ClinicalTrials.gg
CompletedNCT01789255Updated Jul 24, 2018Results posted

Vorinostat, Tacrolimus, and Methotrexate in Preventing GVHD After Stem Cell Transplant in Patients With Hematological Malignancies

A Phase 2 interventional study of vorinostat and tacrolimus in Accelerated Phase Chronic Myelogenous Leukemia, Adult Acute Myeloid Leukemia in Remission and Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities, sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-07-24.

Primary conditionLeukemia, Lymphocytic, Chronic, B-CellRegistry: Leukemia, Myeloid, Accelerated PhaseReclassifiedWhy we changed it
Registry
Leukemia, Myeloid, Accelerated Phase — the first condition term the registry derived for this study.
ClinicalTrials.gg
Leukemia, Lymphocytic, Chronic, B-Cell
Why
  1. Leukemia, Myeloid, Accelerated Phase is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Leukemia, Lymphocytic, Chronic, B-Cell.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies testing vorinostat in Leukemia, Lymphocytic, Chronic, B-Cell — none open to participants now, none under way, none of them phase 3. Vorinostat · Leukemia, Lymphocytic, Chronic, B-Cell.

Started
2013
the only one that year
Phase 2
3 of 10
none open now
Registered
10th of 10
by date
Lead sponsor
3 of 10
National Cancer Institute (NCI)

Among the 10 studies testing vorinostat in Leukemia, Lymphocytic, Chronic, B-Cell, this one is the only one that started in 2013, is one of 3 in phase 2, and was the 10th registered.

By phase

10 studies; the count open now beside each. This study's row is marked.

Phase 15 · 0 open
Phase 2this study3 · 0 open
Phase 1/22 · 0 open

By the year they started

First in 2000; this study’s year is marked. 1 started in 2013.

Size and results

Median enrollment 30 across the 8 interventional studies. Of the 9 that completed or were terminated, 4 (44%) have results posted.

Download CSVWith an account: the 10 studies testing vorinostat in Leukemia, Lymphocytic, Chronic, B-Cell as a file.
02

Study summary

This pilot phase II trial studies how well giving vorinostat, tacrolimus, and methotrexate works in preventing graft-versus-host disease (GVHD) after stem cell transplant in patients with hematological malignancies. Vorinostat, tacrolimus, and methotrexate may be an effective treatment for GVHD caused by a bone marrow transplant.

Read the detailed description

PRIMARY OBJECTIVES:

I. To assess the safety and the feasibility of the addition of vorinostat to tacrolimus and methotrexate GVHD prophylaxis.

SECONDARY OBJECTIVES:

I. To determine day 100 grades 2-4 acute GVHD. II. To determine 1-year overall survival and relapse-free survival. III. To correlate plasma concentrations of inflammatory markers of acute GVHD. IV. To correlate protein acetylation in peripheral blood mononuclear cells before and after administration of vorinostat.

OUTLINE:

Patients receive vorinostat orally (PO) twice daily (BID) on days -10 to 100. Beginning on day -3, patients receive tacrolimus intravenously (IV) continuously or PO BID (or cyclosporine IV continuously or PO in patients unable to tolerate tacrolimus) with taper on days 100-180.Patients also receive methotrexate IV once daily (QD) on days 1, 3, 6, and 11.

After completion of study treatment, patients are followed up periodically for 1 year.

