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Epothilone ZK-219477 in Treating Patients With Recurrent Glioblastoma

Phase II Study of ZK 219477 in Patients With Recurrent Glioblastoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00424060
Enrollment
38
Registered
2007-01-18
Start date
2006-12-31
Completion date
Unknown
Last updated
2012-09-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Brain and Central Nervous System Tumors

Keywords

adult glioblastoma, recurrent adult brain tumor, adult giant cell glioblastoma, adult gliosarcoma

Brief summary

RATIONALE: Drugs used in chemotherapy, such as epothilone ZK-219477, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. PURPOSE: This phase II trial is studying how well epothilone ZK-219477 works in treating patients with recurrent glioblastoma.

Detailed description

OBJECTIVES: Primary * Assess the therapeutic activity of epothilone ZK-219477 in patients with recurrent glioblastoma. Secondary * Determine the safety profile, mechanism of action, and pharmacokinetics of this drug in these patients. * Gather information about the biological characteristics of the patients' tumor that may provide information on response or resistance to this drug. OUTLINE: This is a nonrandomized, open-label, multicenter study. Patients receive epothilone ZK-219477 IV over 3 hours on day 1. Treatment repeats every 3 weeks in the absence of disease progression or unacceptable toxicity. Blood samples are collected at baseline for biomarker analysis and for comparison of genetic alterations in tumor tissue with germline DNA. Blood samples are also collected periodically during course 1 for pharmacokinetic studies. Tumor tissue obtained at diagnosis, and possibly recurrence, is used for immunohistochemical analyses for biomarkers. Fluorescent in situ hybridization (FISH) is used to detect genetic alterations and gene expression. After completion of study treatment, patients are followed every 3 months. PROJECTED ACCRUAL: A total of 35 patients will be accrued for this study.

Interventions

DRUGsagopilone
GENETICfluorescence in situ hybridization
GENETICgene expression analysis
OTHERimmunohistochemistry staining method
OTHERlaboratory biomarker analysis
OTHERpharmacological study

Sponsors

European Organisation for Research and Treatment of Cancer - EORTC
Lead SponsorNETWORK

Study design

Allocation
NON_RANDOMIZED
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed glioblastoma * Presence of oligodendroglial elements allowed provided they make up \< 25% of tumor * Measurable disease, defined as ≥ 1 bidimensionally measurable target lesion with a largest diameter of ≥ 2 cm by MRI within the past 2 weeks * Recurrent disease * Documented by MRI after failing prior therapy (usually standard radiotherapy with concurrent and maintenance temozolomide) * Subsequent histologic confirmation of recurrence required for patients who received prior high-dose radiotherapy (\> 65 Gy), stereotactic radiosurgery, or internal radiotherapy * Multifocal disease that is not amenable to radiotherapy allowed provided the patient received no more than 1 line of prior chemotherapy PATIENT CHARACTERISTICS: * WHO performance status 0-2 * Absolute neutrophil count ≥ 1,500/mm³ * Platelet count ≥ 100,000/mm³ * Bilirubin \< 1.5 times upper limit of normal (ULN) * AST and ALT \< 2.5 times ULN * Alkaline phosphatase \< 2.5 times ULN * Creatinine \< 1.5 times ULN * Clinically normal cardiac function * No ischemic heart disease within the past 12 months * Stable ischemic heart disease (e.g., treated angina that is stable under appropriate therapy) allowed * No New York Heart Association class III or IV cardiac insufficiency * No unstable angina * No arrhythmia * No psychological, familial, sociological, or geographical factors that would preclude study compliance * No other malignancy except cone-biopsied carcinoma of the cervix or adequately treated basal cell or squamous cell skin cancer * Not pregnant or nursing * Negative pregnancy test * Fertile female patients must use effective contraception during and for 3 months after completion of study treatment * Fertile male patients must use effective contraception during and for 6 months after completion of study treatment PRIOR CONCURRENT THERAPY: * See Disease Characteristics * At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) * More than 3 months since prior radiotherapy to the brain * More than 3 months since prior surgery for recurrent primary brain tumor unless 1 of the following criteria are met: * Measurable residual disease documented by immediate (within 72 hours) postoperative imaging * Evidence of a progressive and measurable target lesion found at postoperative follow-up * Presence of a second measurable target lesion outside the surgical area * Prior adjuvant temozolomide as first-line therapy allowed * No prior chemotherapy for recurrent glioblastoma * One prior chemotherapy regimen given as adjuvant therapy allowed * Concurrent corticosteroids allowed provided dose is stable or decreasing for ≥ 1 week * No concurrent phenytoin, carbamazepine, or phenobarbital * No concurrent Hypericum perforatum (St. John's wort) * No concurrent enzyme-inducing antiepileptic drugs (EIAEDs) * Patients on EIAEDs should have been switched to non-EIAEDs with a wash-out period of ≥ 1 month * No other concurrent anticancer agents (except alternative or homeopathic medicine) * No other concurrent investigational treatment

Design outcomes

Primary

MeasureTime frame
Treatment success (complete or partial response or a progression-free survival at 6 months)

Secondary

MeasureTime frame
Objective response
Duration of response
Toxicity
Progression-free survival at 6 months
Overall survival at 6 and 12 months

Countries

Switzerland

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026