Imatinib Mesylate in Treating Patients With Gliomas
Brain and Central Nervous System Tumors
About this trial
This is an interventional treatment trial for Brain and Central Nervous System Tumors focused on measuring recurrent adult brain tumor, adult glioblastoma, adult anaplastic astrocytoma, adult anaplastic oligodendroglioma, adult mixed glioma, adult pilocytic astrocytoma, adult subependymoma, adult giant cell glioblastoma, adult gliosarcoma, adult diffuse astrocytoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed glioblastoma multiforme Recurrent disease by CT scan or MRI No prior chemotherapy OR No more than 1 prior chemotherapy regimen in adjuvant setting or for recurrent disease OR Histologically or cytologically confirmed anaplastic oligodendroglioma, mixed oligoastrocytoma, anaplastic astrocytoma, or recurrent low-grade astrocytoma Failed prior radiotherapy No more than 1 prior chemotherapy regimen Failed adjuvant chemotherapy OR Failed first-line chemotherapy At least 1 bidimensionally measurable target lesion At least 2 cm on contrast-enhanced CT scan or MRI PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: Neutrophil count at least 2,000/mm^3 Platelet count at least 100,000/mm^3 Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) AST and ALT no greater than 2.5 times ULN Alkaline phosphatase no greater than 2.5 times ULN Renal: Creatinine less than 1.7 mg/dL Cardiovascular: Cardiac function normal No ischemic heart disease within the past 6 months Normal 12-lead ECG Other: No other prior or concurrent malignancy except cone-biopsied carcinoma of the cervix or adequately treated basal cell or squamous cell skin cancer No unstable systemic disease No active uncontrolled infection No psychological, familial, sociological, or geographical condition that would preclude study compliance Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent anticancer biologic agents No concurrent cytokines (e.g., filgrastim [G-CSF] or sargramostim [GM-CSF]) Chemotherapy: See Disease Characteristics At least 4 weeks since prior chemotherapy (6 weeks for nitrosourea) No concurrent chemotherapy Endocrine therapy: Must be on stable or decreasing dose of corticosteroids for at least 2 weeks Radiotherapy: See Disease Characteristics At least 3 months since prior brain irradiation No prior high-dose radiotherapy (more than 65 Gy), stereotactic radiosurgery, or internal radiotherapy unless the recurrence is histologically confirmed No concurrent radiotherapy Surgery: Prior surgery for primary brain tumor within the past 3 months allowed provided one of the following conditions are present: Postoperative imaging within 72 hours after surgery shows a clearly limited target lesion of at least 2 cm Postoperative follow-up shows a progressive and measurable target lesion A second measurable target lesion is present outside the surgical area Other: No concurrent warfarin or other anticoagulants No other concurrent anticancer agents No other concurrent investigational agents
Sites / Locations
- Kaiser Franz Josef Hospital
- U.Z. Gasthuisberg
- Centre de Lutte Contre le Cancer, Georges-Francois Leclerc
- CRLCC Nantes - Atlantique
- Centre Antoine Lacassagne
- Institut Gustave Roussy
- Azienda Ospedaliera di Padova
- Daniel Den Hoed Cancer Center at Erasmus Medical Center
- Centre Hospitalier Universitaire Vaudois
- Beatson Oncology Centre