A Randomized, Phase III, Double-Blind, Placebo-Controlled Trial of Memantine for Prevention of Cognitive Dysfunction in Patients Receiving Whole-Brain Radiotherapy
OBJECTIVES:
Primary
- Determine whether the addition of memantine hydrochloride to whole-brain radiotherapy
(WBRT) preserves cognitive function, specifically memory, as measured by the Hopkins
Verbal Learning Test for delayed recall (HVLT-delayed recall), over that of placebo and
WBRT in patients with brain metastases at 24 weeks from the start of drug treatment.
Secondary
- Determine whether the addition of memantine hydrochloride preserves cognitive function,
specifically memory, as measured by the HVLT-delayed recall at 8 weeks, 16 weeks, and
12 months from the start of drug treatment.
- Determine whether the addition of memantine hydrochloride increases time to
neurocognitive failure as measured by cognitive decline on a battery of tests including
the HVLT for free recall, delayed recall, and delayed recognition; the Controlled Word
Association Test (COWAT); the Trail Making Test Parts A and B (TMT); the Medical
Outcomes Scale-Cognitive Functioning Subscale (MOS); and the Mini-Mental Status
Examination (MMSE).
- Evaluate the potential benefit of memantine hydrochloride in change and overall quality
of life, as measured by the Functional Assessment of Cancer Therapy-Brain (FACT-Br)
subscale.
- Determine whether the addition of memantine hydrochloride increases progression-free
survival.
- Determine whether the addition of memantine hydrochloride increases overall survival.
- Compare adverse events between the treatment arms according to the CTCAE v3.0 criteria.
- Collect serum, plasma, buffy coat cells, urine, and CSF for future translational
research analyses.
OUTLINE: This is a multicenter study. Patients are stratified according to recursive
partitioning analysis (RPA) prognostic class (class I vs class II with controlled systemic
disease) and prior surgical therapy (none vs radiosurgery or surgical resection). Patients
are randomized to 1 of 2 treatment arms.
- Arm I: Patients undergo whole-brain radiotherapy (WBRT) 5 days a week for 3 weeks (15
fractions). Patients also receive oral memantine hydrochloride once daily beginning on
day 1 of WBRT and continuing for 24 weeks.
- Arm II: Patients undergo WBRT as in arm I. Patients also receive oral placebo once
daily beginning on day 1 of WBRT and continuing for 24 weeks.
After completion of study treatment, patients are followed at 6 months, every 4 months for 1
year, every 6 months for 2 years, and then annually thereafter.
Interventional
Allocation: Randomized, Masking: Double-Blind, Primary Purpose: Supportive Care
Cognitive function, specifically memory, 24 weeks from the start of drug treatment as measured by the Hopkins Verbal Learning Test-Revised for delayed recall (HVLT-R-delayed recall)
No
Paul D. Brown, MD
Study Chair
Mayo Clinic
United States: Federal Government
CDR0000577872
NCT00566852
March 2008
Name | Location |
---|---|
Roswell Park Cancer Institute | Buffalo, New York 14263 |
Mayo Clinic Scottsdale | Scottsdale, Arizona 85259 |
Mayo Clinic Cancer Center | Rochester, Minnesota 55905 |
Barbara Ann Karmanos Cancer Institute | Detroit, Michigan 48201 |
Cleveland Clinic Cancer Center | Cleveland, Ohio 44195 |
