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Suberoylanilide Hydroxamic Acid in Treating Patients With Metastatic and/or Locally Advanced or Locally Recurrent Thyroid Cancer

Phase II Study of Histone Deacetylase Inhibitor SAHA (Vorinostat) in Patients With Metastatic Thyroid Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00134043
Enrollment
19
Registered
2005-08-24
Start date
2005-12-31
Completion date
2009-03-31
Last updated
2014-08-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Insular Thyroid Cancer, Recurrent Thyroid Cancer, Stage II Follicular Thyroid Cancer, Stage II Papillary Thyroid Cancer, Stage IV Follicular Thyroid Cancer, Stage IV Papillary Thyroid Cancer, Thyroid Gland Medullary Carcinoma

Brief summary

This phase II trial is studying how well suberoylanilide hydroxamic acid works in treating patients with metastatic and/or locally advanced or locally recurrent thyroid cancer. Drugs used in chemotherapy, such as suberoylanilide hydroxamic acid, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Suberoylanilide hydroxamic acid may also stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

Detailed description

PRIMARY OBJECTIVES: I. Determine the objective response rate in patients with metastatic and/or locally advanced or locally recurrent thyroid cancer treated with suberoylanilide hydroxamic acid. SECONDARY OBJECTIVES: I. Determine the toxicity of this drug in these patients. OUTLINE: Patients receive oral suberoylanilide hydroxamic acid (SAHA) twice daily on days 1-14. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients are then evaluated for disease response. Patients achieving a complete response receive an additional 2 courses of SAHA. Patients achieving stable disease or a partial response receive 4 additional courses of SAHA. After completion of study treatment, patients are followed within 4 weeks.

Interventions

DRUGvorinostat

Given orally

Sponsors

National Cancer Institute (NCI)
Lead SponsorNIH

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed thyroid cancer * One of the following subtypes: * Papillary thyroid cancer * Follicular thyroid cancer * Hürthle cell thyroid cancer * Insular thyroid cancer * Medullary thyroid cancer * Mixed histology thyroid cancer * Poorly differentiated thyroid cancer * Tall-cell thyroid cancer * Metastatic and/or locally advanced or locally recurrent disease * Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques OR ≥ 10 mm by spiral CT scan * Lesions in a previously irradiated area allowed provided there has been subsequent disease progression of the irradiated lesions * The following are not considered measurable disease: * Bone lesions * Leptomeningeal disease * Ascites * Pleural or pericardial effusion * Lymphangitis cutis/pulmonis * Abdominal masses not confirmed and followed by imaging techniques * Cystic lesions * Not a candidate for radioactive iodine I\^131 therapy * Performance status - ECOG 0-1 * At least 6 months * WBC ≥ 3,000/mm\^3 * Absolute neutrophil count ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Bilirubin ≤ 1.5 mg/dL * AST and ALT ≤ 2.5 times upper limit of normal * Creatinine ≤ 1.5 mg/dL * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No history of allergic reaction attributed to compounds of similar chemical or biologic composition to study drug * No ongoing or active infection * No psychiatric illness or social situation that would preclude study compliance * No other uncontrolled illness * No other active malignancy except nonmetastatic nonmelanoma skin cancer or carcinoma in situ of the cervix * More than 4 weeks since prior systemic cytotoxic chemotherapy (6 weeks for nitrosoureas or mitomycin) * No more than 2 prior chemotherapy regimens for the treatment of thyroid cancer * See Disease Characteristics * More than 4 weeks since prior external beam radiotherapy * At least 24 weeks since prior radioactive iodine I\^131 therapy * Recovered from prior therapy * More than 4 weeks since prior valproic acid or any other histone deacetylase inhibitor * More than 4 weeks since prior investigational tumor-specific therapy * Concurrent oral or IV bisphosphonates for bony metastases allowed at the discretion of the investigator * No concurrent combination antiretroviral therapy for HIV-positive patients * No other concurrent tumor-specific or investigational therapy * No other concurrent anticancer therapy * No concurrent adjuvant therapy for another cancer

Design outcomes

Primary

MeasureTime frameDescription
Objective Response Rate (PR + CR) Using RECIST/WHO Response CriteriaUp to 3 yearsPer Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR., or similar definition that is accurate and appropriate.

