It is an open-label, randomised multicentric phase II study of prolonged adjuvant Temozolomide versus "stop and go" in glioblastoma patients. This study will include a total of 70 patients. The study will determine the time to progression under TMZ, overall survival,progression-free survival (PFS),quality of life of patients. It will also determine the toxicity,response rate of Temozolomide in rechallenge arm and if the MGMT gene status can predict a benefit of TMZ in terms of PFS.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with histologically confirmed diagnosis of GBM. 2) Availability of pre-treatment GBM tissue to determine the activation status of MGMT gene is not mandatory but strongly recommended 3) Patients must have received radiation and TMZ for 6 weeks followed by 6 months of TMZ. Randomization should be performed within the 6 weeks after the last chemotherapy. 4) A brain MRI with or without a PET-Scan-methionine postive must be performed before enrollment. 5) Age = 18 years 6) Karnofsky Performance status =70 7) Normal haematological functions: ANC =1.5*109cells/l, platelets =100*109 cells/l 8) Normal liver function: total bilirubin =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: All non inclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine whether prolonged administration of Temozolomide in glioblastoma patients increase their progression-free and overall survival at 6 months. ;Secondary Objective: 1)To assess the safety and adverse event profile of prolonged adjuvant Temozolomide by using Common Terminology Criteria for Adverse Events (CTCAE 3.0). 2)To compare the Health-Related Quality of Life of the patients randomized in the two treatment arms by using the EORTC QLQ-C30 questionnaire and to study chages of QoL over time. 3)To measure the overall tumor response in patients when they are rechallenge with Temozolomide in the Stop and Go arm. 4)To measure the time to progression under Temozolomide in the Stop and Go arm. 5)To compare the time to progression under Temozolomide defined as the time between randomization and progression under Temozolomide between the two randomized treatment arms. 6)To determine if MGMT gene methylation status can predict a benefit of Temozolomide treatment in terms of Progression-Free Survival (both arms) and tumor response (only in the Stop and Go arm). ;Primary end point(s): 1)Time to progression under TMZ defined as the time between randomisation and progression under Temozolomide. | — |
Countries
Belgium