Adult Glioblastoma Clinical Trial
Official title:
A Pharmacokinetic and Phase 2 Study of Sunitinib Malate in Recurrent Malignant Gliomas
This phase II trial is studying how well sunitinib works in treating patients with recurrent malignant gliomas. Sunitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.
PRIMARY OBJECTIVES:
I. To assess the efficacy of sunitinib malate in patients with recurrent malignant gliomas
as measured by 6-month progression-free survival.
II. To determine the lower of the dose of sunitinib malate in patients receiving
enzyme-inducing anti-convulsants that would achieve similar serum drug and metabolite
concentrations as that in patients not receiving enzyme-inducing anticonvulsants or the
maximum tolerated dose in the same population.
SECONDARY OBJECTIVES:
I. To examine the toxicity and safety of sunitinib malate in patients with the above noted
tumors.
II. To evaluate tumor responses in the stated patients. III. To evaluate progression-free
and overall survival in the stated patients.
OUTLINE: This is a multicenter study. Patients are stratified according to use of
enzyme-inducing anticonvulsants (EIAC) (yes vs no).
STRATUM 1 (non-EIAC): Patients receive oral sunitinib malate once daily for 4 consecutive
weeks followed by 2 weeks of rest.
STRATUM 2 (EIAC & OSU patients only): Patients receive oral sunitinib malate as in stratum
1. Patients receive escalating doses of oral sunitinib malate until the maximum tolerated
dose (MTD) is determined.
Patients undergo blood sample collection periodically for pharmacokinetic studies. Samples
are analyzed for plasma concentrations of sunitinib malate via LC/MS/MS method.
In both strata, treatment repeats every 6 weeks in the absence of disease progression or
unacceptable toxicity.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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