03

Conditions studied

  • Accelerated Phase Chronic Myelogenous Leukemia
  • Adult Acute Myeloid Leukemia in Remission
  • Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities
  • Adult Acute Myeloid Leukemia With Del(5q)
  • Adult Acute Myeloid Leukemia With Inv(16)(p13;q22)
  • Adult Acute Myeloid Leukemia With t(15;17)(q22;q12)
  • Adult Acute Myeloid Leukemia With t(16;16)(p13;q22)
  • Adult Acute Myeloid Leukemia With t(8;21)(q22;q22)
  • Adult Grade III Lymphomatoid Granulomatosis
  • B-cell Chronic Lymphocytic Leukemia
  • Chronic Myelogenous Leukemia, BCR-ABL1 Positive
  • Chronic Myelomonocytic Leukemia
  • Chronic Phase Chronic Myelogenous Leukemia
  • Contiguous Stage II Adult Burkitt Lymphoma
  • Contiguous Stage II Adult Diffuse Large Cell Lymphoma
  • Contiguous Stage II Adult Diffuse Mixed Cell Lymphoma
  • Contiguous Stage II Adult Diffuse Small Cleaved Cell Lymphoma
  • Contiguous Stage II Adult Immunoblastic Large Cell Lymphoma
  • Contiguous Stage II Adult Lymphoblastic Lymphoma
  • Contiguous Stage II Grade 1 Follicular Lymphoma
  • Contiguous Stage II Grade 2 Follicular Lymphoma
  • Contiguous Stage II Grade 3 Follicular Lymphoma
  • Contiguous Stage II Mantle Cell Lymphoma
  • Contiguous Stage II Marginal Zone Lymphoma
  • Contiguous Stage II Small Lymphocytic Lymphoma
  • Cutaneous B-cell Non-Hodgkin Lymphoma
  • Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue
  • Graft Versus Host Disease
  • Intraocular Lymphoma
  • Myelodysplastic Syndrome With Isolated Del(5q)
  • Myelodysplastic/Myeloproliferative Neoplasm, Unclassifiable
  • Nodal Marginal Zone B-cell Lymphoma
  • Noncontiguous Stage II Adult Burkitt Lymphoma
  • Noncontiguous Stage II Adult Diffuse Large Cell Lymphoma
  • Noncontiguous Stage II Adult Diffuse Mixed Cell Lymphoma
  • Noncontiguous Stage II Adult Diffuse Small Cleaved Cell Lymphoma
  • Noncontiguous Stage II Adult Immunoblastic Large Cell Lymphoma
  • Noncontiguous Stage II Adult Lymphoblastic Lymphoma
  • Noncontiguous Stage II Grade 1 Follicular Lymphoma
  • Noncontiguous Stage II Grade 2 Follicular Lymphoma
  • Noncontiguous Stage II Grade 3 Follicular Lymphoma
  • Noncontiguous Stage II Mantle Cell Lymphoma
  • Noncontiguous Stage II Marginal Zone Lymphoma
  • Noncontiguous Stage II Small Lymphocytic Lymphoma
  • Post-transplant Lymphoproliferative Disorder
  • Primary Central Nervous System Hodgkin Lymphoma
  • Primary Central Nervous System Non-Hodgkin Lymphoma
  • Recurrent Adult Acute Myeloid Leukemia
  • Recurrent Adult Burkitt Lymphoma
  • Recurrent Adult Diffuse Large Cell Lymphoma
  • Recurrent Adult Diffuse Mixed Cell Lymphoma
  • Recurrent Adult Diffuse Small Cleaved Cell Lymphoma
  • Recurrent Adult Grade III Lymphomatoid Granulomatosis
