Trial Outcomes & Findings for Vorinostat and Bortezomib as Third-line Treatment in Advanced Non-small Cell Lung Cancer (NCT NCT00798720)

NCT ID: NCT00798720

Last Updated: 2019-12-13

Results Overview

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since the treatment started or the appearance of one or more new lesions."

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

18 participants

Primary outcome timeframe

Three-months post-treatment

Results posted on

2019-12-13

Participant Flow

Recruitment occurred during 2/16/2008 and 03/09/2010.

Participant milestones

Participant milestones
Measure
Vorinostat + Bortezomib
Vorinostat 400 mg + Bortezomib 1.3 mg/m2 vorinostat: 400 mg by mouth once daily for days 1-14 of each 21 day cycle bortezomib: 1.3 mg/m2 IV on days 1, 4, 8, 11 of each 21 day cycle
Overall Study
STARTED
18
Overall Study
COMPLETED
18
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vorinostat and Bortezomib as Third-line Treatment in Advanced Non-small Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vorinostat + Bortezomib
n=18 Participants
Vorinostat 400 mg + Bortezomib 1.3 mg/m2 vorinostat: 400 mg by mouth once daily for days 1-14 of each 21 day cycle bortezomib: 1.3 mg/m2 IV on days 1, 4, 8, 11 of each 21 day cycle
Age, Continuous
57 years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
Histology
Adenocarcinoma
9 participants
n=5 Participants
Histology
Squamous Cell
2 participants
n=5 Participants
Histology
NSCLC, NOS
7 participants
n=5 Participants
Performance Status
0
5 participants
n=5 Participants
Performance Status
1
12 participants
n=5 Participants
Performance Status
2
1 participants
n=5 Participants
Disease Stage
Metastatic
16 participants
n=5 Participants
Disease Stage
Recurrent
2 participants
n=5 Participants
Disease Stage
Brain Metastases
6 participants
n=5 Participants
Prior first-line systemic therapy
Paclitaxel/Platinum
10 participants
n=5 Participants
Prior first-line systemic therapy
Paclitaxel/Platinum/Bevacizumab
2 participants
n=5 Participants
Prior first-line systemic therapy
Paclitaxel/Platinum/Investigational Drug
2 participants
n=5 Participants
Prior first-line systemic therapy
Pemetrexed/Platinum
3 participants
n=5 Participants
Prior first-line systemic therapy
Vinorelbine/Platinum
1 participants
n=5 Participants
Response to first-line therapy
Partial response
7 participants
n=5 Participants
Response to first-line therapy
Stable disease
4 participants
n=5 Participants
Response to first-line therapy
Progressive disease
6 participants
n=5 Participants
Response to first-line therapy
Not reported
1 participants
n=5 Participants
Prior second-line systemic therapy
Pemetrexed
10 participants
n=5 Participants
Prior second-line systemic therapy
Pemetrexed/Investigational drug
1 participants
n=5 Participants
Prior second-line systemic therapy
Docetaxel/Investigational drug
1 participants
n=5 Participants
Prior second-line systemic therapy
Erlotinib
4 participants
n=5 Participants
Prior second-line systemic therapy
Platinum doublets
2 participants
n=5 Participants
Response to second-line therapy
Partial response
1 participants
n=5 Participants
Response to second-line therapy
Stable disease
3 participants
n=5 Participants
Response to second-line therapy
Progressive disease
13 participants
n=5 Participants
Response to second-line therapy
Not reported
1 participants
n=5 Participants
Prior thoracic radiation therapy
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: Three-months post-treatment

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since the treatment started or the appearance of one or more new lesions."

Outcome measures

Outcome measures
Measure
Vorinostat + Bortezomib
n=18 Participants
Vorinostat 400 mg + Bortezomib 1.3 mg/m2 vorinostat: 400 mg by mouth once daily for days 1-14 of each 21 day cycle bortezomib: 1.3 mg/m2 IV on days 1, 4, 8, 11 of each 21 day cycle
Three-month Progression-free Survival
11.1 percentage of participants
Interval 0.8 to 25.6

SECONDARY outcome

Timeframe: Until disease progression, up to 2 years

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) for target lesions and assessed by MRI, CT, or chest 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.

