Trial Outcomes & Findings for Temozolomide in Treating Patients With Low-Grade Glioma (NCT NCT00313729)

NCT ID: NCT00313729

Last Updated: 2019-02-07

Results Overview

Assessment of treatment response was determined by MRI in conjunction with neurological examination and steroid requirement assessment derived from Macdonald's criteria. Complete response was defined as complete disappearance of lesion on consecutive MRI scans with stable or improved neuro exam and steroids. Partial response was defined as a 50% reduction in lesion size or that tumor burden was "definitely better" than prior scan with stable or improved neuro exam and steroids.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

120 participants

Primary outcome timeframe

12 months

Results posted on

2019-02-07

Participant Flow

Participant milestones

Participant milestones
Measure
Single Arm Study of Temozolomide for LGG Patients
Oral temozolomide at 200mg/m2 per day x5 days every 28 days for up to 12 cycles
Overall Study
STARTED
120
Overall Study
COMPLETED
120
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Temozolomide in Treating Patients With Low-Grade Glioma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Temozolomide
n=120 Participants
Single Arm Trial with single dose schedule of Temozolomide chemotherapy
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
119 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Sex: Female, Male
Female
53 Participants
n=5 Participants
Sex: Female, Male
Male
67 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Assessment of treatment response was determined by MRI in conjunction with neurological examination and steroid requirement assessment derived from Macdonald's criteria. Complete response was defined as complete disappearance of lesion on consecutive MRI scans with stable or improved neuro exam and steroids. Partial response was defined as a 50% reduction in lesion size or that tumor burden was "definitely better" than prior scan with stable or improved neuro exam and steroids.

Outcome measures

Outcome measures
Measure
Temozolomide
n=120 Participants
Temozolomide temozolomide: Chemotherapy
Response Rate (Complete and Partial Response)
7 Participants

SECONDARY outcome

Timeframe: time from registration until date of the first documented progression, an average of 1 year

Progressive disease was defined as definite enlargement of any existing lesion or any new lesion based on modified Macdonald's criteria.

Outcome measures

Outcome measures
Measure
Temozolomide
n=120 Participants
Temozolomide temozolomide: Chemotherapy
Time to Tumor Progression
3.8 years
Interval 3.0 to 5.0

SECONDARY outcome

Timeframe: Time from registration up to 13 months

Number of participants with treatment related grade 2-4 adverse events as defined by CTCAE 3.0

Outcome measures

Outcome measures
Measure
Temozolomide
n=120 Participants
Temozolomide temozolomide: Chemotherapy
Safety Profile
12 Participants

Adverse Events

Temozolomide

Serious events: 17 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Temozolomide
n=120 participants at risk
Temozolomide temozolomide: Chemotherapy
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC)
0.83%
1/120 • Number of events 1
Blood and lymphatic system disorders
Thrombocytopenia (platelets)
0.83%
1/120 • Number of events 1
Infections and infestations
Infection with unknown ANC
0.83%
1/120 • Number of events 1
Nervous system disorders
seizure
5.0%
6/120 • Number of events 6
Nervous system disorders
Headache
2.5%
3/120 • Number of events 3
Blood and lymphatic system disorders
Neutropenia
1.7%
2/120 • Number of events 2
Nervous system disorders
Hydrocephalus
0.83%
1/120 • Number of events 1
Gastrointestinal disorders
Vomiting
0.83%
1/120 • Number of events 1
Nervous system disorders
Death
0.83%
1/120 • Number of events 1

Other adverse events

Other adverse events
Measure
Temozolomide
n=120 participants at risk
Temozolomide temozolomide: Chemotherapy
Metabolism and nutrition disorders
Fatigue
7.5%
9/120 • Number of events 18
Gastrointestinal disorders
Nausea
9.2%
11/120 • Number of events 17
Metabolism and nutrition disorders
SGPT (ALT) (serum glutamic pyruvic transaminase)
4.2%
5/120 • Number of events 6
Metabolism and nutrition disorders
AST, SGOT (serum glutamic oxaloacetic transaminase)
0.83%
1/120 • Number of events 1
Nervous system disorders
Seizures
5.8%
7/120 • Number of events 8
Metabolism and nutrition disorders
Alkaline phosphatase
3.3%
4/120 • Number of events 5
Nervous system disorders
Tremor
0.83%
1/120 • Number of events 1
Metabolism and nutrition disorders
Weight loss
1.7%
2/120 • Number of events 2
Gastrointestinal disorders
Anorexia
1.7%
2/120 • Number of events 3
Gastrointestinal disorders
Constipation
6.7%
8/120 • Number of events 10
Gastrointestinal disorders
Vomiting
4.2%
5/120 • Number of events 5
Blood and lymphatic system disorders
Lymphopenia
4.2%
5/120 • Number of events 11
Blood and lymphatic system disorders
Leukocytes (total WBC)
6.7%
8/120 • Number of events 22
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
5.0%
6/120 • Number of events 19
Blood and lymphatic system disorders
Platelets
4.2%
5/120 • Number of events 15
Skin and subcutaneous tissue disorders
Pruritus
1.7%
2/120 • Number of events 3
Nervous system disorders
Insomnia
0.83%
1/120 • Number of events 1
Infections and infestations
Infection with unknown ANC
0.83%
1/120 • Number of events 1
Nervous system disorders
Memory loss
0.83%
1/120 • Number of events 1
Blood and lymphatic system disorders
Transfusion: Platelets
0.83%
1/120 • Number of events 2
Metabolism and nutrition disorders
GGT (γ-Glutamyl transpeptidase)
0.83%
1/120 • Number of events 1
Nervous system disorders
Neuropathy: cranial
0.83%
1/120 • Number of events 1
General disorders
Pain - Other
4.2%
5/120 • Number of events 7
Blood and lymphatic system disorders
Hemoglobin
1.7%
2/120 • Number of events 3
Skin and subcutaneous tissue disorders
Rash: dermatitis associated with high-dose chemotherapy or BMT studies
0.83%
1/120 • Number of events 1
Infections and infestations
Infection without neutropenia
0.83%
1/120 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
3.3%
4/120 • Number of events 6
Skin and subcutaneous tissue disorders
Rash/desquamation
1.7%
2/120 • Number of events 3
Gastrointestinal disorders
Taste alteration (dysgeusia)
0.83%
1/120 • Number of events 1
Nervous system disorders
Personality/behavioral
0.83%
1/120 • Number of events 1
Nervous system disorders
Mood alteration - depression
0.83%
1/120 • Number of events 1
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
0.83%
1/120 • Number of events 1
Gastrointestinal disorders
Stomatitis/pharyngitis (oral/pharyngeal mucositis)
0.83%
1/120 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
0.83%
1/120 • Number of events 1
Infections and infestations
Wound-infectious
0.83%
1/120 • Number of events 1
Gastrointestinal disorders
diarrhea patients without colostomy
0.83%
1/120 • Number of events 1

Additional Information

Susan Chang MD

UCSF Neuro-Oncology

Phone: 415-353-2966

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place