Status:
COMPLETED
ABT-888, Radiation Therapy, and Temozolomide in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
Lead Sponsor:
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Brain and Central Nervous System Tumors
Eligibility:
All Genders
18-120 years
Phase:
PHASE1
Brief Summary
RATIONALE: ABT-888 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy,...
Detailed Description
OBJECTIVES: Primary * To determine the maximum tolerated dose (MTD) of ABT-888 when administered in combination with radiotherapy and temozolomide in patients with newly diagnosed glioblastoma multi...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed supratentorial grade IV astrocytoma (glioblastoma multiforme)
- Newly diagnosed disease
- Patients enrolled in the phase I initial safety portion of the study must meet the following additional criteria:
- Received 90% of planned radiotherapy and ≥ 80% of planned concurrent temozolomide within the past 28-49 days
- No grade 3-4 toxicity attributed to temozolomide
- Has undergone gadolinium MRI or contrast CT scan within the past 28 days
- Patients enrolled in the phase I dose-escalation/phase II portion of the study must meet the following additional criteria:
- Recovered from immediate post-operative period and maintained on a stable corticosteroid regimen (no increase in 5 days) prior to starting study treatment
- Has undergone gadolinium MRI or contrast CT scan within the past 14 days
- PATIENT CHARACTERISTICS:
- Karnofsky performance status 60-100%
- Life expectancy ≥ 3 months
- ANC ≥ 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- Hemoglobin ≥ 9.0 g/dL
- Creatinine ≤ 2.0 mg/dL OR creatinine clearance ≥ 60 mL/min
- Total bilirubin ≤ 1.5 mg/dL
- Transaminases ≤ 2.5 times upper limit of normal
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception prior to, during, and for 3 months after completion of study therapy
- Mini Mental State Exam score ≥ 15
- Able to swallow and retain oral medications
- No concurrent serious infection or medical illness that would jeopardize the ability of the patient to receive study treatment with reasonable safety
- No other malignancy within the past 5 years except for curatively treated carcinoma in situ or basal cell carcinoma of the skin
- No known uncontrolled seizure disorder (i.e., status epilepticus) or seizures occurring ≥ 3 times per week over the past month
- PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- More than 10 days since prior cytochrome P450-inducing anticonvulsants (e.g., phenytoin, carbamazepine, phenobarbital, primidone, or oxcarbazepine)
- At least 1 week since prior biopsy or resection of tumor (for patients enrolled in the phase I dose-escalation/phase II portion of the study)
- No prior radiotherapy, chemotherapy, immunotherapy, hormonal therapy, or biological therapy (including immunotoxins, immunoconjugates, antisense therapy, peptide receptor antagonists, interferons, interleukins, tumor-infiltrating lymphocytes, lymphokine-activated killer cells, or gene therapy) for treatment of brain tumor (for patients enrolled in the phase I dose-escalation/phase II portion of the study)
- Prior glucocorticoid therapy allowed
- No other prior chemotherapy or investigational agents (for patients enrolled in the phase I initial safety portion of the study)
- Prior Gliadel wafers allowed (for patients enrolled in the phase I portion of the study)
- No prior Gliadel wafers (for patients enrolled in the phase II portion of the study)
Exclusion
Key Trial Info
Start Date :
July 13 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2012
Estimated Enrollment :
24 Patients enrolled
Trial Details
Trial ID
NCT00770471
Start Date
July 13 2009
End Date
March 1 2012
Last Update
June 27 2018
Active Locations (11)
Enter a location and click search to find clinical trials sorted by distance.
1
UAB Comprehensive Cancer Center
Birmingham, Alabama, United States, 35294-3410
2
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, United States, 94115
3
Winship Cancer Institute of Emory University
Atlanta, Georgia, United States, 30322
4
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, United States, 21231