  • Recurrent Adult Hodgkin Lymphoma
  • Recurrent Adult Immunoblastic Large Cell Lymphoma
  • Recurrent Adult Lymphoblastic Lymphoma
  • Recurrent Grade 1 Follicular Lymphoma
  • Recurrent Grade 2 Follicular Lymphoma
  • Recurrent Grade 3 Follicular Lymphoma
  • Recurrent Mantle Cell Lymphoma
  • Recurrent Marginal Zone Lymphoma
  • Recurrent Small Lymphocytic Lymphoma
  • Refractory Anemia
  • Refractory Anemia With Excess Blasts
  • Refractory Anemia With Ringed Sideroblasts
  • Refractory Chronic Lymphocytic Leukemia
  • Refractory Cytopenia With Multilineage Dysplasia
  • Refractory Hairy Cell Leukemia
  • Relapsing Chronic Myelogenous Leukemia
  • Secondary Central Nervous System Hodgkin Lymphoma
  • Secondary Central Nervous System Non-Hodgkin Lymphoma
  • Small Intestine Lymphoma
  • Splenic Marginal Zone Lymphoma
  • Stage I Adult Burkitt Lymphoma
  • Stage I Adult Diffuse Large Cell Lymphoma
  • Stage I Adult Diffuse Mixed Cell Lymphoma
  • Stage I Adult Diffuse Small Cleaved Cell Lymphoma
  • Stage I Adult Hodgkin Lymphoma
  • Stage I Adult Immunoblastic Large Cell Lymphoma
  • Stage I Adult Lymphoblastic Lymphoma
  • Stage I Chronic Lymphocytic Leukemia
  • Stage I Grade 1 Follicular Lymphoma
  • Stage I Grade 2 Follicular Lymphoma
  • Stage I Grade 3 Follicular Lymphoma
  • Stage I Mantle Cell Lymphoma
  • Stage I Marginal Zone Lymphoma
  • Stage I Small Lymphocytic Lymphoma
  • Stage II Adult Hodgkin Lymphoma
  • Stage II Chronic Lymphocytic Leukemia
  • Stage III Adult Burkitt Lymphoma
  • Stage III Adult Diffuse Large Cell Lymphoma
  • Stage III Adult Diffuse Mixed Cell Lymphoma
  • Stage III Adult Diffuse Small Cleaved Cell Lymphoma
  • Stage III Adult Hodgkin Lymphoma
  • Stage III Adult Immunoblastic Large Cell Lymphoma
  • Stage III Adult Lymphoblastic Lymphoma
  • Stage III Chronic Lymphocytic Leukemia
  • Stage III Grade 1 Follicular Lymphoma
  • Stage III Grade 2 Follicular Lymphoma
  • Stage III Grade 3 Follicular Lymphoma
  • Stage III Mantle Cell Lymphoma
  • Stage III Marginal Zone Lymphoma
  • Stage IV Adult Burkitt Lymphoma
  • Stage IV Adult Diffuse Large Cell Lymphoma
  • Stage IV Adult Diffuse Mixed Cell Lymphoma
  • Stage IV Adult Diffuse Small Cleaved Cell Lymphoma
  • Stage IV Adult Hodgkin Lymphoma
  • Stage IV Adult Immunoblastic Large Cell Lymphoma
  • Stage IV Adult Lymphoblastic Lymphoma
  • Stage IV Chronic Lymphocytic Leukemia
  • Stage IV Grade 1 Follicular Lymphoma
  • Stage IV Grade 2 Follicular Lymphoma
  • Stage IV Grade 3 Follicular Lymphoma
  • Stage IV Mantle Cell Lymphoma
  • Stage IV Marginal Zone Lymphoma
  • Stage IV Small Lymphocytic Lymphoma
  • Testicular Lymphoma
  • Waldenström Macroglobulinemia
04