CCOP - Upstate Carolina | Spartanburg, South Carolina 29303 |
Medical City Dallas Hospital | Dallas, Texas 75230 |
University of Texas Health Science Center at San Antonio | San Antonio, Texas 78284-7811 |
CCOP - Christiana Care Health Services | Wilmington, Delaware 19899 |
CCOP - North Shore University Hospital | Manhasset, New York 11030 |
Veterans Affairs Medical Center - Atlanta (Decatur) | Decatur, Georgia 30033 |
CCOP - Carle Cancer Center | Urbana, Illinois 61801 |
CCOP - Metro-Minnesota | Saint Louis Park, Minnesota 55416 |
Methodist Cancer Center at Methodist Hospital | Indianapolis, Indiana 46202 |
Fairview Ridges Hospital | Burnsville, Minnesota 55337 |
Mercy and Unity Cancer Center at Mercy Hospital | Coon Rapids, Minnesota 55433 |
Fairview Southdale Hospital | Edina, Minnesota 55435 |
Mercy and Unity Cancer Center at Unity Hospital | Fridley, Minnesota 55432 |
Minnesota Oncology Hematology, PA - Maplewood | Maplewood, Minnesota 55109 |
Virginia Piper Cancer Institute at Abbott - Northwestern Hospital | Minneapolis, Minnesota 55407 |
Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center | Robbinsdale, Minnesota 55422-2900 |
United Hospital | St. Paul, Minnesota 55102 |
Ridgeview Medical Center | Waconia, Minnesota 55387 |
Penn State Cancer Institute at Milton S. Hershey Medical Center | Hershey, Pennsylvania 17033-0850 |
University of Wisconsin Paul P. Carbone Comprehensive Cancer Center | Madison, Wisconsin 53792-6164 |
Medical College of Wisconsin Cancer Center | Milwaukee, Wisconsin 53226 |
Rapid City Regional Hospital | Rapid City, South Dakota 57709 |
Providence Saint Joseph Medical Center - Burbank | Burbank, California 91505 |
Northwest Community Hospital | Arlington Heights, Illinois 60005 |
CCOP - Montana Cancer Consortium | Billings, Montana 59101 |
Veterans Affairs Medical Center - Albany | Albany, New York 12208 |
New York Methodist Hospital | Brooklyn, New York 11215-3609 |
Albert Einstein Cancer Center | Philadelphia, Pennsylvania 19141 |
CCOP - Northern Indiana CR Consortium | South Bend, Indiana 46601 |
Holden Comprehensive Cancer Center at University of Iowa | Iowa City, Iowa 52242-1002 |
CCOP - Grand Rapids | Grand Rapids, Michigan 49503 |
Charles M. Barrett Cancer Center at University Hospital | Cincinnati, Ohio 45267-0526 |
Kimmel Cancer Center at Thomas Jefferson University - Philadelphia | Philadelphia, Pennsylvania 19107 |
UPMC Cancer Center at Magee-Womens Hospital | Pittsburgh, Pennsylvania 15213-3180 |
Cleveland Clinic Taussig Cancer Center | Cleveland, Ohio 44195 |
MBCCOP - Gulf Coast | Mobile, Alabama 36688 |
USC/Norris Comprehensive Cancer Center and Hospital | Los Angeles, California 90033-0804 |
CCOP - St. Louis-Cape Girardeau | Saint Louis, Missouri 63141 |
CCOP - Virginia Mason Research Center | Seattle, Washington 98101 |
Vince Lombardi Cancer Clinic at Aurora St. Luke's Medical Center | Milwaukee, Wisconsin 53201-2901 |
Rebecca and John Moores UCSD Cancer Center | La Jolla, California 92093-0658 |
University of California Davis Cancer Center | Sacramento, California 95817 |
City of Hope Comprehensive Cancer Center | Duarte, California 91010 |
Fletcher Allen Health Care - University Health Center Campus | Burlington, Vermont 05401 |
Arizona Cancer Center at University of Arizona Health Sciences Center | Tucson, Arizona 85724 |
