Leflunomide in Treating Patients With Anaplastic Astrocytoma in First Relapse
Brain and Central Nervous System Tumors
About this trial
This is an interventional treatment trial for Brain and Central Nervous System Tumors focused on measuring recurrent adult brain tumor, adult anaplastic astrocytoma, adult mixed glioma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed anaplastic astrocytoma or anaplastic oligoastrocytoma in first relapse Recurrence or progression at least 6 months from initial diagnosis Must have received maximally feasible surgical resection and fractionated external beam radiotherapy Must have received no more than 1 prior systemic cytotoxic chemotherapy regimen for initial disease Bidimensionally measurable disease by MRI scan (stable dose of corticosteroids for at least 7 days prior to scan) PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60-100% Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Platelet count at least 75,000/mm3 Hemoglobin at least 9 g/dL Hepatic: AST no greater than 3 times upper limit of normal (ULN) Bilirubin less than 1.5 times ULN Renal: Creatinine no greater than 2 mg/dL OR Creatinine clearance at least 40 mL/min Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after the study No known allergy to etoposide No other acute or chronic medical illness or psychiatric disorder PRIOR CONCURRENT THERAPY: Biologic therapy: At least 4 weeks since prior epoetin alfa, filgrastim (G-CSF), or sargramostim (GM-CSF) and recovered No concurrent immunotherapy Chemotherapy: See Disease Characteristics At least 4 weeks since prior chemotherapy (2 weeks since vincristine; 6 weeks since nitrosoureas or mitomycin) and recovered No prior leflunomide (SU101) therapy No other concurrent chemotherapy Endocrine therapy: No concurrent hormonal therapy (except medroxyprogesterone acetate for appetite stimulation) Radiotherapy: See Disease Characteristics No more than 1 prior course of radiotherapy At least 8 weeks since prior radiotherapy and recovered No prior interstitial radiotherapy or implanted carmustine wafers Prior radiosensitizer(s) concurrent with radiotherapy or used as neoadjuvant therapy allowed No concurrent radiotherapy Surgery: See Disease Characteristics No more than 2 prior surgical resections At least 1 week since prior surgery or biopsy for anaplastic astrocytoma No concurrent surgery (including resection, stereotactic surgery, or interstitial implants) Other: At least 4 weeks since prior investigational agents No other concurrent investigational agents
Sites / Locations
- St. Joseph's Hospital and Medical Center
- USC/Norris Comprehensive Cancer Center
- University of Colorado Cancer Center
- Mount Sinai Comprehensive Cancer Center
- Robert H. Lurie Comprehensive Cancer Center, Northwestern University
- Indiana University Cancer Center
- University of Iowa College of Medicine
- Beth Israel Deaconess Medical Center
- University of Michigan Comprehensive Cancer Center
- Henry Ford Hospital
- Cancer Center of Albany Medical Center
- Albert Einstein Comprehensive Cancer Center
- Memorial Sloan-Kettering Cancer Center
- New York Neurological Institute
- Lineberger Comprehensive Cancer Center, UNC
- Barrett Cancer Center, The University Hospital
- Arthur G. James Cancer Hospital - Ohio State University
- Western Pennsylvania Cancer Institute
- Rhode Island Hospital
- Simmons Cancer Center - Dallas
- University of Texas - MD Anderson Cancer Center
- Medical College of Wisconsin
- Cross Cancer Institute
- British Columbia Cancer Agency
- Cancer Care Ontario-London Regional Cancer Centre
- Princess Margaret Hospital