This is a phase I dose escalation study of CUDC-101 in combination with concurrent cisplatin and radiation therapy in patients with locally advanced head and neck cancer. CUDC-101 is a multi-targeted agent designed to inhibit epidermal growth factor receptor (EGFR), human epidermal growth factor receptor Type 2 (Her2) and histone deacetylase (HDAC). The study is designed to establish the safety, tolerability and maximum tolerated dose (MTD) of CUDC-101 when administered in combination with concurrent cisplatin and radiation over an 8-week treatment course, consisting of a one week run-in period of CUDC-101 administered alone, followed by seven weeks of combination treatment with CUDC-101, cisplatin and radiation therapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
CUDC-101 will be administered as a 1 hour intravenous infusion three times per week for a one week run-in (week -1) and then as part of the combination treatment on weeks 1-7. If the 225 mg/m2 dose is tolerated in the first cohort, the dose will be increased to 275 mg/m2. If the 225 mg/m2 dose is not tolerated, the dose will be decreased to 175 mg/m2. If 175 mg/m2 is not tolerated the dose will be further decreased to 150 mg/m2.
Cisplatin will be administered intravenously at a dose of 100 mg/m2 on days 2, 23 and 44 of the seven week combination treatment course.
The initial target volume encompassing the gross and subclinical disease sites will receive 2.0 Gy per fraction, five fractions per week. The gross disease sites will receive 70 Gy in 35 fractions over seven weeks and the subclinical disease sites will receive 56 Gy in 35 fractions, again over seven weeks.
Stanford Cancer Center
Stanford, California, United States
University of Colorado Cancer Center
Aurora, Colorado, United States
Overton Brooks VA Medical Center
Shreveport, Louisiana, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Henry Ford Health System
Detroit, Michigan, United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States
Vanderbilt University
Nashville, Tennessee, United States
The number of participants with adverse events.
Safety and tolerability will be assessed by evaluating the number of patients with adverse events
Time frame: 18-24 months
The number of subjects disease free at the completion of the treatment period.
To evaluate the efficacy of CUDC-101 in combination with cisplatin and radiation therapy by evaluating the number of subjects disease free at the completion of the treatment period.
Time frame: 18-24 months
The number of subjects disease free in the follow up period.
To evaluate the efficacy of CUDC-101 in combination with cisplatin and radiation therapy by evaluating the number of subjects disease free in the follow up period.
Time frame: 18-24 months
Concentration of CUDC-101 in the blood over time.
Pharmacokinetics will involve a determination of the concentration of CUDC-101 in the blood over time.
Time frame: 18-24 months
Number of circulating tumor cells pre treatment on Day -7 and 1 hour post treatment on Day -3.
The ability of CUDC-101 to exert a biological effect on the tumor will be examined in pharmacodynamic samples.
Time frame: 18-24 months
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