- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00629187
Safety Study of High Dose Temozolomide to Treat Relapsed/Refractory Central Nervous System (CNS) Malignancy (CN-306)
Phase I Dose Escalation Study of Temozolomide With Autologous Stem Cell Rescue for Patients With Relapsed/Refractory CNS Malignancy Including Isolated Metastatic Disease
Study Overview
Status
Intervention / Treatment
Detailed Description
High dose chemotherapy and autologous stem cell transplant is an accepted treatment alternative for patients with brain tumors. Temozolomide has been approved for use by the United States Food and Drug Administration (FDA) for certain tumors of the brain. The doses of temozolomide given in this study will be higher than approved by the FDA and higher than those given in any prior studies.
Over 25 subjects will be enrolled on this study over a period of 5 years. This study will only be available at Tufts Medical Center.
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02111
- Tufts Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients or their health care proxies must be able to provide consent to participate in this trial.
Patients must have one of the following diagnoses which has not responded or recurred following at least one prior chemotherapy regimen or radiation therapy:
- anaplastic astrocytoma, glioblastoma multiforme or oligodendroglioma
- primary CNS lymphoma
- malignant disease metastatic to the CNS
Patients must be candidates for high dose chemotherapy and autologous stem cell transplant according to the following criteria:
- Patients must be between the ages of 18 and 70 years (inclusive)
- Patients must have a left ventricular ejection fraction greater than or equal to 45% by MUGA or echocardiogram
- Patients must have adequate pulmonary function with FEV1, FVC and DLCO greater than or equal to 50% of predicted
- Patients must have serum direct bilirubin less than or equal to 2.0 mg/dl and transaminases less than or equal to 3x institutional upper limit of normal
- Patients must have serum creatinine less than or equal to 2 mg/dl with creatinine clearance greater than or equal to 60 ml/min (either calculated or measured)
- Patients must have an ECOG performance status between 0 and 2
- Patients must be at least 4 weeks from last cytoreductive chemotherapy.
- Expected survival of at least 3 months
Exclusion Criteria:
- Patients with uncontrolled metastatic disease outside of the CNS which would itself, in the investigator's opinion, limit survival to less than 6 months
- Patients with uncontrolled seizures are ineligible.
- Patients with a history of myocardial infarction within the preceding 6 months, significant arrhythmia within the preceding 3 months, or uncontrolled hypertension or congestive heart failure are ineligible.
- Patients with unstable angina are ineligible.
- Pregnant or lactating women are ineligible.
- Male and female patients who do not agree to practice approved methods of birth control for the duration of the study are ineligible.
- Patients with uncontrolled, active infection are ineligible.
- Patients infected with HIV are ineligible.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: 1
|
Before taking part in this study, subjects will have stem cells collected in a procedure called apheresis.
Once on this study, subjects will be admitted to the hospital and receive daily doses of temozolomide by mouth for 5 days.
Stem cells will be given back to subjects who will remain in the hospital until blood counts have recovered.
Doses of temozolomide will range from 350 mg to 1500 mg/m(squared) daily for 5 days (total dose 1750 to 7500 mg/m(squared).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Determine the maximum tolerated dose of temozolomide with hematopoietic stem cell rescue in patients with recurrent CNS malignancy
Time Frame: 5 years
|
5 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Estimate the response rate, response duration and survival according to established response definitions
Time Frame: 5 years
|
5 years
|
Determine the pharmacokinetics of high daily dosing of temozolomide in the transplant setting
Time Frame: 5 years
|
5 years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Neoplasms by Site
- Neoplastic Processes
- Neoplasms
- Neoplasm Metastasis
- Nervous System Neoplasms
- Central Nervous System Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Temozolomide
Other Study ID Numbers
- CN-306
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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