A PHASE I/II TRIAL OF TEMOZOLOMIDE, MOTEXAFIN GADOLINIUM, AND 60 GY FRACTIONATED RADIATION FOR NEWLY DIAGNOSED SUPRATENTORIAL GLIOBLASTOMA MULTIFORME
PRIMARY OBJECTIVES:
I. Determine the maximum tolerated dose of motexafin gadolinium (MGd) when given
concurrently with temozolomide and radiotherapy in patients with newly diagnosed
supratentorial glioblastoma multiforme (GBM) or gliosarcoma.
II. Estimate the overall survival of patients treated with concurrent radiotherapy,
temozolomide, and MGd followed by post-radiation temozolomide.
III. Determine the short- and long-term adverse effects in patients treated with this
treatment.
IV. Estimate the progression-free survival of patients with newly diagnosed supratentorial
GBM or gliosarcoma treated with this regimen.
OUTLINE: This is a multicenter, dose-escalation study of motexafin gadolinium (MGd).
PHASE I: Patients undergo radiotherapy once daily on days 1-5, 8-12, 15-19, 22-26, 29-33,
and 36-40. Beginning the night before the first dose of radiotherapy and ending the night
before the last dose of radiotherapy, patients receive concurrent oral temozolomide once
daily on days 0-39. Patients also receive MGd IV over 30 minutes prior to radiotherapy once
daily on days 1-5 and 8-12 and then on days 15, 17, 19, 22, 24, 26, 29, 31, 33, 36, 38, and
40. Beginning 28 days after the completion of radiotherapy, patients receive oral
temozolomide once daily on days 1-5. Treatment repeats every 28 days for up to 12 courses in
the absence of disease progression or unacceptable toxicity.
Cohorts of 3-7 patients receive escalating doses of MGd until the maximum tolerated dose
(MTD) is determined. The MTD is defined as the dose preceding that at which no more than 6
eligible patients experience dose-limiting toxicity.
PHASE II: Patients undergo radiotherapy and receive temozolomide as in phase I. Patients
also receive MGd as in phase I at the MTD determined in phase I.
After completion of study treatment, patients are followed every 2 months for 1 year, every
3 months for 2 years, every 6 months for 3 years, and then annually thereafter.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Maximum Tolerated Dose of MGd (Phase I)
Patients were to be followed for a minimum of 90 days from the start of radiation therapy (RT) and carefully evaluated with respect to treatment morbidity. A dose limiting toxicity (DLT) was defined as a grade 4 neurologic adverse event (AE) considered to be related to treatment occurring within 21 days of the conclusion of RT. For each dose level, up to seven patients were to be accrued to assure that there would be six eligible for treatment adverse event evaluation. A dose level of MGd was considered acceptable if no more than 1 patient of the 6 experience a DLT. If the current level was considered acceptable, then dose escalation occurred. Otherwise, the preceding dose level would be declared the MTD. The MTD would be used for the Phase II arm. Rating scale: 0 = not the MTD, 1 = MTD
From start of radiation therapy to 90 days,
Yes
David Brachman
Principal Investigator
Radiation Therapy Oncology Group
United States: Food and Drug Administration
NCI-2009-01092
NCT00305864
February 2006
Name | Location |
---|---|
Fox Chase Cancer Center | Philadelphia, Pennsylvania 19111 |
University of Washington Medical Center | Seattle, Washington 98195-6043 |
Hurley Medical Center | Flint, Michigan 48503 |
University of Texas Health Science Center at San Antonio | San Antonio, Texas 78284-7811 |
University of Florida Health Science Center | Gainesville, Florida 32610-0296 |
Methodist Medical Center of Illinois | Peoria, Illinois 61636 |
Reading Hospital and Medical Center | Reading, Pennsylvania 19612-6052 |
LDS Hospital | Salt Lake City, Utah 84143 |
University of Oklahoma Health Sciences Center | Oklahoma City, Oklahoma 73104 |
Mobile Infirmary Medical Center | Mobile, Alabama 36640-0460 |
University of Wisconsin Hospital and Clinics | Madison, Wisconsin 53792-0001 |
American Fork Hospital | American Fork, Utah 84003 |
Cottonwood Hospital Medical Center | Murray, Utah 84107 |
McKay-Dee Hospital Center | Ogden, Utah 84403 |
Paoli Memorial Hospital | Paoli, Pennsylvania 19301-1792 |
Saint Rose Hospital | Hayward, California 94545 |
Alta Bates Summit Medical Center - Summit Campus | Oakland, California 94609 |
Memorial Hospital | Carthage, Illinois 62321 |
Galesburg Cottage Hospital | Galesburg, Illinois 61401 |
Galesburg Clinic | Galesburg, Illinois 61401 |
Mason District Hospital | Havana, Illinois 62644 |
Kewanee Hospital | Kewanee, Illinois 61443 |
McDonough District Hospital | Macomb, Illinois 61455 |
BroMenn Regional Medical Center | Normal, Illinois 61761 |
Proctor Hospital | Peoria, Illinois 61614 |
Perry Memorial Hospital | Princeton, Illinois 61356 |
Valley Cancer Center | Spring Valley, Illinois 61362 |
Bryn Mawr Hospital | Bryn Mawr, Pennsylvania 19010 |
Eureka Hospital | Eureka, Illinois 61530 |