Outcome measures

Outcome measures
Measure
Vorinostat + Bortezomib
n=18 Participants
Vorinostat 400 mg + Bortezomib 1.3 mg/m2 vorinostat: 400 mg by mouth once daily for days 1-14 of each 21 day cycle bortezomib: 1.3 mg/m2 IV on days 1, 4, 8, 11 of each 21 day cycle
Response Rate
Stable disease
5 participants
Response Rate
Partial response
0 participants
Response Rate
Progressive disease
13 participants

SECONDARY outcome

Timeframe: 5 years

Outcome measures

Outcome measures
Measure
Vorinostat + Bortezomib
n=18 Participants
Vorinostat 400 mg + Bortezomib 1.3 mg/m2 vorinostat: 400 mg by mouth once daily for days 1-14 of each 21 day cycle bortezomib: 1.3 mg/m2 IV on days 1, 4, 8, 11 of each 21 day cycle
Median Overall Survival
4.7 months
Interval 3.2 to 8.6

SECONDARY outcome

Timeframe: 30 days post-treatment

Graded using the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 3.0

Outcome measures

Outcome measures
Measure
Vorinostat + Bortezomib
n=18 Participants
Vorinostat 400 mg + Bortezomib 1.3 mg/m2 vorinostat: 400 mg by mouth once daily for days 1-14 of each 21 day cycle bortezomib: 1.3 mg/m2 IV on days 1, 4, 8, 11 of each 21 day cycle
Toxicity
Thrombocytopenia Grade 3
7 participants
Toxicity
Thrombocytopenia Grade 4
1 participants
Toxicity
Lymphopenia Grade 3
3 participants
Toxicity
Fatigue Grade 3
4 participants
Toxicity
Fatigue Grade 4
1 participants
Toxicity
Vomiting Grade 3
2 participants
Toxicity
Dizziness Grade 3
2 participants
Toxicity
Syncope Grade 3
2 participants
Toxicity
Neuropathy Grade 3
2 participants
Toxicity
Hyponatremia Grade 3
3 participants

Adverse Events

Vorinostat + Bortezomib

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vorinostat + Bortezomib
n=18 participants at risk
Vorinostat 400 mg + Bortezomib 1.3 mg/m2 vorinostat: 400 mg by mouth once daily for days 1-14 of each 21 day cycle bortezomib: 1.3 mg/m2 IV on days 1, 4, 8, 11 of each 21 day cycle
Blood and lymphatic system disorders
Lymphopenia
5.6%
1/18
Blood and lymphatic system disorders
Platelets
5.6%
1/18
Cardiac disorders
Pericardial effusion (non-malignant)
5.6%
1/18
Cardiac disorders
Pericarditis
5.6%
1/18
General disorders
Failure to thrive
5.6%
1/18
General disorders
Fatigue
5.6%
1/18
Gastrointestinal disorders
Fistula, esophagus
5.6%
1/18
Metabolism and nutrition disorders
Hypoalbuminemia
5.6%
1/18
Metabolism and nutrition disorders
Hyponatremia
11.1%
2/18
Nervous system disorders
Confusion
5.6%
1/18
Nervous system disorders
Dizziness
5.6%
1/18
Nervous system disorders
Neuropathy, motor
5.6%
1/18
Nervous system disorders
Psychosis
5.6%
1/18
Nervous system disorders
Syncope
5.6%
1/18
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
2/18
Respiratory, thoracic and mediastinal disorders
Hypoxia
11.1%
2/18
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
5.6%
1/18
General disorders
Systemic inflammatory response syndrome
5.6%
1/18
Vascular disorders
Thrombosis/Thrombus/Embolism
5.6%
1/18

Other adverse events

Adverse event data not reported

Additional Information

Abigail Mapes, Thoracic Oncology Research Program Manager

University of Wisconsin

Phone: (608) 262-8158

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place