Status:

COMPLETED

5 Fraction Stereotactic Radiosurgery With Temozolomide for Glioblastoma Multiforme

Lead Sponsor:

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Conditions:

Glioblastoma Multiforme

Eligibility:

All Genders

18-100 years

Phase:

EARLY_PHASE1

Brief Summary

This investigation is not only to develop an improved radiation/temozolomide approach, but also develop a regimen with potential to form the basis of better combined therapy with immune based treatmen...

Detailed Description

Glioblastoma has a poor prognosis with median survival is 14-16 months for patients enrolling in clinical trials, and across the United States one year survival is reported in the Surveillance, Epidem...

Eligibility Criteria

Inclusion

  • Patients must be at least 18 years of age.
  • Patients must have confirmed glioblastoma multiforme (GBM)
  • Maximum postoperative dimension of cavity plus residual contrast enhancing tumor of \< \* If a patient is found on the radiation planning scan to have a tumor target larger than this size, the patient will be removed from the study.
  • Patient must be selected for standard temozolomide chemotherapy to be administered with radiotherapy.
  • Patient agrees to have 10 week follow-up visit at a participating Johns Hopkins facility.
  • Patient agrees to allow access to or provide clinical, imaging, and laboratory follow-up information for three years whether or not obtained from Johns Hopkins providers.
  • 1.7. Patients must not have received prior radiation therapy, chemotherapy, immunotherapy or therapy with biologic agents (including immunotoxins, immunoconjugates, antisense, peptide receptor antagonists, interferons, interleukins, Tumor-infiltrating lymphocytes (TIL), Lymphokine-Activated Killer Cell (LAK) or gene therapy), or hormonal therapy for their brain tumor. Glucocorticoid therapy is allowed.
  • Patients must have a Karnofsky performance status 60% or higher (i.e. the patient must be able to care for himself/herself with occasional help from others).
  • Patients must be able to provide written informed consent.
  • Patients with the potential for pregnancy or impregnating their partner must agree to follow acceptable birth control methods to avoid conception. Women of childbearing potential must have a negative pregnancy test.
  • Patients must be able to undergo MRI scan with gadolinium contrast for treatment planning.

Exclusion

  • Patients may not plan to receive any other approved or investigational agents to treat their glioblastoma besides temozolomide prior to the evaluation visit 10 weeks after the initiation of radiotherapy and temozolomide.
  • No prior malignancy is allowed except for adequately treated basal cell or squamous cell skin cancer, cervical carcinoma in situ, or other cancer from which the patient has been disease free for at least 2 years.
  • Patients with uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements will be excluded.
  • Pregnant and breastfeeding women are excluded. Women of child-bearing potential who are unwilling or unable to use an acceptable method of birth control to avoid pregnancy for the entire study period and up to 12 weeks after the study are excluded. This applies to any woman who has not experienced menarche and who has not undergone successful surgical sterilization or is not postmenopausal (defined as amenorrhea for at least 12 consecutive months). Male subjects must also agree to use effective contraception for the same period as above.

Key Trial Info

Start Date :

October 18 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 19 2020

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT03291990

Start Date

October 18 2017

End Date

August 19 2020

Last Update

November 19 2021

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Sibley Hospital

Washington D.C., District of Columbia, United States, 20016

2

Suburban Hospital

Washington D.C., District of Columbia, United States, 20818

3

SKCCC at Johns Hopkins (East Baltimore)

Baltimore, Maryland, United States, 21287