Brain Cancer, Carcinoma, Non-Small-Cell Lung, Lung Cancer, Neoplasm Metastasis
Conditions
Brief summary
The purpose of this study is to determine the maximum tolerated dose (MTD) of vorinostat given concurrently with stereotactic radiosurgery (SRS) to treat non-small cell lung cancer (NSCLCA) brain metastases in patient with 1-4 lesions.
Interventions
Orally up to 400 mg
Single fraction stereotactic radiotherapy - Standard of Care
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients age 18 years and older with histologically proven non-small cell lung cancer and 1-4 brain metastases, each measuring less than 2 cm will be eligible. Prior surgery or radiation is allowed as long as the target metastatic lesion(s) has not been treated with previous radiation. * Adequate organ function (section 3.1.10). * ECOG performance status 0-2. * Life expectancy of \>=12 weeks. * Systemic chemotherapy washout period \>=7 days.
Exclusion criteria
Patients who have previously been treated with whole brain irradiation, pediatric patients (age \<18), pregnant women, and patients who are unable to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The maximum tolerated dose of vorinostat with concurrent radiosurgery will be determined. | 30 days following Stereotactic Radiosurgery |
| During the expanded phase I portion of the study, the safety of the Maximum tolerated dose dose will be confirmed. | 30 days following Stereotactic Radiosurgery |
| The radiologic response, defined as local control and distant intra-cranial control rates at 3-months following radiotherapy, will be determined. | 3 months following Stereotactic Radiosurgery |
Secondary
| Measure | Time frame |
|---|---|
| The short-term (< 30 days post-treatment) and long-term (> 30 days post-treatment) adverse effects will be determined. | 12 months |
| The 12-month survival rate from the date of Stereotactic Radiosurgery will be determined. | 12 months |
Countries
United States