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Gimatecan in Treating Patients With Recurrent or Progressive Primary Malignant Glioma

Primary Purpose

Brain and Central Nervous System Tumors

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
gimatecan
Sponsored by
Jonsson Comprehensive Cancer Center
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 adult anaplastic oligodendroglioma, recurrent adult brain tumor, adult glioblastoma, adult anaplastic astrocytoma, adult giant cell glioblastoma, adult gliosarcoma

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed malignant glioma (glioblastoma multiforme, anaplastic astrocytoma, or anaplastic oligodendroglioma) Recurrent or progressive primary CNS neoplasm by contrast-enhanced MRI Tumor progression after prior surgery, radiotherapy, or chemotherapy Measurable or evaluable disease Failed prior standard curative or palliative therapy (phase I only) PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy At least 3 months Hematopoietic Absolute neutrophil count ≥ 2,000/mm^3 Platelet count ≥ 100,000/mm^3 Hepatic SGPT and SGOT ≤ 1.5 times upper limit of normal (ULN) (3 times ULN if liver metastases are present) Alkaline phosphatase ≤ 2.5 times ULN (5 times ULN if liver metastases are present) Bilirubin normal Renal Creatinine ≤ 1.5 times ULN Cardiovascular No myocardial infarction with the past year No heart failure (including cardiac insufficiency controlled by digitalis and diuretics) No irreversible arrhythmias requiring permanent medication No uncontrolled hypertension Gastrointestinal No gastrointestinal dysfunction that would alter absorption or motility, such as any of the following: Active peptic ulcer Inflammatory bowel disease Known intolerance to lactose Malabsorption syndromes Intestinal sub-occlusion Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective barrier contraception No active infection No mentally incapacitated patients No other concurrent severe disease that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent immunotherapy Chemotherapy See Disease Characteristics At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) No more than 1 prior chemotherapy regimen No other concurrent chemotherapy Endocrine therapy Concurrent corticosteroids allowed if dose stable for the past 2 weeks No concurrent hormonal therapy Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy No concurrent radiotherapy Surgery See Disease Characteristics At least 3 weeks since prior surgical resection No prior gastrointestinal surgery that would affect drug absorption Other More than 4 weeks since prior participation in any other investigational drug study More than 72 hours since prior systemic antibiotics No concurrent H2 antagonists, antacids, or proton pump inhibitors If any of these therapies are necessary, ≥ 3 hours must elapse after gimatecan administration No other concurrent anticancer therapy No other concurrent investigational drugs No other concurrent immunosuppressive agents

Sites / Locations

  • Jonsson Comprehensive Cancer Center at UCLA

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
July 8, 2004
Last Updated
July 17, 2013
Sponsor
Jonsson Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00087061
Brief Title
Gimatecan in Treating Patients With Recurrent or Progressive Primary Malignant Glioma
Official Title
Oral ST1481 in Adults With Malignant Glioma: A Phase I-II Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2005
Overall Recruitment Status
Completed
Study Start Date
May 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
June 2005 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Jonsson Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as gimatecan, work in different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: This phase I/II trial is studying the side effects and best dose of gimatecan in treating patients with recurrent or progressive primary malignant glioma.
Detailed Description
OBJECTIVES: Primary Determine the maximum tolerated dose (MTD) of gimatecan in patients with recurrent or progressive primary malignant glioma treated with or without concurrent enzyme-inducing anticonvulsant drugs. Determine whether this drug has sufficient activity to warrant further development in these patients. (phase II) Secondary Determine the qualitative and quantitative toxic effects of this drug in these patients. Determine the pharmacokinetic behaviors of this drug in these patients. Correlate the principal toxic effects with the pertinent pharmacokinetic parameters of this drug in these patients. Determine the antitumor activity of this drug in these patients. OUTLINE: This is an open-label, dose-escalation, multicenter study. Patients are stratified according to the concurrent use of enzyme-inducing anticonvulsant drugs (yes vs no). Phase I: Patients receive oral gimatecan once daily on days 1-5. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of gimatecan until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Phase II: Patients receive gimatecan as in phase I at the MTD. Patients are followed for at least 1 month and then every 2 months thereafter. PROJECTED ACCRUAL: Approximately 30-83 patients (30-42 for phase I [15-21 per stratum] and 21-41 for phase II) will be accrued for this study within 24 months.

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
adult anaplastic oligodendroglioma, recurrent adult brain tumor, adult glioblastoma, adult anaplastic astrocytoma, adult giant cell glioblastoma, adult gliosarcoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Masking
None (Open Label)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
gimatecan

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed malignant glioma (glioblastoma multiforme, anaplastic astrocytoma, or anaplastic oligodendroglioma) Recurrent or progressive primary CNS neoplasm by contrast-enhanced MRI Tumor progression after prior surgery, radiotherapy, or chemotherapy Measurable or evaluable disease Failed prior standard curative or palliative therapy (phase I only) PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy At least 3 months Hematopoietic Absolute neutrophil count ≥ 2,000/mm^3 Platelet count ≥ 100,000/mm^3 Hepatic SGPT and SGOT ≤ 1.5 times upper limit of normal (ULN) (3 times ULN if liver metastases are present) Alkaline phosphatase ≤ 2.5 times ULN (5 times ULN if liver metastases are present) Bilirubin normal Renal Creatinine ≤ 1.5 times ULN Cardiovascular No myocardial infarction with the past year No heart failure (including cardiac insufficiency controlled by digitalis and diuretics) No irreversible arrhythmias requiring permanent medication No uncontrolled hypertension Gastrointestinal No gastrointestinal dysfunction that would alter absorption or motility, such as any of the following: Active peptic ulcer Inflammatory bowel disease Known intolerance to lactose Malabsorption syndromes Intestinal sub-occlusion Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective barrier contraception No active infection No mentally incapacitated patients No other concurrent severe disease that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent immunotherapy Chemotherapy See Disease Characteristics At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) No more than 1 prior chemotherapy regimen No other concurrent chemotherapy Endocrine therapy Concurrent corticosteroids allowed if dose stable for the past 2 weeks No concurrent hormonal therapy Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy No concurrent radiotherapy Surgery See Disease Characteristics At least 3 weeks since prior surgical resection No prior gastrointestinal surgery that would affect drug absorption Other More than 4 weeks since prior participation in any other investigational drug study More than 72 hours since prior systemic antibiotics No concurrent H2 antagonists, antacids, or proton pump inhibitors If any of these therapies are necessary, ≥ 3 hours must elapse after gimatecan administration No other concurrent anticancer therapy No other concurrent investigational drugs No other concurrent immunosuppressive agents
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
Country
United States

12. IPD Sharing Statement

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Gimatecan in Treating Patients With Recurrent or Progressive Primary Malignant Glioma

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