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Valproic Acid in Treating Patients With Kaposi's Sarcoma

Primary Purpose

Sarcoma

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
valproic acid
Sponsored by
AIDS Malignancy Consortium
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sarcoma focused on measuring recurrent Kaposi sarcoma, AIDS-related Kaposi sarcoma

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed HIV-related Kaposi's sarcoma (KS) Disease involving the skin and/or lymph nodes No symptomatic visceral disease No oral KS as the only site of disease Slowly progressive or stable disease allowed Slow progression defined as fewer than 5 new lesions per month Must have documented HIV infection by positive ELISA, western Blot, or viral load determination CD4 T-cell count > 50/mm^3 PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy At least 3 months Hematopoietic Hemoglobin ≥ 8.0 g/dL Absolute neutrophil count ≥ 750/mm^3 Platelet count ≥ 75,000/mm^3 Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN)* AST and ALT ≤ 3 times ULN Albumin > 2.5 g/dL NOTE: *Elevated total bilirubin (≤ 3.5 mg/dL) secondary to indinavir therapy allowed provided the direct bilirubin is normal Renal Creatinine < 1.5 times ULN Cardiovascular No prior myocardial infarction No evidence of cardiac ischemia Other Not pregnant Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation No prior lactic acidosis > 2.0 mmoles/L No prior lipoatrophy or hypercholesterolemia secondary to retroviral treatment No concurrent, acute, active opportunistic infection other than oral thrush or genital herpes within the past 14 days No other concurrent neoplasm requiring cytotoxic therapy PRIOR CONCURRENT THERAPY: Biologic therapy More than 2 weeks since prior biologic therapy for KS Chemotherapy More than 2 weeks since prior chemotherapy for KS No concurrent systemic cytotoxic chemotherapy Endocrine therapy Not specified Radiotherapy More than 2 weeks since prior radiotherapy for KS Surgery Not specified Other More than 2 weeks since other prior antineoplastic or local therapy for KS More than 2 weeks since prior investigational therapy for KS More than 60 days since prior local therapy to a KS-marker lesion unless lesion has clearly progressed since therapy More than 1 year since prior valproic acid Concurrent antiretroviral therapy allowed provided regimen has been stable for at least 4 weeks No concurrent zidovudine No other concurrent KS-specific therapy No other concurrent investigational drugs, other than IND-approved antiretroviral agents

Sites / Locations

  • Jonsson Comprehensive Cancer Center at UCLA
  • Veterans Affairs Medical Center - San Diego
  • UCSF Comprehensive Cancer Center
  • Georgia Cancer Center for Excellence at Grady Memorial Hospital
  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
  • Beth Israel Deaconess Medical Center
  • Siteman Cancer Center at Barnes-Jewish Hospital
  • Albert Einstein Cancer Center at Albert Einstein College of Medicine
  • Memorial Sloan-Kettering Cancer Center
  • Case Comprehensive Cancer Center
  • Joan Karnell Cancer Center at Pennsylvania Hospital
  • Floyd & Delores Jones Cancer Institute at Virginia Mason Medical Center

Outcomes

Primary Outcome Measures

Toxicity-related discontinuation rate
Lytic induction rate
Clinical response rate
Accelerated KS progression rate

Secondary Outcome Measures

Full Information

First Posted
January 9, 2004
Last Updated
August 27, 2014
Sponsor
AIDS Malignancy Consortium
Collaborators
National Cancer Institute (NCI), The Emmes Company, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00075777
Brief Title
Valproic Acid in Treating Patients With Kaposi's Sarcoma
Official Title
A Pilot Trial Of Valproic Acid In Patients With Kaposi's Sarcoma
Study Type
Interventional

2. Study Status

Record Verification Date
August 2014
Overall Recruitment Status
Completed
Study Start Date
February 2005 (undefined)
Primary Completion Date
July 2007 (Actual)
Study Completion Date
February 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AIDS Malignancy Consortium
Collaborators
National Cancer Institute (NCI), The Emmes Company, LLC

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Valproic acid may help stop the growth of Kaposi's sarcoma cells by blocking the enzymes necessary for tumor cell growth. PURPOSE: This clinical trial is studying valproic acid in treating patients with HIV-related Kaposi's sarcoma.
Detailed Description
OBJECTIVES: Primary Determine the safety of valproic acid in patients with Kaposi's sarcoma. Determine the effects of this drug on human herpes virus 8 (KSHV) gene expression using polymerase chain reaction and immunohistochemistry in these patients. Secondary Determine the effects of this drug on HIV, KSHV, and Epstein-Barr virus viral loads in the plasma and peripheral blood mononuclear cells of these patients. Determine clinical response in patients treated with this drug. OUTLINE: This is an open-label, pilot, multicenter study. Patients receive oral valproic acid twice daily on days 1-28 followed by a drug taper over 2 weeks. Treatment continues in the absence of disease progression or unacceptable toxicity. Patients are followed monthly for 6 months. PROJECTED ACCRUAL: A total of 15-30 patients will be accrued for this study within 1 year.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcoma
Keywords
recurrent Kaposi sarcoma, AIDS-related Kaposi sarcoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
valproic acid
Other Intervention Name(s)
Depakene
Intervention Description
250 mg by mouth twice a day
Primary Outcome Measure Information:
Title
Toxicity-related discontinuation rate
Time Frame
28 days
Title
Lytic induction rate
Time Frame
28 days
Title
Clinical response rate
Time Frame
28 days
Title
Accelerated KS progression rate
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed HIV-related Kaposi's sarcoma (KS) Disease involving the skin and/or lymph nodes No symptomatic visceral disease No oral KS as the only site of disease Slowly progressive or stable disease allowed Slow progression defined as fewer than 5 new lesions per month Must have documented HIV infection by positive ELISA, western Blot, or viral load determination CD4 T-cell count > 50/mm^3 PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy At least 3 months Hematopoietic Hemoglobin ≥ 8.0 g/dL Absolute neutrophil count ≥ 750/mm^3 Platelet count ≥ 75,000/mm^3 Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN)* AST and ALT ≤ 3 times ULN Albumin > 2.5 g/dL NOTE: *Elevated total bilirubin (≤ 3.5 mg/dL) secondary to indinavir therapy allowed provided the direct bilirubin is normal Renal Creatinine < 1.5 times ULN Cardiovascular No prior myocardial infarction No evidence of cardiac ischemia Other Not pregnant Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation No prior lactic acidosis > 2.0 mmoles/L No prior lipoatrophy or hypercholesterolemia secondary to retroviral treatment No concurrent, acute, active opportunistic infection other than oral thrush or genital herpes within the past 14 days No other concurrent neoplasm requiring cytotoxic therapy PRIOR CONCURRENT THERAPY: Biologic therapy More than 2 weeks since prior biologic therapy for KS Chemotherapy More than 2 weeks since prior chemotherapy for KS No concurrent systemic cytotoxic chemotherapy Endocrine therapy Not specified Radiotherapy More than 2 weeks since prior radiotherapy for KS Surgery Not specified Other More than 2 weeks since other prior antineoplastic or local therapy for KS More than 2 weeks since prior investigational therapy for KS More than 60 days since prior local therapy to a KS-marker lesion unless lesion has clearly progressed since therapy More than 1 year since prior valproic acid Concurrent antiretroviral therapy allowed provided regimen has been stable for at least 4 weeks No concurrent zidovudine No other concurrent KS-specific therapy No other concurrent investigational drugs, other than IND-approved antiretroviral agents
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard F. Ambinder, MD, PhD
Organizational Affiliation
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Mary Jo Lechowicz, MD
Organizational Affiliation
Georgia Cancer Center for Excellence at Grady Memorial Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Jonsson Comprehensive Cancer Center at UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1781
Country
United States
Facility Name
Veterans Affairs Medical Center - San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92161
Country
United States
Facility Name
UCSF Comprehensive Cancer Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94143-0324
Country
United States
Facility Name
Georgia Cancer Center for Excellence at Grady Memorial Hospital
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30303
Country
United States
Facility Name
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611-3013
Country
United States
Facility Name
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21231-2410
Country
United States
Facility Name
Beth Israel Deaconess Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
Siteman Cancer Center at Barnes-Jewish Hospital
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Albert Einstein Cancer Center at Albert Einstein College of Medicine
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Facility Name
Memorial Sloan-Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Case Comprehensive Cancer Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106-5065
Country
United States
Facility Name
Joan Karnell Cancer Center at Pennsylvania Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19106
Country
United States
Facility Name
Floyd & Delores Jones Cancer Institute at Virginia Mason Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98111
Country
United States

12. IPD Sharing Statement

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Valproic Acid in Treating Patients With Kaposi's Sarcoma

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