Trans Sodium Crocetinate (TSC) Study of Intra-tumoral Oxygen Concentration, Safety, and Pharmacokinetics in Patients With High Grade Glioma

This is an interventional basic science trial for High Grade Glioma focused on measuring High Grade Glioma, Brain Tumor, Solid Tumor, Partial Debulking, Tumor Resection, Tumor Tissue Hypoxia, Radiation Sensitizer, Cancerous Tumor Read More

Inclusion Criteria:

• At least 18 years old.
• Prior histological diagnosis of high grade glioma (HGG) with prior initial treatment and radiation therapy for HGG; recurrence of HGG suspected, and care plan includes surgical procedure.
• Undergoing surgical procedure for clinical reasons, and gross surgical resection not expected.
• Neurosurgeon is planning stereotactic biopsy or tumor debulking for clinical reasons; frozen tissue confirmation of malignancy during this operative procedure is necessary.
• Neurosurgeon evaluates that placement of oxygen monitoring probe after biopsy or debulking can be done safely without complications.
• Contrast enhancing disease on MRI within 21 days prior to enrollment.
• Karnofsky Performance Score ≥ 60 at Screening.
• Recovered from toxicity of prior antineoplastic therapy, and off cytotoxic chemotherapy for 7 days prior to Screening.
• Recovered from prior radiotherapy and had at least 21 days elapse since completion of radiotherapy prior to Screening.
• Recovered from prior surgery for their brain tumor in investigator's clinical judgment.
• If female, negative serum or urine pregnancy test at Screening.
• Within 2 weeks of starting study, hematologic and renal functions as specified: Absolute neutrophil count ≥ 1500/mm3, platelets ≥ 100,000/mm3, hemoglobin ≥ 9.0g/dL, creatinine ≤ 1.7mg/dl, serum bilirubin ≤ 1.5mg/dL, blood urea nitrogen within 2 times the upper limit of normal, transaminases ≤ 4 times above the upper limits of the institutional norm, and prothrombin time and partial thromboplastin time within institutional norm or below.
• Patient or patient's medical power of attorney provided written consent to participate in the study.
• Mini Mental Status Exam score ≥ 15.

Exclusion Criteria:

• Pregnant or lactating.
• Receiving concurrent cytotoxic chemotherapy for their tumor within 7 days prior to Screening, or decision is made at the time of surgery to treat with other modality of treatment (e.g., gliadel wafers).
• Serious concurrent infection or medical illness which would jeopardize the ability of the patient to safely participate.
• Behavioral, cognitive, or psychiatric disease or personal situation that might interfere with optimal participation.
• Cannot undergo an MRI.
• Received an investigational drug not approved for human use by the FDA within 30 days of enrollment.
• Previously received TSC.