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Carboplatin Plus Irinotecan in Treating Patients With Glioblastoma Multiforme

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00010036
Recruitment Status : Completed
First Posted : September 4, 2003
Last Update Posted : March 28, 2011
National Cancer Institute (NCI)
Information provided by:
NYU Langone Health

Brief Summary:

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 II trial to study the effectiveness of combining carboplatin with irinotecan in treating patients who have glioblastoma multiforme.

Condition or disease Intervention/treatment Phase
Brain and Central Nervous System Tumors Drug: carboplatin Drug: irinotecan hydrochloride Radiation: radiation therapy Phase 2

Detailed Description:


  • Determine the maximum tolerated dose (MTD) of carboplatin and irinotecan in patients with glioblastoma multiforme. (Phase I closed to accrual as of 6/24/02)
  • Determine the toxic effects of this regimen in these patients.
  • Determine the objective response in patients treated with the established MTD of this regimen.
  • Determine time to tumor progression and survival of patients treated with this regimen.

OUTLINE: This is a dose-escalation study. Patients in the phase II portion of the study are stratified according to age (under 60 vs 60 and over), ECOG performance status (0-1 vs 2), and extent of resection (total vs subtotal). (Phase I closed to accrual as of 6/24/02)

Within 4 weeks of surgery, patients receive carboplatin IV over 30 minutes followed by irinotecan IV over 90 minutes on day 1. Treatment repeats every 4 weeks for a maximum of 6 courses in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of carboplatin and irinotecan until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, additional patients are accrued to receive carboplatin and irinotecan at the recommended phase II dose. (Phase I closed to accrual as of 6/24/02)

After chemotherapy, all patients undergo radiotherapy.

Patients are followed for 30 days.

PROJECTED ACCRUAL: A total of 24-107 patients (3-54 for phase I and 21-53 for phase II) will be accrued for this study. (Phase I closed to accrual as of 6/24/02)

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Study Type : Interventional  (Clinical Trial)
Primary Purpose: Treatment
Official Title: A Phase I/II Trial of CPT-11 With Carboplatin in Patients With Glioblastoma Multiforme Prior to Radiation Therapy
Study Start Date : May 1999
Actual Primary Completion Date : October 2001

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


  • Histologically confirmed glioblastoma multiforme
  • Measurable disease
  • No CNS metastases or carcinomatous meningitis



  • 18 and over

Performance status:

  • ECOG 0-2 OR
  • Karnofsky 70-100%

Life expectancy:

  • At least 12 weeks


  • Granulocyte count greater than 1,500/mm^3
  • Platelet count greater than 100,000/mm^3
  • Hemoglobin at least 9.0 g/dL


  • Bilirubin no greater than 1.5 mg/dL
  • SGOT no greater than 3 times upper limit of normal (ULN) (5 times ULN if liver involvement)
  • No known Gilbert's syndrome


  • Creatinine no greater than 1.5 mg/dL


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


  • HIV negative
  • No active or uncontrolled infection
  • No psychiatric disorder that would preclude study
  • No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
  • No uncontrolled diabetes mellitus (i.e., random blood sugar of 200 mg or more)
  • No other severe disease that would preclude study
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception


Biologic therapy:

  • No prior immunotherapy or biologic therapy
  • No concurrent sargramostim (GM-CSF)
  • No concurrent filgrastim (G-CSF) with course 1
  • No concurrent immunotherapy


  • No prior chemotherapy
  • No other concurrent chemotherapy

Endocrine therapy:

  • Must have maintained a stable or decreasing dose of corticosteroids for 2 weeks prior to study
  • Concurrent corticosteroids for cerebral edema allowed
  • No concurrent anticancer hormonal therapy


  • No prior radiotherapy
  • No concurrent radiotherapy


  • At least 2 weeks since prior surgery


  • No other concurrent investigational agent or participation on any other clinical study
  • No concurrent immunosuppressive drugs
  • No concurrent phenobarbital or valproic acid
  • No concurrent anticonvulsants except carbamazepine or gabapentin
  • No concurrent prochlorperazine on day of irinotecan treatment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00010036

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United States, New York
NYU School of Medicine's Kaplan Comprehensive Cancer Center
New York, New York, United States, 10016
Sponsors and Collaborators
NYU Langone Health
National Cancer Institute (NCI)
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Study Chair: Michael L. Gruber, MD NYU Langone Health
Layout table for additonal information Identifier: NCT00010036    
Other Study ID Numbers: CDR0000068435
P30CA016087 ( U.S. NIH Grant/Contract )
First Posted: September 4, 2003    Key Record Dates
Last Update Posted: March 28, 2011
Last Verified: March 2011
Keywords provided by NYU Langone Health:
adult glioblastoma
adult giant cell glioblastoma
adult gliosarcoma
Additional relevant MeSH terms:
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Nervous System Neoplasms
Central Nervous System Neoplasms
Neoplasms, Neuroepithelial
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue
Neoplasms by Site
Nervous System Diseases
Antineoplastic Agents
Topoisomerase I Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action