Sirolimus or Vorinostat and Hydroxychloroquine in Advanced Cancer

• Status: Completed
• Trial end date: 2021-02-11
• Target enrollment: 0
• Participant gender: All

Summary

The goal of this clinical research study is to find the highest tolerable dose of sirolimus or vorinostat that can be given in combination with hydroxychloroquine to patients with advanced cancer. The safety of these drug combinations will also be studied.

• Phase: Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: M.D. Anderson Cancer Center
• Treatments: Everolimus; Hydroxychloroquine; Sirolimus; Vorinostat

Criteria

Inclusion Criteria:

1. Patients with advanced or metastatic cancers that are refractory to standard therapy, relapsed after standard therapy, or who have no standard therapy available that improves survival by at least three months.

2. Patients must be >/= 18 years.

3. Patients must be >/= 3 weeks beyond treatment with a cytotoxic chemotherapy regimen, or therapeutic radiation, or major surgery. Patients may have received palliative localized radiation immediately before or during treatment provided that radiation is not delivered to the only site of disease being treated under this protocol. For biologic/targeted agents patients must be >/= 5 half-lives or >/= 3 weeks form the last dose (whichever comes first).

4. ECOG performance status

5. Patients must have adequate organ and marrow function defined as: absolute neutrophil count >/= 1,000/mL;platelets >/=50,000/mL; creatinine2.0 (exceptions may apply to benign non-malignant indirect hyperbilirubinemia such as Gilbert syndrome); ALT(SGPT)metastasis: total bilirubinmg/dL; triglycerides

6. Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 30 days after the last dose.

7. Patients must be able to understand and be willing to sign a written informed consent document.

Exclusion Criteria:

1. Uncontrolled intercurrent illness, including, but not limited to, uncontrolled infection, uncontrolled asthma, need for hemodialysis, need for ventilatory support.

2. Pregnant or lactating women.

3. History of hypersensitivity to sirolimus.

4. History of hypersensitivity to vorinostat

5. History of hypersensitivity to hydroxychloroquine

6. History of hypersensitivity to any component of the formulation.

7. Patients unwilling or unable to sign informed consent document.

8. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption.

9. Patients with known glucose-6-phosphate dehydrogenase deficiency.

10. Patients with porphyria cutanea tarda.

11. Patients with psoriasis.

12. Patients with pre-existing maculopathy or retinopathy of the eye.

13. Patients who have a pre-existing myopathy.