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Temozolomide Phase II Clinical Study in Patients With Newly Diagnosed Glioblastoma Multiforme (Study P04661)(COMPLETED)

This study has been completed.

Sponsored by: Schering-Plough
Information provided by: Schering-Plough
ClinicalTrials.gov Identifier: NCT00684567
  Purpose

The purpose of this study is to evaluate the safety of combination therapy of radiotherapy and temozolomide ("concomitant radiotherapy phase"), and then temozolomide monotherapy ("monotherapy phase"), in patients with newly diagnosed glioblastoma multiforme. Progression free survival and response rate will also be calculated.


Condition Intervention Phase
Glioblastoma
Radiation: Radiotherapy
Drug: Temozolomide
Phase II

ChemIDplus related topics:   Temozolomide    X-Rays   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety Study
Official Title:   SCH 52365 Phase II Clinical Study in Patients With Newly Diagnosed Glioblastoma Multiforme

Further study details as provided by Schering-Plough:

Primary Outcome Measures:
  • Safety from the start of administration during the concomitant radiotherapy phase until 4 weeks after the completion of radiotherapy. [ Time Frame: From the start of administration during the concomitant radiotherapy phase until 4 weeks after the completion of radiotherapy. ] [ Designated as safety issue: Yes ]
  • Safety from the start of administration during the monotherapy phase until the end of six cycles of monotherapy. [ Time Frame: From the start of administration during the monotherapy phase until the end of six cycles of monotherapy. ] [ Designated as safety issue: Yes ]
  • Safety from the start of administration during the concomitant radiotherapy phase until the end of six cycles of monotherapy. [ Time Frame: From the start of administration during the concomitant radiotherapy phase until the end of six cycles of monotherapy. ] [ Designated as safety issue: Yes ]
  • Safety from the start of administration during the monotherapy phase until 30 days after the completion of administration of monotherapy. [ Time Frame: From the start of administration during the monotherapy phase until 30 days after the completion of administration of monotherapy. ] [ Designated as safety issue: Yes ]
  • Safety from the start of administration during the concomitant radiotherapy phase until 30 days after the completion of administration of monotherapy. [ Time Frame: From the start of administration during the concomitant radiotherapy phase until 30 days after the completion of administration of monotherapy. ] [ Designated as safety issue: Yes ]

Enrollment:   30
Study Start Date:   September 2005
Study Completion Date:   December 2007
Primary Completion Date:   December 2007 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
Single arm: Experimental
It is the only arm of the study. Subjects receive a combination of radiotherapy and temozolomide, and then temozolomide monotherapy.
Radiation: Radiotherapy
Radiotherapy will be administered in combination with temozolomide during the concomitant radiotherapy phase. Radiotherapy will consist in a conventionally fractioned regimen, delivering a total dose of 60 Gy in 6 weeks, in a once daily schedule of 2 Gy per fraction, for a total of 30 fractions. Radiation will be provided by a linear accelerator of x ray energy of 4 MV or higher.
Drug: Temozolomide
During the concomitant radiotherapy phase (6 weeks), temozolomide will be administered in combination with radiotherapy, once daily at 75 mg/m2/day. Then, during the monotherapy phase, subjects will receive 6 cycles of temozolomide alone. Each cycle will last 28 days, and temozolomide will be administered once daily from Day 1 to Day 5 of each cycle. The dose of temozolomide in the first cycle will be 150 mg/m2/day, and may be increased to 200 mg/m2/day for Cycle 2 and subsequent cycles depending on nonhematologic toxicity observed and neutrophil and platelet count values. Capsules containing 5 mg, 20 mg, or 100 mg of temozolomide will be combined to achieve each subject's calculated dose.

  Eligibility
Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Histopathologically confirmed newly diagnosed glioblastoma multiforme with WHO grade IV.
  • Histological diagnosis must be made locally after biopsy or neurosurgical tumor resection.
  • Four or more unstained tissue sections or a paraffin block must be provided to the Pathological Judgment Committee as tissue specimens.
  • Initial surgery/biopsy at diagnosis performed <=6 weeks (42 days) prior to treatment with temozolomide.
  • Age: >=18 and <=70 years.
  • ECOG performance status <=2.
  • Stable, non-increasing dose of corticosteroids over the 14 days prior to treatment with temozolomide.
  • No prior chemotherapy or radiotherapy.
  • Laboratory test values obtained within 14 days before initiation of administration of temozolomide must satisfy the following criteria:

    • absolute neutrophil count >= 1500/mm^3;
    • platelet count >= 100,000/mm^3;
    • serum creatinine <=1.5 times the upper limit of laboratory normal;
    • total bilirubin <=1.5 times the upper limit of laboratory normal;
    • glutamic oxaloacetic transaminase or glutamic pyruvic transaminase <2.5 times the upper limit of laboratory normal;
    • alkaline phosphatase < 2.5 times the upper limit of laboratory normal.
  • Absence of pathological conditions that interfere with taking oral drugs.
  • Contraception during the study period (from informed consent to the day of the last observation/examination of this study) is required in sexually active, potentially fertile patients, regardless of sex, under the supervision of the investigator or sub-investigator.
  • The investigator and/or subinvestigator must judge that life expectancy is 12 weeks or more.
  • Patients may be included regardless of sex or inpatient/outpatient.

Exclusion Criteria:

  • Extensively disseminated glioblastoma multiforme.
  • Severe disorders in the heart, liver, kidney, blood, etc.
  • Presence of previous or concurrent malignancies at other sites with the exception of surgically cured carcinoma in-situ of the cervix and non melanoma skin cancer.
  • Women who are pregnant or lactating.
  • Women who may be pregnant or who could become pregnant and do not adopt contraception method(s).
  • Participation in another clinical study within 6 weeks prior to the initiation of administration of temozolomide.
  • Subjects who the investigator and/or subinvestigator judged inappropriate to participate in the study.
  Contacts and Locations

No Contacts or Locations Provided
  More Information

Responsible Party:   Schering-Plough ( Head, Clinical Trials Registry & Results Disclosure Group )
Study ID Numbers:   P04661, JPC-05-351-22
First Received:   May 22, 2008
Last Updated:   May 22, 2008
ClinicalTrials.gov Identifier:   NCT00684567
Health Authority:   Japan: Pharmaceuticals and Medical Devices Agency

Study placed in the following topic categories:
Neuroectodermal Tumors
Glioblastoma
Glioblastoma multiforme
Astrocytoma
Neoplasms, Germ Cell and Embryonal
Neuroepithelioma
Glioma
Temozolomide
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Neoplasms, Nerve Tissue
Antineoplastic Agents, Alkylating
Neoplasms, Neuroepithelial
Alkylating Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on August 29, 2008




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