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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 10 December 2012
Main ID:  NCT00336063
Date of registration: 08/06/2006
Primary sponsor: National Cancer Institute (NCI)
Public title: Vorinostat and Azacitidine in Treating Patients With Locally Recurrent or Metastatic Nasopharyngeal Cancer or Nasal Natural Killer T-Cell Lymphoma
Scientific title: A Phase I Trial of 5Azacitidine and Suberoylanilide Hydroxamic Acid in Patients With Metastatic or Locally Recurrent Nasopharyngeal Carcinoma and Nasal NK-T Cell Lymphoma
Date of first enrolment: March 2006
Target sample size: 18
Recruitment status: Recruiting
URL:  http://clinicaltrials.gov/show/NCT00336063
Study type:  Interventional
Study design:  Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment  
Countries of recruitment
China Hong Kong Singapore United States
Contacts
Name:   Wen-Son Hsieh
Address: 
Telephone: 656-772-5371
Email: hsiehwe@gmail.com
Affiliation: 
Name:   Wen-Son Hsieh
Address: 
Telephone:
Email:
Affiliation:  Johns Hopkins University
Key inclusion & exclusion criteria

Inclusion Criteria:

- Biopsy proven nasopharyngeal carcinoma (WHO type 3) or extranodal nasal type natural
killer (NK)/T-cell non-Hodgkin's lymphoma

- Recurrence or metastases does not require tissue documentation

- Meets 1 of the following staging criteria:

- Locally recurrent disease

- Treated with = 1 chemotherapy regimen after relapse

- Not amenable to surgical resection

- Not amenable to further curative radiotherapy

- Metastatic disease

- No clinical evidence of CNS involvement, including brain metastases or carcinomatous
meningitis

- Skull base involvement allowed

- ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%

- Life expectancy > 6 months

- WBC = 3,000/mm³

- Absolute neutrophil count = 1,500/mm³

- Platelet count = 100,000/mm³

- Bilirubin = 1.5 times upper limit of normal (ULN)

- AST/ALT = 2.5 times ULN (< 5 times ULN if liver metastases present)

- PTT = 1.5 times ULN

- Albumin = 2.7 g/dL

- Creatinine = 1.5 times ULN OR creatinine clearance > 50 mL/min

- No uncontrolled intercurrent illness including, but not limited to, any of the
following:

- Ongoing or active infection

- Symptomatic congestive heart failure

- Unstable angina pectoris

- Cardiac arrhythmia

- Psychiatric illness or social situations that would limit study compliance

- Not pregnant or nursing

- Fertile patients must use effective contraception

- Negative pregnancy test

- No history of allergic reaction to compounds of similar chemical or biologic
composition to azacitidine or vorinostat (SAHA)

- No chronic active hepatitis B

- See Disease Characteristics

- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C)
or radiotherapy and recovered

- At least 2 weeks since prior valproic acid

- No more than 1 concurrent multivitamin daily

- No concurrent prophylactic hematopoietic growth factors

- No other concurrent investigational agents

- No concurrent combination antiretroviral therapy for HIV-positive patients

- No other concurrent anticancer agents or therapies

- No other concurrent chemotherapy (including photopheresis), psoralen-ultraviolet
treatment (PUVA), radiotherapy, or biologic therapy



Age minimum: 21 Years
Age maximum: N/A
Gender: Both
Health Condition(s) or Problem(s) studied
Adult Nasal Type Extranodal NK/T-cell Lymphoma
Recurrent Lymphoepithelioma of the Nasopharynx
Recurrent Squamous Cell Carcinoma of the Nasopharynx
Stage IV Lymphoepithelioma of the Nasopharynx
Stage IV Squamous Cell Carcinoma of the Nasopharynx
Intervention(s)
Drug: azacitidine
Drug: vorinostat
Other: diagnostic laboratory biomarker analysis
Other: pharmacological study
Procedure: axillary lymph node biopsy
Primary Outcome(s)
MTD of SAHA in conjunction with azacitidine defined as the dose at which less than one-third of patients experience a DLT Graded according to the National Cancer Institute (NCI)/Division of Cancer Treatment (DCT) common toxicity criteria [Time Frame: Day 28]
Secondary Outcome(s)
Pharmacokinetics of SAHA in patients with locally recurrent and metastatic nasopharyngeal carcinoma and NK-T cell Nasal Lymphoma [Time Frame: Days 1 and 14 of course 1]
Proportions of patients with high and low histone acetylation [Time Frame: Baseline]
Secondary ID(s)
CDR0000472702
CTRG NP03/19/04
NCI-2009-00089
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
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