Trial Outcomes & Findings for A Phase I/II Clinical Trial of Vorinostat in Combination With Erlotinib for Patients With Relapsed/Refractory Non-Small-Cell Lung Cancer (0683-025) (NCT NCT00251589)

NCT ID: NCT00251589

Last Updated: 2015-03-06

Results Overview

Adverse event(s) that determined the treatment dose level was not tolerable for that patient in Cycle 1 of the Phase I portion of the study.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

23 participants

Primary outcome timeframe

Day 1 to 28 in the Phase I portion of the study

Results posted on

2015-03-06

Participant Flow

This study was conducted at 12 investigative sites in the United States. The first patient's first visit was 30 March 2006. The study was terminated early on 12 Oct 2007 and the last patient's last visit was 30 Oct 2007.

Enrolled patients were assigned to 1 of 2 dose escalating cohorts (A and B) in the Phase I portion of the study to determine the maximum tolerated dose (MTD). Once determined, new patients were assigned to the Phase II portion of the study and treated with the MTD. Active Phase I patients continued into Phase II.

Participant milestones

Participant milestones
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Overall Study
STARTED
16
3
2
2
Overall Study
COMPLETED
1
0
0
0
Overall Study
NOT COMPLETED
15
3
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Overall Study
Adverse Event
5
1
2
1
Overall Study
Withdrawal by Subject
1
1
0
0
Overall Study
Discontinued due to progressive disease
9
1
0
1

Baseline Characteristics

A Phase I/II Clinical Trial of Vorinostat in Combination With Erlotinib for Patients With Relapsed/Refractory Non-Small-Cell Lung Cancer (0683-025)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=16 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=3 Participants
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=2 Participants
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=2 Participants
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
53.0 Years
STANDARD_DEVIATION 4.36 • n=5 Participants
66.0 Years
STANDARD_DEVIATION 8.49 • n=7 Participants
48.5 Years
STANDARD_DEVIATION 20.51 • n=5 Participants
59.1 Years
STANDARD_DEVIATION 11.59 • n=4 Participants
60.7 Years
STANDARD_DEVIATION 11.41 • n=21 Participants
Age, Customized
≤ 65 years
11 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
17 Participants
n=21 Participants
Age, Customized
> 65 years
5 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
6 Participants
n=21 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
12 Participants
n=21 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
11 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1 to 28 in the Phase I portion of the study

Population: All patients as treated population in Cycle 1 of the Phase I portion of the study.

Adverse event(s) that determined the treatment dose level was not tolerable for that patient in Cycle 1 of the Phase I portion of the study.

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=4 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=3 Participants
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=2 Participants
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=2 Participants
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Dose Limiting Toxicity (DLT) Occurring in Cycle 1 of the Phase I Portion of the Study
0 Participants
2 Participants
2 Participants
1 Participants

PRIMARY outcome

Timeframe: Day 1 to 28 in the Phase II portion of the study

Population: All patients as treated population in Cycle 1 of the Phase II portion of the study.

Adverse event(s) that determined the treatment dose level was not tolerable for that patient in Cycle 1 of the Phase II portion of the study.

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=12 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Dose Limiting Toxicity Occurring in Cycle 1 of the Phase II Portion of the Study
3 Participants

SECONDARY outcome

Timeframe: Every 57 days beginning with Cycle 3, or more frequently if appropriate

Population: All patients as treated population with post-baseline data available to determine Unconfirmed Partial Response as Best Response.

An unconfirmed partial response is defined as a partial response that has not been confirmed by a follow up CT scan (or MRI) at least 4 weeks after the criteria for response are first met. (A partial response is defined as an at least 30% reduction in the sum of the longest diameter of the target lesions. Non-target lesions must be at least stable)

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=13 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Unconfirmed Partial Response (UPR) Based on Response Criteria in Solid Tumors (RECIST)
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Every 57 days beginning with Cycle 3, or more frequently if appropriate

Population: All patients treated population with post-baseline data available to determine Stable Disease as Best Response.

Stable disease is defined as less than a radiographic partial response, but not progressive disease

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=13 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Stable Disease (SD) as Best Response Based on Response Criteria in Solid Tumors (RECIST)
6 Participants
1 Participants
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Every 57 days beginning with Cycle 3, or more frequently if appropriate

Population: All patients as treated population with post-baseline data available to determine Progressive Disease as Best Response.

