Adult Glioblastoma Clinical Trial
Official title:
Phase II Trial of EMD 121974 for Recurrent Glioblastoma: A Clinical Trial With Tissue Correlates of Response
Cilengitide may stop the growth of glioblastoma multiforme by blocking blood flow to the tumor. Giving cilengitide before and after surgery may be an effective treatment for glioblastoma multiforme. This phase II trial is studying how well cilengitide works in treating patients who are undergoing surgery for recurrent or progressive glioblastoma multiforme.
Status | Completed |
Enrollment | 44 |
Est. completion date | |
Est. primary completion date | December 2008 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Histologically confirmed intracranial glioblastoma multiforme (GBM) - Original diagnosis of low-grade glioma with subsequent histological confirmation of GBM allowed - Recurrent disease - Failed prior radiotherapy - Must require a surgical procedure (gross total or near gross total resection) for tumor removal - Performance status - Karnofsky 60-100% - WBC = 3,000/mm^3 - Absolute neutrophil count = 1,500/mm^3 - Platelet count = 100,000/mm^3 - Hemoglobin = 10 g/dL (transfusion allowed) - SGOT < 2 times upper limit of normal (ULN) - Bilirubin < 2 times ULN - Creatinine < 1.5 mg/dL - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective barrier contraception during and for = 2 weeks after study participation (for female patients) or for 3 months after study participation (for male patients) - No other malignancy within the past 3 years except nonmelanoma skin cancer or carcinoma in situ of the cervix - No active infection - No other significant uncontrolled medical illness that would preclude study participation - At least 3 weeks since prior interferon - No prior cilengitide - No other prior targeted antiangiogenic treatment (e.g., vatalanib, SU5416, or thalidomide) - No concurrent anticancer immunotherapy - No concurrent routine prophylactic filgrastim (G-CSF) - At least 2 weeks since prior vincristine - At least 3 weeks since prior procarbazine - At least 6 weeks since prior nitrosoureas - No concurrent anticancer chemotherapy - At least 3 weeks since prior tamoxifen - No concurrent anticancer hormonal therapy - See Disease Characteristics - At least 4 weeks since prior radiotherapy - No concurrent anticancer radiotherapy - Recovered from all prior therapies - No more than 3 prior treatments for GBM (1 initial treatment; and treatment for 2 relapses) - For patients who received prior therapy for low-grade glioma, a subsequent surgical diagnosis of high-grade glioma is considered the first relapse - At least 4 weeks since prior investigational agents - At least 4 weeks since prior cytotoxic therapy - At least 3 weeks since other prior non-cytotoxic therapy (e.g., isotretinoin), except radiosensitizers - No other concurrent anticancer therapy - No other concurrent investigational agents |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | North American Brain Tumor Consortium | Watertown | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Progression-free survival | 6 months | No | |
Secondary | Changes in avb3 integrin expression on tumor cells and endothelial cells | Will be performed between the untreated matched control tumor tissue and the tissue obtained from the post-treatment tumors using either a Fisher's Exact test or the Wilcoxon rank sum test depending on whether the assay provides a measurement or is yes/no. | Baseline and up to 4 years | No |
Secondary | Changes in vitronectin expression | Will be performed between the untreated matched control tumor tissue and the tissue obtained from the post-treatment tumors using either a Fisher's Exact test or the Wilcoxon rank sum test depending on whether the assay provides a measurement or is yes/no. | Baseline and up to 4 years | No |
Secondary | Changes in tumor cell apoptosis | Will be performed between the untreated matched control tumor tissue and the tissue obtained from the post-treatment tumors using either a Fisher's Exact test or the Wilcoxon rank sum test depending on whether the assay provides a measurement or is yes/no. | Baseline and up to 4 years | No |
Secondary | Changes in tumor cell proliferation | Will be performed between the untreated matched control tumor tissue and the tissue obtained from the post-treatment tumors using either a Fisher's Exact test or the Wilcoxon rank sum test depending on whether the assay provides a measurement or is yes/no. | Baseline and up to 4 years | No |
Secondary | Changes in endothelial cell apoptosis | Will be performed between the untreated matched control tumor tissue and the tissue obtained from the post-treatment tumors using either a Fisher's Exact test or the Wilcoxon rank sum test depending on whether the assay provides a measurement or is yes/no. | Baseline and up to 4 years | No |
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