Brain and Central Nervous System Tumors Clinical Trial
Official title:
A Phase II Trial of Irinotecan in Recurrent Glioma
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of irinotecan in treating patients who
have recurrent glioma.
OBJECTIVES: I. Determine the efficacy of irinotecan in the treatment of patients with
recurrent glioma. II. Assess the toxicities of irinotecan in these patients. III. Correlate
the pharmacological parameters with toxicity and response to therapy.
OUTLINE: This is a two arm study. Patients are stratified according to prior nitrosourea
administration. Patients are assigned to 1 of 2 arms, with only 1 arm being open at any
time. Patients assigned to arm I receive irinotecan IV over 90 minutes on days 1, 8, 15, and
22. This is followed by a 2 week rest and continues for a maximum of 6 courses. Patients
assigned to arm II receive irinotecan on day 1 every 3 weeks for up to 12 courses. Patients
in both arms who received prior nitrosoureas receive reduced starting doses of irinotecan.
The dosages may be increased once per patient after the first course if toxic effects are
acceptable. Arm I closed as of 10/98, Arm II open as of 10/98. Patients are followed every 3
months for the first year, every 6 months for the next 4 years, then annually until death.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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