Adult Glioblastoma Clinical Trial
Official title:
A Phase II Trial of Erlotinib (OSI-774) and Sorafenib (BAY 43-9006) for Patients With Progression or Recurrent Glioblastoma Multiforme
This phase II trial is studying how well giving erlotinib together with sorafenib works in treating patients with progressive or recurrent glioblastoma multiforme. Erlotinib and sorafenib 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. Giving erlotinib together with sorafenib may kill more tumor cells.
PRIMARY OBJECTIVES:
I. The primary objective of this trial is to estimate the overall survival rate associated
with this combined regimen in treating adult patients with recurrent glioblastoma
multiforme.
SECONDARY OBJECTIVES:
I. To assess and estimate the toxicities. II. Tumor response rate. III. To estimate 6-month
progression free survival. IV. To describe the pharmacokinetics of this route of
administration. V. For the Molecular Targeted Combinations Correlative (MTC2) Study
Initiative: To determine the relationship between tumor and blood biomarkers and clinical
outcome of patients treated with the combination of targeted agents.
OUTLINE: This is a multicenter, open-label, phase II study.
Patients receive oral erlotinib hydrochloride once daily and oral sorafenib tosylate twice
daily on days 1-28. Treatment repeats every 4 weeks in the absence of disease progression or
unacceptable toxicity.
Tumor tissue and blood samples are collected prior to beginning treatment. Samples are
analyzed by immunohistochemistry, gene expression, and DNA mutation and genomic analyses of
the epidermal growth factor receptor, ras-raf-ERK, and PI3K-Akt-mTOR pathways to identify
markers that correlate with patient outcomes. Blood samples are also collected on day 15 of
course 1 for pharmacokinetic studies. Samples are analyzed by reversed-phase isocratic
high-performance liquid chromatography with electrospray ionization mass spectrometry to
determine the concentration of erlotinib hydrochloride and sorafenib tosylate and its known
metabolites.
After completion of study therapy, patients are followed every 2 months.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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