Adult Giant Cell GlioblastomaPhase 2NCT00641706
Vorinostat and Bortezomib in Treating Patients With Progressive, Recurrent Glioblastoma Multiforme
A Phase 2 study testing vorinostat, therapeutic conventional surgery and bortezomib in people with Adult Giant Cell Glioblastoma and Adult Glioblastoma, run by National Cancer Institute (NCI) at 214 sites in United States.
Trial summary
This phase II trial is studying how well giving vorinostat together with bortezomib works in treating patients with progressive, recurrent glioblastoma multiforme. Vorinostat and bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Adult Giant Cell Glioblastoma, Adult Glioblastoma, Adult Gliosarcoma
- What is being tested?
- vorinostat, therapeutic conventional surgery and bortezomib
- Type of treatment
- Pill or oral medicine, Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 214 sitesUnited States
- Study dates
- Jul 2008to Nov 2010
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed glioblastoma multiforme
- Gliosarcoma or other grade 4 astrocytoma variant (e.g., giant cell glioblastoma) allowed
- Recurrent disease
- Must have evidence of tumor progression by MRI or CT scan after radiotherapy or after the most recent antitumor therapy
- Bidimensionally measurable or evaluable disease by MRI or CT scan
- Patients receiving corticosteroids must be on a fixed dose for at least 1 week prior to baseline scan
Show all 53Show fewer
- ECOG performance status 0-2
- WBC ≥ 3,000/mm³
- ANC ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 9 g/dL
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
- AST ≤ 3 times ULN
- Creatinine normal
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 6 months after the last dose of vorinostat
- Willing to provide mandatory correlative laboratory tissue samples
- Able to take oral medications
- No uncontrolled infection
- No known hypersensitivity to any of the components of vorinostat or bortezomib
- No myocardial infarction or unstable angina within the past 6 months
- No congestive heart failure requiring use of ongoing maintenance therapy or history of life-threatening ventricular arrhythmias
- No concurrent uncontrolled illness including, but not limited to, any of the following:
- Ongoing or active infection
- Psychiatric illness or social situation that would limit compliance with study requirements
- No other active malignancy within the past 3 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
- No comorbid systemic illness or other severe concurrent disease that, in the judgment of the investigator, would preclude study entry or significantly interfere with proper assessment of safety and toxicity of the prescribed study regimens
- Not immunocompromised
- Patients known to be HIV positive are eligible provided there is no clinical evidence of an immunocompromised state
- No peripheral neuropathy ≥ grade 2
- No peripheral neuropathy with pain ≥ grade 1
- No congenital long QT syndrome
- No prolonged OTC interval (> 450 msec)
- No other concurrent anticancer therapy (other than hormonal therapy)
- At least 8 weeks since prior radiotherapy
- More than 6 weeks since prior stereotactic radiosurgery or interstitial brachytherapy, unless there is a separate lesion on MRI that is not part of the prior treatment field
- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)
- No more than 1 prior chemotherapy regimen* for progressive/recurrent disease (stratum 1)
- Patients in stratum 2 may have received any number of prior chemotherapy regimens* for progressive/recurrent disease
- More than 2 weeks since prior small molecule cell cycle inhibitors
- More than 7 days since prior valproic acid
- More than 7 days since prior category I drugs that are generally accepted to have a risk of causing Torsades de Pointes including:
- Quinidine, procainamide, disopyramide
- Amiodarone, sotalol, ibutilide, dofetilide
- Erythromycin, clarithromycin
- Chlorpromazine, haloperidol, mesoridazine, thioridazine, pimozide
- Cisapride, bepridil, droperidol, methadone, arsenic, chloroquine, domperidone, halofantrine, levomethadyl, pentamidine, sparfloxacin,lidoflazine
- More than 4 weeks since prior bevacizumab
- No prior treatment with vorinostat or bortezomib
- No concurrent enzyme-inducing antiepileptic drugs (e.g., phenytoin,fosphenytoin, carbamazepine, phenobarbital, or primidone)
- No other concurrent potent CYP3A4 inducer (e.g., rifampin or St. John's wort)
- No other concurrent investigational therapy for the primary neoplasm
Who cannot join
None listed.
Trial locations and contacts
214 sites in 1 country.
