Glioblastoma Multiforme
Conditions
Keywords
Cetuximab
Brief summary
GERT is a one-armed single-center phase I/II trial. In a first step, dose-escalation of TMZ from 50 mg/m2 to 75mg/m2 together with radiotherapy and cetuximab will be performed. Should safety be proven, the phase II trial will be initiated with the standard dose of 75mg/m2 of TMZ. Cetuximab will be applied in the standard application dose of 400mg/m2 in week 1, thereafter at a dose of 250mg/m2 weekly. A total of 46 patients will be included into this phase I/II trial. Primary endpoints are feasibility and toxicity, secondary endpoints are overall and progression-free survival. An interim analysis will be performed after inclusion of 15 patients into the main study. Patients' enrolment will be performed over a period of 2 years. The observation time will end 2 years after inclusion of the last patient.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* \>= 18 and \< 70 years of age * Karnofsky Performance Score \>= 60 * histologically confirmed supratentorial GBM * interval between primary diagnosis and registration for the study \< 4 weeks * patients will be included according to the incidental gender distribution for patients with GBM of ♀/♂ 2:3 * adequate blood values (not older than 14 days prior to initiation of RCHT) * neutrophil count (ANC) ≥1500/mm3 or white blood cells (WBC) ≥2000/mm3 * platelets ≥100.000/mm3 * hemoglobin ≥10g/dL * BUN \<1.5 times the upper range * Total and direct bilirubin \<1.5times the upper laboratory limit * Adequate liver enzymes \<3 times the upper laboratory limit * Life expectancy \>12 weeks * Written informed consent
Exclusion criteria
* refusal of the patients to take part in the study * previous radiotherapy of the brain or chemotherapy with DTIC or TMZ * known allergy against extrinsical proteins * previous chemotherapy or therapy with an EGFR-inhibitor * Previous antibody therapy * Patients who have not yet recovered from acute toxicities of prior therapies * Acute infections requiring systemic application of antibiotics * Frequent vomiting or a medical condition preventing the oral application of TMZ * Clinically active kidney- liver or cardiac disease * Known carcinoma \< 5 years ago (excluding Carcinoma in situ of the cervix, basal cell carcinoma, squamous cell carcinoma of the skin) * HIV * Pregnant or lactating women * Participation in another clinical study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Toxicity | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival | — |
Countries
Germany