Trial Outcomes & Findings for A Study of Oral Suberoylanilide Hydroxamic Acid (Vorinostat) in Patients With Solid Tumors (0683-048) (NCT NCT00373490)

NCT ID: NCT00373490

Last Updated: 2015-08-27

Results Overview

Dose Limiting Toxicity = Drug-related side effects that are serious enough to prevent an increase in dose or level of that treatment

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

16 participants

Primary outcome timeframe

21 Days (first cycle)

Results posted on

2015-08-27

Participant Flow

Phase I. First participant started on study therapy on 18-Jul-2006. Study was multicenter (total of 3 sites).

Study of 2 doses of vorinostat (MK-0683) in participants with solid tumors who failed standard therapy. \>= 3 participants were enrolled at each dose. In the case of a dose level toxicity, a maximum of 6 participants were enrolled per level. If no safety problems, a total of 10 participants were evaluated for pharmacokinetics.

Participant milestones

Participant milestones
Measure
Vorinostat 600 mg
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Overall Study
STARTED
10
6
Overall Study
COMPLETED
1
0
Overall Study
NOT COMPLETED
9
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Vorinostat 600 mg
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Overall Study
Adverse Event
0
1
Overall Study
Lack of Efficacy
9
4
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

A Study of Oral Suberoylanilide Hydroxamic Acid (Vorinostat) in Patients With Solid Tumors (0683-048)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vorinostat 600 mg
n=10 Participants
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=6 Participants
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Total
n=16 Participants
Total of all reporting groups
Age, Continuous
60.2 years
STANDARD_DEVIATION 8.4 • n=5 Participants
53.3 years
STANDARD_DEVIATION 12 • n=7 Participants
57.6 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Prior chemotherapy regimens
3.5 Number of prior chemotherapy regimens
n=5 Participants
4.5 Number of prior chemotherapy regimens
n=7 Participants
4 Number of prior chemotherapy regimens
n=5 Participants

PRIMARY outcome

Timeframe: 21 Days (first cycle)

Population: Six (6) participants received vorinostat at 400 mg once daily. Of these, 2 participants did not complete the first cycle resulting in the drug compliance falling below 75%, and thus these participants were excluded from the DLT assessment.

Dose Limiting Toxicity = Drug-related side effects that are serious enough to prevent an increase in dose or level of that treatment

Outcome measures

Outcome measures
Measure
Vorinostat 600 mg
n=10 Participants
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=4 Participants
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Number of Participants With a Dose Limiting Toxicity (DLT)
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Day 1 (600 mg and 400 mg)

Population: Six (6) participants received vorinostat at 400 mg once daily. Of these, one (1) participant had missing Pharmacokinetics Data on Day 1 because the participant vomited after administration on Day 1.

Area Under Curve (AUC(0-infinity))=Area under the plasma concentration versus time curve (AUC) from time zero to extrapolated infinite time (o- ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). At 600 mg, t=12 hours and at 400 mg, t=24 hours.

Outcome measures

Outcome measures
Measure
Vorinostat 600 mg
n=10 Participants
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=5 Participants
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Area Under the Curve (AUC(0-infinity)) at Day 1 (600 mg and 400 mg)
3.94 μM·hr
Standard Deviation 1.56
7.75 μM·hr
Standard Deviation 2.79

SECONDARY outcome

Timeframe: Day 3 (600 mg)

Area Under Curve (AUC(0-infinity))=Area under the plasma concentration versus time curve (AUC) from time zero to 24 hours. It is obtained from AUC (0 - 12) plus AUC (12 - ∞)

Outcome measures

Outcome measures
Measure
Vorinostat 600 mg
n=10 Participants
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Area Under the Curve (AUC(0-infinity)) at Day 3 (600 mg)
4.15 μM·hr
Standard Deviation 2.15

SECONDARY outcome

Timeframe: Day 21 (400 mg)

Population: Six (6) participants received vorinostat at 400 mg once daily. Of these, four (4) participants had missing Pharmacokinetics Data on Day 21 because they did not receive study drug on day 21.

Area Under Curve (AUC(0-infinity))=Area under the plasma concentration versus time curve (AUC) from time zero to 24 hours. It is obtained from AUC (0 - 24) plus AUC (24 - ∞)

Outcome measures

Outcome measures
Measure
Vorinostat 600 mg
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=2 Participants
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Area Under the Curve (AUC(0-infinity) at Day 21 (400 mg)
8.3 μM·hr
Standard Deviation 0.04

SECONDARY outcome

Timeframe: Day 1 (600 mg and 400 mg)

Population: Six (6) participants received vorinostat at 400 mg once daily. Of these, one (1) participant had missing Pharmacokinetics Data on Day 1 because the participant vomited after administration on Day 1.