Graham Hospital Association | Canton, Illinois 61520 |
Saint Joseph Medical Center | Joliet, Illinois 60435 |
Pekin Hospital | Pekin, Illinois 61554 |
Saint Joseph Mercy Hospital | Ann Arbor, Michigan 48106 |
Highland General Hospital | Oakland, California 94602 |
Temple University Hospital | Philadelphia, Pennsylvania 19140 |
Arizona Oncology Services Foundation | Phoenix, Arizona 85013 |
Bay Area Tumor Institute | Oakland, California 94609 |
East Bay Radiation Oncology Center | Castro Valley, California 94546 |
Contra Costa Regional Medical Center | Martinez, California 94553-3156 |
Larry G Strieff MD Medical Corporation | Oakland, California 94609 |
University of Florida | Gainesville, Florida 32610-0277 |
El Camino Hospital | Mountain View, California 94040 |
University of Arizona Health Sciences Center | Tucson, Arizona 85724 |
Indiana University Medical Center | Indianapolis, Indiana 46202 |
Lankenau Hospital | Wynnewood, Pennsylvania 19096 |
University of Southern California | Los Angeles, California 90033 |
Froedtert and the Medical College of Wisconsin | Milwaukee, Wisconsin 53226 |
OSF Saint Francis Medical Center | Peoria, Illinois 61637 |
Valley Medical Oncology Consultants-Castro Valley | Castro Valley, California 94546 |
Eden Hospital Medical Center | Castro Valley, California 94546 |
Valley Medical Oncology Consultants-Fremont | Fremont, California 94538 |
Bay Area Breast Surgeons Inc | Oakland, California 94609 |
Tom K Lee Inc | Oakland, California 94609 |
Valley Medical Oncology Consultants | Pleasanton, California 94588 |
Valley Care Health System - Pleasanton | Pleasanton, California 94588 |
Doctors Medical Center- JC Robinson Regional Cancer Center | San Pablo, California 94806 |
Rush - Copley Medical Center | Aurora, Illinois 60504 |
Intercommunity Cancer Center | Galesburg, Illinois 61401 |
Hopedale Medical Complex - Hospital | Hopedale, Illinois 61747 |
Joliet Oncology-Hematology Associates Limited | Joliet, Illinois 60435 |
Community Cancer Center Foundation | Normal, Illinois 61761 |
Illinois CancerCare-Ottawa Clinic | Ottawa, Illinois 61350 |
Ottawa Regional Hospital and Healthcare Center | Ottawa, Illinois 61350 |
Pekin Cancer Treatment Center | Pekin, Illinois 61554 |
Illinois Oncology Research Association CCOP | Peoria, Illinois 61615 |
Illinois CancerCare-Peoria | Peoria, Illinois 61615 |
Illinois Valley Hospital | Peru, Illinois 61354 |
Saint Margaret's Hospital | Spring Valley, Illinois 61362 |
Carle Clinic-Urbana Main | Urbana, Illinois 61801 |
Saint Anthony Memorial Health Center | Michigan City, Indiana 46360 |
Michigan Cancer Research Consortium Community Clinical Oncology Program | Ann Arbor, Michigan 48106 |
Oakwood Hospital | Dearborn, Michigan 48123 |
Saint John Hospital and Medical Center | Detroit, Michigan 48236 |
McLaren Regional Medical Center | Flint, Michigan 48532 |
Allegiance Health | Jackson, Michigan 49201 |
Sparrow Hospital | Lansing, Michigan 48912 |
Saint Mary Mercy Hospital | Livonia, Michigan 48154 |
Saint Joseph Mercy Oakland | Pontiac, Michigan 48341-2985 |
Saint Joseph Mercy Port Huron | Port Huron, Michigan 48060 |
Saint Mary's of Michigan | Saginaw, Michigan 48601 |
Saint John Macomb-Oakland Hospital | Warren, Michigan 48093 |
Saint John's Regional Medical Center | Joplin, Missouri 64804 |
Good Samaritan Hospital | Kearney, Nebraska 68847 |
Mainline Health CCOP | Wynnewood, Pennsylvania 19096 |
Audie L Murphy Veterans Affairs Hospital | San Antonio, Texas 78209 |
University Hospital | San Antonio, Texas 78229 |
Wheeling Hospital | Wheeling, West Virginia 26003 |
University of Maryland Greenebaum Cancer Center | Baltimore, Maryland 21201 |
Denver Veterans Administration Medical Center | Denver, Colorado 80220 |
John F Kennedy Medical Center | Edison, New Jersey 08818 |
UMDNJ - New Jersey Medical School | Newark, New Jersey 07103 |
Sandra L Maxwell Cancer Center | Cedar City, Utah 84720 |
Intermountain Medical Center | Murray, Utah 84157 |
Utah Valley Regional Medical Center | Provo, Utah 84603 |
Dixie Medical Center Regional Cancer Center | Saint George, Utah 84770 |
Intermountain Health Care | Salt Lake City, Utah 84103 |
Utah Cancer Specialists-Salt Lake City | Salt Lake City, Utah 84106 |
University of Miami Miller School of Medicine-Sylvester Cancer Center | Miami, Florida 33136 |
Cancer Centers of North Carolina | Raleigh, North Carolina 27607 |
OSF Saint Francis Medical Center Radiation Oncology Service at the Central Illinois Comprehensive CC | Peoria, Illinois 61615-7827 |
Rex Hospital | Raleigh, North Carolina 27606 |
Los Angeles County-USC Medical Center | Los Angeles, California 90033 |
Stanford University Hospitals and Clinics | Stanford, California 94305 |
UMDNJ - Robert Wood Johnson University Hospital | New Brunswick, New Jersey 08903 |
Genesys Regional Medical Center-West Flint Campus | Flint, Michigan 48532 |
Franciscan Saint Margaret Health-Hammond Campus | Hammond, Indiana 46320 |