Temozolomide in Treating Patients With Primary Brain Tumors or Metastatic Brain Tumors

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
City of Hope Medical Center
ClinicalTrials.gov Identifier:
NCT00547131
First received: October 19, 2007
Last updated: October 18, 2011
Last verified: October 2011

October 19, 2007
October 18, 2011
January 2006
May 2008   (final data collection date for primary outcome measure)
  • Incidence rate of clinically symptomatic intratumoral hemorrhage [ Designated as safety issue: No ]
  • Incidence rate of CNS infection [ Designated as safety issue: No ]
  • Incidence rate of catheter malfunction [ Designated as safety issue: No ]
  • Incidence rate of clinically symptomatic intratumoral hemorrhage
  • Incidence rate of CNS infection
  • Incidence rate of catheter malfunction
Complete list of historical versions of study NCT00547131 on ClinicalTrials.gov Archive Site
Systemic and intracerebral pharmacokinetic profile of temozolomide using a microdialysis catheter [ Designated as safety issue: No ]
Systemic and intracerebral pharmacokinetic profile of temozolomide using a microdialysis catheter
Not Provided
Not Provided
 
Temozolomide in Treating Patients With Primary Brain Tumors or Metastatic Brain Tumors
A Pilot Feasibility Study of Intracerebral Microdialysis to Determine the Neuropharmacokinetics of Temozolomide

RATIONALE: Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Collecting fluid samples through a catheter may help doctors find out how well temozolomide spreads throughout the brain.

PURPOSE: This clinical trial is studying temozolomide in treating patients with primary brain tumors or metastatic brain tumors.

OBJECTIVES:

  • Determine the feasibility of microdialysis for assessing the intracerebral distribution of temozolomide in patients with primary or metastatic brain tumors.
  • Determine the interstitial pharmacokinetics of temozolomide using an intracerebral microdialysis catheter in these patients.
  • Determine the feasibility of assessing brain tumor metabolism using a microdialysis catheter to measure intracerebral levels of glucose, lactate, pyruvate, glutamate, and glycerol in these patients.

OUTLINE: Patients are assessed for viable tumor during a debulking craniotomy or stereotactic biopsy. If viable tumor is confirmed, patients undergo placement of an intracerebral microdialysis (MD) catheter. The catheter, which is perfused continuously over 24 hours with artificial cerebrospinal fluid, is placed directly into the residual brain tumor or peritumoral brain tissue for neuropharmacokinetic studies of temozolomide. At least 25 hours but no more than 72 hours after placement of the catheter, patients receive a single dose of oral temozolomide. At the same time, intracerebral MD is initiated and serial samples of dialysate (i.e., brain extracellular fluid [ECF]) are collected periodically over 24 hours for analysis of intracerebral concentrations of temozolomide by liquid chromatography/tandem mass spectrometry. Serial blood samples for measuring plasma levels of temozolomide are also drawn and plasma temozolomide levels are compared with those in the brain ECF. Additional ECF samples are obtained to assess biochemical markers of brain tumor metabolism (i.e., glucose, lactate, pyruvate, glutamate, or glycerol) at least one hour before and 24 hours after administration of temozolomide.

After completion of study therapy, patients are followed for up to 30 days.

Interventional
Not Provided
Primary Purpose: Treatment
  • Brain and Central Nervous System Tumors
  • Metastatic Cancer
  • Drug: temozolomide
  • Other: laboratory biomarker analysis
  • Other: liquid chromatography
  • Other: mass spectrometry
  • Other: pharmacological study
  • Procedure: conventional surgery
  • Radiation: stereotactic radiosurgery
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
12
May 2009
May 2008   (final data collection date for primary outcome measure)

DISEASE CHARACTERISTICS:

  • Diagnosis of a primary or metastatic brain tumor for which temozolomide would be an appropriate chemotherapy treatment postoperatively
  • Disease requires a debulking craniotomy or a stereotactic biopsy to diagnose or differentiate between tumor progression and treatment-induced effects after radiotherapy with or without chemotherapy

PATIENT CHARACTERISTICS:

  • Karnofsky performance status 60-100%
  • ANC ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Total bilirubin ≤ 2.0 mg/dL
  • AST ≤ 4 times upper limit of normal (ULN)
  • Creatinine ≤ 1.5 time ULN
  • Mini Mental Status Exam score ≥ 15
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No allergy to temozolomide
  • No serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of study treatment

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Recovered from prior therapy
  • No concurrent chemotherapy or radiotherapy during the period of time that the microdialysis catheter is placed intracerebrally and until it is removed
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00547131
05117, P30CA033572, CHNMC-05117, CDR0000570280
Not Provided
City of Hope Medical Center
City of Hope Medical Center
National Cancer Institute (NCI)
Principal Investigator: Jana Portnow, MD Beckman Research Institute
City of Hope Medical Center
October 2011

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