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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2013-01272 | Registry Identifier | CTRP (Clinical Trial Reporting Program) | |
| TX035 | |||
| 2012-0602 | |||
| 9342 | Other Identifier | M D Anderson Cancer Center | |
| 9342 | Other Identifier | CTEP | |
| P30CA016672 | U.S. NIH Grant/Contract | View source | |
| U01CA062461 | U.S. NIH Grant/Contract | View source | |
| UM1CA186688 | U.S. NIH Grant/Contract | View source |
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This phase I trial studies the side effects and best dose of alisertib and romidepsin in treating patients with B-cell or T-cell lymphomas that have returned after a period of improvement (relapsed) or have not responded to treatment (refractory). Alisertib and romidepsin may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.
PRIMARY OBJECTIVES:
I. To assess the safety profile of alisertib (MLN8237) plus romidepsin. II. To determine the maximum tolerated dose (MTD), if reached, of MLN8237 administered in combination with romidepsin.
SECONDARY OBJECTIVES:
I. To evaluate objective response rate (ORR) and complete response (CR) of the combined regimen.
II. To assess whether higher levels of expression of aurora kinase A correlate with outcomes.
III. To determine if this combination results in downregulation of targets of v-myc myelocytomatosis viral oncogene homolog (avian) (C-Myc) in C-Myc positive patients, induces mitotic catastrophe, changes immune system or other host responses, or upregulates markers for apoptosis.
OUTLINE: This is a dose-escalation study.
Patients receive alisertib orally (PO) twice daily (BID) on days 1-7 (dose levels 1-4) or days 1-3, 8-10, and 15-17 (dose levels 5-8). Patients also receive romidepsin intravenously (IV) over 4 hours on days 1 and 8 (dose levels 1-4) or 2, 9, and 16 (dose levels 5-8). Treatment repeats every 21 days (dose levels 1-4) or 28 days (dose levels 5-8) for up to 8 courses in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up for 4 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment (alisertib, romidepsin) | Experimental | Patients receive alisertib PO BID on days 1-7 (dose levels 1-4) or days 1-3, 8-10, and 15-17 (dose levels 5-8). Patients also receive romidepsin IV over 4 hours on days 1 and 8 (dose levels 1-4) or 2, 9, and 16 (dose levels 5-8). Treatment repeats every 21 days (dose levels 1-4) or 28 days (dose levels 5-8) for up to 8 courses in the absence of disease progression or unacceptable toxicity. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alisertib | Drug | Given PO |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events as graded by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (utilized for adverse event reporting beginning April 1, 2018) | Up to 4 weeks post-treatment | |
| Maximum tolerated dose graded according to NCI CTCAE version 5.0 | Maximum tolerated dose is defined as the highest dose level at which 6 patients have been treated with fewer than 2 instances of dose-limiting toxicities. | Up to 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Overall response rate | Point estimates along with 95% confidence intervals will be provided. | Up to 4 weeks post-treatment |
| Complete response | Point estimates along with 95% confidence intervals will be provided. |
| Measure | Description | Time Frame |
|---|---|---|
| Aurora A kinase expression intensity, assessed by immunohistochemistry | Will be correlated with response. | Baseline |
| Change in gene expression profiles | Will be correlated with response. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hun Lee | M.D. Anderson Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| M D Anderson Cancer Center | Houston | Texas | 77030 | United States |
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| Laboratory Biomarker Analysis | Other | Correlative studies |
|
| Romidepsin | Drug | Given IV |
|
|
| Up to 4 weeks post-treatment |
| Baseline to up to 28 days (course 1) |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| D002051 | Burkitt Lymphoma |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D008224 | Lymphoma, Follicular |
| D006689 | Hodgkin Disease |
| D020522 | Lymphoma, Mantle-Cell |
| D016399 | Lymphoma, T-Cell |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| 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 |
| D020031 | Epstein-Barr Virus Infections |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
| D014412 | Tumor Virus Infections |
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| ID | Term |
|---|---|
| C550258 | MLN 8237 |
| C087123 | romidepsin |
| D047630 | Depsipeptides |
| D007783 | Lactones |
| ID | Term |
|---|---|
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009930 | Organic Chemicals |
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