A Phase II Study of Temozolomide and O6-Benzylguanine (O6-BG) in Patients With Temozolomide-Resistant Anaplastic Glioma

NCT ID: NCT00389090

Last Updated: 2012-02-09

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2009-02-28

Brief Summary

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This is an open-label, multicenter, phase II trial, assessing the antitumor activity, and safety of temozolomide in combination with O6-BG in patients with temozolomide-resistant anaplastic glioma.

Detailed Description

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This open-label, multicenter, phase II trial will assess the antitumor activity and safety of temozolomide in combination with O6-BG in patients with temozolomide-resistant anaplastic glioma.

Forty-one to 104 evaluable patients with temozolomide-resistant anaplastic glioma will be enrolled in this study. Total accrual on this study will not exceed 116 patients. The patients will receive daily temozolomide on 5 consecutive days (days 1-5) along with bolus infusions of O6-BG on days 1, 3, and 5 and a continuous infusion of O6-BG beginning immediately after the first bolus infusion and continuing until immediately prior to the last bolus injection. Patients will be evaluated for AEs during the course of therapy. Patients may receive treatment at the same dose level until appearance of significant treatment-related toxicities, disease progression or withdrawal of consent.

Tumor response will be evaluated at the end of cycle 1, cycle 2 and then every two cycles for the duration of therapy, using physical and neurological examinations and diagnostic imaging.

Conditions

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Glioma Astrocytoma Oligodendroglioma Oligoastrocytoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Temozolomide + O6BG

Group Type EXPERIMENTAL

Temozolomide and O6-Benzylguanine

Intervention Type DRUG

O6BG + Temozolomide

Interventions

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Temozolomide and O6-Benzylguanine

O6BG + Temozolomide

Intervention Type DRUG

Other Intervention Names

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temodar

Eligibility Criteria

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Inclusion Criteria

1. Patients with histologically documented anaplastic glioma (anaplastic astrocytoma, anaplastic oligodendroglioma or mixed anaplastic oligoastrocytoma).
2. Temozolomide-resistant defined as patients who have progressed while receiving or within 8 weeks of completing the last dose of temozolomide.
3. Disease progression \>= 12 weeks after the completion of any radiotherapy.
4. If patient received chemotherapy or an investigational agent as part of their prior therapy, the patient must recover from all toxicities (\<= Grade 1) prior to enrollment on this protocol.
5. Bi-dimensionally measurable disease on contrast-enhanced magnetic resonance imaging study (MRI) performed within two weeks of study drug administration.
6. If patient received intratumoral chemotherapy or immunotherapy as part of their prior therapy then histological confirmation of recurrence is mandated.
7. KPS \>= 70%.
8. The following laboratory results:

* Absolute neutrophil count \>= 1500 cells/microliter
* Platelet count \>= 100,000 cells/microliter
* SGOT \<= 2.5 x ULN
* Serum creatinine \<= 1.5 x ULN
9. Signed informed consent approved by Institutional Review Board.
10. If sexually active, patients will take contraceptive measures for the duration of the treatment.
11. For patients on corticosteroids, they must have been on a stable dose 1 week prior to baseline MRI and the dose should not be escalated over entry dose level, if clinically possible.

Exclusion Criteria

1. Pregnant or breast feeding women.
2. Prior treatment with O6-BG plus temozolomide in combination.
3. Active infection requiring intravenous antibiotics.
4. Known diagnosis of Human Immunodeficiency Virus (HIV) infection (HIV testing is not mandatory).
5. Patients with a history of another primary malignancy that is currently clinically significant or currently requires active intervention.
6. Patients unwilling or unable to comply with the protocol.
7. Patients who have received stereotactic radiosurgery or brachytherapy as part of their prior therapy.
8. Comedication that may interfere with study results; eg. immunosuppressive agents other than corticosteroids.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Keryx / AOI Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jennifer Quinn, MD

Role: STUDY_CHAIR

Preston Robert Tisch Brain Tumor Center at Duke

Locations

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AOI Pharmaceuticals Investigative Site

Los Angeles, California, United States

Site Status

AOI Pharmaceuticals Investigative Site

Orlando, Florida, United States

Site Status

AOI Pharmaceuticals Investigative Site

Chicago, Illinois, United States

Site Status

AOI Pharmaceuticals Investigative Site

Evanston, Illinois, United States

Site Status

AOI Pharmaceuticals Investigative Site

Lexington, Kentucky, United States

Site Status

AOI Pharmaceuticals Investigative Site

Louisville, Kentucky, United States

Site Status

AOI Pharmaceuticals Investigative Site

Minneapolis, Minnesota, United States

Site Status

AOI Pharmaceuticals Investigative Site

Durham, North Carolina, United States

Site Status

AOI Pharmaceuticals Investigative Site

Greenville, South Carolina, United States

Site Status

AOI Pharmaceuticals Investigative Site

Dallas, Texas, United States

Site Status

AOI Pharmaceuticals Investigative Site

Houston, Texas, United States

Site Status

AOI Pharmaceuticals Investigative Site

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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O6BG 202

Identifier Type: -

Identifier Source: org_study_id

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