search
Back to results

Sirolimus in Treating Patients With Glioblastoma Multiforme

Primary Purpose

Brain and Central Nervous System Tumors

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Rapamycin
Surgery
Supportive Care
Sponsored by
Jonsson Comprehensive Cancer Center
About
Eligibility
Locations
Arms
Outcomes
Full info

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 giant cell glioblastoma, adult gliosarcoma

Eligibility Criteria

18 Years - 120 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically confirmed intracranial glioblastoma multiforme Disease progression by MRI or CT scan Confirmation of true progressive disease (not radiation necrosis) by positron-emission tomography, thallium scanning, MRI, or surgical documentation required if patient received prior interstitial brachytherapy or stereotactic radiosurgery Failed prior radiotherapy Phase I patients: Eligible for salvage surgery No limits on prior therapy Phase II patients: Tumor progression by MRI or CT scan required within the past 14 days if recurrent disease is present No prior therapy for more than 3 relapses Recent resection of recurrent or progressive tumor allowed as long as all of the following conditions apply: Recovered from surgery MRI or CT scan performed no more than 96 hours since prior surgery OR within 4-6 weeks after surgery Baseline MRI or CT scan performed within 14 days of study entry PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy More than 8 weeks Hematopoietic WBC at least 3,000/mm^3 Absolute neutrophil count at least 2,000/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 10 g/dL (transfusion allowed) Hepatic Bilirubin less than 1.5 times upper limit of normal (ULN) SGOT less than 1.5 times ULN Renal Creatinine less than 1.5 mg/dL Other Cholesterol less than 350 mg/dL Triglycerides less than 400 mg/dL No concurrent disease that would obscure toxicity or dangerously alter drug metabolism No other significant uncontrolled serious medical illness that would preclude study participation No other cancer except non-melanoma skin cancer or carcinoma in situ of the cervix unless patient is in complete remission and off all therapy for that disease for at least 3 years No active infection No prior allergic reactions to compounds of similar chemical or biological composition to sirolimus No psychiatric illness that would preclude study participation Not pregnant or nursing Negative pregnancy test Fertile patients must use effective barrier contraception PRIOR CONCURRENT THERAPY: Biologic therapy At least 1 week since prior interferon Chemotherapy At least 2 weeks since prior vincristine At least 3 weeks since prior procarbazine At least 6 weeks since prior nitrosoureas Endocrine therapy At least 1 week since prior tamoxifen Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy Surgery See Disease Characteristics Other Recovered from prior therapy At least 1 week since prior noncytotoxic agents (except radiosensitizers)

Sites / Locations

  • Jonsson Comprehensive Cancer Center at UCLA

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Phase 1

Phase 2

Arm Description

See intervention description.

See intervention description.

Outcomes

Primary Outcome Measures

Maximum tolerated dose (for phase 1)
Efficacy in terms of progression-free survival at 6 months and objective response (phase II)

Secondary Outcome Measures

Safety Profile (phase I)
Further evaluate safety profile

Full Information

First Posted
October 3, 2002
Last Updated
July 30, 2020
Sponsor
Jonsson Comprehensive Cancer Center
search

1. Study Identification

Unique Protocol Identification Number
NCT00047073
Brief Title
Sirolimus in Treating Patients With Glioblastoma Multiforme
Official Title
A Modified Phase I/II Trial Of Rapamycin In Patients With Glioblastoma Multiforme
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Completed
Study Start Date
July 2002 (undefined)
Primary Completion Date
June 2005 (Actual)
Study Completion Date
October 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Jonsson Comprehensive Cancer Center

