- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT00016328
CCI-779 in Treating Patients With Recurrent Glioblastoma Multiforme
A Phase II Study of CCI-779 in Patients With Recurrent Glioblastoma Multiforme
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
OBJECTIVES:
I. Determine the efficacy of CCI-779, in terms of the percentage of patients who are progression-free at 6 months, time to progression, and time to death, in patients with recurrent glioblastoma multiforme.
II. Determine the toxic effects of this drug in these patients. III. Correlate molecular alterations in the tumors of these patients with response to treatment with this drug.
OUTLINE: This is a multicenter study. Patients are stratified according to concurrent P450 anticonvulsant use (yes vs no).
Patients receive CCI-779 IV over 30 minutes once weekly for 4 weeks. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
Patients are followed every 6 months for 5 years and then annually for up to 10 years.
PROJECTED ACCRUAL: A total of 63 patients will be accrued for this study within 39 months.
Tipo de estudio
Inscripción (Actual)
Fase
- Fase 2
Contactos y Ubicaciones
Ubicaciones de estudio
-
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Minnesota
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Rochester, Minnesota, Estados Unidos, 55905
- North Central Cancer Treatment Group
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-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
Histologically confirmed grade 4 astrocytoma at primary diagnosis or recurrence
- Gliosarcoma allowed
- Evidence of tumor progression by MRI or CT scan after radiotherapy or first-line chemotherapy
- Measurable or evaluable disease by MRI or CT scan
- Performance status - ECOG 0-2
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 9 g/dL
- Bilirubin no greater than 1.5 mg/dL
- SGOT no greater than 3 times upper limit of normal
- Creatinine no greater than 2.0 mg/dL
- No myocardial infarction within the past 6 months
- No congestive heart failure requiring ongoing maintenance therapy for life-threatening ventricular arrhythmias
- Cholesterol no greater than 350 mg/dL
- Triglycerides no greater than 400 mg/dL
- Willing to provide correlative laboratory samples
- No uncontrolled infection
- No known hypersensitivity to any components of CCI-779, diphenhydramine hydrochloride, or other similar antihistamines
- No other medical reason that would preclude diphenhydramine premedication
- No other active malignancy
- No other severe disease that would preclude study participation
- Not immunocompromised unless due to corticosteroids
- HIV negative
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- See Disease Characteristics
- Prior adjuvant chemotherapy allowed
- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)
- No more than 1 prior chemotherapy regimen for recurrent/progressive disease
- No prior polifeprosan 20 with carmustine implant (Gliadel)
- Must be on fixed dose of corticosteroids (or no corticosteroids) at least 1 week prior to baseline scan
- See Disease Characteristics
- At least 12 weeks since prior radiotherapy
- No prior stereotactic radiosurgery or interstitial brachytherapy unless there is a separate lesion on MRI that is outside of the previously treated field
- No prior resection since last chemotherapy or radiotherapy unless there is unequivocal tumor growth on neuro-imaging study since surgery or there is a separate lesion not present in the surgical bed
- More than 4 weeks since prior investigational agents
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Experimental: Treatment (temsirolimus)
Patients receive CCI-779 IV over 30 minutes once weekly for 4 weeks.
Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
Estudios correlativos
Estudios correlativos
Otros nombres:
Dado IV
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Percentage of patients being progression free
Periodo de tiempo: 6 months
|
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
|
6 months
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Percentage of patients that have not progressed
Periodo de tiempo: 3 months
|
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
|
3 months
|
Percentage of patients that have not progressed
Periodo de tiempo: 12 months
|
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
|
12 months
|
Percentage of patients that have not progressed
Periodo de tiempo: 18 months
|
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
|
18 months
|
Confirmed tumor response defined as an objective status of complete response (CR), partial response (PR), or regression (REGR) on two consecutive evaluations
Periodo de tiempo: Up to 10 years
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Ninety-five percent confidence intervals for the true proportion will be calculated using the exact binomial method.
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Up to 10 years
|
Time to progression and death
Periodo de tiempo: Up to 10 years
|
Estimated using Kaplan-Meier.
Frequency distributions of baseline patient characteristics will be compared using chi-squared and Wilcoxon tests.
|
Up to 10 years
|
Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
- Procesos Patológicos
- Neoplasias por tipo histológico
- Neoplasias
- Neoplasias Glandulares y Epiteliales
- Atributos de la enfermedad
- Astrocitoma
- Glioma
- Neoplasias Neuroepiteliales
- Tumores neuroectodérmicos
- Neoplasias De Células Germinales Y Embrionarias
- Neoplasias De Tejido Nervioso
- Glioblastoma
- Reaparición
- Gliosarcoma
- Efectos fisiológicos de las drogas
- Agentes antiinfecciosos
- Agentes antineoplásicos
- Agentes inmunosupresores
- Factores inmunológicos
- Agentes antibacterianos
- Antibióticos, Antineoplásicos
- Agentes antifúngicos
- Sirolimus
Otros números de identificación del estudio
- NCI-2012-01858
- U10CA025224 (Subvención/contrato del NIH de EE. UU.)
- N997B
- CDR0000068623
- NCCTG-N997B
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
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