214 sites in 1 country
United States214 sites
Bixby Medical Center
Adrian, Michigan, 49221
Hickman Cancer Center
Adrian, Michigan, 49221
AnMed Health Hospital
Anderson, South Carolina, 29621
Hospital District Sixth of Harper County
Anthony, Kansas, 67003
The Medical Center of Aurora
Aurora, Colorado, 80012
Rush - Copley Medical Center
Aurora, Illinois, 60504
Bronson Battle Creek
Battle Creek, Michigan, 49017
Saint Francis Hospital and Health Centers
Beech Grove, Indiana, 46107
Mary Rutan Hospital
Bellefontaine, Ohio, 43311
Sanford Clinic North-Bemidgi
Bemidji, Minnesota, 56601
Constantinou, Costas L MD (UIA Investigator)
Bettendorf, Iowa, 52722
Spectrum Health Big Rapids Hospital
Big Rapids, Michigan, 49307
Montana Cancer Consortium CCOP
Billings, Montana, 59101
Northern Rockies Radiation Oncology Center
Billings, Montana, 59101
Saint Vincent Healthcare
Billings, Montana, 59101
Hematology-Oncology Centers of the Northern Rockies PC
Billings, Montana, 59102
Billings Clinic
Billings, Montana, 59107-7000
Bismarck Cancer Center
Bismarck, North Dakota, 58501
Mid Dakota Clinic
Bismarck, North Dakota, 58501
Saint Alexius Medical Center
Bismarck, North Dakota, 58501
Sanford Bismarck Medical Center
Bismarck, North Dakota, 58501
Illinois CancerCare-Bloomington
Bloomington, Illinois, 61701
Saint Joseph Medical Center
Bloomington, Illinois, 61701
Boulder Community Hospital
Boulder, Colorado, 80301
Toledo Clinic Cancer Centers-Bowling Green
Bowling Green, Ohio, 43402
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715
Bozeman Deaconess Hospital
Bozeman, Montana, 59715
Fairview Ridges Hospital
Burnsville, Minnesota, 55337
Saint James Community Hospital and Cancer Treatment Center
Butte, Montana, 59701
Graham Hospital Association
Canton, Illinois, 61520
Illinois CancerCare-Canton
Canton, Illinois, 61520
Illinois CancerCare-Carthage
Carthage, Illinois, 62321
Memorial Hospital
Carthage, Illinois, 62321
Rocky Mountain Oncology
Casper, Wyoming, 82609
Cedar Rapids Oncology Association
Cedar Rapids, Iowa, 52403
Mercy Hospital
Cedar Rapids, Iowa, 52403
Oncology Associates at Mercy Medical Center
Cedar Rapids, Iowa, 52403
Medical Oncology and Hematology Associates-West Des Moines
Clive, Iowa, 50325
North Coast Cancer Care-Clyde
Clyde, Ohio, 43410
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Riverside Methodist Hospital
Columbus, Ohio, 43214
Grant Medical Center
Columbus, Ohio, 43215
Mount Carmel Health Center West
Columbus, Ohio, 43222
Doctors Hospital
Columbus, Ohio, 43228
Mercy Hospital
Coon Rapids, Minnesota, 55433
Geisinger Medical Center
Danville, Pennsylvania, 17822-2001
Grandview Hospital
Dayton, Ohio, 45405
Good Samaritan Hospital - Dayton
Dayton, Ohio, 45406
Miami Valley Hospital
Dayton, Ohio, 45409
Samaritan North Health Center
Dayton, Ohio, 45415
Dayton CCOP
Dayton, Ohio, 45420
Grady Memorial Hospital
Delaware, Ohio, 43015
Porter Adventist Hospital
Denver, Colorado, 80210
Exempla Saint Joseph Hospital
Denver, Colorado, 80218
Presbyterian - Saint Lukes Medical Center - Health One
Denver, Colorado, 80218
Rose Medical Center
Denver, Colorado, 80220
Colorado Cancer Research Program CCOP
Denver, Colorado, 80224-2522
Mercy Capitol
Des Moines, Iowa, 50307
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
Iowa Oncology Research Association CCOP
Des Moines, Iowa, 50309
Medical Oncology and Hematology Associates-Des Moines
Des Moines, Iowa, 50309
Medical Oncology and Hematology Associates-Laurel
Des Moines, Iowa, 50314
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
Iowa Lutheran Hospital
Des Moines, Iowa, 50316
Essentia Health Duluth Clinic CCOP
Duluth, Minnesota, 55805
Essentia Health Saint Mary's Medical Center
Duluth, Minnesota, 55805
Miller-Dwan Hospital
Duluth, Minnesota, 55805
Midelfort Clinic-Clairemont Campus
Eau Claire, Wisconsin, 54702
Mayo Clinic Health System Eau Claire Hospital - Luther Campus
Eau Claire, Wisconsin, 54703
Fairview-Southdale Hospital
Edina, Minnesota, 55435
Elkhart General Hospital
Elkhart, Indiana, 46515
Hematology Oncology Center Incorporated
