Primary Chemotherapy by BCNU-TMZ Combination in Newly Diagnosed Anaplastic Oligodendrocytic Tumors: Phase II Trial With Translational Molecular Analysis (TEMOBIC)
The first-line treatment of anaplastic oligodendrogliomas, radiotherapy exclusive or combined with PCV, will be defined by the pending results of phase III of the EORTC.
If the phase II study proposed here achieves its objective, it may help define a new treatment regimen that will be compared to the standard arm from phase III of the EORTC.
In addition, this study, by prospectively testing the predictive value of 1p and 19q deletions and of REGF amplification, may allow characterization of patients using these markers. If validated, this characterization can constitute a key element in any therapeutic evaluation (patient stratification), and potentially a major tool for medical decision support in these tumors.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Marseille, France, 13005
- Assistance Publique - Hôpitaux de Marseille
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically proven oligodendroglioma or anaplastic oligoastrocytoma, newly diagnosed, resulting or not from a low grade glioma
- Tumor with measurable contrast enhancement (at least 15 mm in diameter)
- Surgical procedure limited to a biopsy or partial excision
- In the event of partial excision, an early postoperative check-up (<72 hours) performed at best by MRI, if not by CT, is required.
- Time between surgery and inclusion less than or equal to one and a half months (45 days)
- Age> 18 years old; <70
- Karnofsky index> 60
- Stable or reduced dose of corticosteroids in the 15 days prior to inclusion
- Polynuclear neutrophils> 1500; platelets> 100,000
- Bilirubin <1.25 x UNL; SGOT, SGPT, PAL <2.5 x UNL
- Absence of serious uncontrolled pathology
- Patient having received and understood the information and having signed the consent
Exclusion Criteria:
- Presence of GBM foci within the tumor
- Absence of evaluable residue after surgery
- Previous chemotherapy or radiotherapy
- Unsatisfactory expected monitoring conditions
- Pregnant or breastfeeding woman; lack of effective contraception if of childbearing age
- History of malignant disease (with the exception of CIS of the cervix and basal cell cancer)
- Contraindications related to the examination of the I.R.M.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treatment Arm
Administration of 6 cycles of chemotherapy
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Chemotherapy (BCNU) will be delivered at Day 1. between day 1 and day 5, temolozomide will be administered .
One cycle is planned every 6 weeks until 6 cycles.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective response rate of the BCNU-TMZ combination administered before radiotherapy
Time Frame: At the end of Cycle 2 (each cycle is 28 days)
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In oligodendrogliomas and anaplasic oligoastrocytomas as the first line of treatment
|
At the end of Cycle 2 (each cycle is 28 days)
|
|
Objective response rate of the BCNU-TMZ combination administered before radiotherapy
Time Frame: At the end of Cycle 4 (each cycle is 28 days)
|
In oligodendrogliomas and anaplasic oligoastrocytomas as the first line of treatment
|
At the end of Cycle 4 (each cycle is 28 days)
|
|
Objective response rate of the BCNU-TMZ combination administered before radiotherapy
Time Frame: At the end of Cycle 6 (each cycle is 28 days)
|
In oligodendrogliomas and anaplasic oligoastrocytomas as the first line of treatment
|
At the end of Cycle 6 (each cycle is 28 days)
|
|
Objective response rate of the BCNU-TMZ combination administered before radiotherapy
Time Frame: 1 month after radiotherapy
|
In oligodendrogliomas and anaplasic oligoastrocytomas as the first line of treatment
|
1 month after radiotherapy
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Glioma
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Astrocytoma
- Oligodendroglioma
- Organic Chemicals
- Amides
- Nitrosourea Compounds
- Urea
- Nitroso Compounds
- Carmustine
Other Study ID Numbers
Other Study ID Numbers
- 2004-30
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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