Trial Outcomes & Findings for GCC 0845:Vorinostat and Lapatinib in Advanced Solid Tumors and Advanced Breast Cancer to Evaluate Response and Biomarkers (NCT NCT01118975)

NCT ID: NCT01118975

Last Updated: 2019-11-13

Results Overview

Safety and tolerability were assessed. Adverse events and dose limiting toxicities were recorded during an escalting dose pilot phase.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

12 participants

Primary outcome timeframe

6 weeks

Results posted on

2019-11-13

Participant Flow

Participant milestones

Participant milestones
Measure
Pilot Phase - Vornistat 200 to 400mg + Lapatinib
lapatinib 1,250 mg continuous daily and escalating doses of vorinistat (200mg run-up, 300mg, and 400mg 4 days on 3 days off)
Phase II - Vorinistat 400mg + Lapatinib
lapatinib 1,250 mg continuous daily and vorinostat 400 mg 4 days on 3 days
Overall Study
STARTED
9
3
Overall Study
COMPLETED
9
2
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Pilot Phase - Vornistat 200 to 400mg + Lapatinib
lapatinib 1,250 mg continuous daily and escalating doses of vorinistat (200mg run-up, 300mg, and 400mg 4 days on 3 days off)
Phase II - Vorinistat 400mg + Lapatinib
lapatinib 1,250 mg continuous daily and vorinostat 400 mg 4 days on 3 days
Overall Study
Adverse Event
0
1

Baseline Characteristics

GCC 0845:Vorinostat and Lapatinib in Advanced Solid Tumors and Advanced Breast Cancer to Evaluate Response and Biomarkers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pilot Phase - Vornistat 200 to 400mg + Lapatinib
n=9 Participants
lapatinib 1,250 mg continuous daily and escalating doses of vorinistat (200mg run-up, 300mg, and 400mg 4 days on 3 days off)
Phase II - Vorinistat 400mg + Lapatinib
n=3 Participants
lapatinib 1,250 mg continuous daily and vorinostat 400 mg 4 days on 3 days
Total
n=12 Participants
Total of all reporting groups
Age, Customized
52 years
n=5 Participants
51 years
n=7 Participants
52 years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
3 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 weeks

Safety and tolerability were assessed. Adverse events and dose limiting toxicities were recorded during an escalting dose pilot phase.

Outcome measures

Outcome measures
Measure
Pilot Phase
n=9 Participants
The pilot phase consisted of an escalating dose design. Three patients received lapatinib 1,250 mg daily plus 300 mg vorinistat 4 days on then 3 days off. This dose was tolerated so six more patients recieved lapatinib 1,250 mg daily plus 400 mg vorinistat 4 days on 3 days off.
Dose Limiting Toxicities
0 Dose limiting toxicities

PRIMARY outcome

Timeframe: Radiological evaluations are performed every 12 weeks to determine disease status

The Clinical Benefit Rate is the number of patients with either Complete Response (CR), Partial Response (PR), or Stable Disease (SD) for ≥ 6 months

Outcome measures

Outcome measures
Measure
Pilot Phase
n=3 Participants
The pilot phase consisted of an escalating dose design. Three patients received lapatinib 1,250 mg daily plus 300 mg vorinistat 4 days on then 3 days off. This dose was tolerated so six more patients recieved lapatinib 1,250 mg daily plus 400 mg vorinistat 4 days on 3 days off.
Clinical Benefit Rate
1 participants

Adverse Events

Pilot Phase - Vornistat 200 to 400mg + Lapatinib

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Phase II - Vorinistat 400mg + Lapatinib

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

Serious adverse events

Serious adverse events
Measure
Pilot Phase - Vornistat 200 to 400mg + Lapatinib
n=9 participants at risk
lapatinib 1,250 mg continuous daily and escalating doses of vorinistat (200mg run-up, 300mg, and 400mg 4 days on 3 days off)
Phase II - Vorinistat 400mg + Lapatinib
n=3 participants at risk
lapatinib 1,250 mg continuous daily and vorinostat 400 mg 4 days on 3 days
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
11.1%
1/9 • Number of events 1
0.00%
0/3
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
1/9 • Number of events 1
0.00%
0/3