Countries

United States

Participant flow

Participants by arm

ArmCount
DTCs (Well-differentiated Thyroid Carcinomas)
Patients receive oral suberoylanilide hydroxamic acid (SAHA) twice daily on days 1-14. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients are then evaluated for disease response. Patients achieving a complete response receive an additional 2 courses of SAHA. Patients achieving stable disease or a partial response receive 4 additional courses of SAHA.After completion of study treatment, patients are followed within 4 weeks. vorinostat: Given orally
16
MTC (Medullary Thyroid Cancer)
Patients receive oral suberoylanilide hydroxamic acid (SAHA) twice daily on days 1-14. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients are then evaluated for disease response. Patients achieving a complete response receive an additional 2 courses of SAHA. Patients achieving stable disease or a partial response receive 4 additional courses of SAHA.After completion of study treatment, patients are followed within 4 weeks. vorinostat: Given orally
3
Total19

Baseline characteristics

CharacteristicDTCs (Well-differentiated Thyroid Carcinomas)MTC (Medullary Thyroid Cancer)Total
Age, Continuous62 years65 years64 years
ECOG (Eastern Cooperative Oncology Group) performance status
0 (Fully active)
6 participants2 participants8 participants
ECOG (Eastern Cooperative Oncology Group) performance status
1(restricted in physically strenuous activity)
10 participants1 participants11 participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants3 Participants19 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Pathology of thyroid carcinoma
Classic PTC
12 participants0 participants12 participants
Pathology of thyroid carcinoma
Follicular variant of PTC
2 participants0 participants2 participants
Pathology of thyroid carcinoma
FTC
1 participants0 participants1 participants
Pathology of thyroid carcinoma
Hurthle cell
1 participants0 participants1 participants
Pathology of thyroid carcinoma
MTC
0 participants3 participants3 participants
Previous therapies
Cytotoxic chemotherapy
6 number of2 number of8 number of
Previous therapies
External beam radiation
6 number of2 number of8 number of
Previous therapies
Iodin-131
16 number of0 number of16 number of
Previous therapies
Surgery
15 number of3 number of18 number of
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
2 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
13 Participants3 Participants16 Participants
Region of Enrollment
Canada
1 participants0 participants1 participants
Region of Enrollment
United States
15 participants3 participants18 participants
Sex: Female, Male
Female
11 Participants1 Participants12 Participants
Sex: Female, Male
Male
5 Participants2 Participants7 Participants
Site of metastasis
1-2 sites
13 participants1 participants14 participants
Site of metastasis
Bones
4 participants2 participants6 participants
Site of metastasis
Brain
4 participants0 participants4 participants
Site of metastasis
Lungs
16 participants0 participants16 participants
Site of metastasis
Lymph nodes
8 participants1 participants9 participants
Site of metastasis
More than 2 sites
3 participants2 participants5 participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
19 / 19
serious
Total, serious adverse events
0 / 19

Outcome results

Primary

Objective Response Rate (PR + CR) Using RECIST/WHO Response Criteria

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR., or similar definition that is accurate and appropriate.

Time frame: Up to 3 years

Population: Per RECIST (Response Evaluation Criteria in Solid Tumors)

ArmMeasureGroupValue (NUMBER)
DTCs (Well-differentiated Thyroid Carcinomas)Objective Response Rate (PR + CR) Using RECIST/WHO Response CriteriaPR (Partial Response)0 percentage of participants
DTCs (Well-differentiated Thyroid Carcinomas)Objective Response Rate (PR + CR) Using RECIST/WHO Response CriteriaCR (Complete Response)0 percentage of participants
DTCs (Well-differentiated Thyroid Carcinomas)Objective Response Rate (PR + CR) Using RECIST/WHO Response CriteriaStable disease56 percentage of participants
MTC (Medullary Thyroid Cancer)Objective Response Rate (PR + CR) Using RECIST/WHO Response CriteriaPR (Partial Response)0 percentage of participants
MTC (Medullary Thyroid Cancer)Objective Response Rate (PR + CR) Using RECIST/WHO Response CriteriaCR (Complete Response)0 percentage of participants
MTC (Medullary Thyroid Cancer)Objective Response Rate (PR + CR) Using RECIST/WHO Response CriteriaStable disease0 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026