- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00054795
Study of Neurologic Progression With Motexafin Gadolinium and Radiation Therapy (SMART)
May 4, 2007 updated by: Pharmacyclics LLC.
Randomized Phase III Trial of Xcytrin® (Motexafin Gadolinium) Injection for the Treatment of Brain Metastases in Patients With Non-Small Cell Lung Cancer Undergoing Whole Brain Radiation Therapy
The primary purpose of the study is to determine if patients with brain metastases from non-small cell lung cancer treated with Motexafin Gadolinium and whole brain radiation therapy retain their neurologic function and ability to think for a longer time compared to patients treated with whole brain radiation therapy alone.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment
550
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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New South Wales
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Liverpool, New South Wales, Australia
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St. Leonards, New South Wales, Australia
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Wollongong, New South Wales, Australia
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Queensland
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Herston, Queensland, Australia
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Woollongabba, Queensland, Australia
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Victoria
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East Melbourne, Victoria, Australia
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Footscray, Victoria, Australia
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Geelong, Victoria, Australia
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Heidelberg, Victoria, Australia
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Linz, Austria
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Wien, Austria
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Antwerpen, Belgium
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Bruxelles, Belgium
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Haine-Saint-Paul, Belgium
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Leuven, Belgium
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Alberta
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Calgary, Alberta, Canada
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Edmonton, Alberta, Canada
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Nova Scotia
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Halifax, Nova Scotia, Canada
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Ontario
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Hamilton, Ontario, Canada
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Kingston, Ontario, Canada
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London, Ontario, Canada
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Ottawa, Ontario, Canada
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Toronto, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Quebec City, Quebec, Canada
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Sherbrooke, Quebec, Canada
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Caen, France
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Lille, France
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Lyon, France
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Montbeliard, France
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Nice, France
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Pierre Benite, France
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Rennes, France
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Saint Herblain, France
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Vandoeuvre Les Nancy, France
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Villejuif, France
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Aachen, Germany
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Berlin, Germany
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Essen, Germany
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Freiberg, Germany
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Hamburg, Germany
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Heidelberg, Germany
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Herne, Germany
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Magdeburg, Germany
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Munchen, Germany
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Gravenhage, Netherlands
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Heerlen, Netherlands
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Rotterdam, Netherlands
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Arizona
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Phoenix, Arizona, United States
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Arkansas
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Fort Smith, Arkansas, United States
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Little Rock, Arkansas, United States
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California
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Berkeley, California, United States
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Concord, California, United States
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Greenbrae, California, United States
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Los Angeles, California, United States
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Montebello, California, United States
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Sacramento, California, United States
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Stanford, California, United States
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Colorado
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Aurora, Colorado, United States
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Connecticut
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Hartford, Connecticut, United States
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New Haven, Connecticut, United States
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Illinois
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Chicago, Illinois, United States
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Indiana
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Fort Wayne, Indiana, United States
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Indianapolis, Indiana, United States
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Louisiana
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Shreveport, Louisiana, United States
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Maryland
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Baltimore, Maryland, United States
