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Withdrawn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
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
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
NCT ID
NCT00703859
First Posted
June 23, 2008
Last Updated
February 18, 2016
Sponsor
AHS Cancer Control Alberta
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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