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    Clinical Trial Results:
    Phase II Studie zur Wirksamkeit und Verträglichkeit von Vorinostat bei Patienten mit fortgeschrittenen, metastasierten Weichteilsarkomen. English title: A Phase II Study to Investigate the Efficacy and Tolerability of Vorinostat in Patients Suffering from Advanced, Metastatic Soft Tissue Sarcoma.

    Summary
    EudraCT number
    2008-008513-19
    Trial protocol
    DE  
    Global end of trial date
    20 Nov 2013

    Results information
    Results version number
    v1(current)
    This version publication date
    24 Jun 2022
    First version publication date
    24 Jun 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    SAHA-I
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00918489
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Universitätsklinikum Heidelberg
    Sponsor organisation address
    Im Neuenheimer Feld 672, Heidelberg, Germany, 69120
    Public contact
    Prof. Dr. G. Egerer, Universitätsklinikum Heidelberg Medizinische Klinik und Poliklinik V, +496221 56 8002, Gerlinde.Egerer@med.uni-heidelberg.de
    Scientific contact
    Prof. Dr. G. Egerer, Universitätsklinikum Heidelberg Medizinische Klinik und Poliklinik V, +496221 56 8002, Gerlinde.Egerer@med.uni-heidelberg.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    05 Aug 2014
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    20 Nov 2013
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Nov 2013
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Investigation of progression-free survival on the basis of RECIST criteria 1 year after treatment start
    Protection of trial subjects
    Adverse events were monitored. A Data and Safety Monitoring Committee was establshed.
    Background therapy
    -
    Evidence for comparator
    not applicable
    Actual start date of recruitment
    02 Jun 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 40
    Worldwide total number of subjects
    40
    EEA total number of subjects
    40
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    30
    From 65 to 84 years
    9
    85 years and over
    1

    Subject disposition

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    Recruitment
    Recruitment details
    Patients with metastatic soft tissue sarcoma failing 1 °-line anthracycline-based chemotherapy

    Pre-assignment
    Screening details
    Criteria for inclusion: • Histologically proven advanced or metastatic soft tissue sarcoma • Age: 18 years • Previous anthracycline-based, 1°-line chemotherapy • Life expectancy >/= 12 weeks • Adequate bone marrow, liver- and renal function • Negative pregnancy test

    Period 1
    Period 1 title
    Therapy (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    not applicable

    Arms
    Arm title
    Therapy
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Vorinostat
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    400 mg per o, followed by a therapy-free period 7 dayss for 28 days

    Number of subjects in period 1
    Therapy
    Started
    40
    Completed
    23
    Not completed
    17
         death (no SAE)
    17

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Therapy
    Reporting group description
    -

    Reporting group values
    Therapy Total
    Number of subjects
    40 40
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    30 30
        From 65-84 years
    9 9
        85 years and over
    1 1
    Gender categorical
    Units: Subjects
        Female
    19 19
        Male
    21 21

    End points

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    End points reporting groups
    Reporting group title
    Therapy
    Reporting group description
    -

    Primary: Progression-free survival

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    End point title
    Progression-free survival [1]
    End point description
    Disease status was assessed by CT and/or MRI scans applying RECIST criteria every three months. Progression-free survival was defined as time from treatment start to disease progression or patient's death.
    End point type
    Primary
    End point timeframe
    1 year after start of study
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study, no comparative statistics applicable (feasibility study)
    End point values
    Therapy
    Number of subjects analysed
    40 [2]
    Units: percent
        arithmetic mean (confidence interval 95%)
    0.480 (0.302 to 0.631)
    Notes
    [2] - The numer displayed as arithmetic mean is actually the proportion (48% progression free survival)
    No statistical analyses for this end point

    Secondary: Overall survival

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    End point title
    Overall survival
    End point description
    Overall survival was defined as time from treatment start patient's death or last follow-up.
    End point type
    Secondary
    End point timeframe
    1 year
    End point values
    Therapy
    Number of subjects analysed
    40 [3]
    Units: percent
        number (confidence interval 95%)
    0.580 (0.381 to 0.724)
    Notes
    [3] - number displayed as result is proportion of patients with overall survival as defined in description
    No statistical analyses for this end point

