NCT00111813

Brief Summary

The purposes of this study are:

  • To determine the maximum tolerated dose (MTD) for the combination of oral vorinostat and bortezomib in participants with advanced multiple myeloma
  • To assess the safety and tolerability of this regimen and to document the participant's clinical status (by anti-tumor activity) for this combination, as determined per standard of care.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
34

participants targeted

Target at P50-P75 for phase_1 multiple-myeloma

Timeline
Completed

Started Sep 2005

Typical duration for phase_1 multiple-myeloma

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 25, 2005

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 26, 2005

Completed
3 months until next milestone

Study Start

First participant enrolled

September 1, 2005

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2009

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

April 6, 2011

Completed
25 days until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2011

Completed
Last Updated

May 21, 2015

Status Verified

May 1, 2015

Enrollment Period

4.3 years

First QC Date

May 25, 2005

Results QC Date

March 10, 2011

Last Update Submit

May 5, 2015

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean Duration of Treatment With Vorinostat

    Event causing discontinuation from the study was defined as (1) progressive disease OR (2) intolerable toxicity. Progressive disease was defined as: * \>25% increase in the level of serum monoclonal paraprotein. * 25% increase in 24-hour urinary light chain excretion. * \>25% increase in plasma cells in a bone marrow aspirate or on trephine biopsy. * Development of new bone lesions or soft tissue plasmacytomas. * Development of hypercalcemia. Intolerable toxicity was based on the clinical judgment of the investigator.

    Day 1 to an event causing discontinuation from the study, assessed up to 29 months

Secondary Outcomes (4)

  • Number of Participants With Dose Modifications of Either Vorinostat or Bortezomib Due to Adverse Experiences (AEs) After Treatment With Study Drug

    Day 1 to disease progression, toxicity, or death, assessed up to 29 months

  • Mean Time to First AE Resulting in a Dose Modification in Either Vorinostat or Bortezomib

    Day 1 to disease progression, toxicity, or death, assessed up to 29 months

  • Clinical AE Summary

    Day 1 up to disease progression, toxicity, or death, assessed up to 30 days after end of treatment (up to 30 months)

  • Laboratory AE Summary

    Day 1 up to disease progression, toxicity, or death, assessed up to 29 months

Study Arms (6)

vorinostat 200 mg + bortezomib 0.7 mg/m^2

EXPERIMENTAL

Vorinostat capsules given twice daily (b.i.d.); bortezomib injection given on Days 4, 8, 11, and 15 of each cycle.

Drug: vorinostatDrug: bortezomib

vorinostat 200 mg + bortezomib 0.9 mg/m^2

EXPERIMENTAL

Vorinostat capsules given b.i.d.; bortezomib injection given on Days 4, 8, 11, and 15 of each cycle.

Drug: vorinostatDrug: bortezomib

vorinostat 300 mg + bortezomib 1.3 mg/m^2

EXPERIMENTAL

Vorinostat given once daily (q.d.); bortezomib given on Days 1, 4, 8, and 11 of each cycle.

Drug: vorinostatDrug: bortezomib

vorinostat 400 mg + bortezomib 0.9 mg/m^2

EXPERIMENTAL

Vorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.

Drug: vorinostatDrug: bortezomib

vorinostat 400 mg + bortezomib 1.1 mg/m^2

EXPERIMENTAL

Vorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.

Drug: vorinostatDrug: bortezomib

vorinostat 400 mg + bortezomib 1.3 mg/m^2

EXPERIMENTAL

Vorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.

Drug: vorinostatDrug: bortezomib

Interventions

Vorinostat capsules. Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).

Also known as: MK0683, Zolinza®, Suberoylanilide Hydroxamic Acid (SAHA)
vorinostat 200 mg + bortezomib 0.7 mg/m^2vorinostat 200 mg + bortezomib 0.9 mg/m^2vorinostat 300 mg + bortezomib 1.3 mg/m^2vorinostat 400 mg + bortezomib 0.9 mg/m^2vorinostat 400 mg + bortezomib 1.1 mg/m^2vorinostat 400 mg + bortezomib 1.3 mg/m^2

Bortezomib injection. Given twice weekly for 2 weeks with a 1 week break. Treatment in 21 day cycles.

Also known as: Velcade
vorinostat 200 mg + bortezomib 0.7 mg/m^2vorinostat 200 mg + bortezomib 0.9 mg/m^2vorinostat 300 mg + bortezomib 1.3 mg/m^2vorinostat 400 mg + bortezomib 0.9 mg/m^2vorinostat 400 mg + bortezomib 1.1 mg/m^2vorinostat 400 mg + bortezomib 1.3 mg/m^2

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults with refractory or relapsed multiple myeloma
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 (a measurement to determine participant's ability to perform daily activities)
  • Adequate bone marrow reserve
  • Adequate hepatic and renal function
  • Ability to swallow capsules
  • weeks or more since prior chemotherapy and have recovered from prior toxicities

You may not qualify if:

  • Participants who plan to have a bone marrow transplant within 4 weeks of start of treatment
  • Participants with prior treatment with other investigational agents with a similar anti-tumor mechanism
  • Participants with other active/uncontrolled clinically significant illness
  • Pregnant or nursing female participants
  • Participants who received bortezomib within 3 months of start of this trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Weber DM, Graef T, Hussein M, Sobecks RM, Schiller GJ, Lupinacci L, Hardwick JS, Jagannath S. Phase I trial of vorinostat combined with bortezomib for the treatment of relapsing and/or refractory multiple myeloma. Clin Lymphoma Myeloma Leuk. 2012 Oct;12(5):319-24. doi: 10.1016/j.clml.2012.07.007.

MeSH Terms

Conditions

Multiple Myeloma

Interventions

VorinostatBortezomib

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

AnilidesAmidesOrganic ChemicalsAniline CompoundsAminesHydroxamic AcidsHydroxylaminesHydroxy AcidsCarboxylic AcidsBoronic AcidsAcids, NoncarboxylicAcidsInorganic ChemicalsBoron CompoundsPyrazinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Senior Vice President, Global Clinical Development
Organization
Merck Sharp & Dohme Corp

Study Officials

  • Medical Monitor

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 25, 2005

First Posted

May 26, 2005

Study Start

September 1, 2005

Primary Completion

December 1, 2009

Study Completion

May 1, 2011

Last Updated

May 21, 2015

Results First Posted

April 6, 2011

Record last verified: 2015-05