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CCI-779 in Treating Patients With Recurrent Glioblastoma Multiforme

Primary Purpose

Adult Giant Cell Glioblastoma, Adult Glioblastoma, Adult Gliosarcoma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
temsirolimus
laboratory biomarker analysis
pharmacological study
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adult Giant Cell Glioblastoma

Eligibility Criteria

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

Inclusion Criteria: Histologically confirmed grade 4 astrocytoma at primary diagnosis or recurrence Gliosarcoma allowed Evidence of tumor progression by MRI or CT scan after radiotherapy or first-line chemotherapy Measurable or evaluable disease by MRI or CT scan Performance status - ECOG 0-2 Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 9 g/dL Bilirubin no greater than 1.5 mg/dL SGOT no greater than 3 times upper limit of normal Creatinine no greater than 2.0 mg/dL No myocardial infarction within the past 6 months No congestive heart failure requiring ongoing maintenance therapy for life-threatening ventricular arrhythmias Cholesterol no greater than 350 mg/dL Triglycerides no greater than 400 mg/dL Willing to provide correlative laboratory samples No uncontrolled infection No known hypersensitivity to any components of CCI-779, diphenhydramine hydrochloride, or other similar antihistamines No other medical reason that would preclude diphenhydramine premedication No other active malignancy No other severe disease that would preclude study participation Not immunocompromised unless due to corticosteroids HIV negative Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception See Disease Characteristics Prior adjuvant chemotherapy allowed More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) No more than 1 prior chemotherapy regimen for recurrent/progressive disease No prior polifeprosan 20 with carmustine implant (Gliadel) Must be on fixed dose of corticosteroids (or no corticosteroids) at least 1 week prior to baseline scan See Disease Characteristics At least 12 weeks since prior radiotherapy No prior stereotactic radiosurgery or interstitial brachytherapy unless there is a separate lesion on MRI that is outside of the previously treated field No prior resection since last chemotherapy or radiotherapy unless there is unequivocal tumor growth on neuro-imaging study since surgery or there is a separate lesion not present in the surgical bed More than 4 weeks since prior investigational agents

Sites / Locations

  • North Central Cancer Treatment Group

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (temsirolimus)

Arm Description

Patients receive CCI-779 IV over 30 minutes once weekly for 4 weeks. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.

Outcomes

Primary Outcome Measures

Percentage of patients being progression free
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.

Secondary Outcome Measures

Percentage of patients that have not progressed
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
Percentage of patients that have not progressed
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
Percentage of patients that have not progressed
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
Confirmed tumor response defined as an objective status of complete response (CR), partial response (PR), or regression (REGR) on two consecutive evaluations
Ninety-five percent confidence intervals for the true proportion will be calculated using the exact binomial method.
Time to progression and death
Estimated using Kaplan-Meier. Frequency distributions of baseline patient characteristics will be compared using chi-squared and Wilcoxon tests.

Full Information

First Posted
May 6, 2001
Last Updated
July 17, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00016328
Brief Title
CCI-779 in Treating Patients With Recurrent Glioblastoma Multiforme
Official Title
A Phase II Study of CCI-779 in Patients With Recurrent Glioblastoma Multiforme
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
May 2001 (undefined)
Primary Completion Date
August 2005 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
Phase II trial to study the effectiveness of CCI-779 in treating patients who have recurrent glioblastoma multiforme. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
Detailed Description
OBJECTIVES: I. Determine the efficacy of CCI-779, in terms of the percentage of patients who are progression-free at 6 months, time to progression, and time to death, in patients with recurrent glioblastoma multiforme. II. Determine the toxic effects of this drug in these patients. III. Correlate molecular alterations in the tumors of these patients with response to treatment with this drug. OUTLINE: This is a multicenter study. Patients are stratified according to concurrent P450 anticonvulsant use (yes vs no). Patients receive CCI-779 IV over 30 minutes once weekly for 4 weeks. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed every 6 months for 5 years and then annually for up to 10 years. PROJECTED ACCRUAL: A total of 63 patients will be accrued for this study within 39 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adult Giant Cell Glioblastoma, Adult Glioblastoma, Adult Gliosarcoma, Recurrent Adult Brain Tumor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment (temsirolimus)
Arm Type
Experimental
Arm Description
Patients receive CCI-779 IV over 30 minutes once weekly for 4 weeks. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
Intervention Type
Drug
Intervention Name(s)
temsirolimus
Other Intervention Name(s)
CCI-779, cell cycle inhibitor 779, Torisel
Intervention Description
Given IV
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
Correlative studies
Intervention Type
Other
Intervention Name(s)
pharmacological study
Other Intervention Name(s)
pharmacological studies
Intervention Description
Correlative studies
Primary Outcome Measure Information:
Title
Percentage of patients being progression free
Description
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Percentage of patients that have not progressed
Description
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
Time Frame
3 months
Title
Percentage of patients that have not progressed
Description
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
Time Frame
12 months
Title
Percentage of patients that have not progressed
Description
Ninety-five percent confidence intervals for the true proportion will be calculated according to the approach of Duffy and Santner.
Time Frame
18 months
Title
Confirmed tumor response defined as an objective status of complete response (CR), partial response (PR), or regression (REGR) on two consecutive evaluations
Description
Ninety-five percent confidence intervals for the true proportion will be calculated using the exact binomial method.
Time Frame
Up to 10 years
Title
Time to progression and death
Description
Estimated using Kaplan-Meier. Frequency distributions of baseline patient characteristics will be compared using chi-squared and Wilcoxon tests.
Time Frame
Up to 10 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed grade 4 astrocytoma at primary diagnosis or recurrence Gliosarcoma allowed Evidence of tumor progression by MRI or CT scan after radiotherapy or first-line chemotherapy Measurable or evaluable disease by MRI or CT scan Performance status - ECOG 0-2 Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 9 g/dL Bilirubin no greater than 1.5 mg/dL SGOT no greater than 3 times upper limit of normal Creatinine no greater than 2.0 mg/dL No myocardial infarction within the past 6 months No congestive heart failure requiring ongoing maintenance therapy for life-threatening ventricular arrhythmias Cholesterol no greater than 350 mg/dL Triglycerides no greater than 400 mg/dL Willing to provide correlative laboratory samples No uncontrolled infection No known hypersensitivity to any components of CCI-779, diphenhydramine hydrochloride, or other similar antihistamines No other medical reason that would preclude diphenhydramine premedication No other active malignancy No other severe disease that would preclude study participation Not immunocompromised unless due to corticosteroids HIV negative Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception See Disease Characteristics Prior adjuvant chemotherapy allowed More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) No more than 1 prior chemotherapy regimen for recurrent/progressive disease No prior polifeprosan 20 with carmustine implant (Gliadel) Must be on fixed dose of corticosteroids (or no corticosteroids) at least 1 week prior to baseline scan See Disease Characteristics At least 12 weeks since prior radiotherapy No prior stereotactic radiosurgery or interstitial brachytherapy unless there is a separate lesion on MRI that is outside of the previously treated field No prior resection since last chemotherapy or radiotherapy unless there is unequivocal tumor growth on neuro-imaging study since surgery or there is a separate lesion not present in the surgical bed More than 4 weeks since prior investigational agents
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Evanthia Galanis
Organizational Affiliation
North Central Cancer Treatment Group
Official's Role
Principal Investigator
Facility Information:
Facility Name
North Central Cancer Treatment Group
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States

12. IPD Sharing Statement

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CCI-779 in Treating Patients With Recurrent Glioblastoma Multiforme

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