Viewing Study NCT00007345



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Last Modification Date: 2024-10-26 @ 9:05 AM
Study NCT ID: NCT00007345
Status: COMPLETED
Last Update Posted: 2017-05-16
First Post: 2000-12-16

Brief Title: Depsipeptide to Treat Patients With Cutaneous T-Cell Lymphoma and Peripheral T-Cell Lymphoma
Sponsor: National Cancer Institute NCI
Organization: National Institutes of Health Clinical Center CC

Study Overview

Official Title: Phase II Trial of Depsipeptide in Patients With Cutaneous T-Cell Lymphoma and Relapsed Peripheral T-Cell Lymphoma
Status: COMPLETED
Status Verified Date: 2017-04
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Background

NSC630176 is a depsipeptide fermentation product from Chromobacterium violaceum with potent cytotoxic activity against human tumor cell lines and in vivo efficacy against both human tumor xenografts and murine tumors 1-3

NSC 630176 herein referred to as depsipeptide shows a lack of cross resistance with several commonly used cytotoxic agents such as vincristine 5-fluorouracil mitomycin C and cyclophosphamide 2 However it has been defined as a P-glycoprotein Pgp substrate by COMPARE analysis of the National Cancer Institute NCI drug screen cytotoxicity profile 4

Depsipeptide is a member of a novel class of antineoplastic agents the histone deacetylase inhibitors

In the phase I trial conducted at the National Cancer Institute NCI responses were observed at the maximum tolerated dose MTD in patients with cutaneous and peripheral T-cell lymphoma

Objectives

In patients with cutaneous T-cell lymphoma the primary end points to be examined are overall response rate complete response rate and duration of response

In patients with relapsed peripheral T-cell lymphoma the endpoints to be examined are overall response rate and complete response rate

To evaluate the tolerability of depsipeptide with extended cycles of therapy

Eligibility

Patients with cutaneous T-cell lymphoma mycosis fungoides or Sezary syndrome or other peripheral T-cell lymphomas are eligible

Design

Depsipeptide will be administered at 14 mgm2 over 4 hours on days 1 8 and 15

This trial will accrue in six cohorts Arm 1 patients with cutaneous T-cell lymphoma who have had less than or equal to two prior cytotoxic chemotherapy regimens Arm 2 patients with peripheral T-cell lymphoma who have had less than or equal to two prior cytotoxic chemotherapy regimens Arm 3 patients with cutaneous and peripheral T-cell lymphoma who have had more than two prior cytotoxic chemotherapy regimens Arm 4 patients with other mature T-cell lymphomas Arm 5 a replicate arm of arm 1 Arm 6 patients with peripheral T-cell lymphoma who have had more than two prior cytotoxic chemotherapy regimens Arm 7 patients with cutaneous T cell lymphoma who have received vorinostat

Dose may be adjusted based on toxicities
Detailed Description: Background

NSC630176 is a depsipeptide fermentation product from Chromobacterium violaceum with potent cytotoxic activity against human tumor cell lines and in vivo efficacy against both human tumor xenografts and murine tumors 1-3

NSC 630176 herein referred to as depsipeptide shows a lack of cross resistance with several commonly used cytotoxic agents such as vincristine 5-fluorouracil mitomycin C and cyclophosphamide 2 However it has been defined as a P-glycoprotein Pgp substrate by COMPARE analysis of the National Cancer Institute NCI drug screen cytotoxicity profile 4

Depsipeptide is a member of a novel class of antineoplastic agents the histone deacetylase inhibitors

In the phase I trial conducted at the NCI responses were observed at the maximum tolerated dose MTD in patients with cutaneous and peripheral T-cell lymphoma

Objectives

In patients with cutaneous T-cell lymphoma the primary end points to be examined are overall response rate complete response rate and duration of response

In patients with relapsed peripheral T-cell lymphoma the endpoints to be examined are overall response rate and complete response rate

To evaluate the tolerability of depsipeptide with extended cycles of therapy

Eligibility

Patients with cutaneous T-cell lymphoma mycosis fungoides or Sezary syndrome or other peripheral T-cell lymphomas are eligible

Design

Depsipeptide will be administered at 14 mgm2 over 4 hours on days 1 8 and 15

This trial will accrue in six cohorts Arm 1 patients with cutaneous T-cell lymphoma who have had less than or equal to two prior cytotoxic chemotherapy regimens Arm 2 patients with peripheral T-cell lymphoma who have had less than or equal to two prior cytotoxic chemotherapy regimens Arm 3 patients with cutaneous and peripheral T-cell lymphoma who have had more than two prior cytotoxic chemotherapy regimens Arm 4 patients with other mature T-cell lymphomas Arm 5 a replicate arm of arm 1 Arm 6 patients with peripheral T-cell lymphoma who have had more than two prior cytotoxic chemotherapy regimens Arm 7 patients with cutaneous T cell lymphoma who have received vorinostat

Dose may be adjusted based on toxicities

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: True
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
01-C-0049 None None None