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Atrasentan in Treating Patients With Progressive or Recurrent Malignant Glioma
This study has been completed.
Study NCT00017264   Information provided by National Cancer Institute (NCI)
First Received: June 6, 2001   Last Updated: January 10, 2009   History of Changes

June 6, 2001
January 10, 2009
June 2002
 
 
 
Complete list of historical versions of study NCT00017264 on ClinicalTrials.gov Archive Site
 
 
 
Atrasentan in Treating Patients With Progressive or Recurrent Malignant Glioma
A Phase I Evaluation of the Safety and Pharmacokinetics of ABT-627 in Adults With Recurrent Malignant Gliomas

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die.

PURPOSE: Phase I trial to study the effectiveness of atrasentan in treating patients who have progressive or recurrent malignant glioma.

OBJECTIVES:

  • Determine the maximum tolerated dose of atrasentan in patients with progressive or recurrent malignant glioma.
  • Describe the pharmacokinetics of this drug in these patients.
  • Assess preliminary evidence of therapeutic activity of this drug in these patients.

OUTLINE: This is a dose-escalation, multicenter study.

Patients receive oral atrasentan once daily. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 2-10 patients receive escalating doses of atrasentan until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 1 patient experiences dose-limiting toxicity.

Patients are followed every 2 months.

PROJECTED ACCRUAL: Approximately 35 patients will be accrued for this study.

Phase I
Interventional
Treatment
Brain and Central Nervous System Tumors
Drug: atrasentan hydrochloride
 
Phuphanich S, Carson KA, Grossman SA, Lesser G, Olson J, Mikkelsen T, Desideri S, Fisher JD; New Approaches to Brain Tumor Therapy (NABTT) CNS Consortium. Phase I safety study of escalating doses of atrasentan in adults with recurrent malignant glioma. Neuro Oncol. 2008 Aug;10(4):617-23. Epub 2008 May 13.

*   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 malignant glioma

    • Anaplastic astrocytoma
    • Anaplastic oligodendroglioma
    • Glioblastoma multiforme
  • Progressive or recurrent after prior radiotherapy with or without chemotherapy

    • Prior low-grade glioma that has progressed to high-grade after therapy allowed
  • Measurable disease by MRI or CT scan

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • Karnofsky 60-100%

Life expectancy:

  • Not specified

Hematopoietic:

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

Hepatic:

  • Bilirubin no greater than 1.5 mg/dL
  • Transaminases no greater than 4 times upper limit of normal
  • Hepatitis A, B, and C negative

Renal:

  • Creatinine no greater than 1.7 mg/dL

Cardiovascular:

  • No New York Heart Association class II, III, or IV cardiac disease

Other:

  • HIV negative
  • Mini mental score at least 15
  • No other malignancy within the past 5 years except curatively treated carcinoma in situ or basal cell skin cancer
  • No serious concurrent infection
  • No other concurrent medical illness that would preclude study entry
  • No alcoholism or drug addiction within the past 6 months
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No concurrent anticancer immunotherapy

Chemotherapy:

  • See Disease Characteristics
  • At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas) and recovered
  • No more than 1 prior chemotherapy regimen
  • No prior or concurrent polifeprosan 20 with carmustine implant (Gliadel wafer)
  • No prior atrasentan
  • No other concurrent anticancer chemotherapy

Endocrine therapy:

  • No concurrent anticancer hormonal therapy

Radiotherapy:

  • See Disease Characteristics
  • At least 3 months since prior radiotherapy and recovered
  • No concurrent anticancer radiotherapy

Surgery:

  • No concurrent anticancer surgery

Other:

  • Recovered from prior therapy
  • No more than 1 prior treatment regimen
  • No other concurrent investigational agents
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00017264
 
CDR0000068668, NABTT-2008, JHOC-NABTT-2008
National Cancer Institute (NCI)
 
Study Chair: Surasak Phuphanich, MD, FAAN Emory University
National Cancer Institute (NCI)
August 2004

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