Status:

TERMINATED

Acetylcysteine, Mannitol, Combination Chemotherapy, and Sodium Thiosulfate in Treating Children With Malignant Brain Tumors

Lead Sponsor:

OHSU Knight Cancer Institute

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Bone Marrow Suppression

Brain and Central Nervous System Tumors

Eligibility:

All Genders

1-18 years

Phase:

PHASE1

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as cyclophosphamide, etoposide phosphate, and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopp...

Detailed Description

OBJECTIVES: Primary * Determine the toxicity and maximum tolerated dose of acetylcysteine when given in combination with blood-brain barrier disruption treatment with mannitol, combination chemother...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed brain tumors, including any of the following:
  • Brain stem glioma
  • Primitive neuroectodermal tumor
  • CNS germ cell tumor
  • Malignant glioma
  • Diagnosis based on any of the following:
  • CT-assisted or stereotactic biopsy
  • Open biopsy
  • Surgical resection
  • Cerebrospinal fluid cytology
  • Elevated tumor markers
  • Unequivocal radiographic changes (for patients with brain stem glioma or optic glioma)
  • All tumor types, except brain stem glioma, must be recurrent
  • No radiographic signs of intracranial herniation and/or spinal cord block
  • PATIENT CHARACTERISTICS:
  • Performance status
  • ECOG 0-2
  • Life expectancy
  • At least 90 days
  • Hematopoietic
  • WBC ≥ 2,500/mm\^3
  • Absolute granulocyte count ≥ 1,200/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Hepatic
  • SGOT and SGPT \< 2.5 times upper limit of normal
  • Bilirubin \< 2.0 mg/dL
  • Renal
  • Creatinine \< 1.8 mg/dL
  • Pulmonary
  • No history of clinically significant reactive airway disease
  • Other
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No significant risk for general anesthesia
  • No uncontrolled, clinically significant, confounding medical condition within the past 30 days
  • No contraindication to study drugs
  • PRIOR CONCURRENT THERAPY:
  • Chemotherapy
  • At least 28 days since prior systemic chemotherapy
  • Radiotherapy
  • At least 3 months since prior total spine radiotherapy
  • At least 14 days since prior cranial radiotherapy
  • Prior systemic radiotherapy allowed
  • Surgery
  • See Disease Characteristics

Exclusion

    Key Trial Info

    Start Date :

    December 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 17 2006

    Estimated Enrollment :

    2 Patients enrolled

    Trial Details

    Trial ID

    NCT00238173

    Start Date

    December 1 2004

    End Date

    February 17 2006

    Last Update

    April 21 2017

    Active Locations (1)

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    OHSU Knight Cancer Institute

    Portland, Oregon, United States, 97239-3098