Josephine Ford Cancer Center at Henry Ford Hospital | Detroit, Michigan 48202 |
Washington Cancer Institute at Washington Hospital Center | Washington, District of Columbia 20010 |
Harry and Jeanette Weinberg Cancer Institute at Franklin Square Hospital Center | Baltimore, Maryland 21237 |
Hulston Cancer Center at Cox Medical Center South | Springfield, Missouri 65807 |
McDowell Cancer Center at Akron General Medical Center | Akron, Ohio 44307 |
CCOP - Toledo Community Hospital | Toledo, Ohio 43623-3456 |
Long Island Jewish Medical Center | New Hyde Park, New York 11040 |
Yale Cancer Center | New Haven, Connecticut 06520-8028 |
University of Florida Shands Cancer Center | Gainesville, Florida 32610-0232 |
Winship Cancer Institute of Emory University | Atlanta, Georgia 30322 |
Mission Hospitals - Memorial Campus | Asheville, North Carolina 28801 |
Medical University of Ohio Cancer Center | Toledo, Ohio 43614 |
Hollings Cancer Center at Medical University of South Carolina | Charleston, South Carolina 29425 |
Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas | Dallas, Texas 75390 |
St. Vincent Hospital Regional Cancer Center | Green Bay, Wisconsin 54307-3508 |
Saint Peter's University Hospital | New Brunswick, New Jersey 08901-1780 |
James P. Wilmot Cancer Center at University of Rochester Medical Center | Rochester, New York 14642 |
Bay Area Cancer Care Center at Bay Area Medical Center | Marinette, Wisconsin 54143 |
Baptist Cancer Institute - Jacksonville | Jacksonville, Florida 32207 |
William Beaumont Hospital - Royal Oak Campus | Royal Oak, Michigan 48073 |
Northern Rockies Radiation Oncology Center | Billings, Montana 59101 |
Utah Cancer Specialists at UCS Cancer Center | Salt Lake City, Utah 84106 |
Cancer Care Northwest - Spokane South | Spokane, Washington 99202 |
Greenebaum Cancer Center at University of Maryland Medical Center | Baltimore, Maryland 21201 |
Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center | Los Angeles, California 90048-1865 |
Indiana University Melvin and Bren Simon Cancer Center | Indianapolis, Indiana 46202-5289 |
Lucille P. Markey Cancer Center at University of Kentucky | Lexington, Kentucky 40536-0093 |
CCOP - Nevada Cancer Research Foundation | Las Vegas, Nevada 89109-2306 |
University of New Mexico Cancer Center | Albuquerque, New Mexico 87131-5636 |
Oklahoma University Cancer Institute | Oklahoma City, Oklahoma 73104 |
Geisinger Cancer Institute at Geisinger Health | Danville, Pennsylvania 17822-0001 |
Methodist Estabrook Cancer Center | Omaha, Nebraska 68114-4199 |
Huntsman Cancer Institute at University of Utah | Salt Lake City, Utah 84112 |
University of Virginia Cancer Center | Charlottesville, Virginia 22908 |
Cleveland Clinic Cancer Center at Fairview Hospital | Cleveland, Ohio 44111 |
Hillcrest Cancer Center at Hillcrest Hospital | Mayfield Heights, Ohio 44124 |
Rosenfeld Cancer Center at Abington Memorial Hospital | Abington, Pennsylvania 19001 |
Fox Chase Cancer Center - Philadelphia | Philadelphia, Pennsylvania 19111-2497 |
All Saints Cancer Center at Wheaton Franciscan Healthcare | Racine, Wisconsin 53405 |
John Muir/Mt. Diablo Comprehensive Cancer Center | Walnut Creek, California 94598 |
CentraCare Clinic - River Campus | St. Cloud, Minnesota 56303 |
Cancer Institute of New Jersey at Cooper - Voorhees | Voorhees, New Jersey 08043 |