Elyria, Ohio, 44035
Swedish Medical Center
Englewood, Colorado, 80113
Eureka Hospital
Eureka, Illinois, 61530
Illinois CancerCare-Eureka
Eureka, Illinois, 61530
Sanford Clinic North-Fargo
Fargo, North Dakota, 58122
Sanford Medical Center-Fargo
Fargo, North Dakota, 58122
Lake Region Healthcare Corporation-Cancer Care
Fergus Falls, Minnesota, 56537
Blanchard Valley Hospital
Findlay, Ohio, 45840
Agnesian Cancer Center
Fond du Lac, Wisconsin, 54935
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Fredericksburg Oncology Inc
Fredericksburg, Virginia, 22401
Unity Hospital
Fridley, Minnesota, 55432
Galesburg Cottage Hospital
Galesburg, Illinois, 61401
Illinois CancerCare Galesburg
Galesburg, Illinois, 61401
Illinois CancerCare-Cottage
Galesburg, Illinois, 61401
Altru Cancer Center
Grand Forks, North Dakota, 58201
Saint Mary's Hospital and Regional Medical Center
Grand Junction, Colorado, 81502
Grand Rapids Clinical Oncology Program
Grand Rapids, Michigan, 49503
Mercy Health Saint Mary's
Grand Rapids, Michigan, 49503
Spectrum Health at Butterworth Campus
Grand Rapids, Michigan, 49503
Berdeaux, Donald MD (UIA Investigator)
Great Falls, Montana, 59405
Great Falls Clinic
Great Falls, Montana, 59405
North Colorado Medical Center
Greeley, Colorado, 80631
Wayne Hospital
Greenville, Ohio, 45331
Illinois CancerCare-Havana
Havana, Illinois, 62644
Mason District Hospital
Havana, Illinois, 62644
Northern Montana Hospital
Havre, Montana, 59501
Geisinger Medical Center-Cancer Center Hazleton
Hazleton, Pennsylvania, 18201
Saint Peter's Community Hospital
Helena, Montana, 59601
Hopedale Medical Complex - Hospital
Hopedale, Illinois, 61747
Hutchinson Area Health Care
Hutchinson, Minnesota, 55350
Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980
Joliet Oncology-Hematology Associates Limited
Joliet, Illinois, 60435
Glacier Oncology PLLC
Kalispell, Montana, 59901
Kalispell Medical Oncology
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
Kettering Medical Center
Kettering, Ohio, 45429
Illinois CancerCare-Kewanee Clinic
Kewanee, Illinois, 61443
Community Howard Regional Health
Kokomo, Indiana, 46904
IU Health La Porte Hospital
La Porte, Indiana, 46350
Saint Anthony Hospital
Lakewood, Colorado, 80228
Fairfield Medical Center
Lancaster, Ohio, 43130
Lima Memorial Hospital
Lima, Ohio, 45804
Meeker County Memorial Hospital
Litchfield, Minnesota, 55355
Sky Ridge Medical Center
Lone Tree, Colorado, 80124
Longmont United Hospital
Longmont, Colorado, 80501
McKee Medical Center
Loveland, Colorado, 80539
Illinois CancerCare-Macomb
Macomb, Illinois, 61455
Mcdonough District Hospital
Macomb, Illinois, 61455
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109
Saint John's Hospital - Healtheast
Maplewood, Minnesota, 55109
Marietta Memorial Hospital
Marietta, Ohio, 45750
Saint Luke's Hospital
Maumee, Ohio, 43537
Toledo Clinic Cancer Centers-Maumee
Maumee, Ohio, 43537
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
Maumee, Ohio, 43537
Franciscan Saint Anthony Health-Michigan City
Michigan City, Indiana, 46360
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
Virginia Piper Cancer Institute
Minneapolis, Minnesota, 55407
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Saint Joseph Regional Medical Center-Mishawaka
Mishawaka, Indiana, 46545-1470
Community Medical Hospital
Missoula, Montana, 59801
Montana Cancer Specialists
Missoula, Montana, 59802
Saint Patrick Hospital - Community Hospital
Missoula, Montana, 59802
Guardian Oncology and Center for Wellness
Missoula, Montana, 59804
Garneau, Stewart C MD (UIA Investigator)
Moline, Illinois, 61265
Porubcin, Michael MD (UIA Investigator)
Moline, Illinois, 61265
Sharis, Christine M MD (UIA Investigator)
Moline, Illinois, 61265
Stoffel, Thomas J MD (UIA Investigator)
Moline, Illinois, 61265
Holy Family Medical Center
Monmouth, Illinois, 61462
Illinois CancerCare-Monmouth
Monmouth, Illinois, 61462
Community Cancer Center of Monroe
Monroe, Michigan, 48162
Mercy Memorial Hospital
Monroe, Michigan, 48162
Mercy Health Partners-Hackley Campus
Muskegon, Michigan, 49442
