Glioblastoma Clinical Trial
Official title:
Phase I Dose Escalation of Gleevec in Combination With RAD001 Plus Hydroxyurea for Patients With Recurrent Malignant Glioma
Primary objective To determine maximum tolerated dose & dose limiting toxicity of imatinib
mesylate & RAD001 when combined w fixed doses of hydroxyurea among pts w recurrent GBM who
are on & not on enzyme-inducing anti-convulsants including pts not on anti-epileptic drugs
Secondary objective To assess safety & tolerability of imatinib mesylate in combo w RAD001 &
hydroxyurea in this population To characterize single-dose & repeated-dose pharmacokinetic
profiles of imatinib mesylate & RAD001 combo therapy in this pt population.
To assess antiangiogenic effects, pre- and post-treatment, of imatinib mesylate, RAD001 &
hydroxyurea combo therapy, using DCE-MRI to evaluate changes in extent of vascular
permeability, perfusion & relative tumor blood volume; to explore assessment of tumor
cellularity & tumor cell death by changes in DWI-MRI as quantitated by apparent diffusion
coefficient maps.
This is open-label, single center, 1-arm ph I dose-escalation study of continuous, daily doses of imatinib mesylate & RAD001 administered orally in combination w fixed doses of hydroxyurea in adult pts w recurrent or relapsing glioblastoma multiforme. Study format includes classical "3+3" dose escalation design to determine MTD & DLT of imatinib mesylate + RAD001 when combined w hydroxyurea among GBM pts. Pts will be stratified based on whether they who are receiving EIACD & each stratum will independently dose escalate. Additionally, study will characterize safety, tolerability, biologic activity, & pharmacokinetic profile of this combo therapy. ;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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