In context

Leukemia, Lymphocytic, Chronic, B-Cell Reclassified

2,036 studies on the registry are indexed under Leukemia, Lymphocytic, Chronic, B-Cell; 237 are open to participants now.

This study's enrollment of 12 is below the median of 39 across 1,603 interventional studies indexed under Leukemia, Lymphocytic, Chronic, B-Cell.

Browse Leukemia, Lymphocytic, Chronic, B-Cell studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,556 studies on the registry; 336 are open to participants now.

Of its 411 completed or terminated interventional studies of FDA-regulated products, 373 (91%) have results posted.

Compared within Leukemia, Lymphocytic, Chronic, B-Cell, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Leukemia, Myeloid, Accelerated Phase. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • A prospective patient for HSCT for hematologic conditions, both malignant and non-malignant; donor can be unrelated marrow or peripheral blood cells; a patient with history of central nervous system (CNS) involvement is eligible if CNS disease is in remission at time of study consideration
  • The donor and recipient must have a human leukocyte antigen (HLA)-8/8 allelic match at the HLA-A, -B, -C, and -DRB1; high-resolution typing is required for all alleles
  • Diagnoses to be included:
  • Acute myelogenous leukemia at the following stages:

    • First remission
    • Second or subsequent remission
    • Complete remission is defined as the absence of blasts in the peripheral circulation at the time of enrollment and \< 5% blasts in the bone marrow
  • Chronic myelogenous leukemia at the following stages:

    • First or subsequent chronic phase:

      • Patient refused tyrosine kinase therapy or is otherwise not suited for it
      • Stable, not hematologic remission: blasts present in marrow and/or peripheral blood, but disease does not qualify as accelerated or blast phase
      • Hematologic remission: no blast cells or precursor cells in the blood or marrow
      • Partial cytogenetic remission: Philadelphia chromosome positive (Ph+) metaphases > 0% but \< 35%
      • Complete cytogenetic remission: absence of Ph+ metaphases
    • Accelerated phase - any one of the following symptoms:

      • White blood cells (WBC) difficult to control (> 50 x 10\^9/L despite therapy)
      • Rapid doubling of WBC (\< 5 days)
      • 10% blasts in blood or marrow
      • 20% blasts and/or promyelocytes in blood or marrow
      • 20% basophils and/or eosinophils in blood
      • Anemia or thrombocytopenia unresponsive to standard treatment
      • Persistent thrombocytosis (> 1000 x 10\^9/L)
      • Cytogenetic abnormalities in addition to Ph+
      • Increasing splenomegaly
      • Marrow fibrosis
  • Myelodysplastic syndromes at any of the following stages:

    • anemia
    • Refractory anemia with ringed sideroblasts
    • Refractory cytopenia with multilineage dysplasia
    • Refractory cytopenia with multilineage dysplasia and ringed sideroblasts
    • Refractory anemia with excess blasts-1 (5-10% blasts)
    • Refractory anemia with excess blasts-2 (10-20% blasts)
    • Myelodysplastic syndrome, unclassified
    • Myelodysplastic syndrome (MDS) associated with isolated del (5q)
    • Chronic myelomonocytic leukemia
  • Primary Myelofibrosis

    • Intermediate-2 risk or high risk disease
    • Patients should have extinguished standard of care options prior to being considered for this trial
  • Chronic lymphocytic leukemia

    • Complete remission: the disease is completely absent and no relapse occurred prior to the preparative regimen; requires all of the following:

      • Nodular partial remission: complete response with persistent lymphoid nodules in bone marrow
      • Partial remission: reduction of more than 50% in the disease burden regardless of the number of received
  • Mature B cell

    • Patients should have extinguished standard of care options prior to being considered eligible for this trial
    • First complete remission (CR1) confirmed: complete disappearance of all known disease; the term "confirmed" is defined as a laboratory and/or pathological or radiographic determination.
    • CR1 unconfirmed (CRU1): complete disappearance of all known disease with the exception of persistent scan abnormalities of unknown significance; the term "unconfirmed" is defined as scan abnormalities of unknown significance that are not biopsied or otherwise evaluated
    • Second or subsequent complete remission (CR2+) confirmed: the recipient relapsed, then achieved complete absence of disease without radiographic evidence of disease
    • CR2+ unconfirmed: the recipient has achieved a second or subsequent complete response but has persistent radiographic abnormalities of unknown significance.
    • Partial remission: reductions of >= 50% in greatest diameter of all sites of known disease and no new sites
  • >= 70%
  • of greater than 6 months
  • Total =\< 2.5 mg% (unless from Gilbert's disease or disease-related)
  • (AST) (serum glutamic oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) \< 3.0 X institutional
  • Estimated or actual (GFR) > 50 mL/min/1.73 m\^2 for patients with creatinine levels above institutional normal; GFR should be corrected for body surface area (BSA)
  • Diffusing capacity of the lung for carbon monoxide (DLCO) > 50%; DLCO should be corrected for
  • (FEV1) > 50%
  • Forced vital capacity (FVC) > 50%
  • >= 50%
  • The effects of vorinostat on the developing human fetus are unknown; for this reason and because histone deacetylase inhibitor agents as well as other therapeutic agents used in this trial (e.g., tacrolimus and methotrexate) are known to be teratogenic, women of and men must agree to use adequate (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately; men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 4 months after completion of vorinostat administration
  • Ability to understand and the willingness to sign a written document
  • Patients must be able to swallow capsules/tablets

