Status:

TERMINATED

The Effect of Radiotherapy and Temozolomide on the Tumor Vasculature and Stem Cells in Human High-grade Astrocytomas

Lead Sponsor:

Haukeland University Hospital

Collaborating Sponsors:

University of Bergen

Conditions:

Anaplastic Astrocytoma

Glioblastoma Multiforme

Eligibility:

All Genders

18+ years

Brief Summary

The purpose of the current trial is to explore whether the standard treatment with radiotherapy and temozolomide affect the tumor vasculature in patients with high-grade astrocytomas. If vascular effe...

Detailed Description

Today's standard treatment with radiotherapy and temozolomide yields a life expectancy of 1.5-3 years in patients with high-grade astrocytomas. Thus, there is a need for further therapeutic improvemen...

Eligibility Criteria

Inclusion

  • Histologically confirmed primary high-grade astrocytoma, i.e. anaplastic astrocytoma or glioblastoma multiforme.
  • Have a WHO performance status 0-2 and be able to undergo outpatient treatment.
  • Age ≥18 years.
  • No pregnant or lactating patients can be included.
  • Patients must have radiographically documented measurable disease postoperatively. At least one tumor lesion must be unidimensionally measurable as follows:
  • Tumor lesion \> 10 mm on conventional MRI scan, T1-weighted series, after intravenous (i.v.) gadolinium chelate contrast.
  • All diagnostic radiology studies must be performed within 28 days prior to registration.
  • Absence of conditions making MRI scans impossible;
  • Cardiac pacemaker
  • Other ferromagnetic metal implants not authorised for use in MRI such as some types of cerebral aneurysm clips
  • Serious claustrophobia
  • Obesity (\> 300 lb., 140 Kg)
  • Patients who are receiving corticosteroids have to receive stable or decreasing doses for at least 14 days before entering the trial.
  • No prior chemotherapy for high-grade astrocytoma
  • Absence of opportunistic infections making temozolomide contraindicated.
  • Minimum required laboratory data:
  • Hematology:
  • Absolute granulocytes \> 1.0 x 10\^9/L
  • Platelets \> 100 x 10\^9/L
  • Biochemistry:
  • Bilirubin \< 1.5 x upper normal limit
  • INR \< 1.5
  • Serum creatinine \<1.5 x upper normal limit
  • Adequate cognitive function in order to give informed consent.
  • Absence of any psychological, familial or sociological condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
  • Before patient registration/randomization, written informed consent must be given according to national and local regulations.

Exclusion

  • Lack of fulfillment of inclusion criteria.

Key Trial Info

Start Date :

March 1 2007

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

November 1 2011

Estimated Enrollment :

1 Patients enrolled

Trial Details

Trial ID

NCT00473408

Start Date

March 1 2007

End Date

November 1 2011

Last Update

December 6 2016

Active Locations (1)

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Dept. of Oncology & Dept. of Radiology, Haukeland University Hospital

Bergen, Norway, Hordaland, Norway, 5021