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High-Dose Methotrexate and Leucovorin in Treating Patients With Newly Diagnosed Glioblastoma Multiforme

Study Purpose

RATIONALE: Drugs used in chemotherapy, such as methotrexate, work in different ways to stop tumor cells from dividing so they stop growing or die. Leucovorin may decrease side effects caused by high-dose methotrexate. PURPOSE: This phase II trial is studying how well giving high-dose methotrexate together with leucovorin works in treating patients with newly diagnosed glioblastoma multiforme.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

DISEASE CHARACTERISTICS:

  • - Histologically confirmed glioblastoma multiforme (GBM) - Supratentorial grade IV disease.
  • - Measurable and contrast-enhancing disease ≥ 1 cm by CT scan or MRI.
  • - No radiographic evidence of ascites or pleural effusion.
PATIENT CHARACTERISTICS: Age.
  • - 18 and over.
Performance status.
  • - ECOG 0-2.
Life expectancy.
  • - Not specified.
Hematopoietic.
  • - Absolute neutrophil count ≥ 1,500/mm^3.
  • - Platelet count ≥ 100,000/mm^3.
Hepatic.
  • - SGOT ≤ 4.0 times upper limit of normal.
  • - Bilirubin ≤ 2.0 mg/dL.
Renal.
  • - Creatinine ≤ 2.0 mg/dL.
  • - Creatinine clearance ≥ 50 mL/min.
Cardiovascular.
  • - No uncontrolled hypertension.
  • - No unstable angina.
  • - No symptomatic congestive heart failure.
  • - No uncontrolled cardiac arrhythmia.
  • - No myocardial infarction within the past 6 months.
Other.
  • - Not pregnant or nursing.
  • - Negative pregnancy test.
  • - Fertile patients must use effective contraception.
  • - Able to achieve hydration.
  • - No diabetes insipidus.
  • - No known hypersensitivity to methotrexate or leucovorin calcium.
  • - No concurrent serious infection or medical illness that would preclude study participation.
  • - No other malignancy within the past 2 years except basal cell or squamous cell skin cancer or carcinoma in situ of the cervix.
PRIOR CONCURRENT THERAPY: Biologic therapy.
  • - No prior immunotherapy for GBM.
  • - No prior administration of any of the following biologic agents for GBM: - Immunotoxins.
  • - Immunoconjugates.
  • - Antisense therapy.
  • - Peptide receptor antagonists.
  • - Interferons.
  • - Interleukins.
  • - Tumor-infiltrating lymphocytes.
  • - Lymphokine-activated killer cells.
  • - Gene therapy.
  • - No concurrent prophylactic growth factors (e.g., filgrastim [G-CSF] or sargramostim [GM-CSF]) Chemotherapy.
  • - No prior chemotherapy for GBM.
  • - No other concurrent chemotherapy.
Endocrine therapy.
  • - Prior glucocorticoid therapy allowed.
  • - No prior hormonal therapy for GBM.
  • - Patients must be maintained on a stable corticosteroid regimen for at least 1 week.
Radiotherapy.
  • - No prior cranial irradiation.
  • - No prior radiotherapy for GBM.
Surgery.
  • - Recovered from prior surgery.
Other.
  • - At least 1 week since prior treatment with any of the following: - Salicylates.
  • - Non-steroidal anti-inflammatory drugs.
  • - Sulfonamide medications.
  • - Vitamin C.
- No other concurrent investigational agents

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT00082797
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Eastern Cooperative Oncology Group
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Stuart A. Grossman, MDJana Portnow, MD
Principal Investigator Affiliation Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsCity of Hope Comprehensive Cancer Center
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other, NIH
Overall Status Completed
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Brain and Central Nervous System Tumors
Additional Details

OBJECTIVES: Primary.

  • - Determine the response in patients with newly diagnosed glioblastoma multiforme treated with high-dose methotrexate and leucovorin calcium.
Secondary.
  • - Determine the acute toxicity of this regimen in these patients.
  • - Determine the duration of survival of patients treated with this regimen.
OUTLINE: This is a multicenter study. Patients receive high-dose methotrexate IV over 4 hours on day 1 and oral or IV leucovorin calcium every 6 hours beginning on day 2 and continuing until blood methotrexate levels are acceptable. Treatment repeats every 14 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients then receive standard radiotherapy with or without chemotherapy. Patients with disease progression proceed to standard radiotherapy with or without chemotherapy upon stopping methotrexate therapy. Patients are followed at 30 days and then every 2 months for up to 2 years. PROJECTED ACCRUAL: A total of 19-36 patients will be accrued for this study.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Rush-Copley Cancer Care Center, Aurora, Illinois