Exclusion criteria

Exclusion Criteria:

  • Patients who are not a candidate for an unrelated donor HSCT based on the current institutional bone marrow transplant (BMT) program clinical practice guidelines; organ function criteria will be utilized per the current institutional BMT program clinical practice guidelines; there will be no restriction to study entry based on hematological parameters
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to vorinostat
  • Patients undergoing a total body irradiation (TBI)-based conditioning regimen (TBI 1200 centigray [cGy])
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements; patients still under therapy for presumed or proven infection are eligible provided there is clear evidence (radiographic findings and/or culture results) that the infection is well-controlled; patients under treatment for infection will be enrolled only after clearance from the Principal Investigator (PI)
  • Pregnant women are excluded from this study because vorinostat is a histone deacetylase inhibitor agent with the potential for teratogenic or abortifacient effects; because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with vorinostat, breastfeeding should be discontinued if the mother is treated with vorinostat
  • Patients with evidence of (HIV) seropositivity and/or positive polymerase chain reaction (PCR) assay, human T-lymphotropic virus (HTLV)1/HTLV2 seropositivity; the safety of allogeneic HSCT is not yet well-established for this population
  • Patients with evidence of or PCR positivity; hepatitis reactivation following myelosuppressive therapy can lead to fatal complications
  • Patients with a history of prolonged interval (QTc) syndrome
  • Patients asking or who have had prior treatment with a drug like vorinostat (i.e., valproic acid) within the last 30 days
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

06

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Supportive care (vorinostat, tacrolimus, methotrexate)

    Patients receive vorinostat PO BID on days -10 to 100. Beginning on day -3, patients receive tacrolimus IV continuously or PO BID (or cyclosporine IV continuously or PO in patients unable to tolerate tacrolimus) with taper on days 100-180.Patients also receive methotrexate IV QD on days 1, 3, 6, and 11.

    Drug: vorinostat · Drug: tacrolimus · Drug: cyclosporine · Drug: methotrexate · Other: laboratory biomarker analysis · Other: pharmacological study

Interventions

  • Given PO

    Also known as: L-001079038, SAHA, suberoylanilide hydroxamic acid, Zolinza

  • Given IV or PO

    Also known as: FK 506, Prograf

  • Given IV or PO

    Also known as: ciclosporin, cyclosporin, cyclosporin A, CYSP, Sandimmune

  • Given IV

    Also known as: amethopterin, Folex, methylaminopterin, Mexate, MTX

  • Otherlaboratory biomarker analysis

    Correlative studies

  • Otherpharmacological study

    Correlative studies

    Also known as: pharmacological studies

07

What researchers measure

Primary outcomes

  1. The Number of Participants That Experience Grade 2-4 Acute GVHD (Graft Versus Host Disease) by Day 100

    The incidence of grade 2-4 acute GVHD (Graft Versus Host Disease) by day 100 Grade 2 GVHD: Maculopapular rash covering 25-50% of BSA (Body Surface Area), bilirubin between 3.1-6 mg/dl, and/ or adult stool output between 1000-1500 ml/day (child between 20-30 ml/kg/day). Grade 3 GVHD: Maculopapular rash covering \>50% of BSA, bilirubin between 6.1-15 mg/dl, and/ or adult stool output \>1500 ml/day (child \>30 ml/kg/day). Grade 4 GVHD: Generalized erythroderma plus bullous formation and desquamation \>5% BSA, bilirubin \>15 mg/dl, and/ or severe abdominal pain with or without ileus, or grossly bloody stool.

