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Enzastaurin and Temozolomide in Treating Patients With Primary Gliomas

Phase I Study of Enzastaurin and Temozolomide in Patients With Gliomas

Status
UNKNOWN
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00516607
Enrollment
28
Registered
2007-08-15
Start date
2007-07-31
Completion date
Unknown
Last updated
2015-02-10

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

recurrent adult brain tumor, adult mixed glioma, adult anaplastic astrocytoma, adult anaplastic oligodendroglioma, adult glioblastoma, adult anaplastic ependymoma, adult giant cell glioblastoma, adult gliosarcoma, adult pineal gland astrocytoma

Brief summary

RATIONALE: Enzastaurin may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving enzastaurin together with temozolomide may kill more tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of enzastaurin when given together with temozolomide in treating patients with primary gliomas.

Detailed description

OBJECTIVES: * To assess if full doses of enzastaurin hydrochloride and temozolomide can be used in combination for the treatment of patients with primary gliomas. * To determine the recommended phase II dose. OUTLINE: This is a multicenter study. Patients receive oral enzastaurin hydrochloride once or twice daily on days 1-28\* and oral temozolomide once daily on days 1-5. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. NOTE: \*During the first course only, patients also receive enzastaurin hydrochloride on day -1. Patients undergo blood sample collection on day 22 of course 1 and on day 5 of course 2 for pharmacokinetic studies of enzastaurin hydrochloride. After completion of study treatment, patients are followed within 30 days and then every 3 months thereafter.

Interventions

DRUGtemozolomide
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 primary supratentorial glioma * WHO histologic grade 3 or 4 * Patients who have undergone prior treatment for low-grade glioma that has transformed to glioblastoma (biopsy proven) allowed * Amenable to standard temozolomide treatment * First or second recurrent disease after prior surgery and/or radiotherapy OR newly diagnosed disease that is not amenable to radiotherapy (e.g., multifocal disease) PATIENT CHARACTERISTICS: * ECOG or WHO performance status 0-2 * Hemoglobin ≥ 10.0 g/dL * Neutrophil count ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Bilirubin ≤ 1.5 x upper limit of normal (ULN) * Alkaline phosphatase and transaminases ≤ 2.5 x ULN * Serum creatinine \< 1.7 mg/dL * Not pregnant or lactating * Negative pregnancy test * Fertile patients must use effective contraception * Clinically normal cardiac function * No ischemic heart disease within the past 6 months * No clinically significant abnormalities or uncontrolled cardiac arrhythmia by ECG * QTc interval ≤ 450 msec (males) or ≤ 470 msec (females) by baseline 12-lead ECG * No history of congenital long QTc syndrome * No history of stroke * No other prior or concurrent malignancy within the past 5 years except cone biopsied carcinoma of the cervix or adequately treated basal or squamous cell skin carcinoma * No unstable systemic diseases * No active uncontrolled infections * No uncontrolled hypertension * No psychological, familial, sociological, or geographical condition that would preclude study participation * Must be able to swallow tablets PRIOR CONCURRENT THERAPY: * See Disease Characteristics * No more than 1 prior chemotherapy regimen in the adjuvant setting or for first recurrence * Prior temozolomide allowed provided there was no disease progression during temozolomide treatment or within 6 weeks of completing temozolomide treatment * Prior surgery for primary brain tumor within the past 3 months allowed * Patients who are receiving corticosteroid treatment must be on a stable or decreasing dose for at least 1 week before study entry * At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) * At least 14 days since prior and no concurrent enzyme-inducing antiepileptic drugs including, but not limited to, any of the following: * Phenytoin * Carbamazepine * Phenobarbital * More than 30 days since prior and no other concurrent investigational treatments * No concurrent anticoagulant treatment (e.g., warfarin) * Low molecular weight heparin for patients who require anticoagulant therapy after starting study treatment may be allowed * No concurrent routine use of colony-stimulating factors * No other concurrent anticancer agents

Design outcomes

Primary

MeasureTime frame
Recommended phase II dose
Dose-limiting toxicity

Secondary

MeasureTime frame
Response rate
Progression-free survival
Overall survival
Pharmacokinetics of enzastaurin hydrochloride alone and in combination with temozolomide

Countries

United Kingdom

Outcome results

None listed

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