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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2009-01302 | Registry Identifier | CTRP (Clinical Trial Reporting Program) | |
| FH 2292/X05287 | Other Identifier | Fred Hutchinson Cancer Research Center | |
| X05287 | |||
| 2292.00 | Other Identifier | Fred Hutchinson Cancer Research Center | |
| P30CA015704 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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This phase II trial studies the side effects and how well bortezomib and vorinostat work in treating patients with non-Hodgkin lymphoma (NHL) after patients' own stem cell (autologous) transplant. Bortezomib and vorinostat in the laboratory may stop the growth of lymphoma cells and make them more likely to die by blocking some of the enzymes needed for cell growth. Giving bortezomib together with vorinostat after an autologous stem cell transplant may thus kill lymphoma cells that remain after transplant.
PRIMARY OBJECTIVES:
I. Assess toxicities of combining vorinostat and bortezomib as maintenance therapy after autologous stem cell transplant (ASCT) for NHL.
SECONDARY OBJECTIVES:
I. Ability to complete planned therapy.
II. Time to disease progression, event-free survival.
III. Overall survival.
OUTLINE:
All patients receive carmustine intravenously (IV) over 3 hours on day -7; cytarabine IV twice daily (BID) over 3 hours and etoposide IV BID over 2 hours on days -6 to -3; and melphalan IV over 30 minutes on day -2. Only patients with history of cluster of differentiation (CD)20+ NHL receive additional rituximab IV on days -19 and -12. Patients undergo ASCT on day 0. Patients then receive bortezomib IV on days 2 and 8, and vorinostat orally (PO) once daily (QD) on days 1-14. Treatment with bortezomib and vorinostat repeats for total of 12 courses in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed for at least 2 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment (chemotherapy, ASCT, bortezomib, vorinostat)) | Experimental | All patients receive carmustine IV over 3 hours on day -7; cytarabine IV BID over 3 hours and etoposide IV BID over 2 hours on days -6 to -3; and melphalan IV over 30 minutes on day -2. Only patients with history of CD20+ NHL receive additional rituximab IV on days -19 and -12. Patients undergo ASCT on day 0. Patients then receive bortezomib IV on days 2 and 8, and vorinostat PO QD on days 1-14. Treatment with bortezomib and vorinostat repeats for total of 12 courses in the absence of disease progression or unacceptable toxicity. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Autologous Hematopoietic Stem Cell Transplantation | Procedure | Undergo ASCT |
|
| Measure | Description | Time Frame |
|---|---|---|
| Toxicity of Vorinostat Bortezomib Maintenance Therapy After Autologous Transplant | Number of patients on maintenance therapy post-transplant who experienced grade 3 or higher toxicity per NCI-Common Terminology Criteria for Adverse Events, version 3. The first three months of bortezomib and vorinostat therapy will be used as the time period to evaluate toxicity for stopping rules of the study. Toxicity that meets stopping rules will be determined based on the number of patients that are withdrawn from study for significant toxicity (grade IV, non-hematological, non-metabolic, non-peripheral neuropathy). | 3 months after start of maintenance therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Median Time to Disease Progression | median days from transplant to relapse/progression | time post ASCT to progression |
| Ability to Complete Planned 12 Cycles of Maintenance Therapy | Number of patients who completed all 12 cycles of maintenance therapy. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Leona Holmberg | Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium | Seattle | Washington | 98109 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Treatment (Chemotherapy, ASCT, Bortezomib, Vorinostat)) | All patients receive carmustine IV over 3 hours on day -7; cytarabine IV BID over 3 hours and etoposide IV BID over 2 hours on days -6 to -3; and melphalan IV over 30 minutes on day -2. Only patients with history of CD20+ NHL receive additional rituximab IV on days -19 and -12. Patients undergo ASCT on day 0. Patients then receive bortezomib IV on days 2 and 8, and vorinostat PO QD on days 1-14. Treatment with bortezomib and vorinostat repeats for total of 12 courses in the absence of disease progression or unacceptable toxicity. Autologous Hematopoietic Stem Cell Transplantation: Undergo ASCT Bortezomib: Given IV Carmustine: Given IV Cytarabine: Given IV Etoposide: Given IV Melphalan: Given IV Rituximab: Given IV Vorinostat: Given PO |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Bortezomib | Drug | Given IV |
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| Carmustine | Drug | Given IV |
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| Cytarabine | Drug | Given IV |
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| Etoposide | Drug | Given IV |