Outcome measures

Outcome measures
Measure
Vorinostat 600 mg
n=10 Participants
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=5 Participants
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Maximum Concentration (Cmax) at Day 1 (600 mg and 400 mg)
1.17 μM
Standard Deviation 0.43
1.62 μM
Standard Deviation 0.52

SECONDARY outcome

Timeframe: Day 3 (600 mg)

Outcome measures

Outcome measures
Measure
Vorinostat 600 mg
n=10 Participants
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Maximum Concentration (Cmax) at Day 3 (600 mg)
1.32 μM
Standard Deviation 0.75

SECONDARY outcome

Timeframe: Day 21 (400 mg)

Population: Six (6) participants received vorinostat at 400 mg once daily. Of these, four (4) participants had missing Pharmacokinetics Data on Day 21 because they did not receive study drug on day 21.

Outcome measures

Outcome measures
Measure
Vorinostat 600 mg
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=2 Participants
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Maximum Concentration (Cmax) at Day 21 (400 mg)
2.04 μM
Standard Deviation 0.78

Adverse Events

Vorinostat 600 mg

Serious events: 4 serious events
Other events: 10 other events
Deaths: 0 deaths

Vorinostat 400 mg

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

Serious adverse events

Serious adverse events
Measure
Vorinostat 600 mg
n=10 participants at risk
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=6 participants at risk
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Gastrointestinal disorders
ABDOMINAL PAIN
20.0%
2/10 • Number of events 2
0.00%
0/6
Gastrointestinal disorders
DIARRHOEA
10.0%
1/10 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
VOMITING
10.0%
1/10 • Number of events 1
0.00%
0/6
General disorders
DISEASE PROGRESSION
10.0%
1/10 • Number of events 1
0.00%
0/6
Hepatobiliary disorders
HYPERBILIRUBINAEMIA
10.0%
1/10 • Number of events 1
0.00%
0/6

