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Lonafarnib and Temozolomide in Treating Patients With Recurrent Primary Supratentorial Gliomas

Primary Purpose

Brain and Central Nervous System Tumors

Status
Unknown status
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
lonafarnib
temozolomide
Sponsored by
European Organisation for Research and Treatment of Cancer - EORTC
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 recurrent adult brain tumor, adult mixed glioma, adult anaplastic astrocytoma, adult anaplastic oligodendroglioma, adult glioblastoma, adult pilocytic astrocytoma, adult anaplastic ependymoma, adult subependymoma, adult myxopapillary ependymoma, adult oligodendroglioma, adult giant cell glioblastoma, adult gliosarcoma, adult diffuse astrocytoma, adult subependymal giant cell astrocytoma, adult pineal gland astrocytoma

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed primary supratentorial glioma Multifocal disease allowed Recurrent disease after prior surgery and/or radiotherapy Radiological evidence of increased and/or enhanced target lesion Amenable to temozolomide therapy PATIENT CHARACTERISTICS: Age Over 18 Performance status ECOG 0-2 OR WHO 0-2 Life expectancy Not specified Hematopoietic Neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 10.0 g/dL Hepatic Alkaline phosphatase < 2.5 times upper limit of normal (ULN) Transaminases < 2.5 times ULN Bilirubin < 1.5 times ULN Renal Creatinine < 1.7 mg/dL Cardiovascular Cardiac function clinically normal Normal 12-lead ECG QTc ≤ 440 msec on ECG No ischemic heart disease within the past 6 months Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation No unstable systemic disease No active uncontrolled infection No psychological, familial, sociological, or geographical condition that would preclude study compliance and follow-up No other active or recurrent malignancy within the past 5 years except cone biopsied carcinoma of the cervix or adequately treated basal cell or squamous cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent anticancer biologic agents Chemotherapy At least 4 weeks since prior chemotherapy (6 weeks for temozolomide) Prior adjuvant chemotherapy allowed No more than 1 prior chemotherapy regimen for recurrent disease No other concurrent chemotherapy Endocrine therapy Concurrent corticosteroids allowed provided treatment remains at a stable or decreasing dose for at least 2 weeks Radiotherapy See Disease Characteristics No concurrent radiotherapy Surgery See Disease Characteristics At least 3 months since prior surgery for primary brain tumor Other Concurrent anticonvulsants allowed No other concurrent anticancer agents No other concurrent investigational therapy

Sites / Locations

  • Centre de Lutte Contre le Cancer Georges-Francois Leclerc
  • Centre Regional Rene Gauducheau
  • Centre Hospitalier Universitaire Vaudois

Outcomes

Primary Outcome Measures

Dose-limiting toxicity and maximum tolerated dose of lonafarnib determined by CTCAE v3.0

Secondary Outcome Measures

Response (complete [CR] or partial response [PR]) measured by McDonald's criteria at least 4 weeks after first documented response and every 8 weeks until disease progression or until start of another treatment

Full Information

First Posted
May 14, 2004
Last Updated
February 9, 2015
Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
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1. Study Identification

Unique Protocol Identification Number
NCT00083096
Brief Title
Lonafarnib and Temozolomide in Treating Patients With Recurrent Primary Supratentorial Gliomas
Official Title
Phase I Study Of SCH66336 (Lonafarnib), A Farnesyl Protein Transferase Inhibitor In Combination With Temozolomide In Gliomas
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Unknown status
Study Start Date
March 2004 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
European Organisation for Research and Treatment of Cancer - EORTC