Mercy Health Mercy Campus
Muskegon, Michigan, 49444
Licking Memorial Hospital
Newark, Ohio, 43055
Bromenn Regional Medical Center
Normal, Illinois, 61761
Community Cancer Center Foundation
Normal, Illinois, 61761
Illinois CancerCare-Community Cancer Center
Normal, Illinois, 61761
Saint Charles Hospital
Oregon, Ohio, 43616
Toledo Clinic Cancer Centers-Oregon
Oregon, Ohio, 43616
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Ottawa Regional Hospital and Healthcare Center
Ottawa, Illinois, 61350
Pekin Cancer Treatment Center
Pekin, Illinois, 61554
Pekin Hospital
Pekin, Illinois, 61554
Illinois CancerCare-Pekin
Pekin, Illinois, 61603
Methodist Medical Center of Illinois
Peoria, Illinois, 61603
Proctor Hospital
Peoria, Illinois, 61614
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Illinois Oncology Research Association CCOP
Peoria, Illinois, 61615
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Illinois CancerCare-Peru
Peru, Illinois, 61354
Illinois Valley Hospital
Peru, Illinois, 61354
Illinois CancerCare-Princeton
Princeton, Illinois, 61356
Perry Memorial Hospital
Princeton, Illinois, 61356
Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004
Rapid City Regional Hospital
Rapid City, South Dakota, 57701
Reid Hospital and Health Care Services
Richmond, Indiana, 47374
North Memorial Medical Health Center
Robbinsdale, Minnesota, 55422
Mayo Clinic
Rochester, Minnesota, 55905
Rutherford Hospital
Rutherfordton, North Carolina, 28139
Lakeland Hospital
Saint Joseph, Michigan, 49085
Metro-Minnesota CCOP
Saint Louis Park, Minnesota, 55416
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
North Coast Cancer Care
Sandusky, Ohio, 44870
Mayo Clinic in Arizona
Scottsdale, Arizona, 85259
Saint Francis Regional Medical Center
Shakopee, Minnesota, 55379
Welch Cancer Center
Sheridan, Wyoming, 82801
Siouxland Hematology Oncology Associates
Sioux City, Iowa, 51101
Mercy Medical Center-Sioux City
Sioux City, Iowa, 51104
Saint Luke's Regional Medical Center
Sioux City, Iowa, 51104
Memorial Hospital of South Bend
South Bend, Indiana, 46601
South Bend Clinic
South Bend, Indiana, 46617
Northern Indiana Cancer Research Consortium
South Bend, Indiana, 46628
Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303
Upstate Carolina CCOP
Spartanburg, South Carolina, 29303
Illinois CancerCare-Spring Valley
Spring Valley, Illinois, 61362
Saint Margaret's Hospital
Spring Valley, Illinois, 61362
Geisinger Medical Group
State College, Pennsylvania, 16801
Flower Hospital
Sylvania, Ohio, 43560
North Suburban Medical Center
Thornton, Colorado, 80229
Mercy Hospital of Tiffin
Tiffin, Ohio, 44883
The Toledo Hospital/Toledo Children's Hospital
Toledo, Ohio, 43606
Saint Vincent Mercy Medical Center
Toledo, Ohio, 43608
University of Toledo
Toledo, Ohio, 43614
Toledo Community Hospital Oncology Program CCOP
Toledo, Ohio, 43617
Mercy Saint Anne Hospital
Toledo, Ohio, 43623
Toledo Clinic Cancer Centers-Toledo
Toledo, Ohio, 43623
Munson Medical Center
Traverse City, Michigan, 49684
Upper Valley Medical Center
Troy, Ohio, 45373
Carle Cancer Center
Urbana, Illinois, 61801
Carle Clinic-Urbana Main
Urbana, Illinois, 61801
Ridgeview Medical Center
Waconia, Minnesota, 55387
Fulton County Health Center
Wauseon, Ohio, 43567
Saint Ann's Hospital
Westerville, Ohio, 43081
Exempla Lutheran Medical Center
Wheat Ridge, Colorado, 80033
Geisinger Wyoming Valley
Wilkes-Barre, Pennsylvania, 18711
Clinton Memorial Hospital
Wilmington, Ohio, 45177
Minnesota Oncology and Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Metro Health Hospital
Wyoming, Michigan, 49519
Greene Memorial Hospital
Xenia, Ohio, 45385
Genesis HealthCare System
Zanesville, Ohio, 43701
About this study
Official title: Phase II Study of Vorinostat (SAHA) in Combination With Bortezomib (PS-341) in Patients With Recurrent Glioblastoma Multiforme
This phase II trial is studying how well giving vorinostat together with bortezomib works in treating patients with progressive, recurrent glioblastoma multiforme. Vorinostat and bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving vorinostat together with bortezomib may kill more tumor cells.
