Phase II Study of Azacitidine and Entinostat in Patients With Metastatic Colorectal Cancer
PRIMARY OBJECTIVES:
I. To determine the preliminary efficacy via Response Evaluation Criteria In Solid Tumors
(RECIST) response rate of the combination of azacitidine and entinostat in patients with
metastatic colorectal cancer.
SECONDARY OBJECTIVES:
I. Explore the effects of azacitidine and entinostat on time to progression in patients with
metastatic colorectal cancer.
II. To assess the toxicity for combination azacitidine and entinostat therapy.
TERTIARY OBJECTIVES:
I. Evaluate changes in promoter methylation of selected genes from DNA in circulating serum
samples.
II. To determine changes in histone deacetylase activity and acetylation of H3 and H4
histones in pre- and post-treatment tumor biopsies.
III. To evaluate correlations between these molecular effects and clinical outcomes
(response, time to progression).
IV. To correlate response rates by RECIST criteria versus response rates determined be EASL
(change in tumor enhancement).
OUTLINE: This is a multicenter study.
Patients receive azacitidine subcutaneously on days 1-5 and 8-10 and oral entinostat on days
3 and 10. Courses repeat every 28 days in the absence of disease progression or unacceptable
toxicity.
Blood and tumor tissue samples are collected at baseline and periodically during courses 1-3
for DNA methylation, histone deacetylation activity, and acetylation of H3 and H4 histones
analysis by PCR, western blot, and RT-PCR assays. Pharmacogenomic studies may also be
conducted.
After completion of study therapy, patients are followed up every 3-6 months for up to 3
years.
Interventional
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Proportion of confirmed tumor responses defined to be either a CR or PR as measured by RECIST criteria version 1.1
The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. Confidence intervals for the true success proportion will be calculated using the approach of Duffy and Santner.
At 6 months
No
Nilofer Azad
Principal Investigator
Mayo Clinic
United States: Food and Drug Administration
NCI-2010-02024
NCT01105377
April 2010
Name | Location |
---|---|
Johns Hopkins University | Baltimore, Maryland 21205 |
Mayo Clinic | Rochester, Minnesota 55905 |
Washington University School of Medicine | Saint Louis, Missouri 63110 |
University of Pittsburgh Cancer Institute | Pittsburgh, Pennsylvania 15213 |
University of Wisconsin Hospital and Clinics | Madison, Wisconsin 53792-0001 |
Mayo Clinic in Arizona | Scottsdale, Arizona 85259-5404 |
Mayo Clinic in Florida | Jacksonville, Florida 32224 |
Wayne State University | Detroit, Michigan 48202 |
Metro-Minnesota CCOP | St. Louis Park, Minnesota |
University of Southern California | Los Angeles, California 90033 |