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NCT01010854: VPA-FEC100

Valproic Acid in Combination With FEC100 for Primary Therapy in Patients With Breast Cancer

Terminated Phase 2 Results posted Last updated 9 March 2018
What this trial tests

Phase 2 trial testing VPA FEC100 in Breast Cancer in 6 participants. Terminated before completion.

Timeline
10 December 2008
Primary endpoint
12 December 2010
29 July 2011

Quick facts

Lead sponsorUniversity of California, San Francisco
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment6
Start date10 December 2008
Primary completion12 December 2010
Estimated completion29 July 2011
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of California, San Francisco

Who can join

18 and older, any sex, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Pathologic Response at Definitive Surgery Primary · after 4 cycles of therapy
GroupValue95% CI
VPA FEC1003
Clinical Response Based on Tumor Measurement Secondary · after 4 cycles of therapy
GroupValue95% CI
VPA FEC1003

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

VPA FEC100
Serious: 2/6 (33%)
Deaths: 0/6

Serious adverse events (2 terms)

ReactionSystemVPA FEC100
DizzinessNervous system disorders
Febrile NeutropeniaBlood and lymphatic system disorders
Other adverse events (34 terms — click to expand)

ReactionSystemVPA FEC100
HemoglobinBlood and lymphatic system disorders
FatigueGeneral disorders
Hair loss/alopeciaSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Leukocytes (total WBC)Blood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
RigorsGeneral disorders
AnorexiaGastrointestinal disorders
VomitingGastrointestinal disorders
Febrile neutropheniaBlood and lymphatic system disorders
HypocalcemiaMetabolism and nutrition disorders
Cognitive disturbanceNervous system disorders
DizzinessNervous system disorders
Memory impairmentNervous system disorders
AnxietyPsychiatric disorders
Bone PainMusculoskeletal and connective tissue disorders
PlateletsBlood and lymphatic system disorders
InsomniaGeneral disorders
Thyroid function, lowEndocrine disorders
DehydrationGastrointestinal disorders
DiarrheaGastrointestinal disorders
InfectionBlood and lymphatic system disorders
Alkaline phosphataseInvestigations
HypercalcemiaMetabolism and nutrition disorders
HypermagnesemiaMetabolism and nutrition disorders
hypophosphatemiaMetabolism and nutrition disorders
AgitationPsychiatric disorders
Watering EyesEye disorders
Pain in ExtremityMusculoskeletal and connective tissue disorders
Breast PainReproductive system and breast disorders
HeadacheNervous system disorders
DyspneaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Dizziness, Febrile Neutropenia.

Data from ClinicalTrials.gov NCT01010854 adverse events section.

Sponsor's own description

The drugs FEC 100 (5-fluorouracil, epirubicin, and cyclophosphamide) are one of the approved options to treat Locally Advanced or Primary Metastatic Breast Cancer. In this study, the investigators will add another drug called Valproic Acid (VPA) to see whether this makes the treatment better. The addition of Valproic Acid to chemotherapy has been studied in about 65 subjects with cancer and was found to be safe and tolerable. Valproic Acid is approved by the Food and Drug Administration (FDA) for the treatment of seizures, mood swings, and migraine headaches. It is not currently approved for cancer, which is why the investigators are conducting this study. The results of a Phase I study of Valproic Acid and FEC100 in subjects with cancer that has spread has led the investigators to believe that this combination is better than just the standard treatment alone. The investigators are now testing the combination in a study with subjects who have either a large tumor, many lymph nodes involved or patients whose tumor has spread. In addition to the treatment, a main goal of the study is to find out which subjects will benefit from this combination. In the Phase I trial the investigators noticed that while this combination appears to make the chemotherapy more effective, it did not appear to cause more side effects induced by the chemotherapy.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Combination Therapy With Histone Deacetylase Inhibitors (HDACi) for the Treatment of Cancer: Achieving the Full Therapeutic Potential of HDACi.
    Suraweera A, O'Byrne KJ, Richard DJ. · · 2018 · cited 496× · PMID 29651407 · DOI 10.3389/fonc.2018.00092
  2. Cancer epigenetics: Moving forward.
    Nebbioso A, Tambaro FP, Dell'Aversana C, Altucci L. · · 2018 · cited 325× · PMID 29879107 · DOI 10.1371/journal.pgen.1007362
  3. Exploring the Drug Repurposing Versatility of Valproic Acid as a Multifunctional Regulator of Innate and Adaptive Immune Cells.
    Soria-Castro R, Schcolnik-Cabrera A, Rodríguez-López G, Campillo-Navarro M, et al · · 2019 · cited 43× · PMID 31001564 · DOI 10.1155/2019/9678098
  4. Epigenetics in Breast Cancer Therapy-New Strategies and Future Nanomedicine Perspectives.
    Buocikova V, Rios-Mondragon I, Pilalis E, Chatziioannou A, et al · · 2020 · cited 42× · PMID 33287297 · DOI 10.3390/cancers12123622
  5. RNA-Seq of human breast ductal carcinoma in situ models reveals aldehyde dehydrogenase isoform 5A1 as a novel potential target.
    Kaur H, Mao S, Li Q, Sameni M, et al · · 2012 · cited 34× · PMID 23236365 · DOI 10.1371/journal.pone.0050249
  6. Epigenetic Approaches to Overcome Fluoropyrimidines Resistance in Solid Tumors.
    Grumetti L, Lombardi R, Iannelli F, Pucci B, et al · · 2022 · cited 10× · PMID 35158962 · DOI 10.3390/cancers14030695

Verify or expand the search:

Other recruiting trials for Breast Cancer

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing