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Imaging Study of XERECEPT® Treatment for Peritumoral Brain Edema (PBE)

This study has been terminated.
ClinicalTrials.gov Identifier:
First Posted: June 5, 2008
Last Update Posted: January 9, 2009
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.
Celtic Pharma Development Services
Information provided by:
This is a phase II, multicenter, open-label, imaging study of hCRF in the reduction of PBE in patients with primary malignant or metastatic brain tumors. Approximately 30 to 60 patients will be assigned to 1 of 3 treatment groups and receive study drug for up to 28 days

Condition Intervention Phase
Peritumoral Brain Edema PRIMARY MALIGNANT and METASTATIC BRAIN TUMORS Drug: Xerecept Phase 2

PharmaNet has indicated that access to an investigational treatment associated with this study is available outside the clinical trial.  

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Open-Label, Imaging Study of Human Corticotropin-Releasing Factor (hCRF) for The Reduction of Peritumoral Brain Edema (PBE) in Patients With Primary Malignant or Metastatic Brain Tumors

Resource links provided by NLM:

Further study details as provided by PharmaNet:

Estimated Enrollment: 60
Study Start Date: November 2008
Estimated Study Completion Date: October 2009
Estimated Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Detailed Description:
The purpose of this study is to investigate the effect of 3 different regimens of subcutaneous (SC) administered hCRF (1.0 mg every [Q] 8 hours [h], 1.5 mg Q12h, and 1.0 mg Q12h) on the reduction of PBE in patients with primary malignant or metastatic brain tumors as defined by MRI indexes.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 18 years of age or older.
  • Written informed consent has been provided and documented.
  • Primary malignant or metastatic brain tumor that is either asymptomatic or symptomatic patients with the life expectancy estimation of 3 months or more
  • A pretreatment MRI brain scan must identify at least 1 dominant tumor lesion and related PBE that is radiologically (or visibly) distinct from the main tumor mass; the combined tumor-edema lesion must be > 2 cm in longest diameter (for at least 1 slice) and visible in 3 consecutive, 4 mm sections on MRI.
  • No dexamethasone or anti-angiogenic treatment for at least 14 days prior to the Baseline and throughout the study.
  • A Karnofsky Performance Score > 60 at Screening (Visit 1) and at Baseline
  • A negative serum pregnancy test at the Screening (Visit 1) is required for women of childbearing potential.

Exclusion Criteria:

  • • Low-grade gliomas, recurrent gliomas, suspected lymphoma, or known human immunosuppressive virus (HIV) infection.

    • Patients requiring surgery, radiosurgery or radiation surgery therapy
    • Patients experiencing severe symptoms related to PBE
    • Patients where MRI is contraindicated for any reason.
    • Signs and/or symptoms of relatively severe cerebral herniation.
    • Concurrent enrollment in any other investigational drug or device study, or plan to enroll in such a study during the 3 to 4 weeks of study treatment.
    • Systemic corticosteroid use (with the exception of inhalers for asthma).
    • Use of dexamethasone (eg, as an anti-emetic) during screening or during the study
    • Use of anti-angiogenic/anti-vascular endothelial growth factor (VEGF) therapy or anticonvulsant therapy (if patient's liver function tests (LFTs) are > 3 times upper limit of normal) 14 days prior to randomization
    • Serious concomitant cardiovascular, pulmonary, renal, gastrointestinal, or endocrine metabolic disease, which in the opinion of the Investigator or the Medical Monitor, would put the patient as unusual risk during study participation.
    • Known renal insufficiency or screening glomerular filtration rate (GFR) < 60 mL/min/1.73 m2.
    • Central nervous system infection, human immunosuppressive virus (HIV) positive or ongoing infectious process.
    • For female patients: pregnancy, breastfeeding or refusal to practice birth control if of childbearing potential during the study.
    • Inability of the patient to follow the treatment regimen.
    • Known history of methionine allergy.
  Contacts and Locations
No Contacts or Locations Provided
  More Information

Responsible Party: Pharmanet
ClinicalTrials.gov Identifier: NCT00691522     History of Changes
Other Study ID Numbers: CPDS 0701
First Submitted: June 2, 2008
First Posted: June 5, 2008
Last Update Posted: January 9, 2009
Last Verified: January 2009

Keywords provided by PharmaNet:

Additional relevant MeSH terms:
Brain Neoplasms
Brain Edema
Signs and Symptoms
Central Nervous System Neoplasms
Nervous System Neoplasms
Neoplasms by Site
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Corticotropin-Releasing Hormone
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs