Glioblastoma Multiforme Clinical Trial
Official title:
A Phase II Study of Gliadel, Concomitant Temozolomide and Radiation, Followed by Metronomic Therapy With Temozolomide for Newly Diagnosed Malignant High Grade Glioma
The purpose of this study is to determine the safety and efficacy of the combination of Gliadel wafers plus surgery and limited field radiation therapy with concomitant temozolomide followed by temozolomide given at an extended dose schedule (metronomic schedule) in patients undergoing initial surgery for newly-diagnosed high grade glioma.
The patient population in this Phase II clinical trial will be patients with newly diagnosed
high-grade glioma undergoing initial surgery. Patients will receive Surgery + Gliadel® wafer
implantation + Limited Field Radiation Therapy with concomitant daily temozolomide (75
mg/m2) followed by monthly temozolomide given at the same dose (75 mg/m2 per day for 21 days
each month.
Patients will have up to 8 wafers implanted into the tumor resection cavity (depending upon
its size) after maximal tumor resection. Between Study Days 14 and 45 all patients will
begin a standard course of post-operative limited field radiation therapy to the tumor site
and a surrounding margin. Temozolomide will be administered concomitantly with radiation at
a daily dose of 75 mg/m2 daily (7 days/week) and then beginning no later than 30 days
following completion of radiation therapy on a 75 mg/m2 daily dose given 21 days out of each
month for a total of up to 18 cycles.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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