Study on Pembrolizumab and Vorinostat for Patients with Advanced Stage IV Non-Small Cell Lung Cancer
Sponsor: H. Lee Moffitt Cancer Center and Research Institute
ClinicalTrials ID:NCT02638090
This clinical trial is exploring whether a combination of two drugs, pembrolizumab and vorinostat, can help treat advanced lung cancer. The study will compare the effects of using both drugs together versus using pembrolizumab alone, and aims to determine if the combination is safe and effective.
Patient Parameters
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Program Overview
The main goal of this study is to see if combining pembrolizumab and vorinostat can help people with advanced non-small cell lung cancer (NSCLC) that has spread or returned after treatment. Pembrolizumab is already approved for treating certain skin and lung cancers, while vorinostat is used for some blood cancers. Researchers want to find out if using these drugs together is safe and can better control the cancer compared to pembrolizumab alone.
Description
This study is divided into two phases. In Phase I, researchers will test different doses of pembrolizumab and vorinostat to find the safest and most effective dose for patients who have already tried other immune therapies. In Phase II, the study will compare the effects of pembrolizumab alone versus the combination of pembrolizumab and vorinostat in patients who have not received immune therapy before. The study will involve 70 patients in Phase II, with some receiving only pembrolizumab and others receiving both drugs.
Eligibility Criteria
Inclusion Criteria
- Be willing and able to provide written consent to participate.
- Be 18 years or older.
- Have measurable cancer based on specific medical criteria.
- Provide a sample of tumor tissue if available, or undergo a biopsy if needed.
- Have a specific score indicating the presence of a protein called PD-L1 in the tumor.
- Be in good overall health with a performance status of 0 or 1, meaning fully active or restricted in physically strenuous activity but ambulatory.
- Have adequate organ function as determined by medical tests.
- Have a confirmed diagnosis of Stage IV non-small cell lung cancer.
- For Phase I: Have cancer that has progressed after at least one prior treatment.
- For Phase II: Be new to treatment for Stage IV cancer, except for those with specific genetic mutations who have had targeted therapy.
- Women of childbearing potential must agree to use two methods of birth control or be surgically sterile during the study and for 120 days after the last dose.
- Men must agree to use barrier contraception during the study and for 120 days after the last dose.
Exclusion Criteria
- Currently participating in another study or have used an investigational drug or device within 4 weeks before starting this study.
- Have a diagnosis of immunodeficiency or are taking high doses of steroids or other immune-suppressing drugs.
- Have a history of tuberculosis.
- Have allergies to pembrolizumab, vorinostat, or their ingredients.
- Have previously been treated with certain immune therapies, unless specified for Phase I.
- Have received recent thoracic radiation or are taking other similar drugs.
- Have had recent chemotherapy or radiation therapy and have not recovered from side effects.
- Have another active cancer that requires treatment, except for certain skin cancers or in situ cervical cancer.
- Have active brain metastases or cancer in the brain lining.
- Have an active autoimmune disease requiring treatment in the past 2 years.
- Have an active infection needing treatment.
- Are pregnant or breastfeeding, or planning to conceive or father a child during the study and for 120 days after.
- Have a history of HIV or active hepatitis B or C.
- Have received a live vaccine within 30 days before starting the study.
- Have a history of lung inflammation or heart failure.
Locations
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| H. Lee Moffitt Cancer Center and Research Institute | 33612 | Tampa | Florida |
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