Recruiting
Phase 1

Nelfinavir, Cisplatin, EBRT

Sponsor:

M.D. Anderson Cancer Center

Code:

NCT04169763

Conditions

Stage II Vulvar Cancer AJCC v8

Stage III Vulvar Cancer AJCC v8

Stage IIIA Vulvar Cancer AJCC v8

Stage IIIB Vulvar Cancer AJCC v8

Stage IIIC Vulvar Cancer AJCC v8

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Cisplatin

External Beam Radiation Therapy

Nelfinavir

Study Details

Brief summary:

This phase I trial studies the side effects and best dose of nelfinavir when given together with cisplatin and external beam radiation therapy in treating patients with vulvar cancer that has spread to nearby tissue or lymph nodes (locally advanced) and cannot be removed by surgery. Nelfinavir is an antiviral drug normally used to treat human immunodeficiency virus (HIV). Drugs used in chemotherapy, such as cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Radiation therapy uses high energy beams to kill tumor cells and shrink tumors. Giving nelfinavir, cisplatin, and external beam radiation therapy may work better than giving only cisplatin and external beam radiation therapy in treating patients with vulvar cancer.

Conditions

Stage II Vulvar Cancer AJCC v8

Stage III Vulvar Cancer AJCC v8

Stage IIIA Vulvar Cancer AJCC v8

Stage IIIB Vulvar Cancer AJCC v8

Stage IIIC Vulvar Cancer AJCC v8

Study ID

NCT04169763

Start date

Aug 7, 2020

Status verified date

May, 2026

Completion date

Dec 31, 2026

Anticipated

Primary completion date

Dec 31, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • All patients with primary, previously untreated, histologically confirmed invasive carcinoma of the vulva (any cell type) not amenable to surgical excision. Clinical stages T2-T4, N0-3, M0. Hematoxylin \& eosin (H \& E) stained slide showing documentation of the primary invasive cancer is required. All specimens of primary tumor require documentation of type
  • Absolute neutrophil count (ANC) >= 1,500/microliter (performed within 28 days from signing consent form)
  • Platelet count >= 100,000/microliter (performed within 28 days from signing consent form)
  • Creatinine < 2.0 mg/dL (performed within 28 days from signing consent form)
  • Total bilirubin =< 1.5 times normal (performed within 28 days from signing consent form)
  • Glutamic-oxaloacetic transaminase (SGOT) =< 3 times normal (performed within 28 days from signing consent form)
  • Patients with an Eastern Cooperative Oncology Group/Gynecologic Oncology Group (ECOG/GOG) performance status of 0, 1, or 2
  • Patients with ureteral obstruction must be treated with stent or nephrostomy tube
  • Patients must be consented within twelve (12) weeks of diagnosis or must be restaged
  • Patients of childbearing potential must use an effective form of birth control. "Patients receiving oral contraceptives should be instructed that alternate or additional contraceptive measures should be used during therapy with VIRACEPT."
  • Confirmed seronegative HIV status within 3 months of signing consent
  • Patients must have signed an approved informed consent and authorization permitting release of personal health information

Exclusion Criteria:

  • Patients with stage T1N0 disease
  • Patients who have known metastases to other organs outside the radiation field at the time of the original clinical and surgical staging
  • Patients who have received previous pelvic or abdominal radiation, cytotoxic chemotherapy, or previous therapy of any kind for this malignancy
  • Patients with septicemia or severe infection
  • Patients who have circumstances that will not permit completion of this study or the required follow-up
  • Patients who are pregnant at the time of diagnosis and do not wish pregnancy termination prior to initiation of treatment
  • Patients with renal abnormalities, such as pelvic kidney, horseshoe kidney, or renal transplantation, that would require modification of radiation fields
  • Patients with other concomitant malignancies (with the exception of non-melanoma skin cancer), who had (or have) any evidence of other cancer present within the last 5 years
  • Patients with gastrointestinal (GI) tract disease resulting in an inability to take oral medication, malabsorption syndrome, a requirement for intravenous (IV) alimentation, prior surgical procedures affecting absorption, uncontrolled inflammatory GI disease (e.g., Crohn's, ulcerative colitis)
  • Patients with poorly controlled diabetes mellitus despite medication
  • Patients taking anti-arrhythmic agents such as amiodarone, quinidine, rifampin, ergot derivatives such as ergotamine, St John's wort, human menopausal gonadotropin (HMG)-CoA reductase inhibitors such as lovastatin, neuroleptic such as pimozide, sedatives such as midazolam and triazolam among other CYP3A4 and CYP2C19 substrates
  • Patients with phenylketonuria
  • Patients with estimated glomerular filtration rate (eGFR) < 30

Study Design

Enrollment

25 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Treatment (nelfinavir, cisplatin, EBRT)

Patients receive nelfinavir PO BID for up to 8 weeks. Starting week 2, patients also receive cisplatin IV over 60-90 minutes once weekly during weeks 2-8. Patients undergo EBRT for 5 consecutive days between weeks 2-8. Treatment continues in the absence of disease progression or unacceptable toxicity.

Interventions

Cisplatin

Given IV

External Beam Radiation Therapy

Undergo EBRT

Nelfinavir

Given PO

Primary outcome measure

  • Recommended phase II dose (RP2D) of nelfinavir [ Time Frame: 1 year ]
  • Incidence of adverse events [ Time Frame: 1 year ]

Central Contacts and Locations

Central contacts

Lilie L Lin

713-563-2300lllin@mdanderson.org

Locations

M D Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

Contacts

Lilie L. Lin

713-563-2300

Principal Investigator:

Lilie L. Lin

More Information

Sponsor

M.D. Anderson Cancer Center

Last update posted

May 20, 2026

Last verified

May, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by M.D. Anderson Cancer Center on 2026-05-20.