Status:
COMPLETED
Vatalanib in Treating Patients With Recurrent or Progressive Meningioma
Lead Sponsor:
Northwestern University
Collaborating Sponsors:
Novartis
Conditions:
Brain and Central Nervous System Tumors
Sarcoma
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Vatalanib may stop the growth of tumor cells by blocking blood flow to the tumor and by blocking some of the enzymes needed for cell growth. PURPOSE: This phase II trial is studying how we...
Detailed Description
OBJECTIVES: Primary * Determine the efficacy of vatalanib, in terms of radiographic improvement and clinical improvement, in patients with recurrent or progressive meningioma. Secondary * Determin...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed meningioma, including the following subtypes:
- Benign meningioma
- Malignant meningioma
- Steroid dosage stable for ≥ 5 days
- Atypical meningiomas
- Hemangiopericytoma
- May or may not have neurofibromatosis (NF) type 1 or 2 disease
- Patients with a history of NF may have other stable CNS tumors, such as schwannoma, acoustic neuroma, or ependymoma only if those lesions have been stable for the past 6 months
- Progressive or recurrent disease by MRI or CT scan
- Prior radiotherapy allowed provided evidence of disease progression is documented by positron emission tomography, thallium scanning, magnetic resonance spectroscopy, or surgery to rule out radiation necrosis for patients treated with radiosurgery
- Recent resection of recurrent or progressive tumor allowed provided both of the following criteria are met:
- At least 4 weeks since prior surgery and recovered
- Evaluable residual disease
- PATIENT CHARACTERISTICS:
- Karnofsky performance status 60-100%
- Life expectancy \> 12 weeks
- Absolute neutrophil count ≥ 2,000/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 10 g/dL (transfusion allowed)
- SGOT and SGPT \< 2 times upper limit of normal (ULN)
- Bilirubin ≤ 1.5 times ULN
- Creatinine \< 1.5 mg/dL
- Negative proteinuria dipstick OR total urinary protein ≤ 500 mg AND creatinine clearance ≥ 50 mL/min
- PT, INR, and PTT ≤ 1.5 times ULN
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for up to 6 months after completion of study treatment
- No history of any other cancer except nonmelanoma skin cancer or carcinoma in situ of the cervix, unless in complete remission and off all therapy for that disease for ≥ 3 years
- No disease that would obscure toxicity or dangerously alter drug metabolism
- No bleeding disorders
- No severe and/or uncontrolled medical conditions that would limit compliance with study requirements, including any of the following:
- Uncontrolled high blood pressure
- History of labile hypertension
- History of poor compliance with an antihypertensive regimen
- Unstable angina pectoris
- Symptomatic congestive heart failure
- Myocardial infarction within the past 6 months
- Serious uncontrolled cardiac arrhythmia
- Uncontrolled diabetes
- Active or uncontrolled infection
- Interstitial pneumonia or extensive and symptomatic interstitial fibrosis of the lung
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of vatalanib (i.e., ulcerative disease, uncontrolled nausea, vomiting, or diarrhea, malabsorption syndrome, bowel obstruction, or inability to swallow tablets)
- QTc \> 450 (male) or \> 470 (female)
- Congenital or acquired long QTc syndrome
- PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Recovered from prior therapy
- At least 4 weeks since prior radiotherapy, including external-beam radiotherapy, interstitial brachytherapy, or gamma-knife radiosurgery
- At least 4 weeks since prior investigational agents
- More than 4 weeks since prior cytotoxic therapy (6 weeks for nitrosoureas)
- More than 4 weeks since prior immunotherapy
- More than 2 weeks since prior noncytotoxic or biologic therapies
- At least 2 weeks since prior drugs that affect hepatic metabolism (steroids should be tapered off if not clinically indicated)
- At least 2 weeks since prior and no concurrent enzyme-inducing anticonvulsant drugs
- No prior antivascular endothelial growth factor therapy
- No other concurrent investigational agents or anticancer therapy (including chemotherapy, radiotherapy, hormonal therapy, or immunotherapy)
- No concurrent warfarin
- No concurrent grapefruit or grapefruit juice
Exclusion
Key Trial Info
Start Date :
May 1 2006
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2013
Estimated Enrollment :
25 Patients enrolled
Trial Details
Trial ID
NCT00348790
Start Date
May 1 2006
End Date
July 1 2013
Last Update
October 26 2018
Active Locations (3)
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1
Hematology-Oncology Associates of Illinois
Chicago, Illinois, United States, 60611-2998
2
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
Chicago, Illinois, United States, 60611-3013
3
University Cancer Center at University of Washington Medical Center
Seattle, Washington, United States, 98195-6043