Progressive disease is defined as a ≥20% increase in the sum of the longest diameter, the appearance of one or more new lesions and/or unequivocal progression of non-target lesions by conventional or spiral CT or MRI

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=13 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Progressive Disease (PD) as Best Response Based on Response Criteria in Solid Tumors (RECIST)
7 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Every 57 days beginning with Cycle 3 (Week 8), or more frequently if appropriate

Population: All patients as treated population with post-baseline data available to determine Disease Progression After Week 8.

First documentation of Progressive Disease (PD) occurring \> 8 weeks on study.

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=13 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=1 Participants
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Disease Progression After Week 8 Based on Response Criteria in Solid Tumors (RECIST)
3 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 1 to disease progression or death

Population: All patients as treated population with post-baseline data available to determine progression free survival. Cohort A, Dose Level 1 (Amended), Cohort B, Dose Level 2 and Cohort A, Dose Level 1 (Original) are not represented in the below table as post-baseline data were not available to determine progression free survival.

Progression-free survival was measured from the start of the treatment to the time when the criteria for progression was met or death due to any cause (whichever is first recorded).

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=13 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Progression-free Survival
57 Days
Interval 26.0 to 113.0

POST_HOC outcome

Timeframe: After day 28 in the Phase II portion of the study

Population: All patients as treated population in Cycles 2 and beyond of the Phase II portion of the study.

Adverse event(s) that determined the treatment dose level was not tolerable for that patient in Cycles 2 and beyond of the Phase II portion of the study.

Outcome measures

Outcome measures
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=12 Participants
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Dose Limiting Toxicity Occurring in Cycles 2 and Beyond of the Phase II Portion of the Study
3 Participants

Adverse Events

Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk

Serious events: 6 serious events
Other events: 16 other events
Deaths: 0 deaths

Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=16 participants at risk
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=3 participants at risk
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=2 participants at risk
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=2 participants at risk
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Gastrointestinal disorders
Diarrhoea
6.2%
1/16 • Number of events 1
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Nausea
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Vomiting
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Infections and infestations
Infection
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Infections and infestations
Pneumococcal bacteraemia
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Injury, poisoning and procedural complications
Accidental overdose
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Metabolism and nutrition disorders
Dehydration
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Musculoskeletal and connective tissue disorders
Muscular weakness
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Nervous system disorders
Cerebral ischaemia
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Psychiatric disorders
Confusional state
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Renal and urinary disorders
Urinary retention
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Skin and subcutaneous tissue disorders
Exfoliative rash
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Vascular disorders
Deep vein thrombosis
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2

