Vorinostat in Combination With Chemoradiation in Locally Advanced HPV Negative HNSCC

Trial Title: Vorinostat in Combination With Chemoradiation in Locally Advanced HPV Negative HNSCC

NCT ID: NCT05608369

Condition: HPV-Related Squamous Cell Carcinoma
Squamous Cell Carcinoma of the Oral Cavity
Squamous Cell Carcinoma of the Larynx
Squamous Cell Carcinoma of the Oropharynx
Squamous Cell Carcinoma of the Hypopharynx

Conditions: Official terms:
Carcinoma
Carcinoma, Squamous Cell
Squamous Cell Carcinoma of Head and Neck
Vorinostat

Conditions: Keywords:
Squamous Cell Carcinoma
HPV-Related Squamous Cell Carcinoma
Chemoradiation
Locally Advanced HPV negative HNSCC

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Cisplatin
Description: Cisplatin100 mg/m2 every 3 weeks or 40 mg/m2 weekly
Arm group label: Study drug + Standard of care chemoradiation

Intervention type: Radiation
Intervention name: Radiation therapy
Description: Radiation therapy (70 Gy) for total of 7 weeks
Arm group label: Study drug + Standard of care chemoradiation

Intervention type: Drug
Intervention name: Vorinostat
Description: Pre-treatment; 300 mg every other day and ends with the dose closest to the last fraction of radiation (total of 8 weeks)
Arm group label: Study drug + Standard of care chemoradiation

Summary: The purpose of this study is to learn more about a drug called Vorinostat (an experimental drug) in combination with chemoradiation. The intention of this study is to learn if this drug is safe for the participants and whether this drug with chemoradiation is able to further increase the clinical efficacy of chemoradiation, which is an approved therapy. The main question it aims to answer is: How may Vorinostat interact with standard chemotherapy and radiation therapy in head and neck cancer? Participants will receive the study drug (Vorinostat) as a pre-treatment, followed by standard chemoradiation.

Detailed description: Histone deacetylase (HDAC) inhibitors have been shown to increase reverse resistance to cisplatin and radiation therapy. This phase 2 study comes after an already completed phase 1 study which examined tolerability of pan-HDAC inhibitor, Vorinostat, in combination with chemoradiation in locally advanced head and neck squamous cell carcinoma (HNSCC). The study showed that Vorinostat in combination with concurrent chemoradiation therapy (CRT) is safe and estimated 5-year OS of HPV- patients is 77.8% which is considerably higher than the 5-year overall survival (OS) of 46.2% in HPV- HNSCC patients treated with standard concurrent chemoradiation. Based on this phase 1 study, the hypothesis is that Vorinostat, in combination with chemoradiation, will increase median progression-free survival compared to chemoradiation alone treatment in HPV-HNSCC.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Subjects must have histologically or cytologically confirmed stage III or IV HPV negative squamous cell carcinoma of the oral cavity, oropharynx or hypopharynx, tumors is deemed to be either unresectable or locally advanced. - Subjects must have received no prior therapies (chemotherapy or radiotherapy) for this disease - Age >18 years. Because the low occurrence of HNSCC in the pediatric population, children are excluded from this study - ECOG Performance status ≤ 2 - Subjects must have normal organ and marrow function as defined below - Hemoglobin ≥ 9.0 g/dl (transfusion permitted) - Leukocytes ≥ 3,000/mcL - Absolute neutrophil count ≥ 1,500/mcL - Platelet count ≥ 100,000/mcL - Total bilirubin within normal institutional limits - AST (SGOT) ≤ 2.5 X institutional upper limit of normal - ALT (SGPT) ≤ 2.5 X institutional upper limit of normal - Serum Creatinine clearance (> 50 ml/min) - Based on findings from animal studies and its mechanism of action, vorinostat can cause fetal harm when administered to a pregnant woman. There are insufficient data on vorinostat use in pregnant women to inform a drug-associated risk of major birth defects and miscarriage. In animal reproduction studies, vorinostat crossed the placenta and caused adverse developmental outcomes at exposures approximately 0.5 times the human exposure based on AUC0-24 hours. For this reason, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) beginning at study entry and for the duration of study participation. Male study participants should use an additional barrier method of contraception for 30 days following the last dose of vorinostat. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately. - Patients must have measurable disease, per RECIST 1.1 - Subjects must have the ability to understand and the willingness to sign a written informed consent document Exclusion Criteria: - Eligibility for curative-intent surgery, previous chemotherapy. - Subjects receiving any other investigational agents. - Subjects with untreated brain metastases/CNS disease will be excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events. - History of allergic reactions attributed to compounds of similar chemical or biologic composition to vorinostat. - Patients with previous exposure to vorinostat. - Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. - Subjects with uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. - Pregnant women are excluded from this study because vorinostat may have potential for teratogenic or abortifacient effects. Because there is an unknown, but potential risk for adverse events in nursing infants secondary to treatment of the mother with vorinostat, breastfeeding should be discontinued if the mother is treated with vorinostat. These potential risks may also apply to other agents used in this study. - HIV-positive subjects on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with vorinostat. In addition, these subjects are at increased risk of lethal infections when treated with marrow suppressive therapy. Appropriate studies will be undertaken in subjects receiving combination antiretroviral therapy when indicated. Also include whether HIV testing is required for this study, or only if a known diagnosis will be excluded.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Address:
City: Cleveland
Zip: 44106
Country: United States

Contact:
Last name: Kyunghee Burkitt, DO, PhD

Phone: 800-641-2422
Email: CTUReferral@UHhospitals.org

Start date: December 1, 2024

Completion date: February 1, 2026

Lead sponsor:
Agency: Kyunghee Burkitt, DO, PhD
Agency class: Other

Source: Case Comprehensive Cancer Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05608369