Radiation Therapy Plus Gadolinium Texaphyrin in Treating Patients With Brain Metastases

NCT ID: NCT00003563

Last Updated: 2013-10-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

430 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-08-31

Study Completion Date

2005-06-30

Brief Summary

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RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Gadolinium texaphyrin may increase the effectiveness of radiation therapy by making tumor cells more sensitive to radiation. It is not yet known whether giving gadolinium texaphyrin with radiation therapy is more effective than radiation therapy alone in treating brain metastases.

PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy with or without gadolinium texaphyrin in treating patients who have brain metastases.

Detailed Description

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OBJECTIVES: I. Determine the safety of gadolinium texaphyrin administered prior to whole brain radiotherapy in patients with brain metastases. II. Compare the efficacy and toxicity of whole brain radiotherapy with or without gadolinium texaphyrin in these patients. III. Assess the quality of life of these patients.

OUTLINE: This is a randomized, two stage, multicenter study. Patients are stratified according to RTOG recursive partitioning analysis class (RPA class 1 vs class 2) and tumor type (breast vs lung vs other). Stage 1 (lead-in): All patients receive gadolinium texaphyrin IV over 5-10 minutes on the 10 days that they receive radiotherapy. Approximately 2-5 hours later, patients undergo whole brain radiotherapy. Stage 2 (randomization): Patients are randomized to one of two treatment arms. Patients in arm I undergo whole brain radiotherapy for 10 days. Patients in arm II receive gadolinium texaphyrin and radiotherapy as in stage 1. Quality of life is assessed on days 10 and 28, then monthly for 5 months, and then every 3 months thereafter. Patients are followed at day 28, then monthly for 5 months, and then every 3 months until death.

PROJECTED ACCRUAL: The lead-in phase will accrue at least 25-30 patients and the randomization phase will accrue 400 patients (200/arm) over a 12 month period.

Conditions

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Metastatic Cancer

Keywords

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tumors metastatic to brain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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WBRT

3 Gy of WBRT daily for a total of 10 days

Group Type EXPERIMENTAL

WBRT

Intervention Type RADIATION

3 GY of WBRT daily for a total of 10 days

MGd

IV does of 5.0 mg/kg MGd plus WBRT

Group Type EXPERIMENTAL

WBRT

Intervention Type RADIATION

3 GY of WBRT daily for a total of 10 days

MGd

Intervention Type DRUG

5.0 mg /kg MGd plus WBRT

Interventions

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WBRT

3 GY of WBRT daily for a total of 10 days

Intervention Type RADIATION

MGd

5.0 mg /kg MGd plus WBRT

Intervention Type DRUG

Other Intervention Names

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MGd plus WBRT

Eligibility Criteria

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Inclusion Criteria

PATIENT CHARACTERISTICS: Age: 18 and over Menopausal status: Not specified Performance status: Karnofsky 70-100% Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Platelet count at least 50,000/mm3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) AST and ALT no greater than 2 times ULN Renal: Creatinine no greater than 2.0 mg/mL Other: No history of porphyria No history of G6PD deficiency HIV negative No other major medical illnesses No major psychiatric impairment Not pregnant or nursing Negative pregnancy test

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No chemotherapy during and for 2 weeks after gadolinium texaphyrin therapy Endocrine therapy: Concurrent hormonal therapy allowed Radiotherapy: No prior cranial radiation, including prior stereotactic radiosurgery No plan for radiosurgery or radiation boost following whole brain radiotherapy Concurrent radiotherapy allowed to other sites, except kidneys and liver Surgery: No prior subtotal or total resection of brain metastases (except biopsies)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pharmacyclics LLC.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Markus Renschler, MD

Role: STUDY_CHAIR

Pharmacyclics LLC.

Locations

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Marin Oncology Associates, Inc.

Greenbrae, California, United States

Site Status

Kaiser Permanente Medical Group

Los Angeles, California, United States

Site Status

Jonsson Comprehensive Cancer Center, UCLA

Los Angeles, California, United States

Site Status

Beckman Research Institute, City of Hope

Los Angeles, California, United States

Site Status

Radiation Oncology Center - Sacramento

Sacramento, California, United States

Site Status

University of Colorado Cancer Center

Denver, Colorado, United States

Site Status

Charlotte County Radiation Therapy Regional Center

Port Charlotte, Florida, United States

Site Status

Emory Clinic

Atlanta, Georgia, United States

Site Status

Indiana University Cancer Center

Indianapolis, Indiana, United States

Site Status

Hematology and Oncology Services - Metairie

Metairie, Louisiana, United States

Site Status

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, United States

Site Status

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Harper Hospital and Wayne State University

Detroit, Michigan, United States

Site Status

Veterans Affairs Medical Center - Minneapolis

Minneapolis, Minnesota, United States

Site Status

North Memorial Research Center

Minneapolis, Minnesota, United States

Site Status

Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status

New Mexico Oncology-Hematology

Albuquerque, New Mexico, United States

Site Status

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status

Barrett Cancer Center, The University Hospital

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Taussig Cancer Center

Cleveland, Ohio, United States

Site Status

Abington Hematology Oncology Associates

Meadowbrook, Pennsylvania, United States

Site Status

Kimmel Cancer Center of Thomas Jefferson University - Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Presbyterian-University Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Mercy Hospital Cancer Center - Scranton

Scranton, Pennsylvania, United States

Site Status

Thompson Cancer Survival Center

Knoxville, Tennessee, United States

Site Status

Vanderbilt Cancer Center

Nashville, Tennessee, United States

Site Status

University of Texas - MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Scott and White Memorial Hospital

Temple, Texas, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

University of Wisconsin Comprehensive Cancer Center

Madison, Wisconsin, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Cross Cancer Institute

Edmonton, Alberta, Canada

Site Status

Cancer Care Ontario-Hamilton Regional Cancer Centre

Hamilton, Ontario, Canada

Site Status

Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status

Montreal General Hospital

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Li J, Bentzen SM, Li J, Renschler M, Mehta MP. Relationship between neurocognitive function and quality of life after whole-brain radiotherapy in patients with brain metastasis. Int J Radiat Oncol Biol Phys. 2008 May 1;71(1):64-70. doi: 10.1016/j.ijrobp.2007.09.059.

Reference Type RESULT
PMID: 18406884 (View on PubMed)

Li J, Bentzen SM, Renschler M, Mehta MP. Regression after whole-brain radiation therapy for brain metastases correlates with survival and improved neurocognitive function. J Clin Oncol. 2007 Apr 1;25(10):1260-6. doi: 10.1200/JCO.2006.09.2536.

Reference Type RESULT
PMID: 17401015 (View on PubMed)

Other Identifiers

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PCI-P120-9801

Identifier Type: -

Identifier Source: secondary_id

MSKCC-00088

Identifier Type: -

Identifier Source: secondary_id

UCLA-9808021

Identifier Type: -

Identifier Source: secondary_id

NCI-V98-1470

Identifier Type: -

Identifier Source: secondary_id

CDR0000066627

Identifier Type: -

Identifier Source: org_study_id