Trial Outcomes & Findings for Vorinostat and Bortezomib in Treating Patients With Advanced Soft Tissue Sarcoma (NCT NCT00937495)

NCT ID: NCT00937495

Last Updated: 2014-05-14

Results Overview

The number of confirmed tumor responses is defined as a complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) on two consecutive evaluations at least six weeks apart. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the longest dimension (LD) of target lesions taking as reference the baseline sum LD.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Up to 2 years

Results posted on

2014-05-14

Participant Flow

Sixteen patients were accrued to this study from June 2009 through July 2010.

One participant received commercial drug instead of study drug and was deemed a violation. Another participant did not have a post baseline measurement scan and by protocol is not evaluable for the primary endpoint. These patients were excluded from the primary endpoint analysis. Therefore, 14 participants were evaluated for each endpoint.

Participant milestones

Participant milestones
Measure
Treatment (Vorinostat, Bortezomib)
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
16
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Vorinostat, Bortezomib)
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Overall Study
Protocol Violation
2

Baseline Characteristics

Vorinostat and Bortezomib in Treating Patients With Advanced Soft Tissue Sarcoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Vorinostat, Bortezomib)
n=16 Participants
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Age, Continuous
62 years
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 2 years

The number of confirmed tumor responses is defined as a complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) on two consecutive evaluations at least six weeks apart. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the longest dimension (LD) of target lesions taking as reference the baseline sum LD.

Outcome measures

Outcome measures
Measure
Treatment (Vorinostat, Bortezomib)
n=14 Participants
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Confirmed Tumor Responses
Complete Response (CR)
0 participants
Confirmed Tumor Responses
Partial Response (PR)
0 participants

SECONDARY outcome

Timeframe: Up to 2 years

Progression-free survival is defined as the time from registration to the time of progression or death, whichever comes first. The distribution and median of progression-free survival times will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Treatment (Vorinostat, Bortezomib)
n=14 Participants
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Progression Free Survival
1.5 months
Interval 1.3 to 2.9

SECONDARY outcome

Timeframe: Time from registration to death due to any cause, assessed up to 2 years

The distribution of survival time will be estimated using the method of Kaplan-Meier.

Outcome measures

Outcome measures
Measure
Treatment (Vorinostat, Bortezomib)
n=14 Participants
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Overall Survival
16.4 months
Interval 9.4 to
The upper bound of the 95% confidence interval could not be estimated due to an insufficient number of events.

Adverse Events

Treatment (Vorinostat, Bortezomib)

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

Serious adverse events

Serious adverse events
Measure
Treatment (Vorinostat, Bortezomib)
n=16 participants at risk
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Hemoglobin decreased
6.2%
1/16 • Number of events 2
Gastrointestinal disorders
Diarrhea
18.8%
3/16 • Number of events 3
Gastrointestinal disorders
Nausea
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Vomiting
12.5%
2/16 • Number of events 2
General disorders
Fatigue
6.2%
1/16 • Number of events 1
Investigations
INR increased
6.2%
1/16 • Number of events 1
Investigations
Platelet count decreased
18.8%
3/16 • Number of events 5
Metabolism and nutrition disorders
Anorexia
6.2%
1/16 • Number of events 1
Metabolism and nutrition disorders
Dehydration
6.2%
1/16 • Number of events 1
Nervous system disorders
Depressed level of consciousness
6.2%
1/16 • Number of events 1
Nervous system disorders
Syncope
6.2%
1/16 • Number of events 1
Psychiatric disorders
Confusion
6.2%
1/16 • Number of events 1
Skin and subcutaneous tissue disorders
Erythema multiforme
6.2%
1/16 • Number of events 1
Vascular disorders
Hypotension
6.2%
1/16 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment (Vorinostat, Bortezomib)
n=16 participants at risk
Patients receive 400 mg vorinostat orally once daily on days 1-14. Patients also receive 1.3 mg/m\^2 bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Blood and lymphatic system disorders
Hemoglobin decreased
75.0%
12/16 • Number of events 35
Eye disorders
Optic nerve edema
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Constipation
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Diarrhea
75.0%
12/16 • Number of events 35
Gastrointestinal disorders
Dyspepsia
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Ear, nose and throat examination abnormal
6.2%
1/16 • Number of events 2
Gastrointestinal disorders
Flatulence
6.2%
1/16 • Number of events 2
Gastrointestinal disorders
Intra-abdominal hemorrhage
6.2%
1/16 • Number of events 1
Gastrointestinal disorders
Nausea
87.5%
14/16 • Number of events 35
Gastrointestinal disorders
Oral hemorrhage
12.5%
2/16 • Number of events 2
Gastrointestinal disorders
Upper gastrointestinal hemorrhage
6.2%
1/16 • Number of events 2
Gastrointestinal disorders
Vomiting
68.8%
11/16 • Number of events 18
General disorders
Chills
6.2%
1/16 • Number of events 1
General disorders
Edema limbs
12.5%
2/16 • Number of events 4
General disorders
Fatigue
93.8%
15/16 • Number of events 48
Infections and infestations
Mucosal infection
6.2%
1/16 • Number of events 1
Investigations
Alanine aminotransferase increased
6.2%
1/16 • Number of events 1
Investigations
Aspartate aminotransferase increased
31.2%
5/16 • Number of events 6
Investigations
Bilirubin increased
6.2%
1/16 • Number of events 1
Investigations
Creatinine increased
6.2%
1/16 • Number of events 1
Investigations
Leukocyte count decreased
56.2%
9/16 • Number of events 11
Investigations
Neutrophil count decreased
6.2%
1/16 • Number of events 1
Investigations
Platelet count decreased
81.2%
13/16 • Number of events 33
Metabolism and nutrition disorders
Anorexia
56.2%
9/16 • Number of events 29
Metabolism and nutrition disorders
Dehydration
12.5%
2/16 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscle weakness
6.2%
1/16 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
6.2%
1/16 • Number of events 1
Nervous system disorders
Dizziness
18.8%
3/16 • Number of events 9
Nervous system disorders
Peripheral motor neuropathy
18.8%
3/16 • Number of events 5
Nervous system disorders
Peripheral sensory neuropathy
31.2%
5/16 • Number of events 18
Nervous system disorders
Syncope
6.2%
1/16 • Number of events 1
Psychiatric disorders
Insomnia
6.2%
1/16 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
6.2%
1/16 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Dyspnea
12.5%
2/16 • Number of events 3
Skin and subcutaneous tissue disorders
Alopecia
6.2%
1/16 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
6.2%
1/16 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
6.2%
1/16 • Number of events 2
Vascular disorders
Hypotension
6.2%
1/16 • Number of events 1
Vascular disorders
Thrombosis
6.2%
1/16 • Number of events 1

Additional Information

Steven Attia, D.O.

University of Wisconsin

Results disclosure agreements

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

Restriction type: LTE60