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Lonafarnib may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop tumor cells from dividing so they stop growing or die. Giving lonafarnib together with temozolomide may kill more tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of lonafarnib when given together with temozolomide in treating patients with recurrent primary supratentorial glioma.
Detailed Description
OBJECTIVES: Primary Determine the maximum tolerated dose and dose-limiting toxicity of lonafarnib when administered with temozolomide in patients with recurrent primary supratentorial gliomas. Determine the safety and tolerability of this regimen in these patients. Secondary Determine the mechanism of action of lonafarnib in these patients. Determine the pharmacodynamics and pharmacokinetics of this regimen in these patients. Determine the activity of this regimen in these patients. Determine the response to this regimen in patients who have measurable disease. OUTLINE: This is a nonrandomized, multicenter, open-label, dose-escalation study of lonafarnib. Patients receive oral temozolomide once daily on days 2-6 of course 1 and on days 1-5 of all subsequent courses. Patients also receive oral lonafarnib twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of lonafarnib until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 1 of 6 patients experience dose-limiting toxicity. An additional 3 patients may be treated at the highest dose level achieved. Patients are followed every 8 weeks for 6 months and then every 3 months thereafter. PROJECTED ACCRUAL: A total of 3-30 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
recurrent adult brain tumor, adult mixed glioma, adult anaplastic astrocytoma, adult anaplastic oligodendroglioma, adult glioblastoma, adult pilocytic astrocytoma, adult anaplastic ependymoma, adult subependymoma, adult myxopapillary ependymoma, adult oligodendroglioma, adult giant cell glioblastoma, adult gliosarcoma, adult diffuse astrocytoma, adult subependymal giant cell astrocytoma, adult pineal gland astrocytoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Masking
None (Open Label)
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
lonafarnib
Intervention Type
Drug
Intervention Name(s)
temozolomide
Primary Outcome Measure Information:
Title
Dose-limiting toxicity and maximum tolerated dose of lonafarnib determined by CTCAE v3.0
Secondary Outcome Measure Information:
Title
Response (complete [CR] or partial response [PR]) measured by McDonald's criteria at least 4 weeks after first documented response and every 8 weeks until disease progression or until start of another treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed primary supratentorial glioma Multifocal disease allowed Recurrent disease after prior surgery and/or radiotherapy Radiological evidence of increased and/or enhanced target lesion Amenable to temozolomide therapy PATIENT CHARACTERISTICS: Age Over 18 Performance status ECOG 0-2 OR WHO 0-2 Life expectancy Not specified Hematopoietic Neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 10.0 g/dL Hepatic Alkaline phosphatase < 2.5 times upper limit of normal (ULN) Transaminases < 2.5 times ULN Bilirubin < 1.5 times ULN Renal Creatinine < 1.7 mg/dL Cardiovascular Cardiac function clinically normal Normal 12-lead ECG QTc ≤ 440 msec on ECG No ischemic heart disease within the past 6 months Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation No unstable systemic disease No active uncontrolled infection No psychological, familial, sociological, or geographical condition that would preclude study compliance and follow-up No other active or recurrent malignancy within the past 5 years except cone biopsied carcinoma of the cervix or adequately treated basal cell or squamous cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent anticancer biologic agents Chemotherapy At least 4 weeks since prior chemotherapy (6 weeks for temozolomide) Prior adjuvant chemotherapy allowed No more than 1 prior chemotherapy regimen for recurrent disease No other concurrent chemotherapy Endocrine therapy Concurrent corticosteroids allowed provided treatment remains at a stable or decreasing dose for at least 2 weeks Radiotherapy See Disease Characteristics No concurrent radiotherapy Surgery See Disease Characteristics At least 3 months since prior surgery for primary brain tumor Other Concurrent anticonvulsants allowed No other concurrent anticancer agents No other concurrent investigational therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mario Campone, MD
Organizational Affiliation
Centre Regional Rene Gauducheau
Official's Role
Study Chair
Facility Information:
Facility Name
Centre de Lutte Contre le Cancer Georges-Francois Leclerc
City
Dijon
ZIP/Postal Code
21079
Country
France
Facility Name
Centre Regional Rene Gauducheau
City
Nantes-Saint Herblain
ZIP/Postal Code
44805
Country
France
Facility Name
Centre Hospitalier Universitaire Vaudois
City
Lausanne
ZIP/Postal Code
CH-1011
Country
Switzerland

12. IPD Sharing Statement

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Lonafarnib and Temozolomide in Treating Patients With Recurrent Primary Supratentorial Gliomas

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