Highland Hospital of Rochester | Rochester, New York 14620 |
Northwest Ohio Oncology Center | Maumee, Ohio 43537 |
St. Charles Mercy Hospital | Oregon, Ohio 43616 |
North Coast Cancer Care, Incorporated | Sandusky, Ohio 44870 |
Cleveland Clinic - Wooster | Wooster, Ohio 44691 |
Bryn Mawr Hospital | Bryn Mawr, Pennsylvania 19010 |
Delaware County Regional Cancer Center at Delaware County Memorial Hospital | Drexel Hill, Pennsylvania 19026 |
Lankenau Cancer Center at Lankenau Hospital | Wynnewood, Pennsylvania 19096 |
Dixie Regional Medical Center - East Campus | Saint George, Utah 84770 |
North Star Lodge Cancer Center at Yakima Valley Memorial Hospital | Yakima, Washington 98902 |
Poudre Valley Radiation Oncology | Fort Collins, Colorado 80528 |
Northeast Georgia Medical Center | Gainesville, Georgia 30501 |
Cancer Center at Ball Memorial Hospital | Muncie, Indiana 47303 |
Great Lakes Cancer Institute at McLaren Regional Medical Center | Flint, Michigan 48532 |
Regional Cancer Center at Singing River Hospital | Pascagoula, Mississippi 39581 |
Cancer Treatment Center | Wooster, Ohio 44691 |
West Allis Memorial Hospital | West Allis, Wisconsin 53227 |
Stanford Cancer Center | Stanford, California 94305-5824 |
John B. Amos Cancer Center | Columbus, Georgia 31904 |
St. Mary Mercy Hospital | Livonia, Michigan 48154 |
Billings Clinic - Downtown | Billings, Montana 59107-7000 |
Summa Center for Cancer Care at Akron City Hospital | Akron, Ohio 44309-2090 |
Barberton Citizens Hospital | Barberton, Ohio 44203 |
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center | Columbus, Ohio 43210-1240 |
Flower Hospital Cancer Center | Sylvania, Ohio 43560 |
St. Anne Mercy Hospital | Toledo, Ohio 43623 |
St. Luke's Cancer Network at St. Luke's Hospital | Bethlehem, Pennsylvania 18015 |
York Cancer Center at Apple Hill Medical Center | York, Pennsylvania 17405 |
Jon and Karen Huntsman Cancer Center at Intermountain Medical Center | Murray, Utah 84157 |
Val and Ann Browning Cancer Center at McKay-Dee Hospital Center | Ogden, Utah 84403 |
Schiffler Cancer Center at Wheeling Hospital | Wheeling, West Virginia 26003 |
John H. Stroger, Jr. Hospital of Cook County | Chicago, Illinois 60612-9985 |
St. Joseph Hospital Regional Cancer Center - Orange | Orange, California 92868-3849 |
Arizona Oncology Services Foundation | Phoenix, Arizona 85013 |
Enloe Cancer Center at Enloe Medical Center | Chico, California 95926 |
Radiological Associates of Sacramento Medical Group, Incorporated | Sacramento, California 95815 |
Parkview Regional Cancer Center at Parkview Health | Fort Wayne, Indiana 46805 |
Elliot Regional Cancer Center at Elliot Hospital | Manchester, New Hampshire 03103 |
Three Rivers Community Hospital | Grants Pass, Oregon 97527 |
Dubs Cancer Center at Rogue Valley Medical Center | Medford, Oregon 97504 |
Theda Care Cancer Institute | Appleton, Wisconsin 54911 |
Community Memorial Hospital Cancer Care Center | Menomonee Falls, Wisconsin 53051 |
Cancer Institute at St. John's Hospital | Springfield, Illinois 62701 |
Sentara Cancer Institute at Sentara Norfolk General Hospital | Norfolk, Virginia 23507 |
University of Wisconcin Cancer Center at Aspirus Wausau Hospital | Wausau, Wisconsin 54401 |
Solano Radiation Oncology Center | Vacaville, California 95687 |
