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SCH 66336 in Treating Children With Recurrent or Progressive Brain Tumors

Primary Purpose

Brain and Central Nervous System Tumors

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
lonafarnib
Sponsored by
Pediatric Brain Tumor Consortium
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Brain and Central Nervous System Tumors focused on measuring childhood craniopharyngioma, childhood central nervous system germ cell tumor, childhood oligodendroglioma, childhood choroid plexus tumor, childhood grade I meningioma, childhood grade II meningioma, childhood grade III meningioma, recurrent childhood cerebellar astrocytoma, recurrent childhood cerebral astrocytoma, recurrent childhood medulloblastoma, recurrent childhood visual pathway and hypothalamic glioma, recurrent childhood ependymoma, childhood atypical teratoid/rhabdoid tumor, childhood spinal cord neoplasm

Eligibility Criteria

undefined - 21 Years (Child, Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically confirmed recurrent or progressive (refractory) brain tumors Histologic confirmation waived for brainstem gliomas Bone marrow involvement allowed if transfusion independent PATIENT CHARACTERISTICS: Age: 21 and under Performance status: Lansky 60-100% OR Karnofsky 60-100% Life expectancy: More than 8 weeks Hematopoietic: See Disease Characteristics Absolute neutrophil count greater than 1,000/mm^3 Platelet count greater than 75,000/mm^3 Hemoglobin greater than 9 g/dL Hepatic: Bilirubin no greater than upper limit of normal SGPT and SGOT less than 2.5 times normal Albumin greater than 3 g/dL PT/PTT no greater than 120% upper limit of normal No overt hepatic disease Renal: Creatinine no greater than 1.5 times normal OR Glomerular filtration rate greater than 70 mL/min No overt renal disease Cardiovascular: No overt cardiac disease Pulmonary: No overt pulmonary disease Other: Neurologic deficits allowed if stable for at least 1 week prior to study More than 3rd percentile weight for height Able to swallow pills No uncontrolled infection No known or suspected allergy to poloxamer 188, croscarmellose sodium, silicon dioxide, or magnesium stearate I Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for up to 10 weeks after study PRIOR CONCURRENT THERAPY: Biologic therapy: More than 6 months since prior bone marrow transplantation More than 1 week since prior growth factors Chemotherapy: At least 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosoureas) and recovered Endocrine therapy: Concurrent dexamethasone allowed if on stable dose for at least 1 week prior to study Concurrent oral contraceptives or other hormonal contraceptive methods allowed Radiotherapy: More than 6 weeks since prior substantial bone marrow radiotherapy More than 3 months since prior craniospinal radiotherapy (more than 24 Gy) or total body irradiation More than 2 weeks since prior focal radiotherapy for symptomatic metastatic sites Surgery: Not specified Other: No concurrent enzyme-inducing anticonvulsant drugs No other concurrent anticancer or experimental drug therapy

Sites / Locations

  • UCSF Comprehensive Cancer Center
  • Children's National Medical Center
  • Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
  • Duke Comprehensive Cancer Center
  • Children's Hospital of Philadelphia
  • Children's Hospital of Pittsburgh
  • St. Jude Children's Research Hospital
  • Texas Children's Cancer Center
  • Children's Hospital and Regional Medical Center - Seattle

Outcomes

Primary Outcome Measures

Toxicities of SCH 66336 in children and adolescents with refractory CNS cancers
Maximum tolerated dose of SCH 66336
Pharmacokinetics of SCH 66336

Secondary Outcome Measures

Tumor response to SCH 66336

Full Information

First Posted
May 6, 2001
Last Updated
October 13, 2009
Sponsor
Pediatric Brain Tumor Consortium
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00015899
Brief Title
SCH 66336 in Treating Children With Recurrent or Progressive Brain Tumors
Official Title
Phase I Trial Of Escalating Oral Doses Of SCH 66336 In Pediatric Patients With Refractory Or Recurrent Brain Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
October 2009
Overall Recruitment Status
Completed
Study Start Date
January 2002 (undefined)
Primary Completion Date
September 2005 (Actual)
Study Completion Date
March 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Pediatric Brain Tumor Consortium
Collaborators
National Cancer Institute (NCI)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: SCH 66336 may stop the growth of tumor cells by blocking the enzymes necessary for cancer cell growth. PURPOSE: This phase I trial is studying the side effects and best dose of SCH 66336 in treating children with recurrent or progressive brain tumors.
Detailed Description
OBJECTIVES: Determine the qualitative and quantitative toxicity of SCH 66336 in children with recurrent or progressive brain tumors. Estimate the maximum tolerated dose of this drug in these patients. Describe the pharmacokinetics of this drug with and without dexamethasone in these patients. Investigate the efficacy of this drug in these patients. OUTLINE: This is a dose-escalation study. Patients receive oral SCH 66336 twice daily. Treatment repeats every 4 weeks for a total of 26 courses in the absence of disease progression or unacceptable toxicity. Cohorts of 1-6 patients receive escalating doses of SCH 66336 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which it is predicted that 20% of patients may experience dose-limiting toxicity. An additional 6 patients are treated at the determined MTD. Patients are followed within 30 days of the last administration of the study drug and then for up to 3 months. PROJECTED ACCRUAL: Approximately 25 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Brain and Central Nervous System Tumors
Keywords
childhood craniopharyngioma, childhood central nervous system germ cell tumor, childhood oligodendroglioma, childhood choroid plexus tumor, childhood grade I meningioma, childhood grade II meningioma, childhood grade III meningioma, recurrent childhood cerebellar astrocytoma, recurrent childhood cerebral astrocytoma, recurrent childhood medulloblastoma, recurrent childhood visual pathway and hypothalamic glioma, recurrent childhood ependymoma, childhood atypical teratoid/rhabdoid tumor, childhood spinal cord neoplasm

