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PXD101 as Second-Line Therapy in Treating Patients With Malignant Mesothelioma of the Chest That Cannot Be Removed By Surgery

Primary Purpose

Advanced Malignant Mesothelioma, Epithelial Mesothelioma, Recurrent Malignant Mesothelioma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
belinostat
laboratory biomarker analysis
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Malignant Mesothelioma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologically or cytologically confirmed malignant pleural mesothelioma (MPM) of any of the following subtypes: Epithelial Sarcomatoid Mixed Have received only 1 prior systemic chemotherapy regimen for advanced mesothelioma Prior intrapleural cytotoxic agents (including bleomycin) not considered systemic chemotherapy Patients who are not candidates for combination chemotherapy are eligible even if they have not received prior chemotherapy Unresectable disease Measurable disease, defined as >= 1 unidimensionally measurable lesion >= 20 mm by conventional techniques OR >= 10 mm by spiral CT scan The sole site of measurable disease must not be located within the radiotherapy port No known brain metastases ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100% Life expectancy > 3 months WBC >= 3,000/mm^3 Absolute neutrophil count >= 1,500/mm^3 Platelet count >= 100,000/mm^3 Bilirubin normal AST/ALT =< 2.5 times upper limit of normal Creatinine normal OR creatinine clearance >= 50 mL/min Not pregnant or nursing Negative pregnancy test Fertile patients must use effective double-barrier contraception for 1 week before, during, and for >= 2 weeks after completion of study treatment No history of allergic reactions attributed to compounds of similar chemical or biologic composition to PXD101 No symptomatic congestive heart failure No congestive heart failure related to primary cardiac disease No unstable angina pectoris No cardiac arrhythmia No condition requiring anti-arrhythmic therapy No uncontrolled hypertension No myocardial infarction within the past 6 months No ischemic or severe valvular heart disease No ongoing or active infection No marked baseline prolongation of QT/QTc interval No repeated QTc interval > 500 msec No long QT syndrome No other significant cardiovascular disease No other uncontrolled intercurrent illness No psychiatric illness or social situation that would preclude study compliance Recovered from prior therapy No prior valproic acid or other known histone deacetylase (HDAC) inhibitor More than 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C) More than 3 weeks since prior radiation therapy No concurrent medication that may cause torsade de pointes No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent investigational agents No other concurrent anticancer agents or therapies

Sites / Locations

  • City of Hope

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (belinostat)

Arm Description

Patients receive PXD101 IV at 1000 mg/m2 over 30 minutes on days 1-5. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

Outcomes

Primary Outcome Measures

Objective Tumor Response Rate According to the Response Evaluation Criteria in Solid Tumors (RECIST) Committee
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT, MRI or X-ray: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Secondary Outcome Measures

Overall Survival
Estimated using the product-limit method of Kaplan and Meier.
Progression-free Survival
Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Toxicity Profile
Toxicity information recorded will include the type, severity, time of onset, time of resolution, and the probable association with the study regimen. Toxicities table summarizes the observed incidence by severity and type of toxicity for toxicities that are related to treatment and greater than grade 1. Adverse events assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.
Apoptosis by TUNEL Assay
Summarized with contingency tables or scatterplots, and with quantitative measures of agreement.
Histone Acetylation by IHC and Western Blotting
Summarized with contingency tables or scatterplots, and with quantitative measures of agreement.

