Suberoylanilide Hydroxamic Acid in Treating Patients With Metastatic and/or Locally Advanced or Locally Recurrent Thyroid Cancer
Condition: Insular Thyroid Cancer; Recurrent Thyroid Cancer; Stage II Follicular Thyroid Cancer; Stage II Papillary Thyroid Cancer; Stage IV Follicular Thyroid Cancer; Stage IV Papillary Thyroid Cancer; Thyroid Gland Medullary Carcinoma
MeSH terms: Carcinoma; Thyroid Neoplasms; Thyroid Cancer, Papillary; Carcinoma, Medullary; Adenocarcinoma, Follicular; Thyroid Diseases
Intervention: vorinostat
Intervention description: Given orally
Intervention MeSH terms: Vorinostat
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 19.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: No

Summary:

      This phase II trial is studying how well suberoylanilide hydroxamic acid works in treating
      patients with metastatic and/or locally advanced or locally recurrent thyroid cancer. Drugs
      used in chemotherapy, such as suberoylanilide hydroxamic acid, work in different ways to stop
      the growth of tumor cells, either by killing the cells or by stopping them from dividing.
      Suberoylanilide hydroxamic acid may also stop the growth of tumor cells by blocking some of
      the enzymes needed for cell growth.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Histologically confirmed thyroid cancer

               -  One of the following subtypes:

                    -  Papillary thyroid cancer

                    -  Follicular thyroid cancer

                    -  Hürthle cell thyroid cancer

                    -  Insular thyroid cancer

                    -  Medullary thyroid cancer

                    -  Mixed histology thyroid cancer

                    -  Poorly differentiated thyroid cancer

                    -  Tall-cell thyroid cancer

               -  Metastatic and/or locally advanced or locally recurrent disease

          -  Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by
             conventional techniques OR ≥ 10 mm by spiral CT scan

               -  Lesions in a previously irradiated area allowed provided there has been
                  subsequent disease progression of the irradiated lesions

               -  The following are not considered measurable disease:

                    -  Bone lesions

                    -  Leptomeningeal disease

                    -  Ascites

                    -  Pleural or pericardial effusion

                    -  Lymphangitis cutis/pulmonis

                    -  Abdominal masses not confirmed and followed by imaging techniques

                    -  Cystic lesions

          -  Not a candidate for radioactive iodine I^131 therapy

          -  Performance status - ECOG 0-1

          -  At least 6 months

          -  WBC ≥ 3,000/mm^3

          -  Absolute neutrophil count ≥ 1,500/mm^3

          -  Platelet count ≥ 100,000/mm^3

          -  Bilirubin ≤ 1.5 mg/dL

          -  AST and ALT ≤ 2.5 times upper limit of normal

          -  Creatinine ≤ 1.5 mg/dL

          -  Not pregnant or nursing

          -  Negative pregnancy test

          -  Fertile patients must use effective contraception

          -  No history of allergic reaction attributed to compounds of similar chemical or
             biologic composition to study drug

          -  No ongoing or active infection

          -  No psychiatric illness or social situation that would preclude study compliance

          -  No other uncontrolled illness

          -  No other active malignancy except nonmetastatic nonmelanoma skin cancer or carcinoma
             in situ of the cervix

          -  More than 4 weeks since prior systemic cytotoxic chemotherapy (6 weeks for
             nitrosoureas or mitomycin)

          -  No more than 2 prior chemotherapy regimens for the treatment of thyroid cancer

          -  See Disease Characteristics

          -  More than 4 weeks since prior external beam radiotherapy

          -  At least 24 weeks since prior radioactive iodine I^131 therapy

          -  Recovered from prior therapy

          -  More than 4 weeks since prior valproic acid or any other histone deacetylase inhibitor

          -  More than 4 weeks since prior investigational tumor-specific therapy

          -  Concurrent oral or IV bisphosphonates for bony metastases allowed at the discretion of
             the investigator

          -  No concurrent combination antiretroviral therapy for HIV-positive patients

          -  No other concurrent tumor-specific or investigational therapy

          -  No other concurrent anticancer therapy

          -  No concurrent adjuvant therapy for another cancer