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| Melphalan | Drug | Given IV |
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| Rituximab | Drug | Given IV |
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| Vorinostat | Drug | Given PO |
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| Approximately 12 months following start of maintenance therapy |
| Overall Survival | Number of patients alive who received maintenance therapy | 6.64 Years Post-Transplant |
| Event-free Survival | Number of patients alive without disease progression/relapse | 6.64 Years Post-Transplant |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Treatment (Chemotherapy, ASCT, Bortezomib, Vorinostat)) | All patients receive carmustine IV over 3 hours on day -7; cytarabine IV BID over 3 hours and etoposide IV BID over 2 hours on days -6 to -3; and melphalan IV over 30 minutes on day -2. Only patients with history of CD20+ NHL receive additional rituximab IV on days -19 and -12. Patients undergo ASCT on day 0. Patients then receive bortezomib IV on days 2 and 8, and vorinostat PO QD on days 1-14. Treatment with bortezomib and vorinostat repeats for total of 12 courses in the absence of disease progression or unacceptable toxicity. Autologous Hematopoietic Stem Cell Transplantation: Undergo ASCT Bortezomib: Given IV Carmustine: Given IV Cytarabine: Given IV Etoposide: Given IV Melphalan: Given IV Rituximab: Given IV Vorinostat: Given PO |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Median | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Toxicity of Vorinostat Bortezomib Maintenance Therapy After Autologous Transplant | Number of patients on maintenance therapy post-transplant who experienced grade 3 or higher toxicity per NCI-Common Terminology Criteria for Adverse Events, version 3. The first three months of bortezomib and vorinostat therapy will be used as the time period to evaluate toxicity for stopping rules of the study. Toxicity that meets stopping rules will be determined based on the number of patients that are withdrawn from study for significant toxicity (grade IV, non-hematological, non-metabolic, non-peripheral neuropathy). | Posted | Count of Participants | Participants | 3 months after start of maintenance therapy |
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| Secondary | Median Time to Disease Progression | median days from transplant to relapse/progression | median time to progression /relapse | Posted | Median | Full Range | years | time post ASCT to progression |
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| Secondary | Ability to Complete Planned 12 Cycles of Maintenance Therapy | Number of patients who completed all 12 cycles of maintenance therapy. | Posted | Count of Participants | Participants | Approximately 12 months following start of maintenance therapy |
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| Secondary | Overall Survival | Number of patients alive who received maintenance therapy | Posted | Number | participants | 6.64 Years Post-Transplant |
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| Secondary | Event-free Survival | Number of patients alive without disease progression/relapse | Posted | Count of Participants | Participants | 6.64 Years Post-Transplant |
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Adverse events will be evaluated according to criteria outlined in the NCI Common Terminology Criteria for Adverse Events (CTCAE), version 3.0., except hematological toxicity. Grade 3 or higher reported.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Treatment (Chemotherapy, ASCT, Bortezomib, Vorinostat)) | All patients receive carmustine IV over 3 hours on day -7; cytarabine IV BID over 3 hours and etoposide IV BID over 2 hours on days -6 to -3; and melphalan IV over 30 minutes on day -2. Only patients with history of CD20+ NHL receive additional rituximab IV on days -19 and -12. Patients undergo ASCT on day 0. Patients then receive bortezomib IV on days 2 and 8, and vorinostat PO QD on days 1-14. Treatment with bortezomib and vorinostat repeats for total of 12 courses in the absence of disease progression or unacceptable toxicity. Autologous Hematopoietic Stem Cell Transplantation: Undergo ASCT Bortezomib: Given IV Carmustine: Given IV Cytarabine: Given IV Etoposide: Given IV Melphalan: Given IV Rituximab: Given IV Vorinostat: Given PO | 7 | 27 | 9 | 27 | 27 | 27 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial flutter/atrial fibrillation | Cardiac disorders | Systematic Assessment | Transplant toxicity. |
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| Febrile neutropenia | Blood and lymphatic system disorders | Systematic Assessment | Transplant toxicity. One patient had both febrile neutropenia with transplant and pneumonia with maintenance therapy as two separate events. |
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| Abdominal pain/diarrhea | Gastrointestinal disorders | Systematic Assessment | Maintenance therapy toxicity. |
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| Pneumonia | Infections and infestations | Systematic Assessment | Maintenance therapy toxicity. One patient had both febrile neutropenia with transplant and pneumonia with maintenance therapy as two separate events. |
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| Nausea, vomiting, and diarrhea requiring hospitalization | Gastrointestinal disorders | Systematic Assessment | Transplant toxicity. |
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| Colitis | Gastrointestinal disorders | Systematic Assessment | Transplant toxicity. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Auto GVHD | General disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Colitis | Gastrointestinal disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Dehydration | Metabolism and nutrition disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Diarrhea | Gastrointestinal disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Febrile neutropenia | Blood and lymphatic system disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Heartburn | Gastrointestinal disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Nausea/Vomitting | Gastrointestinal disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Nausea | Gastrointestinal disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Mucositis | Gastrointestinal disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Neutropenia | Investigations | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Rash | Skin and subcutaneous tissue disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Thrombocytopenia | Investigations | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Volume overload | General disorders | Systematic Assessment | Autologous transplant adverse event. No patients died due to transplant therapy. |
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| Dizziness | Nervous system disorders | Systematic Assessment | Maintenance therapy post-transplant adverse event. No patients died due to maintenance therapy. |
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| Hyponatremia | Metabolism and nutrition disorders | Systematic Assessment | Maintenance therapy post-transplant adverse event. No patients died due to maintenance therapy. |
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| Methemoglobinemia | Blood and lymphatic system disorders | Systematic Assessment | Maintenance therapy post-transplant adverse event. No patients died due to maintenance therapy. |
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| Neutropenia | Investigations | Systematic Assessment | Maintenance therapy post-transplant adverse event. No patients died due to maintenance therapy. |
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| Peripheral neuropathy | Nervous system disorders | Systematic Assessment | Maintenance therapy post-transplant adverse event. No patients died due to maintenance therapy. |
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| Thrombocytopenia | Investigations | Systematic Assessment | Maintenance therapy post-transplant adverse event. No patients died due to maintenance therapy. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Leona A. Holmberg | Fred Hutchinson Cancer Research Center | 206-667-6447 | lholmber@fredhutch.org |
| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D016393 | Lymphoma, B-Cell |
| D008224 | Lymphoma, Follicular |
| D020522 | Lymphoma, Mantle-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D016399 | Lymphoma, T-Cell |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000069286 | Bortezomib |
| D002330 | Carmustine |
| C574855 | carmustine, poliferprosan 20 drug combination |
| D003561 | Cytarabine |
| D005047 | Etoposide |
| D008558 | Melphalan |
| D000069283 | Rituximab |
| D000077337 | Vorinostat |
| ID | Term |
|---|---|
| D001897 | Boronic Acids |
| D000148 | Acids, Noncarboxylic |
| D000143 | Acids |
| D007287 | Inorganic Chemicals |
| D001896 | Boron Compounds |
| D009930 | Organic Chemicals |
| D011719 | Pyrazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D009607 | Nitrosourea Compounds |
| D014508 | Urea |
| D000577 | Amides |
| D009603 | Nitroso Compounds |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D001087 | Arabinonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D011034 | Podophyllotoxin |
| D013764 | Tetrahydronaphthalenes |
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D005960 | Glucosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D010649 | Phenylalanine |
| D024322 | Amino Acids, Aromatic |
| D000598 | Amino Acids, Cyclic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D058846 | Antibodies, Monoclonal, Murine-Derived |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D000813 | Anilides |
| D000814 | Aniline Compounds |
| D000588 | Amines |
| D006877 | Hydroxamic Acids |
| D006898 | Hydroxylamines |
| D006880 | Hydroxy Acids |
| D002264 | Carboxylic Acids |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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