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Pyrazoloacridine Plus Carboplatin in Treating Patients With Recurrent Glioma
This study has been completed.
Study NCT00005976   Information provided by National Cancer Institute (NCI)
First Received: July 5, 2000   Last Updated: November 22, 2008   History of Changes

July 5, 2000
November 22, 2008
May 2000
 
 
 
Complete list of historical versions of study NCT00005976 on ClinicalTrials.gov Archive Site
 
 
 
Pyrazoloacridine Plus Carboplatin in Treating Patients With Recurrent Glioma
Phase I/II Trial of Pyrazoloacridine and Carboplatin in Patients With Recurrent Glioma

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase I/II trial to study the effectiveness of pyrazoloacridine plus carboplatin in treating patients who have recurrent glioma.

OBJECTIVES:

  • Determine the maximum tolerated dose of pyrazoloacridine plus carboplatin in patients with recurrent glioma.
  • Determine the toxic effects of this treatment regimen in these patients.
  • Determine the safety of this treatment regimen at the recommended phase II dose in patients not receiving anticonvulsants.
  • Determine the efficacy of this treatment regimen in these patients.
  • Assess the pharmacokinetics and metabolism of pyrazoloacridine in these patients.
  • Assess the response rate, time to progression, and time to death in patients treated with this regimen.

OUTLINE: This is a three-part, dose-escalation, multicenter study. Patients in study 3 are stratified according to concurrent anticonvulsants (yes vs no).

  • Study 1: (Study 1 closed as of 03/29/02) Patients receive carboplatin IV over 30 minutes and pyrazoloacridine IV over 3 hours on day 1. Treatment continues every 28 days in the absence of unacceptable toxicity or disease progression.

Cohorts of 3-6 patients receive escalating doses of carboplatin and pyrazoloacridine until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity.

  • Study 2: (Study 2 closed as of 03/29/02) Patients receive the same treatment as given in study 1. Dose escalation is performed as in study 1 to determine the MTD in patients not receiving concurrent anticonvulsants.
  • Study 3: Patients receive the same treatment as given in studies 1 and 2 without dose escalation.

Patients are followed every 3 months for 1 year, every 6 months for 4 years, and then annually for 5 years.

PROJECTED ACCRUAL: Study 1: (Study 1 closed as of 03/29/02)

  • A total of 3-21 patients will be accrued for this study within 6-20 months. Study 2: (Study 2 closed as of 03/29/02)
  • A total of 3-12 patients will be accrued for this study within 3-18 months.

Study 3:

  • A total of 12-37 patients will be accrued for this study within 15 months.
Phase II
Interventional
Treatment
Brain and Central Nervous System Tumors
  • Drug: carboplatin
  • Drug: pyrazoloacridine
 
Galanis E, Buckner JC, Maurer MJ, Reid JM, Kuffel MJ, Ames MM, Scheithauer BW, Hammack JE, Pipoly G, Kuross SA. Phase I/II trial of pyrazoloacridine and carboplatin in patients with recurrent glioma: a North Central Cancer Treatment Group trial. Invest New Drugs. 2005 Oct;23(5):495-503.

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
 
 
 

DISEASE CHARACTERISTICS:

  • Histologically confirmed primary brain glioma

    • Diffuse astrocytoma
    • Gliosarcoma
    • Oligodendroglioma
    • Oligoastrocytoma
  • Progressive disease after radiotherapy
  • Measurable or evaluable disease by MRI or CT

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3
  • Hemoglobin at least 9 g/dL

Hepatic:

  • Bilirubin no greater than upper limit of normal (ULN)
  • SGOT no greater than 2.5 times ULN

Renal:

  • Creatinine no greater than 2.0 mg/dL

Cardiovascular:

  • No myocardial infarction within the past 6 months
  • No congestive heart failure requiring therapy

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No uncontrolled infection
  • No other active malignancy
  • No other concurrent severe disease

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)
  • No more than 1 prior adjuvant chemotherapy regimen
  • No prior polifeprosan 20 with carmustine implant (Gliadel wafer)
  • Study 3 only:

    • 1 prior chemotherapy regimen for recurrent disease allowed
    • Prior nonplatinum-containing adjuvant chemotherapy allowed
    • Prior platinum-containing adjuvant chemotherapy allowed if disease progressed at least 6 months after last treatment

Endocrine therapy:

  • Non-increasing dose of corticosteroids for at least 1 week allowed

Radiotherapy:

  • See Disease Characteristics
  • At least 12 weeks since prior radiotherapy
  • No prior stereotactic radiosurgery or interstitial brachytherapy unless at least one lesion outside of irradiated area

Surgery:

  • No surgical resection since prior radiotherapy or chemotherapy unless evidence of disease progression or lesion outside of treatment site

Other:

  • Study 1 only: (Study 1 closed as of 03/29/02)

    • Must be on anticonvulsants that can induce cytochrome P-450 (phenytoin, carbamazepine, barbiturates, or primidone)
  • Study 2 only: (Study 2 closed as of 03/29/02)

    • No concurrent anticonvulsants
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States,   Canada
 
NCT00005976
 
CDR0000067963, NCCTG-987254
North Central Cancer Treatment Group
National Cancer Institute (NCI)
Study Chair: Evanthia Galanis, MD Mayo Clinic
National Cancer Institute (NCI)
September 2003

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP