Phase I/II Adaptive Randomized Trial of Bevacizumab Versus Bevacizumab Plus Vorinostat in Adults With Recurrent Glioblastoma
Phase I:
The Study Drugs:
Vorinostat is designed to cause chemical changes in different groups of proteins that are
attached to DNA (the genetic material of cells), which may slow the growth of cancer cells
or cause the cancer cells to die.
Bevacizumab is designed to prevent or slow down the growth of cancer cells by blocking the
growth of blood vessels.
Study Drug Administration:
If you are found to be eligible to take part in this study, you will be assigned to receive
1 of 2 dose levels of vorinostat based on when you join this study. Unless you have side
effects, you will remain in the same dose level for the entire study. The first 3
participants will receive the lower dose level. The next 3 participants will receive a
higher dose, if no intolerable side effects were seen.
- On Days 1-7 and 15-21 of every 28-day cycle, you will take vorinostat by mouth 1 time a
day.
- In addition, no matter which dose level you are assigned to, you will receive
bevacizumab by vein over 30-90 minutes on Days 1 and 15 of every cycle.
Vorinostat capsules should be swallowed whole and should not be opened. If a capsule is
damaged or broken, spills of powder from vorinostat capsules should be cleaned up carefully.
If you come in contact with the powder, you should wash your hands thoroughly. If the
spill is on a surface, the area must be washed at least 3 times with rubbing alcohol,
followed by water. Vorinostat capsules should be stored at room temperature (59°-86°F
[15°-30°C]) in a dry area. You should take vorinostat with food,but not a high fat meal.
Study Visits:
At Weeks 1 and 3 of Cycle 1, blood (about 1 teaspoon) will be drawn for routine tests.
At Week 2 of Cycle 1:
- Your blood pressure will be recorded.
- Blood (about 3 teaspoons) will be drawn for routine tests and to check your blood's
ability to clot normally.
- Urine will be collected to check kidney function.
At Week 4 of Cycles 1-2 and then every other cycle after that (Cycles 4, 6, 8, and so on):
- You will be asked about any drugs you may be taking and if you have had any side
effects.
- You will have a physical exam, including measurement of your vital signs.
- You will have a neurological exam.
- Your performance status will be recorded.
- You will have a brain MRI and DCE-MRI scans to check the status of the disease.
- Blood (about 3 teaspoons) will be drawn for routine tests and to check your blood's
ability to clot normally.
- If you are able to become pregnant, you will have a blood (about 1 teaspoon) pregnancy
test.
- Urine will be collected to check kidney function.
At Week 2 of Cycles 2 and beyond:
- Your blood pressure will be recorded.
- Blood (about 1 teaspoon) will be drawn for routine tests.
At Week 4 of Cycles 3, 5, 7, and so on:
- Your blood pressure will be measured.
- Blood (about 3 teaspoons) will be drawn for routine tests and to check your blood's
ability to clot normally.
- If you are able to become pregnant, you will have a blood (about 1 teaspoon) pregnancy
test.
- Urine will be collected to check kidney function.
Length of Study:
You may take the study drugs for up to 1 year. You may continue to receive the study drugs
beyond 1 year if your doctor decides that it is in your best interest. You will be taken off
study early if the disease gets worse or you have intolerable side effects.
Your participation on this study will end once you complete the end-of-dosing visit and
long-term follow-up.
End-of-Dosing Visit:
After you are no longer taking the study drugs, you will have an end-of-dosing visit. At
this visit, the following tests and procedures will be performed:
- You will have a physical exam, including measurement of your vital signs.
- You will have a neurological exam.
- Your performance status will be recorded.
- Blood (about 2 teaspoons) will be drawn for routine tests.
- You will have a brain MRI and DCE-MRI scans to check the status of the disease.
- If you are able to become pregnant, you will have a blood (about 1 teaspoon) pregnancy
test.
Long-Term Follow-Up:
After you are no longer taking part in the study, every 3 months after that, you may be
called and asked how you are feeling. This phone call should take about 5-10 minutes.
This is an investigational study. Bevacizumab is FDA approved and commercially available
for treatment of some types of brain cancer. Vorinostat is FDA approved and commercially
available for some types of lymphoma. The use of these drugs in this combination is
investigational.
Up to 108 participants will take part in this study. Up to 18 patients will be enrolled in
the Phase 1 portion of this study. Up to 6 will be enrolled at MD Anderson.
Phase II:
The Study Drugs:
Vorinostat is designed to cause chemical changes in different groups of proteins that are
attached to DNA (the genetic material of cells), which may slow the growth of cancer cells
or cause the cancer cells to die.
Bevacizumab is designed to prevent or slow down the growth of cancer cells by blocking the
growth of blood vessels.
Study Groups:
If you are found to be eligible to take part in this study, you will be randomly assigned
(as in the flip of a coin) to 1 of 2 groups. If you are on of the first 20 participants in
the Phase 2 part of the study, you will be randomly assigned to a group. If you are
enrolled after the first 20 participants, you will be more likely to be enrolled in the
group that is showing better results.
- If you are in Group 1, you will take bevacizumab.
- If you are in Group 2, you will take bevacizumab and vorinostat.
Study Drug Administration:
If you are in Group 1:
-On Days 1 and 15 of every 28-day cycle, you will receive bevacizumab by vein over 30-90
minutes.
If you are in Group 2:
- On Days 1-7 and 15-21 of every 28-day cycle, you will take vorinostat by mouth 1 time a
day.
- On Days 1 and 15 of every cycle, you will receive bevacizumab by vein over 30-90
minutes.
Vorinostat capsules should be swallowed whole and should not be opened. If a capsule is
damaged or broken, spills of powder from vorinostat capsules should be cleaned up carefully.
If you come in contact with the powder, you should wash your hands thoroughly. If the
spill is on a surface, the area must be washed at least 3 times with rubbing alcohol,
followed by water. Vorinostat capsules should be stored at room temperature (59°-86°F
[15°-30°C]) in a dry area. You should take vorinostat with food, but not a high fat meal.
Study Visits:
At Week 2 of Cycle 1:
- Your blood pressure will be recorded.
- Blood (about 3 teaspoons) will be drawn for routine tests.
- Urine will be collected to check kidney function.
At Week 4 of Cycles 1-2 and then every other cycle after that (Cycles 4, 6, 8, and so on):
- You will be asked about any drugs you may be taking and if you have had any side
effects.
- You will have a physical exam, including measurement of your vital signs.
- You will have a neurological exam.
- Your performance status will be recorded.
- Blood (about 3 teaspoons) will be drawn for routine tests.
- If you are able to become pregnant, you will have a blood (about 1 teaspoon) pregnancy
test.
- Urine will be collected to check kidney function.
At Week 2 of every cycle:
- Your blood pressure will be recorded.
- Blood (about 1 teaspoon) will be drawn for routine tests.
At Week 4 of Cycles 3, 5, 7, and so on:
- Your blood pressure will be measured.
- Blood (about 3 teaspoons) will be drawn for routine tests.
- If you are able to become pregnant, you will have a blood (about 1 teaspoon) pregnancy
test.
- Urine will be collected to check kidney function.
At Week 4 of Cycles 2, and every other cycle after that (Cycles 4, 6, 8, and so on), you
will have a brain MRI scan to check the status of the disease.
In addition, if you are having surgery to remove a tumor that has come back before you
receive the study drugs, leftover tumor tissue from the surgery will be used for biomarker
testing.
At any time during the study, extra tests may be performed if the doctor thinks they are
needed for your safety. The study doctor will tell you more about any extra tests.
Length of Study:
You may take the study drug(s) for up to 1 year. You may continue to receive the study
drug(s) beyond 1 year if your doctor decides that it is in your best interest. You will be
taken off study early if the disease gets worse or you have intolerable side effects.
Your participation on this study will end once you complete the end-of-dosing visit and
long-term follow-up.
End-of-Dosing Visit:
After you are no longer taking the study drugs, you will have an end-of-dosing visit. At
this visit, the following tests and procedures will be performed:
- You will be asked about any drugs you may be taking and if you have had any side
effects.
- You will have a physical exam, including measurement of your vital signs.
- You will have a neurological exam.
- Your performance status will be recorded.
- Blood (about 2 teaspoons) will be drawn for routine tests.
- You will have a brain MRI scan to check the status of the disease.
- If you are able to become pregnant, you will have a blood (about 1 teaspoon) pregnancy
test.
Long-Term Follow-Up:
After you are no longer taking part in the study, every 3 months after that, you may be
called and asked how you are feeling. This phone call should take about 5-10 minutes.
This is an investigational study. Bevacizumab is FDA approved and commercially available
for treatment of some types of brain cancer. Vorinostat is FDA approved and commercially
available for some types of lymphoma. The use of these drugs in this combination is
investigational.
Up to 108 participants will take part in this study. Up to 90 patients will be enrolled in
the Phase 2 portion of this study. Up to 20 will be enrolled at MD Anderson.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Progression Free Survival (PFS)
4 months
Yes
Marta Penas-Prado, MD
Principal Investigator
UT MD Anderson Cancer Center
United States: Food and Drug Administration
2010-0429
NCT01266031
July 2011
Name | Location |
---|---|
UT MD Anderson Cancer Center | Houston, Texas 77030 |