Carmustine in Treating Patients With Recurrent Malignant Glioma

NCT ID: NCT00004028

Last Updated: 2009-02-09

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

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

1996-09-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase I trial to study the effectiveness of carmustine in treating patients who are undergoing surgery for recurrent malignant glioma.

Detailed Description

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OBJECTIVES:

* Determine the safety of polifeprosan 20 with carmustine implant (GLIADEL) in patients undergoing surgery for recurrent malignant glioma.

OUTLINE: This is a dose escalation study.

All patients undergo maximal tumor resection. At the time of surgery, groups of 6 patients receive up to 8 polifeprosan 20 wafers containing increasing doses of carmustine implanted into the resection cavity.

Patients with an intraoperative diagnosis other than glioblastoma multiforme or anaplastic astrocytoma do not receive wafer implantation, and are removed from study.

Patients are followed 3, 6, and 12 months after implantation.

PROJECTED ACCRUAL: A total of 52 patients will be accrued for this study.

Conditions

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Brain and Central Nervous System Tumors

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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carmustine

Intervention Type DRUG

conventional surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Pathologically confirmed recurrent malignant glioma for which surgery is indicated
* Unilateral, supratentorial, solitary lesion at least 1.0 cm in diameter on contrast-enhanced CT or MRI

PATIENT CHARACTERISTICS:

Age:

* 18 and over

Performance status:

* Karnofsky 60-100%

Life expectancy:

* At least 8 weeks

Hematopoietic:

* WBC at least 3,500/mm\^3
* Platelet count at least 100,000/mm\^3

Hepatic:

* Bilirubin, AST, ALT, and alkaline phosphatase less than 2.5 times normal

Renal:

* Creatinine less than 1.5 times normal
* BUN less than 2.5 times normal
* Protein no greater than 3 g/dL
* No gross hematuria

Other:

* No hypersensitivity to nitrosoureas
* Not pregnant
* Fertile patients must use effective contraception
* No concurrent life threatening disease

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* No concurrent immunotherapy during first 8 weeks of study

Chemotherapy:

* At least 4 weeks since chemotherapy (6 weeks since nitrosoureas)
* No concurrent chemotherapy during first 8 weeks of study

Endocrine therapy:

* Not specified

Radiotherapy:

* Prior definitive external-beam radiotherapy (i.e., at least 5,000 cGy) required
* No concurrent radiotherapy or brachytherapy during first 4 weeks of study

Surgery:

* Prior cytoreductive surgery for supratentorial brain tumor required
* Biopsy alone not sufficient

Other:

* No concurrent investigational therapy during first 8 weeks of study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role lead

Principal Investigators

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Alessandro Olivi, MD

Role: STUDY_CHAIR

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Locations

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University of Alabama at Birmingham Comprehensive Cancer Center

Birmingham, Alabama, United States

Site Status

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Emory University Hospital - Atlanta

Atlanta, Georgia, United States

Site Status

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Comprehensive Cancer Center at Wake Forest University

Winston-Salem, North Carolina, United States

Site Status

University of Pennsylvania Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Olivi A, Grossman SA, Tatter S, Barker F, Judy K, Olsen J, Bruce J, Hilt D, Fisher J, Piantadosi S; New Approaches to Brain Tumor Therapy CNS Consortium. Dose escalation of carmustine in surgically implanted polymers in patients with recurrent malignant glioma: a New Approaches to Brain Tumor Therapy CNS Consortium trial. J Clin Oncol. 2003 May 1;21(9):1845-9. doi: 10.1200/JCO.2003.09.041.

Reference Type RESULT
PMID: 12721262 (View on PubMed)

Other Identifiers

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NABTT-101-9601

Identifier Type: -

Identifier Source: secondary_id

JHOC-NABTT-101-9601

Identifier Type: -

Identifier Source: secondary_id

NCI-T96-0052H

Identifier Type: -

Identifier Source: secondary_id

CDR0000065129

Identifier Type: -

Identifier Source: org_study_id

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