- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT03310372
Concomitant Association of Ultrafractionated Brain Irradiation - Temozolomide in Inoperable Primary Glioblastoma Multiforme (TEMOFRAC)
Phase II Clinical Trial of Concomitant Association of Ultrafractionated Brain Irradiation - Temozolomide in Inoperable Primary Glioblastoma Multiforme
The main purpose of this study is the evaluation of concomitant association of ultrafractionated irradiation and Temodal® in patients with inoperable primary glioblastoma multiforme; study of tolerance and objective response rate.
The secondary purposes of this study are the evaluation of progression free survival, global survival and tolerance through toxicity study. The therapeutic response according to methylation or not of MGMT is also evaluated.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 2
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- giving their informed consent
- having a supratentorial malignant glioma, either grade 4 of St. Anne/Mayo grading, or glioblastoma multiforme according to WHO classification
- having an inoperable brain tumor (diagnosed by stereotactic biopsy)
- having a general status, evaluated by Karnofsky scale, >60
- having a life expectancy >3 months
- not having previously had a brain irradiation and/or adjuvant or neo-adjuvant chemotherapy
- potentially having another cancer, if histology and clinical history are available for comparison
- being able to take oral tablets
- no HIV disease
- satisfactory hematology, hepatic and renal functions: polymorphonuclear neutrophils >1500/mm3, platelets >100000/mm3, Hb >8g/dl, creatinemia ≤1.5 times upper normal value, total bilirubin <1.5 times upper normal value, ASAT and ALAT <3 times upper normal value
- for women of childbearing potential, a contraception is given
Exclusion Criteria:
- having an under tentorial malignant glioma (brain stem and/or cerebellum), grade 4 of St. Anne/Mayo grading
- having a Karnofsky score <60
- having a life expectancy <3 months
- having had a brain irradiation or an adjuvant or neoadjuvant chemotherapy
- refusing any additional therapy
- having a non-malignant but serious systemic disease or uncontrolled active infection
- having a severe psychiatric disorder
- not having signed the informed consent
- pregnant or breastfeeding woman
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: ultrafractionated brain irradiation - temozolomide
|
0.75 Gy a day, 5 times a week, for 6 weeks (total dose: 67.5 Gy)
75 mg/m2/day, 7 times a week, for 6 weeks (total 42 days)
Andra namn:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
complete response
Tidsram: through study completion, 2 years
|
defined as total regression of tumor area contrast in MRI, with stability or amelioration of neurological status of patient without corticoids
|
through study completion, 2 years
|
|
partial response
Tidsram: through study completion, 2 years
|
defined by at least 50% diminution of tumor size, evaluated by the product of 2 perpendicular diameters measured by MRI, with stability or amelioration of neurological status of patient receiving stable or reduced corticoid doses
|
through study completion, 2 years
|
|
stabilization
Tidsram: through study completion, 2 years
|
corresponding to at least 50% diminution of tumor size in MRI, with stability of neurological status of patient receiving steady corticoid doses
|
through study completion, 2 years
|
|
progression
Tidsram: through study completion, 2 years
|
defined by increase of at least 25% of tumor size and/or a second brain localization in MRI, with degradation of neurological status of patient
|
through study completion, 2 years
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
global survival
Tidsram: through study completion, 2 years
|
through study completion, 2 years
|
|
|
treatment tolerance
Tidsram: through study completion, 2 years
|
evaluated by general, neurological and hematological status, according to National Cancer Institute-Common toxicity criteria (NCI-CTC)
|
through study completion, 2 years
|
|
survival without tumor recurrence
Tidsram: through study completion, 2 years
|
tumor recurrence detected with radiology examination
|
through study completion, 2 years
|
|
life quality
Tidsram: through study completion, 2 years
|
evaluated with European Organization for Research and Treatment of Cancer (EORTC) core quality of life questionnaire (QLQ - C30)
|
through study completion, 2 years
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
- Neoplasmer efter histologisk typ
- Neoplasmer
- Neoplasmer, körtel och epitel
- Astrocytom
- Gliom
- Neoplasmer, neuroepitelial
- Neuroektodermala tumörer
- Neoplasmer, könsceller och embryonala
- Neoplasmer, nervvävnad
- Glioblastom
- Molekylära mekanismer för farmakologisk verkan
- Antineoplastiska medel
- Antineoplastiska medel, Alkylering
- Alkyleringsmedel
- Temozolomid
Andra studie-ID-nummer
- 2007-004968-41
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
Läkemedels- och apparatinformation, studiedokument
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