Other adverse events

Other adverse events
Measure
Vorinostat 600 mg
n=10 participants at risk
600 mg daily (300 mg twice daily \[b.i.d.\]) for 3 consecutive days followed by 4 days of rest (repeated 3 times over 21 days)
Vorinostat 400 mg
n=6 participants at risk
400 mg once daily (400 mg q.d.) continuous daily dosing for 21 days
Blood and lymphatic system disorders
ANAEMIA
40.0%
4/10 • Number of events 5
16.7%
1/6 • Number of events 1
Cardiac disorders
PALPITATIONS
10.0%
1/10 • Number of events 1
0.00%
0/6
Ear and labyrinth disorders
EAR CONGESTION
0.00%
0/10
16.7%
1/6 • Number of events 1
Ear and labyrinth disorders
EAR DISCOMFORT
10.0%
1/10 • Number of events 1
0.00%
0/6
Ear and labyrinth disorders
TINNITUS
10.0%
1/10 • Number of events 1
0.00%
0/6
Ear and labyrinth disorders
VERTIGO
10.0%
1/10 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
ABDOMINAL DISTENSION
10.0%
1/10 • Number of events 1
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
ABDOMINAL PAIN
10.0%
1/10 • Number of events 5
16.7%
1/6 • Number of events 3
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
10.0%
1/10 • Number of events 1
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
ACETONAEMIC VOMITING
0.00%
0/10
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
ASCITES
10.0%
1/10 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
CHEILITIS
0.00%
0/10
33.3%
2/6 • Number of events 4
Gastrointestinal disorders
CONSTIPATION
60.0%
6/10 • Number of events 7
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
DIARRHOEA
40.0%
4/10 • Number of events 27
33.3%
2/6 • Number of events 2
Gastrointestinal disorders
DRY MOUTH
0.00%
0/10
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
ERUCTATION
10.0%
1/10 • Number of events 2
0.00%
0/6
Gastrointestinal disorders
GASTRIC HAEMORRHAGE
0.00%
0/10
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
NAUSEA
80.0%
8/10 • Number of events 28
100.0%
6/6 • Number of events 12
Gastrointestinal disorders
STOMACH DISCOMFORT
10.0%
1/10 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
STOMATITIS
0.00%
0/10
16.7%
1/6 • Number of events 2
Gastrointestinal disorders
VOMITING
50.0%
5/10 • Number of events 14
83.3%
5/6 • Number of events 13
General disorders
CATHETER SITE PAIN
10.0%
1/10 • Number of events 1
0.00%
0/6
General disorders
CHEST DISCOMFORT
10.0%
1/10 • Number of events 1
0.00%
0/6
General disorders
CHEST PAIN
10.0%
1/10 • Number of events 1
0.00%
0/6
General disorders
CHILLS
10.0%
1/10 • Number of events 1
0.00%
0/6
General disorders
FATIGUE
80.0%
8/10 • Number of events 48
66.7%
4/6 • Number of events 5
General disorders
FEELING ABNORMAL
10.0%
1/10 • Number of events 1
0.00%
0/6
General disorders
MALAISE
20.0%
2/10 • Number of events 11
0.00%
0/6
General disorders
OEDEMA
20.0%
2/10 • Number of events 2
50.0%
3/6 • Number of events 3
General disorders
PAIN
10.0%
1/10 • Number of events 1
0.00%
0/6
General disorders
PYREXIA
20.0%
2/10 • Number of events 2
33.3%
2/6 • Number of events 3
General disorders
THIRST
10.0%
1/10 • Number of events 1
0.00%
0/6
Hepatobiliary disorders
CHOLANGITIS
10.0%
1/10 • Number of events 1
0.00%
0/6
Infections and infestations
PYELONEPHRITIS
10.0%
1/10 • Number of events 1
0.00%
0/6
Injury, poisoning and procedural complications
CONTUSION
10.0%
1/10 • Number of events 1
0.00%
0/6
Investigations
ACTIVATED PARTIAL THROMBOPLASTIN TIME SHORTENED
10.0%
1/10 • Number of events 2
0.00%
0/6
Investigations
ALANINE AMINOTRANSFERASE INCREASED
30.0%
3/10 • Number of events 4
33.3%
2/6 • Number of events 3
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
60.0%
6/10 • Number of events 12
50.0%
3/6 • Number of events 3
Investigations
BLOOD ALBUMIN DECREASED
20.0%
2/10 • Number of events 2
50.0%
3/6 • Number of events 4
Investigations
BLOOD ALKALINE PHOSPHATASE INCREASED
30.0%
3/10 • Number of events 5
50.0%
3/6 • Number of events 3
Investigations
BLOOD BILIRUBIN INCREASED
30.0%
3/10 • Number of events 12
50.0%
3/6 • Number of events 6
Investigations
BLOOD CALCIUM DECREASED
20.0%
2/10 • Number of events 5
0.00%
0/6
Investigations
BLOOD CHLORIDE DECREASED
10.0%
1/10 • Number of events 1
16.7%
1/6 • Number of events 1
Investigations
BLOOD CREATININE INCREASED
50.0%
5/10 • Number of events 9
83.3%
5/6 • Number of events 12
Investigations
BLOOD GLUCOSE DECREASED
30.0%
3/10 • Number of events 4
0.00%
0/6
Investigations
BLOOD GLUCOSE INCREASED
60.0%
6/10 • Number of events 11
83.3%
5/6 • Number of events 8
Investigations
BLOOD LACTATE DEHYDROGENASE INCREASED
20.0%
2/10 • Number of events 2
50.0%
3/6 • Number of events 3
