Status:

COMPLETED

A Study of the Safety and Efficacy of Tarceva in Patients With First Relapse of Grade IV Glioma (Glioblastoma Multiforme)

Lead Sponsor:

Genentech, Inc.

Conditions:

Glioblastoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This is a Phase II, open-label, multicenter trial of single-agent treatment with Tarceva in patients with histologically confirmed GBM in first relapse. This study seeks to estimate the objective resp...

Eligibility Criteria

Inclusion

  • Signed informed consent
  • Age \>= 18 years
  • Histologically confirmed GBM in first relapse
  • Disease progression in those patients following prior implantation with Gliadel(R) wafer(s) (polifeprosan 20 with carmustine implant) must be confirmed by biopsy. Prior therapy with Gliadel(R) is allowed only as a component of primary surgery. Patients with Gliadel(R) implants after a secondary resection are not eligible.
  • Radiographic evidence of disease progression, as assessed by the investigator, on magnetic resonance imaging (MRI) or CT scan
  • Bi-dimensionally measurable disease with a minimum measurement of 1 cm on MRI or CT scan performed within 14 days prior to study entry
  • Prior radiotherapy
  • Availability of tissue to allow central confirmation of GBM diagnosis (all original slides are preferred)
  • Availability of paraffin blocks or slides to allow determination of EGFR amplification status
  • Recovery from the toxic effects of a prior therapy, including 4 weeks from prior cytotoxic agents (except 6 weeks from prior nitrosoureas, 3 weeks from prior procarbazine administration, 2 weeks from prior vincristine, or 3 weeks from irinotecan \[CPT-11\] when given on a weekly schedule), 4 weeks from any prior investigational agent, and 1 week from prior non-cytotoxic agents (e.g., interferon, tamoxifen, thalidomide, 13-cis-retinoic acid, etc.)
  • If receiving corticosteroids, patients must be on a stable, non-increasing dose of corticosteroids for \>= 2 weeks prior to baseline MRI scan
  • ECOG performance status of 0 or 1
  • Life expectancy \> 12 weeks
  • Use of an effective means of contraception in males and in females of childbearing potential
  • Ability to comply with study and follow-up procedures If the decision is made at the end of Stage 1 to enroll patients with tumors known to be positive for EGFR amplification, the following additional inclusion criteria will be applied: Confirmation of diagnosis; Confirmation of positive EGFR amplification status

Exclusion

  • Prior treatment with Gleevec (e.g., imatinib mesylate) or agents directed at EGFR (e.g., Iressa)
  • Prior treatment with Gliadel(R) following second (salvage or debulking) therapy
  • History of any other malignancy within 5 years (except non-melanoma skin cancer or carcinoma in situ of the cervix)
  • More than one prior chemotherapy regimen
  • ANC \< 1500/uL
  • Platelets \< 100,000/uL
  • Total bilirubin \> 1.6 mg/dL
  • AST/ALT \>= 2.5 x upper limit of normal (ULN)
  • Creatinine \> 1.5 x ULN
  • Pregnant or nursing females
  • Unstable systemic disease, including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months prior to study entry, or serious cardiac arrhythmia requiring medication
  • Major surgical procedure 2 weeks prior to study entry or anticipation of need for major surgical procedure during the course of the study
  • Inability to take oral medication

Key Trial Info

Start Date :

July 1 2003

Trial Type :

INTERVENTIONAL

End Date :

October 1 2005

Estimated Enrollment :

110 Patients enrolled

Trial Details

Trial ID

NCT00337883

Start Date

July 1 2003

End Date

October 1 2005

Last Update

March 4 2014

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A Study of the Safety and Efficacy of Tarceva in Patients With First Relapse of Grade IV Glioma (Glioblastoma Multiforme) | DecenTrialz