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Washington D.C, Maryland, United States
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Massachusetts
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Boston, Massachusetts, United States
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Michigan
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Detroit, Michigan, United States
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Grand Rapids, Michigan, United States
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Minnesota
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Minneapolis, Minnesota, United States
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Missouri
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St. Louis, Missouri, United States
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Nebraska
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Omaha, Nebraska, United States
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New Jersey
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Camden, New Jersey, United States
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Morristown, New Jersey, United States
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New Mexico
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Albuquerque, New Mexico, United States
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New York
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New York, New York, United States
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Rochester, New York, United States
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Ohio
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Akron, Ohio, United States
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Cleveland, Ohio, United States
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Columbus, Ohio, United States
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Pennsylvania
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Hershey, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Tennessee
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Knoxville, Tennessee, United States
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Nashville, Tennessee, United States
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Texas
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Houston, Texas, United States
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Laredo, Texas, United States
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San Antonio, Texas, United States
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Tyler, Texas, United States
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Virginia
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Charlottesville, Virginia, United States
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Wisconsin
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Madison, Wisconsin, United States
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Milwaukee, Wisconsin, United States
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Adults (≥18 years old) with radiologically proven parenchymal brain metastases from histologically confirmed non-small cell lung cancer;
- KPS score of ≥70;
- Each patient must sign a study-specific Informed Consent form
Exclusion Criteria:
- Liver metastases;
- Extracranial metastases in two or more organs;
- Known leptomeningeal metastases or subarachnoid spread of tumor;
- Prior whole brain radiation;
- Plan to use radiosurgery or radiation boost after completion of WBRT;
- Planned chemotherapy during study treatment (prior and subsequent chemotherapy is allowed);
- Prior total resection of a single brain metastasis;
- Laboratory values as follows:
LDH > 1.3 x upper limit of normal (ULN); ANC < 1500 /mm³; Platelets < 50,000 /mm³; Creatinine > 2.0 mg/dL; AST or ALT > 2 x ULN; Total bilirubin > 2 x ULN;
- Women who are pregnant or lactating
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Mehta MP, Shapiro WR, Glantz MJ, Patchell RA, Weitzner MA, Meyers CA, Schultz CJ, Roa WH, Leibenhaut M, Ford J, Curran W, Phan S, Smith JA, Miller RA, Renschler MF. Lead-in phase to randomized trial of motexafin gadolinium and whole-brain radiation for patients with brain metastases: centralized assessment of magnetic resonance imaging, neurocognitive, and neurologic end points. J Clin Oncol. 2002 Aug 15;20(16):3445-53. doi: 10.1200/JCO.2002.07.500.
- Carde P, Timmerman R, Mehta MP, Koprowski CD, Ford J, Tishler RB, Miles D, Miller RA, Renschler MF. Multicenter phase Ib/II trial of the radiation enhancer motexafin gadolinium in patients with brain metastases. J Clin Oncol. 2001 Apr 1;19(7):2074-83. doi: 10.1200/JCO.2001.19.7.2074.
- Rosenthal DI, Nurenberg P, Becerra CR, Frenkel EP, Carbone DP, Lum BL, Miller R, Engel J, Young S, Miles D, Renschler MF. A phase I single-dose trial of gadolinium texaphyrin (Gd-Tex), a tumor selective radiation sensitizer detectable by magnetic resonance imaging. Clin Cancer Res. 1999 Apr;5(4):739-45.
- Magda D, Lepp C, Gerasimchuk N, Lee I, Sessler JL, Lin A, Biaglow JE, Miller RA. Redox cycling by motexafin gadolinium enhances cellular response to ionizing radiation by forming reactive oxygen species. Int J Radiat Oncol Biol Phys. 2001 Nov 15;51(4):1025-36. doi: 10.1016/s0360-3016(01)01810-7.
- Miller RA, Woodburn K, Fan Q, Renschler MF, Sessler JL, Koutcher JA. In vivo animal studies with gadolinium (III) texaphyrin as a radiation enhancer. Int J Radiat Oncol Biol Phys. 1999 Nov 1;45(4):981-9. doi: 10.1016/s0360-3016(99)00274-6.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Registration Dates
First Submitted
February 10, 2003
First Submitted That Met QC Criteria
February 12, 2003
First Posted (Estimate)
February 13, 2003
Study Record Updates
Last Update Posted (Estimate)
May 8, 2007
Last Update Submitted That Met QC Criteria
May 4, 2007
Last Verified
May 1, 2007
More Information
Terms related to this study
Keywords
- Non-small cell lung cancer
- Treatment Outcome
- Brain metastases
- Brain Neoplasms/secondary
- Quality of Life,
- Brain Neoplasms/radiotherapy
- Neoplasms/complications/prevention & control,
- Neuropsychological Tests,
- Metalloporphyrins/therapeutic use,
- Combined Modality Therapy,
- Drug therapy,
- Cranial Irradiation,
- Radiotherapy/Targeted,
- Prospective Studies,
- Neoplasm Recurrence/Local,
Additional Relevant MeSH Terms
- Pathologic Processes
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Neoplastic Processes
- Central Nervous System Neoplasms
- Nervous System Neoplasms
- Lung Neoplasms
- Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Neoplasm Metastasis
- Brain Neoplasms
- Antineoplastic Agents
- Photosensitizing Agents
- Dermatologic Agents
- Motexafin gadolinium
Other Study ID Numbers
- PCYC-0211
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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