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
lonafarnib
Other Intervention Name(s)
SCH 66336
Primary Outcome Measure Information:
Title
Toxicities of SCH 66336 in children and adolescents with refractory CNS cancers
Title
Maximum tolerated dose of SCH 66336
Time Frame
Four weeks
Title
Pharmacokinetics of SCH 66336
Secondary Outcome Measure Information:
Title
Tumor response to SCH 66336

10. Eligibility

Sex
All
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed recurrent or progressive (refractory) brain tumors Histologic confirmation waived for brainstem gliomas Bone marrow involvement allowed if transfusion independent PATIENT CHARACTERISTICS: Age: 21 and under Performance status: Lansky 60-100% OR Karnofsky 60-100% Life expectancy: More than 8 weeks Hematopoietic: See Disease Characteristics Absolute neutrophil count greater than 1,000/mm^3 Platelet count greater than 75,000/mm^3 Hemoglobin greater than 9 g/dL Hepatic: Bilirubin no greater than upper limit of normal SGPT and SGOT less than 2.5 times normal Albumin greater than 3 g/dL PT/PTT no greater than 120% upper limit of normal No overt hepatic disease Renal: Creatinine no greater than 1.5 times normal OR Glomerular filtration rate greater than 70 mL/min No overt renal disease Cardiovascular: No overt cardiac disease Pulmonary: No overt pulmonary disease Other: Neurologic deficits allowed if stable for at least 1 week prior to study More than 3rd percentile weight for height Able to swallow pills No uncontrolled infection No known or suspected allergy to poloxamer 188, croscarmellose sodium, silicon dioxide, or magnesium stearate I Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for up to 10 weeks after study PRIOR CONCURRENT THERAPY: Biologic therapy: More than 6 months since prior bone marrow transplantation More than 1 week since prior growth factors Chemotherapy: At least 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosoureas) and recovered Endocrine therapy: Concurrent dexamethasone allowed if on stable dose for at least 1 week prior to study Concurrent oral contraceptives or other hormonal contraceptive methods allowed Radiotherapy: More than 6 weeks since prior substantial bone marrow radiotherapy More than 3 months since prior craniospinal radiotherapy (more than 24 Gy) or total body irradiation More than 2 weeks since prior focal radiotherapy for symptomatic metastatic sites Surgery: Not specified Other: No concurrent enzyme-inducing anticonvulsant drugs No other concurrent anticancer or experimental drug therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark W. Kieran, MD, PhD
Organizational Affiliation
Dana-Farber Cancer Institute
Official's Role
Study Chair
Facility Information:
Facility Name
UCSF Comprehensive Cancer Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94143-0372
Country
United States
Facility Name
Children's National Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010-2970
Country
United States
Facility Name
Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Duke Comprehensive Cancer Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Children's Hospital of Philadelphia
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104-4318
Country
United States
Facility Name
Children's Hospital of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
St. Jude Children's Research Hospital
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38105-2794
Country
United States
Facility Name
Texas Children's Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-2399
Country
United States
Facility Name
Children's Hospital and Regional Medical Center - Seattle
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
17634493
Citation
Kieran MW, Packer RJ, Onar A, Blaney SM, Phillips P, Pollack IF, Geyer JR, Gururangan S, Banerjee A, Goldman S, Turner CD, Belasco JB, Broniscer A, Zhu Y, Frank E, Kirschmeier P, Statkevich P, Yver A, Boyett JM, Kun LE. Phase I and pharmacokinetic study of the oral farnesyltransferase inhibitor lonafarnib administered twice daily to pediatric patients with advanced central nervous system tumors using a modified continuous reassessment method: a Pediatric Brain Tumor Consortium Study. J Clin Oncol. 2007 Jul 20;25(21):3137-43. doi: 10.1200/JCO.2006.09.4243.
Results Reference
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SCH 66336 in Treating Children With Recurrent or Progressive Brain Tumors

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