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Belinostat in Treating Patients With Liver Cancer That Cannot Be Removed By Surgery

A Phase I/II Study of PXD101 in Patients With Unresectable Hepatocellular Carcinoma With Pharmacokinetic and Pharmacodynamic Evaluation

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00321594
Enrollment
54
Registered
2006-05-04
Start date
2006-05-31
Completion date
2012-10-31
Last updated
2017-11-06

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

Conditions

Adult Primary Hepatocellular Carcinoma, Advanced Adult Primary Liver Cancer, Localized Unresectable Adult Primary Liver Cancer, Recurrent Adult Primary Liver Cancer

Brief summary

This phase I/II trial is studying the side effects and best dose of belinostat and to see how well it works in treating patients with liver cancer that cannot be removed by surgery. Belinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth

Detailed description

PRIMARY OBJECTIVES: I. Determine the dose-limiting toxicity (DLT) and establish the maximum tolerated dose (MTD) of PXD101 (belinostat) in patients with unresectable hepatocellular carcinoma (HCC). (Phase I) II. Assess the pharmacokinetic profiles of PXD101 in these patients. (Phase I) III. Assess tumor response in patients treated with this drug. (Phase II) OUTLINE: This is a multicenter, dose-escalation phase I study followed by a phase II study. PHASE I: Patients receive belinostat intravenously (IV) over 30 minutes on days 1-5. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of belinostat until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. PHASE II: Patients receive belinostat (as in phase I) at the MTD determined in phase I. After completion of study therapy, patients are followed for up to 8 weeks.

Interventions

DRUGbelinostat

Given IV

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 or cytologically confirmed hepatocellular carcinoma that is not amenable to curative resection * Measurable disease, defined as ≥ 1 lesion that can be accurately measured in ≥ 1 dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques OR as ≥ 10 mm with MRI or spiral CT scan * No known brain metastases * No clinical ascites or encephalopathy * Life expectancy \> 12 weeks * ECOG performance status (PS) 0-2 or Karnofsky PS 60-100% * WBC ≥ 3,000/mm³ * Absolute neutrophil count ≥ 1,500/mm³ * Platelet count ≥ 100,000/mm³ * Bilirubin ≤ 1.7 mg/dL * Albumin ≥ 2.8 mg/dL * ALT ≤ 5.0 times upper limit of normal (ULN) * Alkaline phosphatase ≤ 6 times ULN * Prothrombin time ≤ 4 sec above ULN * Creatinine ≤ 1.6 mg/dL * Not pregnant or nursing * Negative pregnancy test * Fertile patients use effective contraception * No Child's-Pugh's grading Class C hepatic impairment * No history of allergic reaction attributed to compounds of similar chemical or biologic composition to PXD101 * No marked baseline prolongation of QT/QTc interval, including the following: * Repeated demonstration of a QTc interval \> 500 msec * Long QT Syndrome * No ongoing or active infection * No significant cardiovascular disease, including any of the following: * Unstable angina pectoris * Uncontrolled hypertension * Congestive heart failure related to primary cardiac disease * Condition requiring anti-arrhythmic therapy * Ischemic or severe valvular heart disease * Myocardial infarction within the past 6 months * No psychiatric illness or social situation that would preclude study compliance * No other uncontrolled illness * More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C) and recovered * More than 4 weeks since prior radiotherapy and recovered * At least 2 weeks since prior valproic acid * No concurrent combination antiretroviral therapy for HIV-positive patients * No concurrent participation in another investigational study * No other concurrent investigational agents * No other concurrent anticancer therapy * No concurrent use of any of the following: * Disopyramide * Dofetilide * Ibutilide * Procainamide * Quinidine * Sotalol * Bepridil * Amiodarone * Arsenic trioxide * Cisapride * Calcium channel blockers (e.g., lidoflazine) * Clarithromycin * Erythromycin * Halofantrine * Pentamidine * Sparfloxacin * Domperidone * Droperidol * Chlorpromazine * Haloperidol * Mesoridazine * Thioridazine * Pimozide * Methadone

Design outcomes

Primary

MeasureTime frameDescription
Dose-limiting Toxicities (DLT) and Maximum Tolerated Dose (MTD) of Belinostat in Patients With Inoperable HCC (Phase I)Course 1DLT is defined as any grade 4 hematological toxicity and any grade 3 or 4 non hematological toxicity during cycle 1, excluding alopecia. Specifically, grade 3 nausea, vomiting, or diarrhea that does not respond to therapy is considered dose-limiting. Also, delays in treatment greater than 2 weeks are also dose-limiting. MTD is defined as the dose below which \>= 2 of 3 or \>= 2 of 6 patients experience DLT. Graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.
Tumor Response in Patients With Inoperable HCC Using Belinostat (Phase II)Every 2 courses (approximately 6 weeks)Evaluated in this study using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. The 95% confidence intervals should be provided.

