Status:
COMPLETED
Tipifarnib, Radiation Therapy, and Temozolomide in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
Lead Sponsor:
National Cancer Institute (NCI)
Conditions:
Adult Giant Cell Glioblastoma
Adult Glioblastoma
Eligibility:
All Genders
18+ years
Phase:
PHASE1
Brief Summary
This phase I trial studies the side effects and best dose of tipifarnib when given together with radiation therapy and temozolomide in treating patients with newly diagnosed glioblastoma multiforme. T...
Detailed Description
PRIMARY OBJECTIVES: I. Establish maximum tolerated dose (MTD) for tipifarnib (R115777) in combination with temozolomide with radiation in patients not on enzyme-inducing anti-epileptic drugs (EIAEDs)...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Patients will have histologically proven intracranial glioblastoma multiforme (GBM) or gliosarcoma (GS)
- Diagnosis will have been established by biopsy or resection within 4 weeks prior to registration
- Patients must not have received previous radiotherapy to the brain
- Patients must not have received cytotoxic drug therapy, non-cytotoxic drug therapy, or experimental drug therapy directed against the brain tumor; patients who received Gliadel wafers will be excluded; patients may have received or be receiving corticosteroids, non-EIAEDs, analgesics, and other drugs to treat symptoms or prevent complications
- Cranial magnetic resonance imaging (MRI) or contrast computed tomography (CT) must have been performed within 21days of study entry; the use of MRI rather than CT is preferred; the same type of scan, i.e., MRI or CT must be used throughout the period of protocol treatment for tumor measurement; if the surgical procedure was a resection, cranial MRI or contrast CT performed with 96 hours of resection is preferred but not required; patients without measurable or assessable disease are eligible
- Patients must have a plan to begin partial brain radiotherapy within 5-9 days after beginning R115777, and within 35 days (5 weeks) of the surgical procedure that established the diagnosis; radiotherapy must be given at the Radiation Oncology Department of the registering Adult Brain Tumor Consortium (ABTC) institution; radiotherapy must be given by external beam to a partial brain field in daily fractions of 2.0 Gray (Gy), to a planned total dose to the tumor of 60.0 Gy; stereotactic radiosurgery and brachytherapy will not be allowed
- Patients must be willing to forego other drug therapy against the tumor while being treated with R115777 and temozolomide
- All patients must sign an informed consent indicating that they are aware of the investigational nature of this study; patients must sign an authorization for the release of their protected health information; patients must be registered with the Adult Brain Tumor Consortium Central Office (ABTC CO) prior to treatment with study drug
- A life expectancy \> 8 weeks
- Patients must have a Karnofsky performance status of \>= 60
- White blood cells (WBC) \>= 3,000/ul
- Absolute neutrophil count (ANC) \>= 1,500/mm\^3
- Platelet count of \>= 100,000/mm\^3
- Hemoglobin \>= 10 gm/dl
- Bone marrow function tests must be performed within 14 days prior to registration
- Eligibility level for hemoglobin may be reached by transfusion
- Serum glutamic oxaloacetic transaminase (SGOT) \< 2 times upper limit of normal (ULN) and the test must be performed within 14 days prior to registration; if above the institutional upper limit of normal but \< 2 times institutional upper limit of normal, the decision to initiate temozolomide treatment should carefully consider the benefits and risks for the individual patient
- Bilirubin \< 2 times ULN and the test must be performed within 14 days prior to registration; if above the institutional upper limit of normal but \< 2 times institutional upper limit of normal, the decision to initiate temozolomide treatment should carefully consider the benefits and risks for the individual patient
- Creatinine \< 1.5 mg/dL before starting therapy and the test must be performed within 14 days prior to registration
- Patients must not have any significant medical illnesses that in the investigator's opinion cannot be adequately controlled with appropriate therapy or would compromise the patient's ability to tolerate this therapy; patients must not have any disease that will obscure toxicity or dangerously alter drug metabolism
- Patients with a history of any other cancer (except non-melanoma skin cancer or carcinoma in-situ of the cervix), unless in complete remission and off of all therapy for that disease for a minimum of 3 years are ineligible
- No exclusion to this study will be based on race; minorities will actively be recruited to participate
- Patients must not have active infection
- Women must not be pregnant or breast-feeding, and women with reproductive potential must practice adequate contraception
- Patients must not be on chronic Coumadin therapy for prior medical problems (e.g. cardiac valve prophylaxis); this is due to a presumed interaction with Coumadin and ZARNESTRA leading to a significant increase in international normalized ratio (INR); patients who develop or have recently developed a deep venous thrombosis or pulmonary embolism who are on or will take Coumadin will be allowed to participate; however, the investigator should be prepared to monitor patients INR closely
Exclusion
Key Trial Info
Start Date :
September 1 2002
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
April 1 2014
Estimated Enrollment :
19 Patients enrolled
Trial Details
Trial ID
NCT02227901
Start Date
September 1 2002
End Date
April 1 2014
Last Update
December 23 2014
Active Locations (1)
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1
Ronald Reagan UCLA Medical Center
Los Angeles, California, United States, 90095