Valproic Acid in Childhood Progressive Brain Tumors

NCT ID: NCT01861990

Last Updated: 2015-05-22

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

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2013-12-31

Brief Summary

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The study investigates valproic acid added to radiation and temozolomide therapy (standard of care) for progressive or recurrent pediatric brain tumors.

Detailed Description

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Patients with progressive or recurrent pediatric brain tumors are administered valproic acid, an HDAC inhibitor, along with standard of care therapy (radiation and temozolomide) for induction therapy. Thereafter, patients will be able to continue on valproic acid and temozolomide therapy as long as the combination is well tolerated and the tumor is not progressing.

Conditions

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Pediatric Brain Tumor Glioma Anaplastic Astrocytoma Medulloblastoma Glioblastoma

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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Treatment arm

All participants will be enrolled on to one, open-label arm. Participants will be treated with valproic acid in addition to standard of care therapy.

Group Type EXPERIMENTAL

Valproic Acid

Intervention Type DRUG

All participants enrolled on valproic acid arm.

Interventions

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Valproic Acid

All participants enrolled on valproic acid arm.

Intervention Type DRUG

Other Intervention Names

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Valproate, VPA, Depakote, Depakote ER, Depakene

Eligibility Criteria

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Inclusion Criteria

* Subject, parent, or guardian willing and able to give informed consent
* Recurrent or progressive pediatric brain tumor, with MRI evidence of disease
* Age at first diagnosis of brain tumor 1-21 years old
* Lansky or Karnofsky performance score of at least 50 at diagnosis

Exclusion Criteria

* Pregnancy
* Prior intolerance to valproic acid
* History of use of temozolomide
* Use of enzyme inducing anticonvulsant medications (see appendix B)
* Known urea cycle disorder (e.g. ornithine transcarbamylase deficiency)
Minimum Eligible Age

1 Year

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of South Carolina

OTHER

Sponsor Role lead

Responsible Party

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Amy-Lee Bredlau

Director, Pediatric Brain Tumor Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amy L Bredlau, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Locations

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Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Countries

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United States

References

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Van Nifterik KA, Van den Berg J, Slotman BJ, Lafleur MV, Sminia P, Stalpers LJ. Valproic acid sensitizes human glioma cells for temozolomide and gamma-radiation. J Neurooncol. 2012 Mar;107(1):61-7. doi: 10.1007/s11060-011-0725-z. Epub 2011 Oct 26.

Reference Type BACKGROUND
PMID: 22037799 (View on PubMed)

Asklund T, Kvarnbrink S, Holmlund C, Wibom C, Bergenheim T, Henriksson R, Hedman H. Synergistic killing of glioblastoma stem-like cells by bortezomib and HDAC inhibitors. Anticancer Res. 2012 Jul;32(7):2407-13.

Reference Type BACKGROUND
PMID: 22753697 (View on PubMed)

Fu J, Shao CJ, Chen FR, Ng HK, Chen ZP. Autophagy induced by valproic acid is associated with oxidative stress in glioma cell lines. Neuro Oncol. 2010 Apr;12(4):328-40. doi: 10.1093/neuonc/nop005. Epub 2009 Oct 15.

Reference Type BACKGROUND
PMID: 20308311 (View on PubMed)

Weller M, Gorlia T, Cairncross JG, van den Bent MJ, Mason W, Belanger K, Brandes AA, Bogdahn U, Macdonald DR, Forsyth P, Rossetti AO, Lacombe D, Mirimanoff RO, Vecht CJ, Stupp R. Prolonged survival with valproic acid use in the EORTC/NCIC temozolomide trial for glioblastoma. Neurology. 2011 Sep 20;77(12):1156-64. doi: 10.1212/WNL.0b013e31822f02e1. Epub 2011 Aug 31.

Reference Type BACKGROUND
PMID: 21880994 (View on PubMed)

Masoudi A, Elopre M, Amini E, Nagel ME, Ater JL, Gopalakrishnan V, Wolff JE. Influence of valproic acid on outcome of high-grade gliomas in children. Anticancer Res. 2008 Jul-Aug;28(4C):2437-42.

Reference Type BACKGROUND
PMID: 18751431 (View on PubMed)

Other Identifiers

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IRG-97-219-14

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

VA2013

Identifier Type: -

Identifier Source: org_study_id

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