Read the detailed description
PRIMARY OBJECTIVES:
- To determine the clinical efficacy of vorinostat (SAHA) and bortezomib, in terms of progression-free survival (PFS) at 6 months, in patients with progressive, recurrent glioblastoma multiforme.
SECONDARY OBJECTIVES:
- To determine the clinical efficacy of this regimen, in terms of overall survival, PFS at 12 months, time to progression, and objective response rate, in these patients.
II. To identify molecular predictors of response in baseline tumor specimens from these patients.
III. To determine molecular changes in response to this regimen in tumor specimens from patients undergoing surgery.
OUTLINE: This is a multicenter study. Patients are stratified according to planned surgery (no [stratum 1] vs yes [stratum 2]).
STRATUM 1 (NOT UNDERGOING SURGERY): Patients receive oral vorinostat (SAHA) once daily on days 1-14 and bortezomib intravenously (IV) on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
STRATUM 2 (UNDERGOING SURGERY): Patients receive oral SAHA once daily for 2 days prior to surgery and then on the day of surgery. Patients also receive bortezomib IV on the day of surgery. After receiving the 3rd dose of SAHA, patients undergo surgery to remove the tumor. Beginning at least 7 days after surgery, patients receive SAHA and bortezomib as in stratum 1.
Tumor tissue samples are collected at baseline and during surgery (stratum 2) for correlative laboratory studies. Tissue samples are analyzed for baseline total and phosphorylated AKT and p27^KIp1 expression by IHC. Tissue samples from patients in stratum 2 are also analyzed for histone acetylation status; markers of proteasome inhibition; total and phosphorylated Bax expression by IHC; and gene expression profiles.
After completion of study therapy, patients are followed every 3 months for 2 years and then every 6 months thereafter.
- Conditions
- Adult Giant Cell Glioblastoma, Adult Glioblastoma, Adult Gliosarcoma, Recurrent Adult Brain Tumor
- Being tested
- vorinostat, therapeutic conventional surgery, bortezomib
- Medical subject headings
- Glioblastoma, Gliosarcoma, Brain Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
vorinostatDrug
Also called L-001079038, SAHA, suberoylanilide hydroxamic acid, Zolinza
Given orally
therapeutic conventional surgeryProcedure or surgery
Patient undergoes surgery
bortezomibDrug
Also called LDP 341, MLN341, VELCADE
Given IV
| Study group | Role | What they receive |
|---|---|---|
| Stratum 1 (not undergoing surgery) | Experimental | Patients receive oral vorinostat (SAHA) once daily on days 1-14 and bortezomib IV on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Receives: Drug: vorinostat; Drug: bortezomib |
| Stratum 2 (undergoing surgery) | Experimental | Patients receive oral SAHA once daily for 2 days prior to surgery and then on the day of surgery. Patients also receive bortezomib IV on the day of surgery. After receiving the 3rd dose of SAHA, patients undergo surgery to remove the tumor. Beginning at least 7 days after surgery, patients receive SAHA and bortezomib as in stratum 1. Receives: Drug: vorinostat; Procedure: therapeutic conventional surgery; Drug: bortezomib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival at 6 Months
Estimated using the Binomial point estimator (number of successes divided by the total number of evaluable patients). A patient is classified as a success if alive and progression-free at 6 months. For patients with bidimensionally measurable disease (measurable disease), progression is defined as > 25% increase in product of perpendicular diameters of contrast enhancement or mass or appearance of new lesions. For patients without bidimensionally measurable disease (evaluable disease), progression is defined as unequivocal increase in size of contrast enhancement or increase in mass effect as agreed upon independently by primary physician and quality control physicians or appearance of new lesions.
