Safety and Efficacy Study of Intracranially Implanted Carmustine to Treat Newly Diagnosed Malignant Glioma

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.

Verified August 2012 by Shandong Lanjin Pharmaceuticals Co.,Ltd.
Recruitment status was: Not yet recruiting

Sponsor:

Information provided by (Responsible Party):

Shandong Lanjin Pharmaceuticals Co.,Ltd

ClinicalTrials.gov Identifier:

NCT01656980

First received: August 1, 2012

Last updated: August 2, 2012

Last verified: August 2012

History of Changes

Purpose

The purpose of the study is to determine the safety and efficacy of intracranially implanted Carmustine in the treatment of patients with primary malignant glioma.

Condition	Intervention	Phase
Anaplastic Astrocytoma Anaplastic Oligodendroglioma Anaplastic Oligoastrocytoma Glioblastoma	Drug: Carmustine Procedure: tumor resection surgery	Phase 3


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Treatment
Official Title:	Phase 3 Study of Carmustine Sustained Release Implant (CASANT) to Treat Newly Diagnosed Malignant Glioma

Resource links provided by NLM:

Drug Information available for: Carmustine

Genetic and Rare Diseases Information Center resources: Glioblastoma Glioma Anaplastic Astrocytoma Oligodendroglioma Oligoastrocytoma Anaplastic Oligodendroglioma Anaplastic Oligoastrocytoma Neuroepithelioma

U.S. FDA Resources

Further study details as provided by Shandong Lanjin Pharmaceuticals Co.,Ltd:

Primary Outcome Measures:

Overall Survival [ Time Frame: 15 months ]

Secondary Outcome Measures:

Progress Free Survival [ Time Frame: 15 months ]
Overall Survival Rate at 12 months [ Time Frame: 15 months ]
Karnofsky Performance Status(KPS) [ Time Frame: 15 months ]
Quality of Life(QOL) [ Time Frame: 15 months ]
Safety of intracranially implanted carmustine after maximal tumor resection [ Time Frame: 15 months ]
Occurrence rate of adverse event and serious adverse event revealed by laboratory test outcomes including blood routine and chemistry as well as physical examination, vital signs including blood pressure, temperature, respiratory rate , heart rate.


Estimated Enrollment:	236
Study Start Date:	August 2012
Estimated Study Completion Date:	December 2014
Estimated Primary Completion Date:	August 2014 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Carmustine Sustained Release Implant For subjects in this group, they will accept intracranially implanted carmustine intraoperatively.	Drug: Carmustine As Experimental group, subjects will accept specified wafers of carmustine in the cavity while gliomas maximally be resected. Other Names: Trade name: CASANT Other name: BCNU
Sham Comparator: Tumor Resection Surgery For subjects in this control group, they accept no implants while gliomas maximally be resected.	Procedure: tumor resection surgery For this group, subjects will accept routine tumor resection surgery and place no implant wafers. Other Name: blank control group

Detailed Description:

Malignant gliomas recur mostly 2 cm within originated area. Local therapies therefore become particular important. Gliadel wafer developed in the States and marketed in the developed countries is an example of such treatments. The product in this study, Carmustine Sustained Release Implant (CASANT), is similar to that of Gliadel wafer as for the API(Active Pharmaceutical Ingredient), but different as for drug delivering system. As required, the preliminary clinical studies were conducted in China. Based on the results of phase I/II , 8-10 wafers containing given dose of BCNU will be administered intracranially in this phase III to the tumor resected cavity to investigate the safety and efficacy in the treatment of primary malignant glioma in 236 patients.

Eligibility


Ages Eligible for Study:	18 Years to 70 Years (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Confirmation of high grade glioma(WHO III or above)by frozen or squash preparation;
Patients must be 18 to 70 years old, signed ICF;
At least 4 weeks after previous chemotherapy (6 weeks since nitrosoureas);
KPS ≥ 60;
Unilateral, Supratentorial, solitary lesion and not crossing the midline
No obvious important organ dysfunction: Hepatic function:Serum total bilirubin ≤1.5 times upper limit of laboratory normal; Aspartate aminotransferase (AST) and/or Alanine aminotransferase (ALT)＜2.5 times upper limit of laboratory normal; Renal function:Serum creatinine ≤1.5 times upper limit of laboratory normal;
Not Pregnant or lactating for women of childbearing potential.

Exclusion Criteria:

Underwent cytoreductive surgery(excluded stereotactic biopsy);
With chemotherapy or brain radiotherapy history;
Tumor located at ventricular system, Open ventricle tumor cavity postoperatively;
Concomitant with other life-threatening diseases and with life expectancy ＜12 months;
Allergic to nitrosourea drugs;
With history of intracranial radiotherapy or implant chemotherapy;
With serious cardiac, pulmonary, hepatic and renal dysfunction, poor glycemic control;
Experienced > 3 times of Large epilepsy within one month preoperatively.
Investigators thought unsuitable for enrollment.

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01656980

Contacts


Contact: Yan H Sun, M.D.	+86-1360-1389-945	sunyanhui1109@yahoo.com.cn
Contact: Jian J Yu, Master	+86-15336402751	yujj@lanjin.cn

Locations


China, Beijing
Beijing Tiantan Hospital Affiliated to Capital Medical University	Not yet recruiting
Beijing, Beijing, China, 100050
Contact: Yan H Sun, M.D. +86-1360-1389-945 sunyanhui1109@yahoo.com.cn
Contact: Jian J Yu, Master +86-15336402751 Yujj@lanjin.cn

Sponsors and Collaborators

Shandong Lanjin Pharmaceuticals Co.,Ltd

Investigators


Principal Investigator:	Yan H Sun, M.D.	Beijing Tiantan Hospital

More Information

Additional Information:

You will see subjects recruitment information when visiting above website. This link exits the ClinicalTrials.gov site


Responsible Party:	Shandong Lanjin Pharmaceuticals Co.,Ltd
ClinicalTrials.gov Identifier:	NCT01656980 History of Changes
Other Study ID Numbers:	LJ-Glioma 3. 3.0 Version
Study First Received:	August 1, 2012
Last Updated:	August 2, 2012

Additional relevant MeSH terms:


Glioblastoma Astrocytoma Glioma Oligodendroglioma Neoplasms, Neuroepithelial Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type	Neoplasms Neoplasms, Glandular and Epithelial Neoplasms, Nerve Tissue Carmustine Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Antineoplastic Agents

ClinicalTrials.gov processed this record on September 21, 2017

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