Phase 1 Study of Vorinostat and Bortezomib in Multiple Myeloma (MK-0683-015 EXT 1 (AM1))
Phase I Clinical Trial of Vorinostat (MK-0683) in Combination With Bortezomib in Patients With Advanced Multiple Myeloma
2 other identifiers
interventional
34
0 countries
N/A
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 multiple-myeloma
Started Sep 2005
Typical duration for phase_1 multiple-myeloma
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
CompletedFirst Posted
Study publicly available on registry
May 26, 2005
CompletedStudy Start
First participant enrolled
September 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedResults Posted
Study results publicly available
April 6, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2011
CompletedMay 21, 2015
May 1, 2015
4.3 years
May 25, 2005
March 10, 2011
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
EXPERIMENTALVorinostat capsules given twice daily (b.i.d.); bortezomib injection given on Days 4, 8, 11, and 15 of each cycle.
vorinostat 200 mg + bortezomib 0.9 mg/m^2
EXPERIMENTALVorinostat capsules given b.i.d.; bortezomib injection given on Days 4, 8, 11, and 15 of each cycle.
vorinostat 300 mg + bortezomib 1.3 mg/m^2
EXPERIMENTALVorinostat given once daily (q.d.); bortezomib given on Days 1, 4, 8, and 11 of each cycle.
vorinostat 400 mg + bortezomib 0.9 mg/m^2
EXPERIMENTALVorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.
vorinostat 400 mg + bortezomib 1.1 mg/m^2
EXPERIMENTALVorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.
vorinostat 400 mg + bortezomib 1.3 mg/m^2
EXPERIMENTALVorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.
Interventions
Vorinostat capsules. Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).
Bortezomib injection. Given twice weekly for 2 weeks with a 1 week break. Treatment in 21 day cycles.
Eligibility Criteria
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.
PMID: 23040438DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Senior Vice President, Global Clinical Development
- Organization
- Merck Sharp & Dohme Corp
Study Officials
- STUDY DIRECTOR
Medical Monitor
Merck Sharp & Dohme LLC
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