    Secondary: Pharmacokinetic analyses

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    End point title
    Pharmacokinetic analyses
    End point description
    Data on pharmacokinetics were available for 8 subjects (male=4. female=4. median age=62 years) . In plasma samples, mean Gmax (maximum concentration) , tmax (time to reach max. concentration), AUG (area under the plasma­ concentration time curve), t112 (elimination half-life) and GI/F (apparent total clearance) were 350 ng/ml , 101 min, 71.1 min*µg/ml , 103 min and 5903 ml/ min. The corresponding parameters in PBMGs were 558 ng/ml , 97.5 min, 208.4 min*µg/ml , 286 min and 2475 ml /min, respectively. The AUG plasma/PBMG ratio was 2.93, indicating accumulation of vorinostat in PBMGs. Differences in AUG (p=.008) and t112 (p= . 01) reached statistical significance. It was not possible to enter these data as measurable due to technical reasons (no dispersion values available).
    End point type
    Secondary
    End point timeframe
    Subset of 8 patients, examined within study period
    End point values
    Therapy
    Number of subjects analysed
    40 [4]
    Units: patients in this substudy
    8
    Notes
    [4] - The count displayed here is the number of patients included in pharmacokinetics substudy.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    During treatment and follow-up
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.0
    Reporting groups
    Reporting group title
    Therapy
    Reporting group description
    -

    Serious adverse events
    Therapy
    Total subjects affected by serious adverse events
         subjects affected / exposed
    20 / 40 (50.00%)
         number of deaths (all causes)
    17
         number of deaths resulting from adverse events
    1
    Vascular disorders
    Haemorrhage
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Shock
    Additional description: unknown etiology
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Nervous system disorders
    Aphasia
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Leukopenia
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pancytopenia
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Thrombopenia
         subjects affected / exposed
    3 / 40 (7.50%)
         occurrences causally related to treatment / all
    3 / 4
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Death
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    2 / 40 (5.00%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Intussusception
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Subileus
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain
    Additional description: pain in extremities
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea exertional
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Haemoptysis
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumothorax
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Candidiasis
    Additional description: Candidiasis of oral mucosa
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Febrile infection
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    2 / 40 (5.00%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 1
    Metabolism and nutrition disorders
    Abnormal loss of weight
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Decreased appetite
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Dehydration
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Hyperglycaemia
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Therapy
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    40 / 40 (100.00%)
    Surgical and medical procedures
    Surgical and medical procedures
    Additional description: All AEs in this SOC
         subjects affected / exposed
    2 / 40 (5.00%)
         occurrences all number
    2
    General disorders and administration site conditions
    General disorders and administration site conditions
    Additional description: All AEs in this SOC
         subjects affected / exposed
    30 / 40 (75.00%)
         occurrences all number
    59
    Respiratory, thoracic and mediastinal disorders
    Respiratory, thoracic and mediastinal disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    13 / 40 (32.50%)
         occurrences all number
    25
    Psychiatric disorders
    Psychiatric disoders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    3 / 40 (7.50%)
         occurrences all number
    3
    Investigations
    Investigations
    Additional description: All AEs in this SOC
         subjects affected / exposed
    17 / 40 (42.50%)
         occurrences all number
    29
    Injury, poisoning and procedural complications
    Injury, poisoning and procedural complications
    Additional description: All AEs in this SOC
         subjects affected / exposed
    5 / 40 (12.50%)
         occurrences all number
    5
    Cardiac disorders
    Cardiac Disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    2 / 40 (5.00%)
         occurrences all number
    2
    Nervous system disorders
    Nervous system disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    14 / 40 (35.00%)
         occurrences all number
    27
    Blood and lymphatic system disorders
    Blood and lymphatic system disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    11 / 40 (27.50%)
         occurrences all number
    14
    Ear and labyrinth disorders
    Ear and labyrinth disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    4 / 40 (10.00%)
         occurrences all number
    4
    Eye disorders
    Eye disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    3 / 40 (7.50%)
         occurrences all number
    5
    Gastrointestinal disorders
    Gastrointestinal disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    27 / 40 (67.50%)
         occurrences all number
    65
    Skin and subcutaneous tissue disorders
    Skin and subcutaneous tissue disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    13 / 40 (32.50%)
         occurrences all number
    17
    Renal and urinary disorders
    Renal and urinary disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    6 / 40 (15.00%)
         occurrences all number
    6
    Musculoskeletal and connective tissue disorders
    Musculoskeletal and connective tissue disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    15 / 40 (37.50%)
         occurrences all number
    24
    Infections and infestations
    Infections and infestations
    Additional description: All AEs in this SOC
         subjects affected / exposed
    10 / 40 (25.00%)
         occurrences all number
    15
    Metabolism and nutrition disorders
    Metabolism and nutrition disorders
    Additional description: All AEs in this SOC
         subjects affected / exposed
    16 / 40 (40.00%)
         occurrences all number
    24

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    01 Mar 2010
    Study Protocol: More detailed description of the statistical evaluation of study data ICF: More detailed description of possible risks related to the study medication, deletion of the currative approach of the trial, information of sufficient anticontraception in male volunteers, report obligation of investigator in case of positive serology for hepatitis and HIV.
    20 Apr 2010
    Samples for pharmacokinetic examination

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/27367154
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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