A Phase I Study of the mTOR Inhibitor Temsirolimus in Combination With the HDAC Inhibitor Vorinostat in Patients With Metastatic Prostate Cancer
PRIMARY OBJECTIVES: I. To determine the safety, tolerability and recommended Phase II dose
of temsirolimus in combination with vorinostat in patients with metastatic, hormone
refractory, chemoresistant prostate cancer. II. To obtain preliminary evidence of response
in prostate cancer patients treated with temsirolimus and vorinostat. SECONDARY OBJECTIVES:
I. To determine the partial and complete objective response rates in metastatic
hormone-refractory, chemo-resistant prostate cancer patients with measurable disease treated
with temsirolimus and vorinostat. II. To determine the progression free survival and overall
survival in patients with metastatic hormone refractory, chemo-resistant prostate cancer.
III. To determine the PSA response, the duration of PSA response, time to PSA progression,
PSA doubling time and PSA slope in metastatic hormone refractory, chemo-resistant prostate
cancer patients treated with temsirolimus and vorinostat. IV. To assess changes in
expression levels of bone remodeling markers (N telopeptides and bone alkaline phosphatase)
and angiogenesis-related gene and protein expression (VEGF/HIF1-alpha) in blood and
circulating tumor cells, and when available, in tissue, and correlate them with cancer and
treatment related outcomes. V. To assess the changes in tumor metabolism with
FDG/IIC-Choline PET/CT scan. OUTLINE: Patients receive oral vorinostat once daily on days
1-14 and temsirolimus IV on days 1, 8, and 15. Courses repeat every 21 days in the absence
of disease progression or unacceptable toxicity. After completion of study treatment,
patients are followed at 30 days and then every 3 months thereafter.
Interventional
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Frequencies of DLT and toxicity
4 yrs
Yes
Roberto Pili
Principal Investigator
Roswell Park Cancer Institute
United States: Institutional Review Board
RPCI I 150709
NCT01174199
February 2012
Name | Location |
---|---|
Roswell Park Cancer Institute | Buffalo, New York 14263 |
Sibley Memorial Hospital | Washington, District of Columbia 20016 |
The Sydney Kimmel Comprehensive Center at John Hopkins | Baltimore, Maryland 21287 |