Vorinostat in Treating Patients With Progressive Metastatic Prostate Cancer

Exclusion Criteria

• •Significant cardiovascular disease including congestive heart failure (New York Heart Association Class III or IV), active angina pectoris or recent myocardial infarction (within the last 6 months)
• •Patients on Valproic Acid (a histone deacetylase inhibitor) must have stopped taking it at least 2 weeks prior to registration
• •Oral anti-androgens must be stopped; no washout period is necessary prior to enrollment if anti-androgens were used as second line therapy and not as part of combined androgen deprivation; in the unlikely case that a patient may have continued on antiandrogen therapy as part of combined androgen deprivation and has never had antiandrogen withdrawal despite progression on combined androgen deprivation then a washout period will be needed (4 weeks for flutamide and 6 weeks for bicalutamide or nilutamide) prior to study enrollment
• •Patients who have developed progression as defined in this protocol on stable doses of oral corticosteroids are eligible; the steroids may be continued
• •No "currently active" second malignancy other than non-melanoma skin cancer; patients are not considered to have a "currently active" malignancy if they have completed therapy and are considered by their physician to be with no evidence of disease
• •Patients with known brain metastases should be excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events; however, brain scans will not be required as part of the pre-study workup
• •History of allergic reactions attributed to compounds of similar chemical or biologic composition to SAHA
• •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 with history of HIV receiving combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with SAHA; in addition, these patients are at increased risk of lethal infections when treated with marrow-suppressive therapy
• •Patients with the following history or clinical findings require ADDITIONAL diagnostic TESTING:
• •* Patients who require diuretics for reasons other than hypertension, digoxin for reasons other than atrial fibrillation, or patients with a history of mild to moderate congestive heart failure
• •* Patients with the following EKG results:
• •* Significant q waves (greater than 3 mm or greater than 1/3 the height of the QRS complex
• •* ST elevation or depressions of greater than 2 mm that are not attributable to hypertension strain
• •* The absence of a regular sinus rhythm
• •* The presence of a bundle block
• •* ADDITIONAL TESTING: (if required)
• •* Radionuclide angiocardiography (RNCA): Patients can be treated if the ejection fraction is \> 45% and there is no evidence of ventricular aneurysm or other abnormal wall motion; patients with an ejection fraction \< 45% on RNCA, with a worrisome but nonexclusive cardiovascular history, or an abnormal ECG as described above should also have a thallium stress test
• •* STRESS TEST RESULTS:
• •* Reversible defect - Exclude
• •* Fixed defect alone - Include