Valproic Acid Plus Cisplatin and Cetuximab in Recurrent and/or Metastatic Squamous Cell Carcinoma of Head and Neck

NCT02624128 | Unknown Phase 2

• 2 other identifiers: V-CHANCE2014-001523-69
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

V-CHANCE is a phase 2, trial exploring the feasibility and the activity of valproic acid (VPA) in combination with the standard cisplatin-cetuximab combination in patients with recurrent/metastatic squamous cell carcinoma of the head and neck, never treated with first-line chemotherapy. The study includes an explorative analysis of the potential prognostic or predictive role of several biomarkers with the aim of improving the knowledge of the mechanisms by which VPA enhances chemotherapy effect and of identifying early predictors of treatment response/resistance.

Conditions

Squamous Cell Carcinoma of the Head and Neck

Keywords

head and neck cancer; valproic acid; recurrent; metastatic

Outcome Measures

Primary Outcomes (1)

• Proportion of patients with an objective response

  Response will be assessed according to RECIST v1.1 criteria

  up to 4 years

Secondary Outcomes (3)

• overall survival

  up to 6 years

• time to tumor progression

  up to 6 years

• Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

  up to 18 weeks

Study Arms (1)

valproic acid plus cisplatin and cetuximab

EXPERIMENTAL

Drug: Valproic Acid; Drug: Cisplatin; Drug: Cetuximab

Interventions

Valproic Acid DRUG

Treatment will be administered orally starting at day -14, with 500 mg slow releasing tablet at evening. Thereafter, the dose will be increased also using 300 mg tablets until reaching 1500 mg on day -1. The titration strategy is to reach a target VPA serum level of 50-100 μg/ml.

valproic acid plus cisplatin and cetuximab

Cisplatin DRUG

administered intravenously at dose of 75 mg/m2 given every three weeks for 6 cycles

valproic acid plus cisplatin and cetuximab

Cetuximab DRUG

administered intravenously at induction dose of 400 mg/m2 followed by maintenance doses of 250 mg/m2 given weekly

valproic acid plus cisplatin and cetuximab

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• First-line recurrent and/or metastatic disease
• No prior chemotherapy except for chemoradiation or induction chemotherapy followed by local treatment given in the context of a curative strategy.
• age\> 18 years
• ECOG Performance Status ≤1
• Life expectancy at least 3 months at study entrance
• Normal bone marrow reserve (absolute neutrophil count \> 1500/mm3; platelets \> 100000/mm3; haemoglobin\> 9 g/dl)
• Normal hepatic function (total serum bilirubin \< 1.5 x upper limit of normal; liver transaminases \< 3 x upper limit of normal)
• Normal renal function (serum creatinine \< 1,25 x upper limit of normal and creatinine clearance \> 60 ml/min).
• Normal cardiac function (assessed by ECG and echocardiography with ejection fraction \> 50%)
• Effective contraception for both male and female patients if the risk of conception exist
• Signed written informed consent

You may not qualify if:

• Concomitant treatment with other experimental drugs.
• Brain metastases (CT scan or MRI required only in case of clinical suspicion of CNS metastases)
• Non squamous cell histology
• Any concurrent malignancy. Patient with a previous malignancy but without evidence of disease for 5 years will be allowed to enter the trial.
• History of myocardial infarction within the last 12 months
• ECOG PS ≥ 2
• Significant cardiovascular comorbidity (e.g. myocardial infarction, superior vena cava \[SVC\] syndrome, patients with an ejection fraction of \<50%) or presence of cardiac disease that in the opinion of the Investigator increases the risk of ventricular arrhythmia.
• History of arrhythmia (multifocal premature ventricular contractions \[PVCs\], bigeminy, trigeminy, ventricular tachycardia, or uncontrolled atrial fibrillation) which is symptomatic or requires treatment (CTCAE grade 3) or asymptomatic sustained ventricular tachycardia. Patients with long QT-syndrome or QTc interval duration \> 480 msec or concomitant medication with drugs prolonging QTc.
• HIV positive patients
• Patients who cannot take oral medication, who require intravenous feeding, have had prior surgical procedures affecting absorption, or have active peptic ulcer disease.
• Known or suspected hypersensitivity to any of the study drugs.
• Patients who have had prior treatment with an HDAC inhibitor and patients who have received compounds with HDAC inhibitor-like activity, such as valproic acid.
• Major surgical procedure within 28 days prior to study treatment start.
• Pregnant or lactating women.
• Women of childbearing potential with either a positive or no pregnancy test at baseline (postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-childbearing potential)l.

Sponsors & Collaborators

• National Cancer Institute, Naples: lead

Study Sites (1)

Istituto Nazionale Tumori Fondazione G. Pascale

Napoli, Italy

Location

Related Publications (1)

• Caponigro F, Di Gennaro E, Ionna F, Longo F, Aversa C, Pavone E, Maglione MG, Di Marzo M, Muto P, Cavalcanti E, Petrillo A, Sandomenico F, Maiolino P, D'Aniello R, Botti G, De Cecio R, Losito NS, Scala S, Trotta A, Zotti AI, Bruzzese F, Daponte A, Calogero E, Montano M, Pontone M, De Feo G, Perri F, Budillon A. Phase II clinical study of valproic acid plus cisplatin and cetuximab in recurrent and/or metastatic squamous cell carcinoma of Head and Neck-V-CHANCE trial. BMC Cancer. 2016 Nov 25;16(1):918. doi: 10.1186/s12885-016-2957-y.

  PMID: 27884140 DERIVED

MeSH Terms

Conditions

Squamous Cell Carcinoma of Head and Neck; Head and Neck Neoplasms; Recurrence; Neoplasm Metastasis

Interventions

Valproic Acid; Cisplatin; Cetuximab

Condition Hierarchy (Ancestors)

Carcinoma, Squamous Cell; Carcinoma; Neoplasms, Glandular and Epithelial; Neoplasms by Histologic Type; Neoplasms; Neoplasms by Site; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Neoplastic Processes

Intervention Hierarchy (Ancestors)

Pentanoic Acids; Valerates; Acids, Acyclic; Carboxylic Acids; Organic Chemicals; Fatty Acids, Volatile; Fatty Acids; Lipids; Chlorine Compounds; Inorganic Chemicals; Nitrogen Compounds; Platinum Compounds; Antibodies, Monoclonal, Humanized; Antibodies, Monoclonal; Antibodies; Immunoglobulins; Immunoproteins; Blood Proteins; Proteins; Amino Acids, Peptides, and Proteins; Serum Globulins; Globulins

Study Officials

• Francesco Caponigro, M.D

  National Cancer Institute, Naples

  PRINCIPAL INVESTIGATOR

• Alfredo Budillon, M.D

  National Cancer Institute, Naples

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 26, 2015
• First Posted: December 8, 2015
• Study Start: February 23, 2015
• Primary Completion: April 11, 2019
• Study Completion: December 1, 2023
• Last Updated: November 13, 2023

Record last verified: 2023-03

Locations

IT (1)