Measured: At 6 months
Secondary outcomes (3)
Overall Survival
Estimated using Kaplan-Meier survival curve.
Measured: From study registration to date of death due to any cause or last follow-up (up to 5 years)
Time to Progression
Estimated using Kaplan-Meier survival curve. Patients who died were considered to have disease progression at the time of death unless there was documented evidence that no progression occurred before death. For patients with bidimensionally measurable disease (measurable disease), progression is defined as > 25% increase in product of perpendicular diameters of contrast enhancement or mass or appearance of new lesions. For patients without bidimensionally measurable disease (evaluable disease), progression is defined as unequivocal increase in size of contrast enhancement or increase in mass effect as agreed upon independently by primary physician and quality control physicians or appearance of new lesions.
Measured: From study registration to date of progression (up to 5 years)
Proportion of Confirmed Tumor Response Defined as an Objective Status of Confirmed Response (CR), Partial Response (PR), or Regression (REGR) on Two Consecutive Evaluations
Confidence intervals for the true proportion will be calculated using the exact binomial method.
Measurable patients must achieve at least a 50% reduction in the product of perpendicular diameters of contrast enhancement or mass with no new lesions with the patient being on stable or decreased steroid dose.
Evaluable patients must achieve unequivocal reduction in size of contrast-enhancement or decrease in mass effect as agreed upon independently by primary physician and quality control physicians; no new lesions. Patient should be on stable or decreased steroid dose.
Measured: Assessed up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Mar 2008 (estimated)
- Study startJul 2008
- Primary completionJul 2010
- Study completionNov 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Adult Giant Cell GlioblastomaStudies of the same condition, open and under way.
- More trials run by National Cancer Institute (NCI)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 44 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute (NCI)
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Evanthia Galanis, Principal investigator, North Central Cancer Treatment Group
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00641706
- Sponsor's protocol ID
- NCI-2009-00668
- Other IDs
- NCI-2009-00668, CDR0000590113, NCCTG-N0779, N0779, N0779, U10CA025224
- Status last verified
- Oct 2011
- First submitted
- 21 Mar 2008
- Last updated
- 14 May 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Study of Vorinostat (SAHA) in Combination With Bortezomib (PS-341) in Patients With Recurrent Glioblastoma Multiforme
- ClinicalTrials.gov ID
- NCT00641706
- Acronym / sponsor ID
- NCI-2009-00668
- Conditions
- Adult Giant Cell Glioblastoma, Adult Glioblastoma, Adult Gliosarcoma, Recurrent Adult Brain Tumor
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 44 participants (actual)
- Lead sponsor
- National Cancer Institute (NCI)US National Institutes of Health
- Study start
- Jul 2008
- Primary completion
- Jul 2010 (actual)
- Study completion
- Nov 2010 (actual)
- First posted
- 24 Mar 2008 (estimated)
- Results
- Posted 10 Jul 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase II trial is studying how well giving vorinostat together with bortezomib works in treating patients with progressive, recurrent glioblastoma multiforme. Vorinostat and bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving vorinostat together with bortezomib may kill more tumor cells.
Detailed description
PRIMARY OBJECTIVES:
- To determine the clinical efficacy of vorinostat (SAHA) and bortezomib, in terms of progression-free survival (PFS) at 6 months, in patients with progressive, recurrent glioblastoma multiforme.