Other adverse events

Other adverse events
Measure
Vorinostat 200 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=16 participants at risk
Vorinostat 200 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and determined to be the MTD and therefore the recommended Phase II dose. Of the 16 patients treated at this dose level, 4 were assigned to the Phase I portion of the study and 12 were assigned to the Phase II portion.
Vorinostat 300 mg q.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=3 participants at risk
Vorinostat 300 mg once a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the amended study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 300 mg b.i.d. 3d/wk + Erlotinib 150 mg q.d. 7d/wk
n=2 participants at risk
Vorinostat 300 mg twice a day for 3 days a week + erlotinib 150 mg once a day was evaluated in the Phase I portion of the study and exceeded the MTD. All patients treated at this dose level were assigned to the Phase I portion of the study.
Vorinostat 400 mg q.d. 21d/4wk + Erlotinib 150 mg q.d. 7d/wk
n=2 participants at risk
Vorinostat 400 mg once a day for 21 out of 28 days + erlotinib 150 mg once a day was evaluated in the Phase I portion of the original study and exceeded MTD. This cohort was then amended (Amendment 1) to identify a more tolerable once daily vorinostat dosing regimen. All patients treated at this dose level were assigned to the Phase I portion of the study.
Blood and lymphatic system disorders
Anaemia
6.2%
1/16 • Number of events 3
0.00%
0/3
0.00%
0/2
0.00%
0/2
Blood and lymphatic system disorders
Leukopenia
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Cardiac disorders
Bradycardia
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Cardiac disorders
Palpitations
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Eye disorders
Dry eye
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Eye disorders
Eye irritation
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Eye disorders
Eye pain
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Eye disorders
Eye pruritus
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Eye disorders
Eyelids pruritus
6.2%
1/16 • Number of events 4
0.00%
0/3
0.00%
0/2
0.00%
0/2
Eye disorders
Keratoconjunctivitis sicca
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Eye disorders
Lacrimation increased
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Eye disorders
Photopsia
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Gastrointestinal disorders
Abdominal pain
12.5%
2/16 • Number of events 4
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Abdominal pain upper
6.2%
1/16 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Breath odour
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Gastrointestinal disorders
Cheilitis
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Constipation
6.2%
1/16 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/2
100.0%
2/2 • Number of events 2
Gastrointestinal disorders
Diarrhoea
81.2%
13/16 • Number of events 32
100.0%
3/3 • Number of events 6
100.0%
2/2 • Number of events 8
100.0%
2/2 • Number of events 4
Gastrointestinal disorders
Dry mouth
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 2
Gastrointestinal disorders
Dyspepsia
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Eructation
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 2
Gastrointestinal disorders
Flatulence
6.2%
1/16 • Number of events 1
0.00%
0/3
50.0%
1/2 • Number of events 2
0.00%
0/2
Gastrointestinal disorders
Gastrointestinal pain
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Gingival pain
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Lip dry
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Melaena
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Nausea
81.2%
13/16 • Number of events 21
66.7%
2/3 • Number of events 2
100.0%
2/2 • Number of events 5
100.0%
2/2 • Number of events 3
Gastrointestinal disorders
Oesophagitis
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Rectal fissure
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Salivary hypersecretion
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Gastrointestinal disorders
Stomatitis
18.8%
3/16 • Number of events 4
0.00%
0/3
50.0%
1/2 • Number of events 3
0.00%
0/2
Gastrointestinal disorders
Vomiting
37.5%
6/16 • Number of events 14
33.3%
1/3 • Number of events 1
100.0%
2/2 • Number of events 3
100.0%
2/2 • Number of events 3
General disorders
Asthenia
18.8%
3/16 • Number of events 4
0.00%
0/3
0.00%
0/2
0.00%
0/2
General disorders
Catheter site pain
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
General disorders
Chest pain
6.2%
1/16 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
General disorders
Chills
18.8%
3/16 • Number of events 4
0.00%
0/3
0.00%
0/2
0.00%
0/2
General disorders
Face oedema
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
General disorders
Fatigue
50.0%
8/16 • Number of events 14
33.3%
1/3 • Number of events 4
0.00%
0/2
100.0%
2/2 • Number of events 2
General disorders
Non-cardiac chest pain
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
General disorders
Oedema
18.8%
3/16 • Number of events 4
0.00%
0/3
0.00%
0/2
0.00%
0/2
General disorders
Pain
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
50.0%
1/2 • Number of events 1
General disorders
Pyrexia
18.8%
3/16 • Number of events 4
0.00%
0/3
0.00%
0/2
0.00%
0/2
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 5
0.00%
0/2
Infections and infestations
Candidiasis
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Infections and infestations
Eye infection
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Infections and infestations
Gastroenteritis viral
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Infections and infestations
Infection
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Infections and infestations
Vaginal infection
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Injury, poisoning and procedural complications
Skin laceration
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Investigations
