Brain and Central Nervous System Tumors Clinical Trial
Official title:
Phase I Study of Intrathecal Mafosfamide
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die.
PURPOSE: Phase I trial to determine the effectiveness of mafosfamide in treating patients
who have progressive or refractory meningeal tumors.
OBJECTIVES:
- Determine the qualitative and quantitative toxicity of mafosfamide in patients with
progressive or refractory meningeal malignancy.
- Determine the maximum tolerated dose of this drug in these patients.
- Determine the cerebrospinal fluid pharmacokinetics of this drug in these patients.
OUTLINE: This is a dose-escalation, multicenter study.
Patients receive intrathecal mafosfamide over 20 minutes twice weekly for 6 weeks (induction
therapy). Patients then receive intrathecal mafosfamide once weekly for 4 weeks
(consolidation therapy), twice a month for 4 months, and then monthly thereafter
(maintenance therapy) in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of mafosfamide until the maximum tolerated
dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2
of 3 or 2 of 6 patients experience dose-limiting toxicity.
PROJECTED ACCRUAL: A total of 3000 patients will be accrued for this study.
;
Primary Purpose: Treatment
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