Full Information

First Posted
August 16, 2006
Last Updated
May 4, 2018
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00365053
Brief Title
PXD101 as Second-Line Therapy in Treating Patients With Malignant Mesothelioma of the Chest That Cannot Be Removed By Surgery
Official Title
Phase II Study of PXD101 (NSC 726630) as Second-Line Therapy for Treatment of Patients With Malignant Pleural Mesothelioma
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
June 2006 (undefined)
Primary Completion Date
March 2009 (Actual)
Study Completion Date
March 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
This phase II trial is studying how well PXD101 works as second-line therapy in treating patients with malignant mesothelioma of the chest that cannot be removed by surgery. PXD101 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.
Detailed Description
PRIMARY OBJECTIVES: I. Determine the objective response rate in patients with unresectable malignant pleural mesothelioma (MPM) treated with PXD101. SECONDARY OBJECTIVES: I. Determine the overall survival and time to progression in these patients. II. Assess the toxicities associated with this drug in these patients. III. Perform molecular correlative studies on tumor tissue (optional) and peripheral blood (required) and identify potential predictive markers for response. OUTLINE: Patients receive PXD101 IV over 30 minutes on days 1-5. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients undergo blood collection during course 1 of treatment for biomarker correlative studies. Fetal hemoglobin (hemoglobin F) levels are measured via reverse transcriptase-polymerase chain reaction as a potential predictive marker for response. After completion of study treatment, patients are followed periodically.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Malignant Mesothelioma, Epithelial Mesothelioma, Recurrent Malignant Mesothelioma, Sarcomatous Mesothelioma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
13 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment (belinostat)
Arm Type
Experimental
Arm Description
Patients receive PXD101 IV at 1000 mg/m2 over 30 minutes on days 1-5. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Intervention Type
Drug
Intervention Name(s)
belinostat
Other Intervention Name(s)
PXD101
Intervention Description
Given IV
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
Correlative studies
Primary Outcome Measure Information:
Title
Objective Tumor Response Rate According to the Response Evaluation Criteria in Solid Tumors (RECIST) Committee
Description
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT, MRI or X-ray: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Time Frame
Up to 3 years
Secondary Outcome Measure Information:
Title
Overall Survival
Description
Estimated using the product-limit method of Kaplan and Meier.
Time Frame
Up to 3 years
Title
Progression-free Survival
Description
Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Time Frame
Up to 3 years
Title
Toxicity Profile
Description
Toxicity information recorded will include the type, severity, time of onset, time of resolution, and the probable association with the study regimen. Toxicities table summarizes the observed incidence by severity and type of toxicity for toxicities that are related to treatment and greater than grade 1. Adverse events assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.
Time Frame
Up to 3 years
Title
Apoptosis by TUNEL Assay
Description
Summarized with contingency tables or scatterplots, and with quantitative measures of agreement.
Time Frame
At baseline
Title
Histone Acetylation by IHC and Western Blotting
Description
Summarized with contingency tables or scatterplots, and with quantitative measures of agreement.
Time Frame
At baseline and at 4 hours after last dose of PXD101 on day 5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed malignant pleural mesothelioma (MPM) of any of the following subtypes: Epithelial Sarcomatoid Mixed Have received only 1 prior systemic chemotherapy regimen for advanced mesothelioma Prior intrapleural cytotoxic agents (including bleomycin) not considered systemic chemotherapy Patients who are not candidates for combination chemotherapy are eligible even if they have not received prior chemotherapy Unresectable disease Measurable disease, defined as >= 1 unidimensionally measurable lesion >= 20 mm by conventional techniques OR >= 10 mm by spiral CT scan The sole site of measurable disease must not be located within the radiotherapy port No known brain metastases ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100% Life expectancy > 3 months WBC >= 3,000/mm^3 Absolute neutrophil count >= 1,500/mm^3 Platelet count >= 100,000/mm^3 Bilirubin normal AST/ALT =< 2.5 times upper limit of normal Creatinine normal OR creatinine clearance >= 50 mL/min Not pregnant or nursing Negative pregnancy test Fertile patients must use effective double-barrier contraception for 1 week before, during, and for >= 2 weeks after completion of study treatment No history of allergic reactions attributed to compounds of similar chemical or biologic composition to PXD101 No symptomatic congestive heart failure No congestive heart failure related to primary cardiac disease No unstable angina pectoris No cardiac arrhythmia No condition requiring anti-arrhythmic therapy No uncontrolled hypertension No myocardial infarction within the past 6 months No ischemic or severe valvular heart disease No ongoing or active infection No marked baseline prolongation of QT/QTc interval No repeated QTc interval > 500 msec No long QT syndrome No other significant cardiovascular disease No other uncontrolled intercurrent illness No psychiatric illness or social situation that would preclude study compliance Recovered from prior therapy No prior valproic acid or other known histone deacetylase (HDAC) inhibitor More than 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C) More than 3 weeks since prior radiation therapy No concurrent medication that may cause torsade de pointes No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent investigational agents No other concurrent anticancer agents or therapies
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Suresh Ramalingam
Organizational Affiliation
City of Hope Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
City of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States

12. IPD Sharing Statement

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PXD101 as Second-Line Therapy in Treating Patients With Malignant Mesothelioma of the Chest That Cannot Be Removed By Surgery

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