Adult Glioblastoma Clinical Trial
Official title:
A Phase I Study of CCI-779, and Temozolomide in Combination With Radiation Therapy in Glioblastoma Multiforme
This phase I trial is studying the side effects and best dose of temsirolimus when given together with temozolomide and radiation therapy in treating patients with newly diagnosed glioblastoma multiforme. Temsirolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving temsirolimus together with temozolomide and radiation therapy may kill more tumor cells.
Status | Completed |
Enrollment | 56 |
Est. completion date | |
Est. primary completion date | November 2010 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Histologically confirmed glioblastoma multiforme (GBM) - Gliosarcoma and other grade 4 astrocytoma variants (e.g., giant cell glioblastoma) allowed - Newly diagnosed disease - Has undergone surgical resection or biopsy of the tumor at least 1 week but no more than 6 weeks ago - ECOG performance status 0-2 - Absolute neutrophil count = 1,500/mm^3 - Hemoglobin = 9.0 g/dL - Platelet count = 100,000/mm^3 - Total bilirubin = 2.5 times upper limit of normal (ULN) - Cholesterol < 350 mg/dL - Triglycerides < 400 mg/dL - AST = 2.5 times ULN - Creatinine = 1.5 times ULN - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No history of allergy or intolerance to dacarbazine - No ongoing or active infection - No symptomatic congestive heart failure - No unstable angina pectoris - No cardiac arrhythmia - No psychiatric illness or social situation that would preclude study compliance - No other uncontrolled illness - No gastrointestinal tract disease affecting ability to take oral medication or requiring IV alimentation - No significant traumatic injury within the past 21 days - No active, uncontrolled peptic ulcer disease - No other active cancers requiring therapy - No concurrent combination antiretroviral therapy for HIV-positive patients - Willing and able to comply with antibiotic prophylaxis with either trimethoprim/sulfamethoxazole (daily or 3 times per week) or monthly IV pentamidine combined with daily levofloxacin - No prior chemotherapy for any brain tumor - No prior temozolomide or mTOR inhibitor therapies - No prior cranial radiotherapy - More than 21 days since prior major surgery (excluding neurosurgical biopsy or resection of GBM) - No prior surgical procedures affecting absorption - No concurrent enzyme-inducing anticonvulsants, including any of the following: - Carbamazepine - Phenytoin - Phenobarbital - Primidone - No other concurrent investigational agents - Not receiving warfarin prior to study registration - Concurrent warfarin allowed if patients develop an indication for it while enrolled on the protocol |
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Medical Oncology and Hematology Associates-West Des Moines | Clive | Iowa |
United States | Iowa Lutheran Hospital | Des Moines | Iowa |
United States | Iowa Methodist Medical Center | Des Moines | Iowa |
United States | Iowa Oncology Research Association CCOP | Des Moines | Iowa |
United States | Medical Oncology and Hematology Associates | Des Moines | Iowa |
United States | Medical Oncology and Hematology Associates-Des Moines | Des Moines | Iowa |
United States | Mercy Capitol | Des Moines | Iowa |
United States | Mercy Medical Center - Des Moines | Des Moines | Iowa |
United States | Altru Cancer Center | Grand Forks | North Dakota |
United States | Mayo Clinic in Florida | Jacksonville | Florida |
United States | Mayo Clinic | Rochester | Minnesota |
Lead Sponsor | Collaborator |
---|---|
National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Maximally tolerated dose (MTD), determined according to dose-limiting toxicities (DLTs) graded using Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) | Up to 24 weeks | Yes | |
Primary | Time to treatment related toxicity as assessed by hematologic measures and CTCAE v3.0 | From registration to documentation of toxicity, up to 5 years | Yes | |
Primary | Time to treatment related toxicity greater than grade 3, assessed by CTCAE v3.0 | From registration to documentation of toxicity, up to 5 years | Yes | |
Primary | Time to progression | From registration to documentation of progression, up to 5 years | No | |
Primary | Time to treatment failure | Simple summary statistics will be supplemented with Kaplan-Meier survival estimates and related confidence intervals.The effect of dose and ancillary dichotomized covariates such as gender or age (<50 years versus 50+ years) will be explored using logrank testing involving one covariate at a time. | From registration to documentation of progression, unacceptable toxicity, or refusal to continue participation by patient, up to 5 years | No |
Primary | Response to therapy associated with patient outcome, as assessed by automated morphological MRI change detector and physiological MRI techniques, including diffusion-weighted imaging, perfusion-weighted imaging, and chemical shift imaging | Logistic regression and Cox proportional hazards models will be used to determine the association between changes in tumor volume (as assessed by a software package) and tumor response and 12-month survival (logistic regression) and progression-free and overall survival (Cox proportional hazards models). | Up to 5 years | No |
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