Other adverse events

Other adverse events
Measure
Pilot Phase - Vornistat 200 to 400mg + Lapatinib
n=9 participants at risk
lapatinib 1,250 mg continuous daily and escalating doses of vorinistat (200mg run-up, 300mg, and 400mg 4 days on 3 days off)
Phase II - Vorinistat 400mg + Lapatinib
n=3 participants at risk
lapatinib 1,250 mg continuous daily and vorinostat 400 mg 4 days on 3 days
General disorders
Fatigue
33.3%
3/9 • Number of events 3
33.3%
1/3 • Number of events 1
Gastrointestinal disorders
Diarrhea
55.6%
5/9 • Number of events 9
33.3%
1/3 • Number of events 3
Gastrointestinal disorders
Nausea
44.4%
4/9 • Number of events 4
33.3%
1/3 • Number of events 2
Gastrointestinal disorders
Vomiting
0.00%
0/9
33.3%
1/3 • Number of events 2
Skin and subcutaneous tissue disorders
Alopecia
22.2%
2/9 • Number of events 2
0.00%
0/3
Blood and lymphatic system disorders
Anemia
22.2%
2/9 • Number of events 2
0.00%
0/3
Gastrointestinal disorders
Anorexia
11.1%
1/9 • Number of events 1
0.00%
0/3
Skin and subcutaneous tissue disorders
Skin Atrophy
11.1%
1/9 • Number of events 1
0.00%
0/3
Blood and lymphatic system disorders
Bony lesion
11.1%
1/9 • Number of events 1
0.00%
0/3
Gastrointestinal disorders
Constipation
11.1%
1/9 • Number of events 1
0.00%
0/3
Respiratory, thoracic and mediastinal disorders
Cough
33.3%
3/9 • Number of events 3
0.00%
0/3
Gastrointestinal disorders
Dehydration
11.1%
1/9 • Number of events 1
0.00%
0/3
Infections and infestations
Dental abscess
11.1%
1/9 • Number of events 2
0.00%
0/3
Psychiatric disorders
Depression
33.3%
3/9 • Number of events 3
0.00%
0/3
Nervous system disorders
Dizziness
11.1%
1/9 • Number of events 3
0.00%
0/3
Skin and subcutaneous tissue disorders
Dry skin
11.1%
1/9 • Number of events 1
0.00%
0/3
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
1/9 • Number of events 1
0.00%
0/3
Ear and labyrinth disorders
Ear ache
11.1%
1/9 • Number of events 1
0.00%
0/3
Metabolism and nutrition disorders
Elevated chloride
11.1%
1/9 • Number of events 1
0.00%
0/3
Metabolism and nutrition disorders
Elevated creatinine
11.1%
1/9 • Number of events 1
0.00%
0/3
Metabolism and nutrition disorders
Elevated phosphorus
11.1%
1/9 • Number of events 1
0.00%
0/3
Metabolism and nutrition disorders
Elevated protein
11.1%
1/9 • Number of events 1
0.00%
0/3
Metabolism and nutrition disorders
Elevated SGPT
11.1%
1/9 • Number of events 3
0.00%
0/3
Metabolism and nutrition disorders
Elevated uric acid
11.1%
1/9 • Number of events 2
0.00%
0/3
Skin and subcutaneous tissue disorders
Erythema
11.1%
1/9 • Number of events 1
0.00%
0/3
Gastrointestinal disorders
Headache
22.2%
2/9 • Number of events 3
0.00%
0/3
Respiratory, thoracic and mediastinal disorders
Hoarseness
11.1%
1/9 • Number of events 1
0.00%
0/3
Endocrine disorders
Hot flashes
22.2%
2/9 • Number of events 2
0.00%
0/3
Metabolism and nutrition disorders
Hyperbilirubinemia
11.1%
1/9 • Number of events 2
0.00%
0/3
Metabolism and nutrition disorders
Hyperglycemia
33.3%
3/9 • Number of events 3
0.00%
0/3
Cardiac disorders
Hypertension
11.1%
1/9 • Number of events 1
0.00%
0/3
Metabolism and nutrition disorders
Hypokalemia
33.3%
3/9 • Number of events 5
0.00%
0/3
General disorders
Insomnia
11.1%
1/9 • Number of events 1
0.00%
0/3
Blood and lymphatic system disorders
Leukopenia
11.1%
1/9 • Number of events 1
0.00%
0/3
General disorders
Migranes
11.1%
1/9 • Number of events 1
0.00%
0/3
Musculoskeletal and connective tissue disorders
Muscle cramps
22.2%
2/9 • Number of events 2
0.00%
0/3
Nervous system disorders
Neuropathy
22.2%
2/9 • Number of events 2
0.00%
0/3
Blood and lymphatic system disorders
Neutropenia
11.1%
1/9 • Number of events 2
0.00%
0/3
Eye disorders
Ocular discharge
11.1%
1/9 • Number of events 1
0.00%
0/3
General disorders
Pain - back, chest or shoulder
33.3%
3/9 • Number of events 3
0.00%
0/3
General disorders
Pain - limbs
33.3%
3/9 • Number of events 3
0.00%
0/3
Cardiac disorders
Prolonged QTc
11.1%
1/9 • Number of events 1
0.00%
0/3
Skin and subcutaneous tissue disorders
Pruritis/itching
11.1%
1/9 • Number of events 1
0.00%
0/3
Skin and subcutaneous tissue disorders
Radiation dermatitis
11.1%
1/9 • Number of events 1
0.00%
0/3
Skin and subcutaneous tissue disorders
Rash
33.3%
3/9 • Number of events 5
0.00%
0/3
Skin and subcutaneous tissue disorders
Skin nodules
22.2%
2/9 • Number of events 2
0.00%
0/3
Respiratory, thoracic and mediastinal disorders
Sore throat
11.1%
1/9 • Number of events 1
0.00%
0/3
Gastrointestinal disorders
Stomatitis
11.1%
1/9 • Number of events 1
0.00%
0/3
Nervous system disorders
Syncope
11.1%
1/9 • Number of events 1
0.00%
0/3
Infections and infestations
Thrush
11.1%
1/9 • Number of events 1
0.00%
0/3
Metabolism and nutrition disorders
Weight loss
11.1%
1/9 • Number of events 1
0.00%
0/3

Additional Information

Michelle Medeiros

University of Maryland

Phone: 410-328-1160

Results disclosure agreements

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

Restriction type: LTE60