Status:

COMPLETED

Combination Chemotherapy and Radiation Therapy in Treating Younger Patients Who Are Undergoing an Autologous Stem Cell Transplant for Newly Diagnosed Gliomas

Lead Sponsor:

Children's Hospital Medical Center, Cincinnati

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Brain and Central Nervous System Tumors

Eligibility:

All Genders

5-55 years

Phase:

NA

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as temozolomide, busulfan, and O6-benzylguanine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them f...

Detailed Description

OBJECTIVES: Primary * Determine the safety and feasibility of a conditioning regimen comprising temozolomide, radiotherapy, and busulfan followed by an infusion of autologous stem cells genetically ...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed newly diagnosed high-grade glioma of 1 of the following types:
  • Glioblastoma multiforme
  • WHO grade IV disease
  • Anaplastic astrocytoma
  • WHO grade III disease
  • No low-grade disease (i.e., WHO grade I-II disease)
  • No WHO grade III oligodendroglioma or oligoastrocytoma
  • Patients \> 30 years of age who have undergone a gross total resection and have nonmeasurable disease as seen on postoperative MRI are eligible
  • Measurable disease, as assessed by postoperative MRI, is required in patients ≤ 30 years of age
  • No tumor arising in the spine or brainstem
  • No metastatic disease in the spine
  • PATIENT CHARACTERISTICS:
  • Age
  • 5 to 55
  • Performance status
  • Karnofsky 50-100% (for patients 11-30 years of age) OR
  • Lansky 50-100% (for patients 5-10 years of age)
  • Life expectancy
  • At least 9 months
  • Hematopoietic
  • Absolute neutrophil count ≥ 1,000/mm\^3
  • Platelet count ≥ 75,000/mm\^3 (transfusion independent)
  • Hepatic
  • Bilirubin ≤ 2.0 mg/dL
  • ALT and AST ≤ 2.5 times upper limit of normal
  • Albumin ≥ 2.0 g/dL
  • Hepatitis B surface antigen and core antibody negative
  • Hepatitis C antibody negative
  • Renal
  • Creatinine normal OR
  • Glomerular filtration rate ≥ 70 mL/min
  • Other
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Neurologic deficits must be stable or decreasing
  • No active infection
  • HIV negative
  • No other serious illness or medical condition that would preclude study participation
  • PRIOR CONCURRENT THERAPY:
  • Chemotherapy
  • No prior chemotherapy
  • Endocrine therapy
  • Concurrent corticosteroids allowed provided dose is stable or decreasing
  • Radiotherapy
  • No prior radiotherapy
  • Surgery
  • See Disease Characteristics
  • Other
  • No other concurrent investigational anticancer agents

Exclusion

    Key Trial Info

    Start Date :

    August 1 2005

    Trial Type :

    INTERVENTIONAL

    End Date :

    August 1 2012

    Estimated Enrollment :

    Patients enrolled

    Trial Details

    Trial ID

    NCT00253487

    Start Date

    August 1 2005

    End Date

    August 1 2012

    Last Update

    January 6 2014

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