Study of Lenalidomide and XRT in Patients With Newly Diagnosed Glioblastoma Multiforme

This study has been completed.
Sponsor:
Collaborators:
Celgene Corporation
Beth Israel Deaconess Medical Center
Brigham and Women's Hospital
Massachusetts General Hospital
University of Virginia
Information provided by:
Dana-Farber Cancer Institute
ClinicalTrials.gov Identifier:
NCT00165477
First received: September 9, 2005
Last updated: March 8, 2010
Last verified: March 2010
  Purpose

- The purpose of this study is to find out if the combination of lenalidomide and radiation therapy is effective in controlling tumor growth in patients with newly-diagnosed supratentorial glioblastoma or gliosarcoma.


Condition Intervention Phase
Glioblastoma
Gliosarcoma
Malignant Gliomas
Drug: lenalidomide
Radiation: Radiation
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase II Study of Lenalidomide and Radiation Therapy in Patients With Newly Diagnosed Glioblastoma Multiforme.

Resource links provided by NLM:


Further study details as provided by Dana-Farber Cancer Institute:

Primary Outcome Measures:
  • To determine the efficacy of lenalidomide with conventional radiation therapy in the treatment of patients with newly-diagnosed supratentorial glioblastoma or gliosarcoma. [ Time Frame: 3 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To assess the proportion of patients treated with lenalidomide and radiation therapy surviving at 12 months [ Time Frame: 3 years ] [ Designated as safety issue: No ]
  • to evaluate the time to tumor progression [ Time Frame: 3 years ] [ Designated as safety issue: No ]
  • the radiologic response [ Time Frame: 3 years ] [ Designated as safety issue: No ]
  • to determine the safety and toxicity of the combination of lenalidomide and radiation therapy. [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]

Enrollment: 23
Study Start Date: September 2005
Study Completion Date: July 2009
Primary Completion Date: November 2007 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: lenalidomide
    Given orally once a day for 21 days followed by a 1 week rest period. Subject may continue to receive study drug as long as the disease does not worsen and they experience serious side effects
    Other Name: Revlimid
    Radiation: Radiation
    Starting 4-7 days after the start of lenalidomide and given once a day, 5 days a week for 6-7 weeks
    Other Name: XRT
Detailed Description:
  • Patients will receive lenalidomide orally once daily for 21 days followed by a one week rest period (this is equivalent to one cycle).
  • Four to seven days from the first dose of lenalidomide, the patient will start radiation therapy for approximately 6-7 weeks.
  • A neurologic exam and routine blood tests will be performed weekly while the patient is receiving radiation therapy.
  • Following the 11th week of treatment a MRI/CT scan will be performed to assess the status of the tumor. If there is no change, or there is shrinkage in the size of the tumor, the treatment will continue for another 4 week cycle.
  • The four week cycle will continue as long as the disease remains stable or improved and the patient does not develop intolerable side effects. A MRI/CT scan will be done every 2 cycles (8 weeks).
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with histologically confirmed newly-diagnosed supratentorial glioblastoma multiforme (GBM) or gliosarcoma will be eligible for this protocol.
  • The patient must have recovered from the effects of surgery, post-operative infections and other complications before entry into the study.
  • Diagnosis will have been established by biopsy or resection no more than 28 days prior to registration.
  • If tumor resection or open biopsy was performed, cranial MRI or contrast CT must have been performed before and after surgery. Imaging within 96 h of surgery is preferred but not required.
  • If needle biopsy (stereotactic) was performed, gadolinium MRI or contrast CT within 14 days prior to registration is required. A post-operative scan is not required. The use of MRI rather than CT is preferred. The same type of scan, i.e., MRI or CT must be used throughout the period of protocol treatment for tumor measurement. Patients without measurable or assessable disease are eligible.
  • Patients receiving steroids must be on stable or decreasing doses for at least 5 days prior to entry.
  • Patients must have a plan to begin partial brain radiotherapy 4-7 days after beginning lenalidomide, and within 35 days of the surgical procedure that established the diagnosis.
  • Radiotherapy must be at the Radiation Oncology Department of the registered institution.
  • Patients must be willing to forego cytotoxic and non-cytotoxic drug therapy against the tumor while being treated with lenalidomide.
  • All patients must sign an informed consent indicating that they are aware of the investigational nature of this study.
  • Patients must be > 18 years old, and with a life expectancy > 8 weeks.
  • Patients must have a Karnofsky performance status of > 60.
  • Patients must have adequate bone marrow, liver, and renal function.
  • Patients must be willing and able to comply with all study requirements

Exclusion Criteria:

  • Patient must not have had prior cranial radiation therapy.
  • Patients must not have received prior cytotoxic drug therapy, non-cytotoxic drug therapy, or experimental drug therapy for brain tumors. Patients who received Gliadel wafers will be excluded.
  • Patients must not have any significant medical illnesses that in the investigator's opinion cannot be adequately controlled with appropriate therapy or would compromise the patients ability to tolerate this therapy.
  • Patients with a history of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix), unless in complete remission and off of all therapy for that disease for a minimum of 3 years are ineligible.
  • Patients must not have active infection.
  • Patients must not be pregnant/breast feeding and must agree to practice adequate contraception.
  • Patients must not have any disease that will obscure toxicity or dangerously alter drug metabolism.
  • Patients must not have serious concurrent medical illness.
  • Patient with recent thromboembolic disease (deep vein thrombosis and pulmonary embolism) are eligible if they are clinically stable and the thromboembolic event occurred more than 2 weeks prior to enrollment into this protocol.
  • Patients must not have metastases below the tentorium or beyond the cranial vault.
  • Patients must not have a known diagnosis of HIV, active infectious hepatitis, or chronic hepatitis.
  • Patients must have no history of hypersensitivity or development of a desquamating rash while on thalidomide.
  • Patients must have no prior exposure to lenalidomide.
  • Previous or planned stereotactic radiosurgery or brachytherapy.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00165477

Locations
United States, Massachusetts
Dana-Farber Cancer Institute
Boston, Massachusetts, United States, 02115
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States, 02115
United States, Virginia
University of Virginia
Charlottesville, Virginia, United States, 22908-0394
Sponsors and Collaborators
Dana-Farber Cancer Institute
Celgene Corporation
Beth Israel Deaconess Medical Center
Brigham and Women's Hospital
Massachusetts General Hospital
University of Virginia
Investigators
Principal Investigator: Patrick Y. Wen, MD Dana-Farber Cancer Institute
  More Information

No publications provided

Responsible Party: Patrick Wen, MD, Dana-Farber Cancer Institute
ClinicalTrials.gov Identifier: NCT00165477     History of Changes
Other Study ID Numbers: 05-222
Study First Received: September 9, 2005
Last Updated: March 8, 2010
Health Authority: United States: Food and Drug Administration

Keywords provided by Dana-Farber Cancer Institute:
Glioblastoma
Gliosarcoma
Malignant Gliomas
Radiation Therapy
IMiD
Lenalidomide

Additional relevant MeSH terms:
Glioblastoma
Gliosarcoma
Glioma
Neoplasms, Neuroepithelial
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue
Astrocytoma
Lenalidomide
Thalidomide
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Growth Inhibitors
Antineoplastic Agents
Therapeutic Uses
Immunosuppressive Agents
Leprostatic Agents
Anti-Bacterial Agents
Anti-Infective Agents

ClinicalTrials.gov processed this record on September 16, 2014