Integrated Community Oncology Network | Jacksonville Beach, Florida 32250 |
Baptist Medical Center South | Jascksonville, Florida 32258 |
Florida Cancer Center - Palatka | Palatka, Florida 32177 |
Flagler Cancer Center | Saint Augustine, Florida 32086 |
Lipson Cancer and Blood Center at Rochester General Hospital | Rochester, New York 14621 |
Tyler Cancer Center | Tyler, Texas 75702 |
Boston University Cancer Research Center | Boston, Massachusetts 02118 |
Good Samaritan Hospital of Maryland | Baltimore, Maryland 21239 |
Mercy General Hospital | Sacramento, California 95819 |
Providence Cancer Center at Providence Hospital | Mobile, Alabama 36608 |
Trinity CancerCare Center | Minot, North Dakota 58701 |
Franciscan Skemp Healthcare - La Crosse Campus | La Crosse, Wisconsin 54601 |
Cancer Care Center, Incorporated | Salem, Ohio 44460 |
Center for Cancer Care at Goshen General Hospital | Goshen, Indiana 46526 |
Ocean Medical Center at Meridian Health | Brick, New Jersey 08724 |
J. Phillip Citta Regional Cancer Center at Community Medical Center | Toms River, New Jersey 08755 |
Providence Cancer Center at PMCC | Medford, Oregon 97504 |
Albert Lea Cancer Center at Albert Lea Medical Center | Albert Lea, Minnesota 56007 |
Central Maryland Oncology Center | Columbia, Maryland 21044 |
Cancer Institute of New Jersey at Cooper University Hospital - Camden | Camden, New Jersey 08103 |
Lovelace Medical Center - Downtown | Albuquerque, New Mexico 87102 |
Precision Radiotherapy at University Pointe | West Chester, Ohio 45069 |
Integrated Community Oncology Network - Orange Park | Orange Park, Florida 32073 |
Immanuel St. Joseph's | Mankato, Minnesota 56002 |
Cancer Care Center at John Muir Health - Concord Campus | Concord, California 94524-4110 |
West Texas Cancer Center | Odessa, Texas 79761 |
UPMC Cancer Center at Beaver Medical Center | Beaver, Pennsylvania 15009 |
UPMC Cancer Center at Jefferson Regional Medical Center | Clairton, Pennsylvania 15025 |
UPMC Cancer Center - Arnold Palmer Pavilion | Greensburg, Pennsylvania 15601 |
UPMC Cancer Center at the John P. Murtha Pavilion | Johnstown, Pennsylvania 15901 |
UPMC - Moon | Moon Township, Pennsylvania 15108 |
UPMC Cancer Center - Natrona Heights | Natrona Heights, Pennsylvania 15065 |
Jameson Memorial Hospital - North Campus | New Castle, Pennsylvania 16105 |
UPMC - Shadyside | Pittsburgh, Pennsylvania 15213-2582 |
UPMC Cancer Center at UPMC St. Margaret | Pittsburgh, Pennsylvania 15215 |
UPMC Cancer Center at UPMC Passavant | Pittsburgh, Pennsylvania 15237 |
UPMC Cancer Center at UPMC Northwest | Seneca, Pennsylvania 16346 |
Washington Hospital Cancer Center | Washington, Pennsylvania 15301 |
University Medical Center at Princeton | Princeton, New Jersey 08540 |
Radiation Oncology Associates, PA | Albuquerque, New Mexico 87109 |
Cancer Institute at St. Joseph Medical Center | Towson, Maryland 21204 |
New York Oncology Hematology, PC at Albany Regional Cancer Care | Albany, New York 12208 |
Glendale Adventist Medical Center | Glendale, California 91206 |
Auburn Radiation Oncology | Auburn, California 95603 |
Radiation Oncology Centers - Cameron Park | Cameron Park, California 95682 |
Radiation Oncology Center - Roseville | Roseville, California 95661 |