Investigations
BLOOD MAGNESIUM DECREASED
10.0%
1/10 • Number of events 1
0.00%
0/6
Investigations
BLOOD MAGNESIUM INCREASED
30.0%
3/10 • Number of events 5
50.0%
3/6 • Number of events 6
Investigations
BLOOD PHOSPHORUS DECREASED
50.0%
5/10 • Number of events 11
16.7%
1/6 • Number of events 2
Investigations
BLOOD PHOSPHORUS INCREASED
0.00%
0/10
16.7%
1/6 • Number of events 2
Investigations
BLOOD POTASSIUM INCREASED
30.0%
3/10 • Number of events 12
16.7%
1/6 • Number of events 1
Investigations
BLOOD SODIUM DECREASED
40.0%
4/10 • Number of events 6
16.7%
1/6 • Number of events 1
Investigations
BLOOD URIC ACID DECREASED
0.00%
0/10
16.7%
1/6 • Number of events 1
Investigations
ELECTROCARDIOGRAM QT PROLONGED
10.0%
1/10 • Number of events 1
0.00%
0/6
Investigations
GAMMA-GLUTAMYLTRANSFERASE INCREASED
10.0%
1/10 • Number of events 1
0.00%
0/6
Investigations
HAEMOGLOBIN DECREASED
20.0%
2/10 • Number of events 3
33.3%
2/6 • Number of events 4
Investigations
INTERNATIONAL NORMALISED RATIO INCREASED
50.0%
5/10 • Number of events 6
0.00%
0/6
Investigations
LYMPHOCYTE COUNT DECREASED
50.0%
5/10 • Number of events 12
66.7%
4/6 • Number of events 5
Investigations
NEUTROPHIL COUNT DECREASED
30.0%
3/10 • Number of events 7
16.7%
1/6 • Number of events 3
Investigations
PLATELET COUNT DECREASED
30.0%
3/10 • Number of events 6
100.0%
6/6 • Number of events 14
Investigations
PROTEIN TOTAL DECREASED
0.00%
0/10
16.7%
1/6 • Number of events 1
Investigations
PROTEIN URINE PRESENT
20.0%
2/10 • Number of events 2
33.3%
2/6 • Number of events 4
Investigations
RED BLOOD CELLS URINE POSITIVE
10.0%
1/10 • Number of events 1
0.00%
0/6
Investigations
URINARY SEDIMENT ABNORMAL
20.0%
2/10 • Number of events 8
0.00%
0/6
Investigations
URINE BILIRUBIN INCREASED
0.00%
0/10
16.7%
1/6 • Number of events 1
Investigations
UROBILIN URINE PRESENT
10.0%
1/10 • Number of events 6
16.7%
1/6 • Number of events 1
Investigations
WEIGHT DECREASED
60.0%
6/10 • Number of events 7
33.3%
2/6 • Number of events 2
Investigations
WHITE BLOOD CELL COUNT DECREASED
30.0%
3/10 • Number of events 6
16.7%
1/6 • Number of events 1
Investigations
WHITE BLOOD CELL COUNT INCREASED
10.0%
1/10 • Number of events 3
16.7%
1/6 • Number of events 1
Investigations
WHITE BLOOD CELLS URINE
10.0%
1/10 • Number of events 1
0.00%
0/6
Metabolism and nutrition disorders
ANOREXIA
90.0%
9/10 • Number of events 45
100.0%
6/6 • Number of events 11
Metabolism and nutrition disorders
DEHYDRATION
20.0%
2/10 • Number of events 4
16.7%
1/6 • Number of events 2
Metabolism and nutrition disorders
HYPERMAGNESAEMIA
10.0%
1/10 • Number of events 2
0.00%
0/6
Musculoskeletal and connective tissue disorders
MUSCLE SPASMS
10.0%
1/10 • Number of events 1
0.00%
0/6
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL PAIN
0.00%
0/10
16.7%
1/6 • Number of events 1
Musculoskeletal and connective tissue disorders
NECK PAIN
10.0%
1/10 • Number of events 1
0.00%
0/6
Nervous system disorders
DIZZINESS
10.0%
1/10 • Number of events 1
0.00%
0/6
Nervous system disorders
DYSGEUSIA
0.00%
0/10
50.0%
3/6 • Number of events 3
Nervous system disorders
EXTRAPYRAMIDAL DISORDER
0.00%
0/10
16.7%
1/6 • Number of events 1
Nervous system disorders
PYRAMIDAL TRACT SYNDROME
0.00%
0/10
16.7%
1/6 • Number of events 2
Nervous system disorders
SOMNOLENCE
10.0%
1/10 • Number of events 1
16.7%
1/6 • Number of events 3
Psychiatric disorders
INSOMNIA
10.0%
1/10 • Number of events 4
16.7%
1/6 • Number of events 1
Respiratory, thoracic and mediastinal disorders
COUGH
20.0%
2/10 • Number of events 3
16.7%
1/6 • Number of events 1
Respiratory, thoracic and mediastinal disorders
DYSPHONIA
20.0%
2/10 • Number of events 2
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
PNEUMOTHORAX
10.0%
1/10 • Number of events 1
0.00%
0/6
Skin and subcutaneous tissue disorders
DERMATITIS
0.00%
0/10
16.7%
1/6 • Number of events 1
Skin and subcutaneous tissue disorders
HYPERHIDROSIS
10.0%
1/10 • Number of events 1
0.00%
0/6
Skin and subcutaneous tissue disorders
NAIL BED INFLAMMATION
10.0%
1/10 • Number of events 1
0.00%
0/6
Skin and subcutaneous tissue disorders
NAIL DISORDER
10.0%
1/10 • Number of events 1
0.00%
0/6
Skin and subcutaneous tissue disorders
PRURITUS
10.0%
1/10 • Number of events 1
0.00%
0/6
Skin and subcutaneous tissue disorders
RASH
0.00%
0/10
16.7%
1/6 • Number of events 1
Vascular disorders
HAEMORRHAGE
10.0%
1/10 • Number of events 1
0.00%
0/6
Vascular disorders
HYPERTENSION
10.0%
1/10 • Number of events 1
16.7%
1/6 • Number of events 1

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