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Bevacizumab in Combination With Metronomic Temozolomide for Recurrent Malignant Glioma

Information source: Duke University
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Glioblastoma Multiforme

Intervention: Bevacizumab (Drug); Metronomic Temozolomide (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Duke University

Official(s) and/or principal investigator(s):
Annick Desjardins, MD, Principal Investigator, Affiliation: Duke University Health System

Summary

This is a phase II study of the combination of Avastin and metronomic temozolomide in recurrent malignant glioma patients. The primary objective will be to determine the efficacy of Avastin (bevacizumab) and metronomic temozolomide in malignant glioma patients. The secondary objective will be to determine the safety of Avastin, 10 mg/kg every other week, in combination with metronomic temozolomide in terms of progression-free survival.

Clinical Details

Official title: A Phase II Study of Bevacizumab in Combination With Metronomic Temozolomide for Recurrent Malignant Glioma

Study design: Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: 6-Month Progression-free Survival

Secondary outcome:

Response Rate

Incidence and Severity of CNS Hemorrhage and Systemic Hemorrhage

Incidence of Grade ≥ 4 Hematologic or Grade ≥ 3 Non-hematologic Toxicity

Detailed description: This is a phase II trial of the combination of Avastin and metronomic temozolomide in recurrent WHO grade IV malignant glioma patients. Patients will receive up to 12 cycles of Avastin and temozolomide and cycles are continuous 28 days. Patients will receive daily temozolomide at a dose of 50mg/m2 and will receive Avastin every other week at a dose of 10mg/kg. Patients will be required to have a baseline MRI within 2 weeks of starting treatment and a repeat MRI every 8 weeks. A total of 32 patients will be enrolled at Duke. Patients with recurrent malignant gliomas have a very poor prognosis, so new therapies are needed. Given the activity of metronomic temozolomide and the safety and activity of Avastin against malignant glioma, it is reasonable to study the combination in recurrent malignant glioma patients.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Patients must have histologically confirmed diagnosis of WHO grade IV primary

malignant glioma

- Karnofsy Performance Status (KPS) >/= 60%

- Evidence of measurable primary CNS neoplasm on contrast-enhanced MRI.

- An interval of at least 4 weeks between prior surgical resection or 1 week from a

biopsy and enrollment on this protocol

- An interval of at least 4 weeks from the end of prior radiotherapy or one week from

the end of a cycle of chemotherapy and enrollment on this protocol.

- No evidence of CNS hemorrhage on the baseline MRI or CT scans

Exclusion Criteria:

- Life expectancy < 8 weeks

- Pregnancy or breast feeding

- Progression to metronomic temozolomide, defined as tumor progression while taking

daily temozolomide or progression within 4 weeks of stopping metronomic temozolomide

- Inadequately controlled hypertension (defined as systolic blood pressure >150 and/or

diastolic blood pressure > 100 mmHg on antihypertensive medications)

Locations and Contacts

Duke University Medical Center (Brain Tumor Center), Durham, North Carolina 27710, United States
Additional Information

The Preston Robert Tisch Brain Tumor Center at Duke

Starting date: July 2007
Last updated: May 17, 2013

Page last updated: August 23, 2015

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