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Chemotherapy drugs such as sirolimus use different ways to stop tumor cells from dividing so they stop growing or die. Giving a chemotherapy drug before surgery may shrink the tumor so that it can be removed during surgery. PURPOSE: Phase I/II trial to study the effectiveness of sirolimus in treating patients who have glioblastoma multiforme that did not respond to previous radiation therapy.
Detailed Description
OBJECTIVES: Determine the maximum tolerated dose of sirolimus in patients with glioblastoma multiforme. Determine the safety profile of this drug in these patients. Determine the efficacy of this drug, in terms of 6-month progression-free survival and objective response, in these patients. OUTLINE: This is a dose-escalation study. Phase I: Patients receive oral sirolimus for 5-7 days before surgery. Patients then undergo surgical resection. Patients resume oral sirolimus once daily after full recovery from surgery. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of sirolimus until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Phase II: Patients receive oral sirolimus as in phase I at the dose determined in that phase. Patients are followed for survival. PROJECTED ACCRUAL: A total of 3-12 patients will be accrued for phase I of the study within 3-12 months. A total of 32 patients will be accrued for phase II of the 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
recurrent adult brain tumor, adult glioblastoma, adult giant cell glioblastoma, adult gliosarcoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
13 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phase 1
Arm Type
Experimental
Arm Description
See intervention description.
Arm Title
Phase 2
Arm Type
Experimental
Arm Description
See intervention description.
Intervention Type
Drug
Intervention Name(s)
Rapamycin
Other Intervention Name(s)
Sirolimus
Intervention Description
Phase 1: Initial dose 6mg on day 1 and then 2mg each day for 5-7 days before surgery. No dosing during surgery recovery. After recorvery 6mg loading dose on day 1 then 2mg each day. Cycle is every 4 weeks. Dose escalation: Level 2: 15mg load/5mg/day, Level 3: 30mg load/10mg/day, Level 4: 45mg load/15mg/day. Phase 2: Will utilize dose established in phase I. Dosing schedule will remain the same.
Intervention Type
Procedure
Intervention Name(s)
Surgery
Intervention Description
Surgical resection.
Intervention Type
Procedure
Intervention Name(s)
Supportive Care
Intervention Description
Corticosteroids should be used in smallest dose to control symptoms of cerebral edema and mass effect. Anti-seizure medications should be used as indicated. Febrile neutropenia may be managed according to local institution's infectious disease guidelines. If neurosurgical management is required for reasons not due to tumor progression, these procedures must be documented.
Primary Outcome Measure Information:
Title
Maximum tolerated dose (for phase 1)
Time Frame
end of phase 1
Title
Efficacy in terms of progression-free survival at 6 months and objective response (phase II)
Time Frame
6 months after last subject finishes trial
Secondary Outcome Measure Information:
Title
Safety Profile (phase I)
Time Frame
end of phase I
Title
Further evaluate safety profile
Time Frame
end of phase II

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed intracranial glioblastoma multiforme Disease progression by MRI or CT scan Confirmation of true progressive disease (not radiation necrosis) by positron-emission tomography, thallium scanning, MRI, or surgical documentation required if patient received prior interstitial brachytherapy or stereotactic radiosurgery Failed prior radiotherapy Phase I patients: Eligible for salvage surgery No limits on prior therapy Phase II patients: Tumor progression by MRI or CT scan required within the past 14 days if recurrent disease is present No prior therapy for more than 3 relapses Recent resection of recurrent or progressive tumor allowed as long as all of the following conditions apply: Recovered from surgery MRI or CT scan performed no more than 96 hours since prior surgery OR within 4-6 weeks after surgery Baseline MRI or CT scan performed within 14 days of study entry PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy More than 8 weeks Hematopoietic WBC at least 3,000/mm^3 Absolute neutrophil count at least 2,000/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 10 g/dL (transfusion allowed) Hepatic Bilirubin less than 1.5 times upper limit of normal (ULN) SGOT less than 1.5 times ULN Renal Creatinine less than 1.5 mg/dL Other Cholesterol less than 350 mg/dL Triglycerides less than 400 mg/dL No concurrent disease that would obscure toxicity or dangerously alter drug metabolism No other significant uncontrolled serious medical illness that would preclude study participation No other cancer except non-melanoma skin cancer or carcinoma in situ of the cervix unless patient is in complete remission and off all therapy for that disease for at least 3 years No active infection No prior allergic reactions to compounds of similar chemical or biological composition to sirolimus No psychiatric illness that would preclude study participation Not pregnant or nursing Negative pregnancy test Fertile patients must use effective barrier contraception PRIOR CONCURRENT THERAPY: Biologic therapy At least 1 week since prior interferon Chemotherapy At least 2 weeks since prior vincristine At least 3 weeks since prior procarbazine At least 6 weeks since prior nitrosoureas Endocrine therapy At least 1 week since prior tamoxifen Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy Surgery See Disease Characteristics Other Recovered from prior therapy At least 1 week since prior noncytotoxic agents (except radiosensitizers)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Timothy F. Cloughesy, MD
Organizational Affiliation
Jonsson Comprehensive Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jonsson Comprehensive Cancer Center at UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1781
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18215105
Citation
Cloughesy TF, Yoshimoto K, Nghiemphu P, Brown K, Dang J, Zhu S, Hsueh T, Chen Y, Wang W, Youngkin D, Liau L, Martin N, Becker D, Bergsneider M, Lai A, Green R, Oglesby T, Koleto M, Trent J, Horvath S, Mischel PS, Mellinghoff IK, Sawyers CL. Antitumor activity of rapamycin in a Phase I trial for patients with recurrent PTEN-deficient glioblastoma. PLoS Med. 2008 Jan 22;5(1):e8. doi: 10.1371/journal.pmed.0050008.
Results Reference
result

Learn more about this trial

Sirolimus in Treating Patients With Glioblastoma Multiforme

We'll reach out to this number within 24 hrs