Saint John's Cancer Center at Saint John's Medical Center | Anderson, Indiana 46016 |
Mercy Cancer Center at Mercy San Juan Medical Center | Carmichael, California 95608 |
St. Agnes Hospital Cancer Center | Baltimore, Maryland 21229 |
Renown Institute for Cancer at Renown Regional Medical Center | Reno, Nevada 89502 |
Sands Cancer Center | Canandiaqua, New York 14424 |
University Radiation Oncology at Parkridge Hospital | Rochester, New York 14626 |
Community Regional Cancer Care at Community Hospital North | Indianapolis, Indiana 46256 |
Community Regional Cancer Care at Community Hospital East | Indianapolis, Indiana 46219 |
Integrated Community Oncology Network at Southside Cancer Center | Jacksonville, Florida 32207 |
Kansas City Cancer Centers - Southwest | Overland Park, Kansas 66210 |
Longview Cancer Center | Longview, Texas 75601 |
Rocky Mountain Cancer Centers - Colorado Springs | Colorado Springs, Colorado 80933-1181 |
Northeast Radiation Oncology Center | Dunmore, Pennsylvania 18512 |
Radiation Oncology Associates Southwest | Fort Wayne, Indiana 46804 |
Central Indiana Cancer Centers - East | Indianapolis, Indiana 46219 |
Kansas City Cancer Centers - North | Kansas City, Missouri 64154 |
Payson Center for Cancer Care at Concord Hospital | Concord, New Hampshire 03301 |
Trinitas Comprehensive Cancer Center at Trinitas Hospital | Elizabeth, New Jersey 07207 |
Willamette Valley Cancer Center - Eugene | Eugene, Oregon 97401 |
Texas Oncology, PA at Harris Center HEB | Bedford, Texas 76022 |
Texas Oncology, PA at Texas Cancer Center - Denton South | Denton, Texas 76210 |
Klabzuba Cancer Center at Harris Methodist Fort Worth Hospital | Fort Worth, Texas 76104 |
Cancer Care Centers of South Texas - Northeast | San Antonio, Texas 78217 |
Texas Oncology, PA at Texas Cancer Center - Sherman | Sherman, Texas 75090 |
Texas Oncology, PA at Texas Oncology Cancer Center Sugar Land | Sugar Land, Texas 77479 |
Bloomington Hospital Regional Cancer Institute | Bloomington, Indiana 47403 |
Nebraska Medical Center | Omaha, Nebraska 68198 |
Emanuel Regional Cancer Services at Emanuel Medical Center | Turlock, California 95382 |
Princeton Radiation Oncology Center | Jamesburg, New Jersey 08831 |
Arizona Oncology - Tucson | Tucson, Arizona 85704 |
Rocky Mountain Cancer Centers - Aurora | Aurora, Colorado 80012 |
Norton Suburban Hospital | Louisville, Kentucky 40207 |
Kansas City Cancer Centers - South | Kansas City, Missouri 64131 |
New Hanover Radiation Oncology, PA | Wilmington, North Carolina 28401 |
Cancer Center at Clarion Hospital | Clarion, Pennsylvania 16214 |
UPMC Cancer Center at UPMC McKeesport | McKeesport, Pennsylvania 15132 |
UPMC Cancer Center - Upper St. Clair | Pittsburgh, Pennsylvania 15243 |
UPMC Cancer Center - Uniontown | Uniontown, Pennsylvania 15401 |
Texas Oncology, PA at Texas Cancer Center Dallas Southwest | Dallas, Texas 75237 |
Adams Cancer Center | Gettysburg, Pennsylvania 17325 |
Cherry Tree Cancer Center | Hanover, Pennsylvania 17331 |
Tate Cancer Center at Baltimore Washington Medical Center | Glen Burnie, Maryland 21061 |
Texas Oncology, PA at Texas Cancer Center - Arlington South | Arlington, Texas 76014 |
Florida Institute of Research, Medicine and Surgery Cancer Center | Orlando, Florida 32806 |
Charach Cancer Center at Huron Valley - Sinai Hospital | Commerce, Michigan 48382 |