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Combining Radiotherapy and Temozolomide With Dichloroacetate in Patients With Newly Diagnosed Glioblastoma

Primary Purpose

Glioblastoma

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Dichloroacetate (DCA)
Sponsored by
AHS Cancer Control Alberta
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glioblastoma focused on measuring Radiotherapy plus temozolomide plus DCA, PK profile of DCA, MGMT promoter methylation status, Newly diagnosed Glioblastoma multiform tumours

Eligibility Criteria

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

Inclusion Criteria:

  • newly diagnosed GBM
  • Diagnosis must be established by open biopsy or tumour resection
  • Tumour must have a supratentorial component
  • Over 18 years
  • pre-treatment evaluations must be met
  • study therapy to begin within 6 weeks of surgery
  • KPS greater or equal to 70
  • patients must sign informed consent
  • If female, patients must not be pregnant or lactating
  • Women of childbearing potential and male participants must practice adequate contraception

Exclusion Criteria:

  • prior invasive malignancy )except for non-melanomatous skin cancer) unless disease free for greater than 3 years
  • recurrent or multifocal malignant gliomas
  • metastatic disease of leptomeningeal spread
  • prior chemo or radiosensitizers for cancers of the head and neck region
  • prior RT to head and neck region except for T1 glottic cancer, resulting in overlap of radiation fields.
  • Severe active co-morbidity define in protocol
  • Pregnant of lactating women
  • Women of childbearing potential or men who are sexually active who are not willing or able to use medically acceptable forms of contraception; this exclusion is necessary due to the treatment involved potentially being teratogenic.
  • prior allergic reaction to temozolomide and/or dichloroacetate
  • History of HIV/AIDS

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Safety and tolerability of DCA in combination with radiotherapy and temozolomide in an adjuvant setting for the treatment of newly diagnosed GBM patients.

    Secondary Outcome Measures

    To determine if there is a correlation between MGMT promoter methylation status and progression-free survival for newly diagnosed GBM patients undergoing concurrent TMZ, DCA and RT followed by six monthly cycles of TMZ and DCA

    Full Information

    First Posted
    June 23, 2008
    Last Updated
    February 18, 2016
    Sponsor
    AHS Cancer Control Alberta
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00703859
    Brief Title
    Combining Radiotherapy and Temozolomide With Dichloroacetate in Patients With Newly Diagnosed Glioblastoma
    Official Title
    A Phase I Single Arm Trial Combining Radiotherapy and Temozolomide With Dichloroacetate (DCA) in Patients With Newly Diagnosed Glioblastoma Multiform Tumours
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2011
    Overall Recruitment Status
    Withdrawn
    Study Start Date
    July 2008 (undefined)
    Primary Completion Date
    January 2010 (Anticipated)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    AHS Cancer Control Alberta

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This is a study to see whether radiotherapy plus chemotherapy (Temozolomide) plus Dichloroacetate (DCA) improves overall survival and offers better control of the disease in patients with newly diagnosed Glioblastoma Multiforme Tumours.
    Detailed Description
    Patients with newly diagnosed Glioblastoma Multiforme Tumours, once consented to the study, would undergo standard treatment of radiotherapy plus chemotherapy (TMZ) with DCA in pill form (twice a day) during the radiation phase of the study and then with TMZ for six months after. Other elements of the clinical trial include pharmacokinetics and MGMT genetic testing.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Glioblastoma
    Keywords
    Radiotherapy plus temozolomide plus DCA, PK profile of DCA, MGMT promoter methylation status, Newly diagnosed Glioblastoma multiform tumours

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    Dichloroacetate (DCA)
    Intervention Description
    DCA starting at an initial dose of 3mg/kg twice daily PO for consecutive days (days 1-5) on a 28 days cycle up to 6 cycles unless evidence of tumour progression. Each dose to be administered with food at the same time everyday 12 hours apart.
    Primary Outcome Measure Information:
    Title
    Safety and tolerability of DCA in combination with radiotherapy and temozolomide in an adjuvant setting for the treatment of newly diagnosed GBM patients.
    Time Frame
    2 years
    Secondary Outcome Measure Information:
    Title
    To determine if there is a correlation between MGMT promoter methylation status and progression-free survival for newly diagnosed GBM patients undergoing concurrent TMZ, DCA and RT followed by six monthly cycles of TMZ and DCA
    Time Frame
    2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: newly diagnosed GBM Diagnosis must be established by open biopsy or tumour resection Tumour must have a supratentorial component Over 18 years pre-treatment evaluations must be met study therapy to begin within 6 weeks of surgery KPS greater or equal to 70 patients must sign informed consent If female, patients must not be pregnant or lactating Women of childbearing potential and male participants must practice adequate contraception Exclusion Criteria: prior invasive malignancy )except for non-melanomatous skin cancer) unless disease free for greater than 3 years recurrent or multifocal malignant gliomas metastatic disease of leptomeningeal spread prior chemo or radiosensitizers for cancers of the head and neck region prior RT to head and neck region except for T1 glottic cancer, resulting in overlap of radiation fields. Severe active co-morbidity define in protocol Pregnant of lactating women Women of childbearing potential or men who are sexually active who are not willing or able to use medically acceptable forms of contraception; this exclusion is necessary due to the treatment involved potentially being teratogenic. prior allergic reaction to temozolomide and/or dichloroacetate History of HIV/AIDS
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Bassam Abdulkarim, MD, FRCPC
    Organizational Affiliation
    AHS Cancer Control Alberta
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Combining Radiotherapy and Temozolomide With Dichloroacetate in Patients With Newly Diagnosed Glioblastoma

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