Brain and Central Nervous System Tumors Clinical Trial
Official title:
A PHASE I STUDY OF 2-CHLORODEOXYADENOSINE AND RADIATION FOR THE TREATMENT OF HIGH GRADE GLIOMA (CDX)
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor
cells. Combining radiation therapy with chemotherapy may kill more tumor cells.
PURPOSE: Phase I trial to study the effectiveness of cladribine followed by radiation
therapy in treating patients who have malignant glioma.
OBJECTIVES: I. Determine the maximum tolerated dose of cladribine in combination with
radiotherapy in patients with high grade glioma. II. Assess this regimen in terms of
toxicity and survival in these patients. III. Assess the acute neurotoxicity of continuous
infusion cladribine in these patients. IV. Assess this regimen in terms of response, local
control, and time to progression in these patients. V. Define a dose level of cladribine
associated with potentiation of acute and/or delayed radiation toxicity (radiosensitizing
dose level).
OUTLINE: This is a dose escalation study of cladribine. Patients receive cladribine by
continuous IV infusion 5 days a week for 4 weeks and undergo radiotherapy twice a day,
beginning 3 hours after initiation of cladribine, 5 days a week for 4.5 weeks. Treatment
continues in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6
patients receive escalating doses of cladribine until the maximum tolerated dose (MTD) is
determined. The MTD is defined as the dose preceding that at which 2 of 6 patients
experience dose limiting toxicity. Patients are followed at 1 month, then every 3 months
thereafter for survival.
PROJECTED ACCRUAL: A total of 12-42 patients will be accrued for this study within 18
months.
;
Primary Purpose: Treatment
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