- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00002986
Chemotherapy in Treating Patients With Recurrent Malignant Glioma
Phase I Treatment of Adults With Primary Malignant Glioma With Topotecan (NSC #609699) Plus BCNU (NSC #409962)
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase I trial to study the effectiveness of topotecan plus carmustine in patients with recurrent primary malignant glioma.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
OBJECTIVES:
- Determine the maximum tolerated dose of topotecan administered in combination with a fixed dose of carmustine.
- Determine the toxic effects of topotecan and carmustine in patients with recurrent primary malignant glioma.
OUTLINE: Topotecan is administered by an ambulatory infusion pump for 72 hours each week. Topotecan dose escalation is carried out in cohorts of three patients. Dose escalation is continued until toxic effects or disease progression is observed in these patients. Carmustine is administered over 1 hour every 6 weeks, on the same day as the first topotecan dose for that week.
Three patients will be treated at an initial dose level of topotecan, and if one of these patients experience dose limiting toxicity (DLT), an additional
3 patients must be treated at this dose level without further DLT in order for dose escalation to proceed. The MTD is the highest dose at which DLT occurs in no more than 1 of 6 patients.
Patients are evaluated after every 6 week cycle.
PROJECTED ACCRUAL: An estimated 18-36 patients will be entered.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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North Carolina
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Durham, North Carolina, Forenede Stater, 27710
- Duke Comprehensive Cancer Center
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Tennessee
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Memphis, Tennessee, Forenede Stater, 38105-2794
- Saint Jude Children's Research Hospital
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
DISEASE CHARACTERISTICS:
Histologically proven recurrent primary malignant glioma
- Measurable recurrent or residual primary central nervous system neoplasm confirmed by MRI
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance Status:
- Karnofsky at least 60%
Hematopoietic:
- Hematocrit greater than 29%
- ANC greater than 1,500/mm^3
- Platelet count greater than 125,000/mm^3
Hepatic:
- SGOT less than 1.5 times upper limit of normal (ULN)
- Bilirubin less than 1.5 times ULN
Renal:
- Creatinine less than 1.5 mg/dL
- BUN less than 25 mg/dL
Other:
- Not pregnant
- Effective contraceptive method must be used for the duration of the study
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- No prior chemotherapy within 6 weeks of study
- No prior topotecan or carmustine treatment failure
- No more than 1 prior chemotherapy regimen
Endocrine therapy:
- Patients taking corticosteroids must be on stable dose for at least 2 weeks prior to study and the dose should not escalate over entry level
Radiotherapy:
- No prior radiotherapy within 6 weeks of study
Surgery:
- No prior surgical resection within 3 weeks of study
Other:
- No concurrent medication that may interfere with study results
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i nervesystemet
- Neoplasmer efter histologisk type
- Neoplasmer
- Neoplasmer efter sted
- Neoplasmer, kirtel og epitel
- Neoplasmer, Neuroepithelial
- Neuroektodermale tumorer
- Neoplasmer, kimceller og embryonale
- Neoplasmer, nervevæv
- Gliom
- Neoplasmer i nervesystemet
- Neoplasmer i centralnervesystemet
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antineoplastiske midler
- Antineoplastiske midler, Alkylering
- Alkyleringsmidler
- Topoisomerasehæmmere
- Topoisomerase I-hæmmere
- Topotecan
- Carmustine
Andre undersøgelses-id-numre
- 0224
- DUMC-000224-01-1R4
- DUMC-000224-00-2R3
- DUMC-0348-99-2R2
- DUMC-223-97-2
- DUMC-229-98-2R1
- SB-DUMC-229-98-2R1
- NCI-G97-1242
- CDR0000065521 (Anden identifikator: NCI)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Tumorer i hjernen og centralnervesystemet
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City of Hope Medical CenterAfsluttetUspecificeret fast tumor i barndommen, protokolspecifik | Solid tumor | Ewing Sarkom | Uspecificeret fast tumor hos voksne, protokolspecifik | Tilbagevendende medulloblastom i barndommen | Tilbagevendende Childhood Ependymoma | Tilbagevendende neuroblastom | Tilbagevendende bløddelssarkom hos voksne | Tilbagevendende... og andre forholdForenede Stater
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National Cancer Institute (NCI)AfsluttetUspecificeret fast tumor i barndommen, protokolspecifik | Tilbagevendende medulloblastom i barndommen | Tilbagevendende Childhood Ependymoma | Atypisk teratoid/rhabdoide tumor i barndommen | Tilbagevendende akut lymfatisk leukæmi i barndommen | T-celle stor granulær lymfocytleukæmi | T-celle akut... og andre forholdForenede Stater, Canada
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National Cancer Institute (NCI)AfsluttetTilbagevendende Childhood Ependymoma | Tilbagevendende neuroblastom | Tilbagevendende osteosarkom | Tilbagevendende rhabdomyosarkom i barndommen | Tilbagevendende nyrecellekræft | Tilbagevendende tyktarmskræft | Tilbagevendende endetarmskræft | Tilbagevendende bløddelssarkom i barndommen | Tilbagevendende... og andre forholdForenede Stater
Kliniske forsøg med topotecanhydrochlorid
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MediLink Therapeutics (Suzhou) Co., Ltd.Aktiv, ikke rekrutterende
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SUNHO(China)BioPharmaceutical CO., Ltd.The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer...Ikke rekrutterer endnu
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Han Xu, M.D., Ph.D., FAPCR, Sponsor-Investigator...UnitedHealthcareAktiv, ikke rekrutterende
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Targeted Therapy Technologies, LLCAktiv, ikke rekrutterende
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The Hospital for Sick ChildrenAfsluttet
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National Cancer Institute (NCI)AfsluttetTilbagevendende småcellet lungekarcinomForenede Stater, Singapore
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National Cancer Institute (NCI)Aktiv, ikke rekrutterendeAkut myeloid leukæmi | Polycytæmi Vera | Essentiel trombocytæmi | Myelofibrose | Akut myeloid leukæmi opstået fra tidligere myelodysplastisk syndrom | Kronisk myelomonocytisk leukæmi | Tilbagevendende akut myeloid leukæmi | Refraktær akut myeloid leukæmi | Myelodysplastisk/myeloproliferativ neoplasma | Atypisk...Forenede Stater
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University of NebraskaNational Cancer Institute (NCI)AfsluttetTilbagevendende småcellet lungekarcinomForenede Stater
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Luye Pharma Group Ltd.RekrutteringTilbagefaldende småcellet lungekræftKina
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Targeted Therapy Technologies, LLCMorgan Stanley Children's HospitalRekruttering