Status:

COMPLETED

Ph. II Temozolomide + O6-BG in Treatment of Pts w Temozolomide-Resistant Malignant Glioma

Lead Sponsor:

Duke University

Collaborating Sponsors:

Keryx / AOI Pharmaceuticals, Inc.

National Institutes of Health (NIH)

Conditions:

Glioblastoma Multiforme

Anaplastic Glioma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Objectives: To define role of O6-Benzylguanine (BG) in restoring Temodar (temozolomide) sensitivity in patients with Temodar-resistant malignant glioma. To further define toxicity of combo therapy u...

Detailed Description

2 separate strata accrued independently of each other: Stratum 1-patients with Glioblastoma Multiforme (GBM). Stratum 2-patients with Anaplastic Glioma \[anaplastic astrocytoma (AA), anaplastic oligod...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Patients have recurrent/progressive Malignant Glioma (MG). Stereotactic biopsy at time of recurrence/progression is only required if radiation-induced necrosis is suspected
  • Patients have MG resistant to Temodar, which is defined as \> or = to 25 percent increase in tumor growth on contrast enhanced MRI/CT within 8 weeks of last dose of Temodar
  • Age \> or = to 18 years
  • Evidence of measurable enhancing disease on contrast-enhanced MRI, unless medically contraindicated.
  • Interval of at least 2 weeks between prior surgical resection/ 4 weeks between prior radiotherapy/chemotherapy, and enrollment on protocol unless there is unequivocal evidence of tumor progression. However, patients treated with chemotherapy agents such as VP-16 who would normally be retreated after shorter intervals may be treated at usual starting time even if less than 4 weeks from last prior dose of chemotherapy
  • Karnofsky performance score \> or = to 60 percent
  • Hematocrit \> 29 percent, absolute neutrophil count (ANC) \> 1,500 cells/microliter, platelets \> 100,000 cells/microliter
  • Serum creatinine \<1.5 mg/dl, Blood Urea Nitrogen (BUN) \<25 mg/dl, Serum Glutamic Oxaloacetic Transaminase (SGOT) \& bilirubin \<1.5 x upper limit of normal (ULN)
  • For patients on corticosteroids, they must have been on stable dose for 1 week prior to entry, if clinically possible, and dose should not be escalated over entry dose level
  • Signed informed consent approved by Institutional Review Board (IRB) prior to patient entry
  • If sexually active, patients will take contraceptive measures for duration of treatments
  • Exclusion criteria:
  • Pregnancy
  • Co-medication that may interfere with study results

Exclusion

    Key Trial Info

    Start Date :

    October 1 2002

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 1 2008

    Estimated Enrollment :

    67 Patients enrolled

    Trial Details

    Trial ID

    NCT00613093

    Start Date

    October 1 2002

    End Date

    August 1 2008

    Last Update

    July 9 2014

    Active Locations (1)

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    1

    Duke University Health System

    Durham, North Carolina, United States, 27710