Blood creatinine increased
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 3
0.00%
0/2
Investigations
Blood glucose decreased
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Investigations
Blood glucose increased
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Investigations
Blood phosphorus decreased
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Investigations
Blood sodium decreased
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Investigations
Blood urine present
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Investigations
International normalised ratio increased
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2
Investigations
Weight decreased
37.5%
6/16 • Number of events 7
33.3%
1/3 • Number of events 2
100.0%
2/2 • Number of events 2
50.0%
1/2 • Number of events 1
Metabolism and nutrition disorders
Anorexia
62.5%
10/16 • Number of events 15
33.3%
1/3 • Number of events 1
50.0%
1/2 • Number of events 1
0.00%
0/2
Metabolism and nutrition disorders
Dehydration
18.8%
3/16 • Number of events 4
33.3%
1/3 • Number of events 1
50.0%
1/2 • Number of events 2
0.00%
0/2
Metabolism and nutrition disorders
Failure to thrive
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Metabolism and nutrition disorders
Hypokalaemia
6.2%
1/16 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Metabolism and nutrition disorders
Hypomagnesaemia
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 2
0.00%
0/2
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 2
0.00%
0/2
Metabolism and nutrition disorders
Metabolic acidosis
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2
Musculoskeletal and connective tissue disorders
Back pain
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Musculoskeletal and connective tissue disorders
Muscle spasms
6.2%
1/16 • Number of events 1
33.3%
1/3 • Number of events 1
50.0%
1/2 • Number of events 2
0.00%
0/2
Musculoskeletal and connective tissue disorders
Muscular weakness
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Musculoskeletal and connective tissue disorders
Pain in extremity
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Nervous system disorders
Dizziness
18.8%
3/16 • Number of events 3
33.3%
1/3 • Number of events 1
50.0%
1/2 • Number of events 1
50.0%
1/2 • Number of events 2
Nervous system disorders
Dysgeusia
25.0%
4/16 • Number of events 4
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Nervous system disorders
Dyskinesia
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Nervous system disorders
Headache
12.5%
2/16 • Number of events 2
33.3%
1/3 • Number of events 1
50.0%
1/2 • Number of events 1
50.0%
1/2 • Number of events 2
Nervous system disorders
Hypoaesthesia
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Nervous system disorders
Neuropathy peripheral
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Nervous system disorders
Paraesthesia
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Nervous system disorders
Peripheral motor neuropathy
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Nervous system disorders
Peripheral sensory neuropathy
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Nervous system disorders
Syncope
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Psychiatric disorders
Anxiety
6.2%
1/16 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/2
50.0%
1/2 • Number of events 1
Psychiatric disorders
Confusional state
0.00%
0/16
33.3%
1/3 • Number of events 2
50.0%
1/2 • Number of events 1
0.00%
0/2
Psychiatric disorders
Depression
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Psychiatric disorders
Hallucination
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Psychiatric disorders
Insomnia
0.00%
0/16
33.3%
1/3 • Number of events 1
0.00%
0/2
50.0%
1/2 • Number of events 1
Psychiatric disorders
Nightmare
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Renal and urinary disorders
Chromaturia
0.00%
0/16
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Renal and urinary disorders
Urinary retention
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Reproductive system and breast disorders
Perineal pain
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Cough
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
50.0%
1/2 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea
25.0%
4/16 • Number of events 4
33.3%
1/3 • Number of events 1
0.00%
0/2
50.0%
1/2 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Epistaxis
12.5%
2/16 • Number of events 2
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 2
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Skin and subcutaneous tissue disorders
Alopecia
6.2%
1/16 • Number of events 1
33.3%
1/3 • Number of events 1
0.00%
0/2
0.00%
0/2
Skin and subcutaneous tissue disorders
Dermatitis acneiform
6.2%
1/16 • Number of events 1
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Dry skin
43.8%
7/16 • Number of events 7
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Erythema multiforme
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Skin and subcutaneous tissue disorders
Exfoliative rash
6.2%
1/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Skin and subcutaneous tissue disorders
Pain of skin
6.2%
1/16 • Number of events 3
0.00%
0/3
0.00%
0/2
0.00%
0/2
Skin and subcutaneous tissue disorders
Pruritus
12.5%
2/16 • Number of events 2
0.00%
0/3
0.00%
0/2
0.00%
0/2
Skin and subcutaneous tissue disorders
Rash
56.2%
9/16 • Number of events 13
100.0%
3/3 • Number of events 4
0.00%
0/2
100.0%
2/2 • Number of events 6
Skin and subcutaneous tissue disorders
Rash generalised
0.00%
0/16
33.3%
1/3 • Number of events 1
50.0%
1/2 • Number of events 1
0.00%
0/2
Vascular disorders
Hypertension
6.2%
1/16 • Number of events 1
0.00%
0/3
0.00%
0/2
0.00%
0/2
Vascular disorders
Hypotension
12.5%
2/16 • Number of events 3
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2
Vascular disorders
Phlebitis
0.00%
0/16
0.00%
0/3
50.0%
1/2 • Number of events 1
0.00%
0/2

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER