Vorinostat, Carboplatin and Gemcitabine in Women With Recurrent, Platinum-Sensitive Ovarian Cancer

Part of paid clinical trials in Boston, Massachusetts.

Sponsor
Dana-Farber Cancer Institute
Study ID
NCT00910000
Phase
PHASE1/PHASE2
Status
Terminated

Conditions

Eligibility Criteria

Sex
FEMALE
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Vorinostat — DRUG
  • Carboplatin — DRUG
  • Gemcitabine — DRUG

Study Details

This trial is a Phase Ib/II study of carboplatin/gemcitabine/vorinostat for the treatment of platinum sensitive recurrent ovarian cancer. The carboplatin and gemcitabine combination is an FDA approved regimen for platinum-sensitive recurrent ovarian cancer. Vorinostat is a type of drug called a histone deacetylase inhibitor (HDAC inhibitor). HDAC inhibitors interact with chromosomes in the cancer cell and cause cancer cells to stop growing. Vorinostat has shown a decrease in the amount of ovarian cancer cells growing in the laboratory and also may enhance the anti-cancer effects of carboplatin.The purpose of the Phase Ib study is to determine the highest dose of the drug vorinostat that can be given safely in combination with carboplatin and gemcitabine. Not everyone who participates in this research study will receive the same dose of the study drug, vorinostat, but carboplatin and gemcitabine doses are held constant. Vorinostat doses depend on previous enrollment and tolerability. The expansion Phase II study uses the vorinostat dose found in the Phase Ib study in combination with carboplatin/gemcitabine and as a single agent maintenance therapy to better understand toxicity and efficacy.

Key Dates

Start date
Jun 30, 2009
Status verified
Aug 2018
Primary completion
Jan 31, 2013
Completion
Oct 31, 2015

Study Design

Enrollment
15 participants (actual)
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT

Arms

  • Experimental: Dose Level 1A
    Vorinostat: 200 mg taken orally once a day for the first two weeks of each three-week cycle Carboplatin: AUC 4, given intravenously on day 1 of every three week cycle Gemcitabine: 100 mg/m2, given intravenously on day 1 and day 8 of every three week cycle Participants received up to 8 cycles of therapy without the occurrence of disease progression, unacceptable adverse events, patient withdrawal, or discontinuation per MD decision.
  • Experimental: Dose Level 2A
    Vorinostat: 300mg, taken orally once a day for the first two weeks of each three-week cycle Carboplatin: AUC 4, given intravenously on day 1 of every three week cycle Gemcitabine: 1000 mg/m2, given intravenously on day 1 and day 8 of every three week cycle Participants received up to 8 cycles of therapy without the occurrence of disease progression, unacceptable adverse events, patient withdrawal, or discontinuation per MD decision.
  • Experimental: Dose Level 1B
    Vorinostat: 200mg, taken orally twice a day for days 1-3 and days 8-10 of every three week cycle Carboplatin: AUC 4, given intravenously on day 1 of every three week cycle Gemcitabine: 1000 mg/m2, given intravenously on day 1 and day 8 of every three week cycle Participants received up to 8 cycles of therapy without the occurrence of disease progression, unacceptable adverse events, patient withdrawal, or discontinuation per MD decision.
  • Experimental: Dose Level 1C
    Vorinostat: 200mg, taken orally twice a day for days 1, 2, 8 and 9 of every three week cycle Carboplatin: AUC 4, given intravenously on day 2 of every three week cycle Gemcitabine: 1000 mg/m2, given intravenously on day 2 and day 9 of every three week cycle Participants received up to 8 cycles of therapy without the occurrence of disease progression, unacceptable adverse events, patient withdrawal, or discontinuation per MD decision.
  • Experimental: Dose Level 1D
    Vorinostat: 300mg, taken orally once a day for days 1 and 2 of every three week cycle Carboplatin: AUC 4, given intravenously on day 2 of every three week cycle Gemcitabine: 1000 mg/m2, given intravenously on day 2 and day 9 of every three week cycle Participants received up to 8 cycles of therapy without the occurrence of disease progression, unacceptable adverse events, patient withdrawal, or discontinuation per MD decision.
  • Experimental: Dose Level 2D
    Vorinostat: 400mg, taken orally once a day for days 1 and 2 of every three week cycle Carboplatin: AUC 4, given intravenously on day 2 of every three week cycle Gemcitabine: 1000 mg/m2, given intravenously on day 2 and day 9 of every three week cycle Participants received up to 8 cycles of therapy without the occurrence of disease progression, unacceptable adverse events, patient withdrawal, or discontinuation per MD decision.

Primary Outcome Measure

Vorinostat Maximum Tolerated Dose (MTD) [Phase Ib] [ Time Frame: The DLT observation period in determining the MTD was the 21-day cycle 1 length. ]

Locations (2)

FacilityCityStateZIPSite coordinators
Dana-Farber Cancer InstituteBostonMassachusetts02115-
Massachusetts General HospitalBostonMassachusetts02114-

Find similar trials in Boston, MA

By condition
Ovarian cancer
By specialty
OncologyGynecologic oncologyWomen's health
By research site
Dana-Farber Cancer Institute· Boston, MAMassachusetts General Hospital· Boston, MA

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