SECONDARY OBJECTIVES:
- To determine the clinical efficacy of this regimen, in terms of overall survival, PFS at 12 months, time to progression, and objective response rate, in these patients.
II. To identify molecular predictors of response in baseline tumor specimens from these patients.
III. To determine molecular changes in response to this regimen in tumor specimens from patients undergoing surgery.
OUTLINE: This is a multicenter study. Patients are stratified according to planned surgery (no [stratum 1] vs yes [stratum 2]).
STRATUM 1 (NOT UNDERGOING SURGERY): Patients receive oral vorinostat (SAHA) once daily on days 1-14 and bortezomib intravenously (IV) on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
STRATUM 2 (UNDERGOING SURGERY): Patients receive oral SAHA once daily for 2 days prior to surgery and then on the day of surgery. Patients also receive bortezomib IV on the day of surgery. After receiving the 3rd dose of SAHA, patients undergo surgery to remove the tumor. Beginning at least 7 days after surgery, patients receive SAHA and bortezomib as in stratum 1.
Tumor tissue samples are collected at baseline and during surgery (stratum 2) for correlative laboratory studies. Tissue samples are analyzed for baseline total and phosphorylated AKT and p27^KIp1 expression by IHC. Tissue samples from patients in stratum 2 are also analyzed for histone acetylation status; markers of proteasome inhibition; total and phosphorylated Bax expression by IHC; and gene expression profiles.
After completion of study therapy, patients are followed every 3 months for 2 years and then every 6 months thereafter.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Stratum 1 (not undergoing surgery) | Experimental | Drug: vorinostat, Drug: bortezomibPatients receive oral vorinostat (SAHA) once daily on days 1-14 and bortezomib IV on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. |
| Stratum 2 (undergoing surgery) | Experimental | Drug: vorinostat, Procedure: therapeutic conventional surgery, Drug: bortezomibPatients receive oral SAHA once daily for 2 days prior to surgery and then on the day of surgery. Patients also receive bortezomib IV on the day of surgery. After receiving the 3rd dose of SAHA, patients undergo surgery to remove the tumor. Beginning at least 7 days after surgery, patients receive SAHA and bortezomib as in stratum 1. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (53 listed)
- Histologically confirmed glioblastoma multiforme
- Must have evidence of tumor progression by MRI or CT scan after radiotherapy or after the most recent antitumor therapy
- Bidimensionally measurable or evaluable disease by MRI or CT scan
- ECOG performance status 0-2
- WBC ≥ 3,000/mm³
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| vorinostatAlso: L-001079038, SAHA, suberoylanilide hydroxamic acid, ZolinzaGiven orally | Drug | Stratum 1 (not undergoing surgery), Stratum 2 (undergoing surgery) |
| therapeutic conventional surgeryPatient undergoes surgery | Procedure or surgery | Stratum 2 (undergoing surgery) |
| bortezomibAlso: LDP 341, MLN341, VELCADEGiven IV | Drug | Stratum 1 (not undergoing surgery), Stratum 2 (undergoing surgery) |
Primary outcome
Progression-free Survival at 6 Months
Time frame: At 6 months
Estimated using the Binomial point estimator (number of successes divided by the total number of evaluable patients). A patient is classified as a success if alive and progression-free at 6 months. For patients with bidimensionally measurable disease (measurable disease), progression is defined as > 25% increase in product of perpendicular diameters of contrast enhancement or mass or appearance of new lesions. For patients without bidimensionally measurable disease (evaluable disease), progression is defined as unequivocal increase in size of contrast enhancement or increase in mass effect as agreed upon independently by primary physician and quality control physicians or appearance of new lesions.
3 secondary outcomes
Overall Survival
Time frame: From study registration to date of death due to any cause or last follow-up (up to 5 years)
Time to Progression
Time frame: From study registration to date of progression (up to 5 years)
Proportion of Confirmed Tumor Response Defined as an Objective Status of Confirmed Response (CR), Partial Response (PR), or Regression (REGR) on Two Consecutive Evaluations
Time frame: Assessed up to 5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Evanthia Galanis principal investigator
North Central Cancer Treatment Group
214 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing vorinostat, therapeutic conventional surgery and bortezomib in people with Adult Giant Cell Glioblastoma and Adult Glioblastoma, run by National Cancer Institute (NCI) at 214 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 53 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 May 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 214 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 10 Jul 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival at 6 Months (time frame: At 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2014.