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Tipifarnib and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
This study has been completed.
Study NCT00058097   Information provided by National Cancer Institute (NCI)
First Received: April 7, 2003   Last Updated: April 24, 2009   History of Changes

April 7, 2003
April 24, 2009
August 2003
January 2009   (final data collection date for primary outcome measure)
 
 
Complete list of historical versions of study NCT00058097 on ClinicalTrials.gov Archive Site
 
 
 
Tipifarnib and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
Phase II Study Of R115777 For The Treatment Of Adults With Newly Diagnosed Glioblastoma Multiforme

RATIONALE: Tipifarnib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining tipifarnib with radiation therapy may make the tumor cells more sensitive to radiation therapy and may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining tipifarnib with radiation therapy in treating patients who have newly diagnosed glioblastoma multiforme.

OBJECTIVES:

  • Determine the progression-free and overall survival of patients with newly diagnosed glioblastoma multiforme treated with tipifarnib and radiotherapy.
  • Determine the response rate of patients treated with this regimen.
  • Determine the toxicity of this regimen in these patients.

OUTLINE: This is a multicenter study.

  • Induction therapy: Patients receive oral tipifarnib twice daily for 3 weeks. Treatment repeats every 4 weeks for up to 3 courses.
  • Radiotherapy: Within 14 days after the completion of induction therapy, patients undergo radiotherapy daily, 5 days a week, for 6 weeks.
  • Maintenance therapy: Two weeks after the completion of radiotherapy, patients receive additional tipifarnib as in induction therapy.

Treatment continues in the absence of disease progression or unacceptable toxicity.

Patients are followed every 2 months.

PROJECTED ACCRUAL: A minimum of 54 patients will be accrued for this study within 11-14 months.

Phase II
Interventional
Treatment, Open Label
Brain and Central Nervous System Tumors
  • Drug: tipifarnib
  • Radiation: radiation therapy
 
Lustig R, Mikkelsen T, Lesser G, Grossman S, Ye X, Desideri S, Fisher J, Wright J; New Approaches to Brain Tumor Therapy CNS Consortium. Phase II preradiation R115777 (tipifarnib) in newly diagnosed GBM with residual enhancing disease. Neuro Oncol. 2008 Dec;10(6):1004-9. Epub 2008 Aug 25.

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
 
 
January 2009   (final data collection date for primary outcome measure)

DISEASE CHARACTERISTICS:

  • Histologically confirmed supratentorial grade IV astrocytoma

    • Glioblastoma multiforme
  • Measurable and contrast-enhancing tumor on the postoperative MRI/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
  • Hemoglobin at least 9 g/dL

Hepatic

  • Bilirubin no greater than 2.0 mg/dL
  • AST/ALT no greater than 4 times upper limit of normal

Renal

  • Creatinine no greater than 1.5 mg/dL

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Mini-mental state exam score at least 15
  • No other malignancy within the past 5 years except curatively treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix or breast
  • No serious concurrent infection that would preclude study therapy
  • No other medical illness that would preclude study therapy

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No prior immunotherapy for brain tumor
  • No prior biologic therapy for brain tumor, including any of the following:

    • Immunotoxins
    • Immunoconjugates
    • Antisense therapy
    • Peptide receptor antagonists
    • Interferons
    • Interleukins
    • Tumor-infiltrating lymphocytes
    • Lymphokine-activated killer cell therapy
    • Gene therapy

Chemotherapy

  • No prior chemotherapy for brain tumor
  • No prior polifeprosan 20 with carmustine implant (Gliadel wafer)

Endocrine therapy

  • No prior hormonal therapy (except glucocorticoids) for brain tumor
  • Must be maintained on a stable corticosteroid regimen prior to study entry

Radiotherapy

  • No prior radiotherapy for brain tumor

Surgery

  • See Disease Characteristics
  • Recovered from prior surgery

Other

  • At least 10 days since prior hepatic metabolic enzyme-inducing anticonvulsant drugs, including the following:

    • Phenytoin
    • Carbamazepine
    • Phenobarbital
    • Primidone
    • Oxcarbazepine
  • No other concurrent investigational agents
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00058097
 
CDR0000285732, NABTT-2200, JHOC-NABTT-2200
National Cancer Institute (NCI)
 
Study Chair: Robert A. Lustig, MD Abramson Cancer Center of the University of Pennsylvania
National Cancer Institute (NCI)
April 2004

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