Phase I GLIADEL and Continuous Infusion of Intravenous O6-Benzylguanine Trial in Patients With Recurrent Malignant Glioma
OBJECTIVES: I. Determine the dose of O6-benzylguanine that completely suppresses AGT levels
in patients with recurrent malignant glioma. II. Evaluate the safety and tolerance of
increasing duration for up to 2 weeks of continuously infused O6-benzylguanine at a dose
that will completely suppress tumor AGT activity combined with intracranially implanted
polifeprosan 20 with carmustine implants (Gliadel wafers) in this patient population.
OUTLINE: This is a dose escalation study of O6-benzylguanine (O6-BG). Patients in the first
cohort receive O6-BG IV over 1 hour followed by continuous infusion of O6-BG for 2 days
prior to surgery. Patients undergo surgical resection and receive up to 8 polifeprosan 20
with carmustine implants (Gliadel wafers) in the resected tumor cavity. Cohorts of 14
patients receive escalating doses of O6-BG until 11 out of 14 patients in a cohort have
complete suppression of AGT levels. Once the dose of O6-BG that completely suppresses AGT
has been established, subsequent patients receive O6-BG IV beginning at least 1 hour prior
to surgery followed by the established continuous infusion dose beginning on the day of
surgery. The infusion continues for up to 14 days postoperatively. Cohorts of 6-12 patients
receive lengthened durations of continuous infusion O6-BG until the maximum tolerated dose
(MTD) is determined or the length of the infusion reaches 14 days. The MTD is defined as the
dose preceding that at which 3 of 6 or 5 of 12 patients experience dose limiting toxicities.
Patients are followed at 3, 6, 9, and 12 months, and then until death.
PROJECTED ACCRUAL: A minimum of 38 patients will be accrued for this study over 9.5 months.
Interventional
Primary Purpose: Treatment
Jon Weingart, MD
Study Chair
Sidney Kimmel Comprehensive Cancer Center
United States: Federal Government
CDR0000067569
NCT00004892
April 2000
Name | Location |
---|---|
University of Alabama Comprehensive Cancer Center | Birmingham, Alabama 35294 |
H. Lee Moffitt Cancer Center and Research Institute | Tampa, Florida 33612 |
Emory University Hospital - Atlanta | Atlanta, Georgia 30322 |
Johns Hopkins Oncology Center | Baltimore, Maryland 21287 |
Comprehensive Cancer Center of Wake Forest University Baptist Medical Center | Winston-Salem, North Carolina 27157-1082 |
University of Pennsylvania Cancer Center | Philadelphia, Pennsylvania 19104 |
University of Texas Health Science Center at San Antonio | San Antonio, Texas 78284-7811 |
Massachusetts General Hospital Cancer Center | Boston, Massachusetts 02114 |
Henry Ford Hospital | Detroit, Michigan 48202 |