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Rush-Copley Cancer Care Center

Aurora, Illinois, 60507

St. Joseph Medical Center, Bloomington, Illinois

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St. Joseph Medical Center

Bloomington, Illinois, 61701

Graham Hospital, Canton, Illinois

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Graham Hospital

Canton, Illinois, 61520

Memorial Hospital, Carthage, Illinois

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Memorial Hospital

Carthage, Illinois, 62321

Chicago, Illinois

Status

Address

Robert H. Lurie Comprehensive Cancer Center at Northwestern University

Chicago, Illinois, 60611-3013

Hematology and Oncology Associates, Chicago, Illinois

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Address

Hematology and Oncology Associates

Chicago, Illinois, 60611

University of Illinois Cancer Center, Chicago, Illinois

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University of Illinois Cancer Center

Chicago, Illinois, 60612-7243

Chicago, Illinois

Status

Address

Veterans Affairs Medical Center - Chicago Westside Hospital

Chicago, Illinois, 60612

Mercy Hospital and Medical Center, Chicago, Illinois

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Mercy Hospital and Medical Center

Chicago, Illinois, 60616

Swedish Covenant Hospital, Chicago, Illinois

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Swedish Covenant Hospital

Chicago, Illinois, 60625

Eureka Community Hospital, Eureka, Illinois

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Eureka Community Hospital

Eureka, Illinois, 61530

Galesburg Clinic, Galesburg, Illinois

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Galesburg Clinic

Galesburg, Illinois, 61401

Galesburg Cottage Hospital, Galesburg, Illinois

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Galesburg Cottage Hospital

Galesburg, Illinois, 61401

Mason District Hospital, Havana, Illinois

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Mason District Hospital

Havana, Illinois, 62644

Hopedale Medical Complex, Hopedale, Illinois

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Hopedale Medical Complex

Hopedale, Illinois, 61747

Midwest Center for Hematology/Oncology, Joliet, Illinois

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Midwest Center for Hematology/Oncology

Joliet, Illinois, 60432

Joliet, Illinois

Status

Address

Joliet Oncology-Hematology Associates, Limited - West

Joliet, Illinois, 60435

Kewanee Hospital, Kewanee, Illinois

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Kewanee Hospital

Kewanee, Illinois, 61443

Libertyville, Illinois

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Address

North Shore Oncology and Hematology Associates, Limited - Libertyville

Libertyville, Illinois, 60048

McDonough District Hospital, Macomb, Illinois

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McDonough District Hospital

Macomb, Illinois, 61455

Northwest Medical Specialist, PC, Niles, Illinois

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Northwest Medical Specialist, PC

Niles, Illinois, 60714

BroMenn Regional Medical Center, Normal, Illinois

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BroMenn Regional Medical Center

Normal, Illinois, 61761

Community Cancer Center, Normal, Illinois

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Community Cancer Center

Normal, Illinois, 61761

Community Hospital of Ottawa, Ottawa, Illinois

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Community Hospital of Ottawa

Ottawa, Illinois, 61350

Ottawa, Illinois

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Address

Oncology Hematology Associates of Central Illinois, PC - Ottawa

Ottawa, Illinois, 61350

Pekin, Illinois

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Cancer Treatment Center at Pekin Hospital

Pekin, Illinois, 61554

Proctor Hospital, Peoria, Illinois

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Proctor Hospital

Peoria, Illinois, 61614

Peoria, Illinois

Status

Address

CCOP - Illinois Oncology Research Association

Peoria, Illinois, 61615

Peoria, Illinois

Status

Address

Oncology Hematology Associates of Central Illinois, PC - Peoria

Peoria, Illinois, 61615

Methodist Medical Center of Illinois, Peoria, Illinois

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Address

Methodist Medical Center of Illinois

Peoria, Illinois, 61636

OSF St. Francis Medical Center, Peoria, Illinois

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OSF St. Francis Medical Center

Peoria, Illinois, 61637

Illinois Valley Community Hospital, Peru, Illinois

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Illinois Valley Community Hospital

Peru, Illinois, 61354

Perry Memorial Hospital, Princeton, Illinois

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Perry Memorial Hospital

Princeton, Illinois, 61356

Swedish-American Regional Cancer Center, Rockford, Illinois

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Swedish-American Regional Cancer Center