Countries

Singapore, United States

Participant flow

Participants by arm

ArmCount
Phase I
Patients receive belinostat IV over 30 minutes on days 1-5. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. belinostat: Given IV Level 1: Dose: 600mg/m2/day Level 2: Dose: 900mg/m2/day Level 3: Dose: 1200mg/m2/day
12
Treatment (Enzyme Inhibitor Therapy)
Patients receive belinostat IV over 30 minutes on days 1-5. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. belinostat: Given IV Dose: 1400mg/m2/day
42
Total54

Baseline characteristics

CharacteristicPhase ITotalTreatment (Enzyme Inhibitor Therapy)
Age, Continuous54 year56.5 year57.5 year
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
12 Participants54 Participants42 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 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
0 Participants0 Participants0 Participants
Region of Enrollment
Australia
0 participants1 participants1 participants
Region of Enrollment
Hong Kong
10 participants44 participants34 participants
Region of Enrollment
Singapore
2 participants3 participants1 participants
Region of Enrollment
South Korea
0 participants5 participants5 participants
Region of Enrollment
United States
0 participants1 participants1 participants
Sex: Female, Male
Female
2 Participants6 Participants4 Participants
Sex: Female, Male
Male
10 Participants48 Participants38 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 00 / 00 / 00 / 01 / 42
other
Total, other adverse events
0 / 00 / 00 / 00 / 00 / 42
serious
Total, serious adverse events
0 / 00 / 00 / 00 / 00 / 42

Outcome results

Primary

Dose-limiting Toxicities (DLT) and Maximum Tolerated Dose (MTD) of Belinostat in Patients With Inoperable HCC (Phase I)

DLT is defined as any grade 4 hematological toxicity and any grade 3 or 4 non hematological toxicity during cycle 1, excluding alopecia. Specifically, grade 3 nausea, vomiting, or diarrhea that does not respond to therapy is considered dose-limiting. Also, delays in treatment greater than 2 weeks are also dose-limiting. MTD is defined as the dose below which \>= 2 of 3 or \>= 2 of 6 patients experience DLT. Graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.

Time frame: Course 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Phase I, Level 1Dose-limiting Toxicities (DLT) and Maximum Tolerated Dose (MTD) of Belinostat in Patients With Inoperable HCC (Phase I)0 Participants
Phase I, Level 2Dose-limiting Toxicities (DLT) and Maximum Tolerated Dose (MTD) of Belinostat in Patients With Inoperable HCC (Phase I)0 Participants
Phase I, Level 3Dose-limiting Toxicities (DLT) and Maximum Tolerated Dose (MTD) of Belinostat in Patients With Inoperable HCC (Phase I)0 Participants
Phase I, Level 4Dose-limiting Toxicities (DLT) and Maximum Tolerated Dose (MTD) of Belinostat in Patients With Inoperable HCC (Phase I)1 Participants
Comparison: MTD is defined as the dose below which \>=2 of 3 or \>= 2 of 6 patients experience DLT
Primary

Tumor Response in Patients With Inoperable HCC Using Belinostat (Phase II)

Evaluated in this study using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. The 95% confidence intervals should be provided.

Time frame: Every 2 courses (approximately 6 weeks)

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Phase I, Level 1Tumor Response in Patients With Inoperable HCC Using Belinostat (Phase II)Partial Response1 Participants
Phase I, Level 1Tumor Response in Patients With Inoperable HCC Using Belinostat (Phase II)Stable disease19 Participants
Phase I, Level 1Tumor Response in Patients With Inoperable HCC Using Belinostat (Phase II)Progressive disease22 Participants

Source: ClinicalTrials.gov · Data processed: Mar 24, 2026