Status:

COMPLETED

Phase (Ph) II Bevacizumab + Erlotinib for Patients (Pts) With Recurrent Malignant Glioma (MG)

Lead Sponsor:

Duke University

Collaborating Sponsors:

Genentech, Inc.

Conditions:

Glioblastoma

Gliosarcoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Primary objective: To estimate 6-month progression free survival probability of pts w recurrent malignant gliomas treated w erlotinib + bevacizumab. Secondary Objectives: To evaluate safety \& tole...

Detailed Description

Exploratory, Phase II study designed to assess anti-tumor activity of combinatorial regimen consisting of erlotinib + bevacizumab among pts w recurrent malignant glioma. Signal transduction inhibitors...

Eligibility Criteria

Inclusion

  • Pts have histologically confirmed diagnosis of recurrent/progressive WHO gr III \& IV MG \& meet following inclusion criteria:
  • Age \>18 yrs
  • Interval of \>4 wks since prior surgery
  • Interval of \>4 wks since prior external beam radiation therapy (XRT) or chemo, unless there is unequivocal evidence of progressive disease \& pts have recovered from all anticipated toxicity of most recent therapy
  • Karnofsky performance status score \>60
  • Hematocrit \> 29 percent, absolute neutrophil count (ANC) \>1,500 cells/microliter, platelets \>100,000 cells/microliter
  • Serum creatinine \<.5mg/dl, blood urea nitrogen (BUN) \<25 mg/dl, serum glutamate oxaloacetate transaminase (SGOT) \& bilirubin \<1.5 x upper limit of normal (ULN)
  • For pts on corticosteroids, they have been on stable dose for 1 wk prior to entry
  • Pts have had prior bevacizumab are eligible however interval of \>6 wks must have elapsed since their last dose
  • Signed informed consent approved by Institutional Review Board (IRB) prior to patient entry;
  • If sexually active, pts must agree to take contraceptive measures for duration of treatments

Exclusion

  • Prior therapy w either bevacizumab/EGFR-directed agents
  • \>3 prior recurrences
  • Pregnancy/breast feeding
  • Co-medication w immuno-suppressive agents other than corticosteroids including but not limited to cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil
  • Evidence of central nervous system (CNS) hemorrhage on baseline MRI on CT scan
  • Pts who require therapeutic anti-coagulation
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection requiring IV antibiotics \& psychiatric illness/social situations that would limit compliance w study requirements, or disorders associated w significant immunocompromised state
  • Pts w another primary malignancy that has required treatment within past year
  • Pts w acute/chronic renal insufficiency/those w acute renal insufficiency of any severity due to hepato-renal syndrome/in peri-operative liver transplantation period

Key Trial Info

Start Date :

February 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2010

Estimated Enrollment :

57 Patients enrolled

Trial Details

Trial ID

NCT00671970

Start Date

February 1 2007

End Date

April 1 2010

Last Update

May 13 2013

Active Locations (1)

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1

Duke University Health System

Durham, North Carolina, United States, 27710