • Recurrent Neuroblastoma
  • Recurrent/Refractory Childhood Hodgkin Lymphoma
  • Relapsing Chronic Myelogenous Leukemia
  • Unspecified Childhood Solid Tumor, Protocol Specific
  • Burkitt Lymphoma
  • Hodgkin Disease
  • Leukemia
  • Leukemia, Lymphoid
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma
  • Leukemia, Myeloid, Acute
  • Leukemia, Myeloid
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive
  • Leukemia, Promyelocytic, Acute
  • Lymphoma
  • Lymphoma, Large B-Cell, Diffuse
  • Lymphoma, Non-Hodgkin
  • Lymphomatoid Granulomatosis
  • Medulloblastoma
  • Leukemia, Myelomonocytic, Acute
  • Leukemia, Myelomonocytic, Chronic
  • Neuroblastoma
  • Lymphoma, Large-Cell, Immunoblastic
  • Neuroectodermal Tumors
  • Neuroectodermal Tumors, Primitive
  • Rhabdoid Tumor
  • Lymphoma, Extranodal NK-T-Cell
  • Neoplasms
  • Leukemia, Myelomonocytic, Juvenile

Name

Location

Children's Oncology Group Arcadia, California  91006-3776