    Time frame: Day 100

Secondary outcomes

  1. Mean Percent of Planned Dose Administered

    The addition of vorinostat to tacrolimus and methotrexate for GVHD prophylaxis will be considered feasible if 60% or more of the planned doses are administered.

    Time frame: Up to day 30

  2. The Percentage of Patients Alive Without GVHD or Use of Steroids

    The percentage of patients alive without GVHD or use of steroids at 1 year.

    Time frame: Up to 1 year

  3. The Percentage of Patients Alive at 1 Year

    The percentage of patients alive at 1 year

    Time frame: Up to 1 year

  4. The Percentage of Patients With Relapse at 1 Year

    Time frame: Up to 1 year

  5. Median Ac-H3 Levels in Patients Treated With Vorinostat and Patients Not Treated With Vorinostat

    Median Ac-H3 levels ( depicted as a ratio of ac-H2 optical density (OD) and beta actin OD) were compared in patients treated with Vorinostat to patients not treated with Vorinostat. Optical Density is a dimensionless unit.

    Time frame: Up to day 100

  6. Median Plasma Concentration of IL-6 in Patients Treated With Vorinostat and Patients Not Treated With Vorinostat

    Median plasma concentration of IL-6 (Interleukin-6 cytokine) was compared in patients treated with Vorinostat to those not treated with Vorinostat.

    Time frame: Up to day 100

08

Results

Posted Nov 13, 2015

Participant flow

Participant flow — Overall Study
MilestoneSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
Started12
Completed12
Not completed0

Outcome measures

PrimaryThe Number of Participants That Experience Grade 2-4 Acute GVHD (Graft Versus Host Disease) by Day 100

The incidence of grade 2-4 acute GVHD (Graft Versus Host Disease) by day 100 Grade 2 GVHD: Maculopapular rash covering 25-50% of BSA (Body Surface Area), bilirubin between 3.1-6 mg/dl, and/ or adult stool output between 1000-1500 ml/day (child between 20-30 ml/kg/day). Grade 3 GVHD: Maculopapular rash covering \>50% of BSA, bilirubin between 6.1-15 mg/dl, and/ or adult stool output \>1500 ml/day (child \>30 ml/kg/day). Grade 4 GVHD: Generalized erythroderma plus bullous formation and desquamation \>5% BSA, bilirubin \>15 mg/dl, and/ or severe abdominal pain with or without ileus, or grossly bloody stool.

Time frame:
Day 100
Reported as:
Number · participants
The Number of Participants That Experience Grade 2-4 Acute GVHD (Graft Versus Host Disease) by Day 100
participantsSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
The Number of Participants That Experience Grade 2-4 Acute GVHD (Graft Versus Host Disease) by Day 1002
SecondaryMean Percent of Planned Dose Administered

The addition of vorinostat to tacrolimus and methotrexate for GVHD prophylaxis will be considered feasible if 60% or more of the planned doses are administered.

Time frame:
Up to day 30
Reported as:
Mean · percent of dose administered
Mean Percent of Planned Dose Administered
percent of dose administeredSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
Mean Percent of Planned Dose Administered82.5 (53.8 to 100)
SecondaryThe Percentage of Patients Alive Without GVHD or Use of Steroids

The percentage of patients alive without GVHD or use of steroids at 1 year.

Time frame:
Up to 1 year
Reported as:
Number · percentage of patients
The Percentage of Patients Alive Without GVHD or Use of Steroids
percentage of patientsSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
The Percentage of Patients Alive Without GVHD or Use of Steroids47
SecondaryThe Percentage of Patients Alive at 1 Year

The percentage of patients alive at 1 year

Time frame:
Up to 1 year
Reported as:
Number · percentage of patients
The Percentage of Patients Alive at 1 Year
percentage of patientsSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
The Percentage of Patients Alive at 1 Year76
SecondaryThe Percentage of Patients With Relapse at 1 Year
Time frame:
Up to 1 year
Reported as:
Number · percentage of patients
The Percentage of Patients With Relapse at 1 Year
percentage of patientsSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
The Percentage of Patients With Relapse at 1 Year19
SecondaryMedian Ac-H3 Levels in Patients Treated With Vorinostat and Patients Not Treated With Vorinostat

Median Ac-H3 levels ( depicted as a ratio of ac-H2 optical density (OD) and beta actin OD) were compared in patients treated with Vorinostat to patients not treated with Vorinostat. Optical Density is a dimensionless unit.

Time frame:
Up to day 100
Reported as:
Median · Ratio
Median Ac-H3 Levels in Patients Treated With Vorinostat and Patients Not Treated With Vorinostat
RatioSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
Treated with Vorinostat0.943 (0.42 to 1.27)
Not Treated with Vorinostat0.679 (0.19 to 1.01)
Statistical analysis
  • Supportive Care (Vorinostat, Tacrolimus, Methotrexate) · Wilcoxon (Mann-Whitney) · p = 0.02642
SecondaryMedian Plasma Concentration of IL-6 in Patients Treated With Vorinostat and Patients Not Treated With Vorinostat

Median plasma concentration of IL-6 (Interleukin-6 cytokine) was compared in patients treated with Vorinostat to those not treated with Vorinostat.

Time frame:
Up to day 100
Reported as:
Median · pg/mL
Median Plasma Concentration of IL-6 in Patients Treated With Vorinostat and Patients Not Treated With Vorinostat
pg/mLSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
Treated with Vorinostat4.2 (0.1 to 22.3)
Not Treated with Vorinostat7.6 (0.3 to 70.1)
Statistical analysis
  • Supportive Care (Vorinostat, Tacrolimus, Methotrexate) · Wilcoxon (Mann-Whitney) · p = 0.028

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Supportive Care (Vorinostat, Tacrolimus, Methotrexate)—7/12 (58.3%)10/12 (83.3%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
DiarrheaGastrointestinal disorders3/12
Neoplasms benign, malignant and unspecified, OtherNeoplasms benign, malignant and unspecified (incl cysts and polyps)3/12
Non-cardiac chest painGeneral disorders2/12
AnemiaBlood and lymphatic system disorders1/12
DysphagiaGastrointestinal disorders1/12
NauseaGastrointestinal disorders1/12
VomitingGastrointestinal disorders1/12
Immune system disorders, OtherImmune system disorders1/12
Abdominal infectionInfections and infestations1/12
Catheter related infectionInfections and infestations1/12
Most frequent other events
Showing 10 of 23
Most frequent other events
EventSupportive Care (Vorinostat, Tacrolimus, Methotrexate)
Platelet count decreasedInvestigations8/12
DiarrheaGastrointestinal disorders4/12
Creatinine increasedInvestigations4/12
Mucositis oralGastrointestinal disorders3/12
NauseaGastrointestinal disorders3/12
VomitingGastrointestinal disorders3/12
Neoplasms benign, malignant and unspecified, OtherNeoplasms benign, malignant and unspecified (incl cysts and polyps)3/12
AnemiaBlood and lymphatic system disorders2/12
Non-cardiac chest painGeneral disorders2/12
Blood bilirubin increasedInvestigations2/12

Baseline characteristics

Age, Continuous
Age, Continuous(years)Supportive Care (Vorinostat, Tacrolimus, Methotrexate)
Median49 (45 to 58)
Sex: Female, Male
Sex: Female, Male(Participants)Supportive Care (Vorinostat, Tacrolimus, Methotrexate)
Female7
Male5
09

Study locations

1 site
  • University of Michigan University Hospital
    Ann Arbor, Michigan 48109, United States
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 24, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01789255
Responsible party
Sponsor
First posted
Feb 12, 2013
Start date
Jun 2013
Primary completion
Mar 2014
Completion
Mar 2014
Results posted
Nov 13, 2015
Last update
Jul 24, 2018

Study contacts

Pavan Reddy
principal investigator · University of Michigan University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Vorinostat · Tacrolimus · Methotrexate

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