Hydroxyurea With or Without Imatinib Mesylate in Treating Patients With Recurrent or Progressive Meningioma

NCT ID: NCT00904735

Last Updated: 2013-08-12

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as hydroxyurea, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Imatinib mesylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known whether hydroxyurea is more effective when given alone or together with imatinib mesylate in treating patients with meningioma.

PURPOSE: This randomized phase II trial is studying how well hydroxyurea works compared with giving hydroxyurea together with imatinib mesylate in treating patients with recurrent or progressive meningioma.

Detailed Description

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OBJECTIVES:

Primary

* Assess the progression-free survival of patients with recurrent or progressive meningiomas treated with hydroxyurea with vs without imatinib mesylate after surgery and radiotherapy.

Secondary

* Determine the overall survival, and response rate of patients treated with this regimen.
* Determine the toxicity of this regimen in these patients.

OUTLINE: This is a multicenter study. Patients are stratified according to WHO grade (I vs II-III). Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive oral hydroxyurea twice daily and oral imatinib mesylate once daily in the absence of disease progression or unacceptable toxicity.
* Arm II: Patients receive oral hydroxyurea twice daily in the absence of disease progression or unacceptable toxicity.

After completion of study therapy, patients are followed for up to 1 year.

Conditions

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Brain and Central Nervous System Tumors

Keywords

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adult grade I meningioma adult grade II meningioma adult anaplastic meningioma adult papillary meningioma recurrent adult brain tumor

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm I

Patients receive oral hydroxyurea twice daily and oral imatinib mesylate once daily in the absence of disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

hydroxyurea

Intervention Type DRUG

Given orally

imatinib mesylate

Intervention Type DRUG

Given orally

Arm II

Patients receive oral hydroxyurea twice daily in the absence of disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

hydroxyurea

Intervention Type DRUG

Given orally

Interventions

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hydroxyurea

Given orally

Intervention Type DRUG

imatinib mesylate

Given orally

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosed with meningioma

* WHO grade I-III
* Recurrent or progressive disease after prior surgery and radiotherapy, or radiosurgery
* Not amenable to further surgery
* No optic nerve sheet tumor and neurofibromatosis type II
* No known brain metastasis

PATIENT CHARACTERISTICS:

* WHO performance status 0-2
* ANC \> 1,500/mm\^3
* Platelet count \> 100,000/mm\^3
* Hemoglobin ≥ 9 mg/dL (transfusion allowed)
* Total bilirubin \< 1.5 times upper limit of normal (ULN)
* SGOT and SGPT \< 2.5 times ULN
* Creatinine \< 1.5 times ULN
* Negative pregnancy test
* Fertile patients must use effective barrier method contraception during and for up to 3 months after completion of study therapy
* No second malignancy
* No known chronic liver disease (i.e., active hepatitis, cirrhosis)
* No known HIV infection
* No significant history of non-compliance to medical regimens or inability to grant reliable informed consent

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* No concurrent enzyme-inducing anti-epileptic drugs
* No concurrent therapeutic anticoagulation with warfarin (e.g., Coumadin®)

* Low-molecular weight heparin (e.g., Lovenox) or heparin allowed
* Mini-dose Coumadin® (e.g., 1 mg QD) allowed for prophylaxis of central venous catheter thrombosis, at the discretion of the treating physician
* No concurrent acetaminophen (Efferalgan®, Tachipirina®) allowed during imatinib mesylate administration
* No other concurrent anticancer agents, including chemotherapy or biological agents
* No other concurrent investigational drugs
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istituto Scientifico H. San Raffaele

OTHER

Sponsor Role lead

Principal Investigators

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Alba A. Brandes, MD

Role: STUDY_CHAIR

Ospedale Bellaria

Locations

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Ospedale Civile Avellino

Avellino, , Italy

Site Status RECRUITING

Ospedale Bellaria

Bologna, , Italy

Site Status RECRUITING

Azienda Ospedaliero Careggi

Florence, , Italy

Site Status RECRUITING

Istituto Nazionale Neurologico Carlo Besta

Milan, , Italy

Site Status RECRUITING

Ospedale Civile di Rovigo

Rovigo, , Italy

Site Status RECRUITING

Countries

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Italy

Facility Contacts

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Contact Person

Role: primary

Alba A. Brandes, MD

Role: primary

Contact Person

Role: primary

Contact Person

Role: primary

Contact Person

Role: primary

Other Identifiers

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CDR0000641101

Identifier Type: REGISTRY

Identifier Source: secondary_id

NOVARTIS-SRSI-GICNO-08-002

Identifier Type: -

Identifier Source: secondary_id

SRSI-GICNO-08-002

Identifier Type: -

Identifier Source: org_study_id