Recurrent Glioblastoma Multiforme Clinical Trial
Official title:
Phase 2 Study of Sorafenib Plus Protracted Temozolomide in Recurrent Glioblastoma Multiforme
PURPOSE AND OBJECTIVES:
Primary Objective To evaluate the activity of Sorafenib plus protracted, daily temozolomide
in patients with recurrent glioblastoma multiforme (GBM) as measured by 6-month PFS.
Secondary Objectives To evaluate the safety and toxicity of combination therapy using
Sorafenib plus temozolomide; To determine the pharmacokinetics of Sorafenib when combined
with temozolomide in patients on and not on concurrent EIAC medications.
STUDY ACTIVITIES AND POPULATION GROUP:
This is an open-label, non-randomized, single center phase 2 trial. A treatment cycle will
consist of 4 weeks of therapy.
Sorafenib will be administered at a set dose of 400 mg (2 x 200 mg tablets) twice daily,
without food (at least 1 hour before or 2 hours after eating). Temozolomide will be
administered at a set dose of 50 mg/m2 once daily without food (at least 1 hour before or 2
hours after eating).
Thirty-two (32) patients will be enrolled in this single-stage study.
DATA ANALYSIS AND RISK/SAFETY ISSUES:
After 16 patients with recurrent GBM are treated, an interim analysis will be conducted. If
6 or more patients have experienced unacceptable toxicity, accrual of patients in this
patient group will be terminated. Otherwise, patient accrual will continue. If 9 or more of
the total 32 patients experience unacceptable toxicity, the treatment regimen will be
considered to have an unacceptable toxicity profile. The type I and II error rates
associated with this testing are 0.053 and 0.053, respectively.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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