Rockford, Illinois, 61104-2315

Hematology Oncology Associates - Skokie, Skokie, Illinois

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Hematology Oncology Associates - Skokie

Skokie, Illinois, 60076

Skokie, Illinois

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Hematology/Oncology of the North Shore at Gross Point Medical Center

Skokie, Illinois, 60076

Skokie, Illinois

Status

Address

Midwest Cancer Research Group, Incorporated

Skokie, Illinois, 60077

St. Margaret's Hospital, Spring Valley, Illinois

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St. Margaret's Hospital

Spring Valley, Illinois, 61362

Urbana, Illinois

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Address

Carle Cancer Center at Carle Foundation Hospital

Urbana, Illinois, 61801

CCOP - Carle Cancer Center, Urbana, Illinois

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Address

CCOP - Carle Cancer Center

Urbana, Illinois, 61801

Saint Anthony Memorial Health Centers, Michigan City, Indiana

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Saint Anthony Memorial Health Centers

Michigan City, Indiana, 46360

Baltimore, Maryland

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Address

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, 21231-2410

Borgess Medical Center, Kalamazoo, Michigan

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Address

Borgess Medical Center

Kalamazoo, Michigan, 49001

West Michigan Cancer Center, Kalamazoo, Michigan

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Address

West Michigan Cancer Center

Kalamazoo, Michigan, 49007-3731

Bronson Methodist Hospital, Kalamazoo, Michigan

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Address

Bronson Methodist Hospital

Kalamazoo, Michigan, 49007

Fairview Ridges Hospital, Burnsville, Minnesota

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Address

Fairview Ridges Hospital

Burnsville, Minnesota, 55337

Coon Rapids, Minnesota

Status

Address

Mercy and Unity Cancer Center at Mercy Hospital

Coon Rapids, Minnesota, 55433

Fairview Southdale Hospital, Edina, Minnesota

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Fairview Southdale Hospital

Edina, Minnesota, 55435

Fridley, Minnesota

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Address

Mercy and Unity Cancer Center at Unity Hospital

Fridley, Minnesota, 55432

Maplewood, Minnesota

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Address

Minnesota Oncology Hematology, PA at Maplewood Cancer Center

Maplewood, Minnesota, 55109

Minneapolis, Minnesota

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Address

Virginia Piper Cancer Institute at Abbott-Northwestern Hospital

Minneapolis, Minnesota, 55407

Robbinsdale, Minnesota

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Hubert H. Humphrey Cancer Center at North Memorial Medical Center

Robbinsdale, Minnesota, 55422-2900

CCOP - Metro-Minnesota, Saint Louis Park, Minnesota

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CCOP - Metro-Minnesota

Saint Louis Park, Minnesota, 55416

Park Nicollet Health Services, Saint Louis Park, Minnesota

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Park Nicollet Health Services

Saint Louis Park, Minnesota, 55416

United Hospital, Saint Paul, Minnesota

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United Hospital

Saint Paul, Minnesota, 55102

Ridgeview Medical Center, Waconia, Minnesota

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Ridgeview Medical Center

Waconia, Minnesota, 55387

Woodbury, Minnesota

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Minnesota Oncology Hematology, PA - Woodbury

Woodbury, Minnesota, 55125

Case Comprehensive Cancer Center, Cleveland, Ohio

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Case Comprehensive Cancer Center

Cleveland, Ohio, 44106

Allentown, Pennsylvania

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Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest

Allentown, Pennsylvania, 18105

Avera Cancer Institute, Sioux Falls, South Dakota

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Avera Cancer Institute

Sioux Falls, South Dakota, 57105

Medical X-Ray Center, PC, Sioux Falls, South Dakota

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Medical X-Ray Center, PC

Sioux Falls, South Dakota, 57105

Sioux Falls, South Dakota

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Sioux Valley Hospital and University of South Dakota Medical Center

Sioux Falls, South Dakota, 57117-5039

Charleston, West Virginia

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West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division

Charleston, West Virginia, 25304

Morgantown, West Virginia

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Mary Babb Randolph Cancer Center at West Virginia University Hospitals

Morgantown, West Virginia, 26506

Marshfield Clinic - Marshfield Center, Marshfield, Wisconsin

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Marshfield Clinic - Marshfield Center

Marshfield, Wisconsin, 54449