cropped color_logo_with_background.png

Temozolomide and Procarbazine With Cilengitide for Patients With Glioblastoma Multiforme Without Methylation of the MGMT Promoter Gene

Study Purpose

Cilengitide 2000 mg flat i.v. twice weekly is administered over a period of 18 months without interruption. Starting one week after the initiation of Cilengitide, RTX (60 Gy, 2 Gy per fraction) with concurrent daily temozolomide (60 mg/m2 p.o.) and daily procarbazine (PCB, 50 mg p.o. if BSA < 1.7; 100 mg p.o. if BSA ≥ 1.7) is given over a period of 6 weeks (RTX Monday to Friday, both TMZ and PCB seven days a week). After a break of 4 weeks, adjuvant TMZ (50mg/m2 p.o in first cycle, 60 mg/m2 p.o. in subsequent cycles) and PCB (50 mg p.o. if BSA < 1.7; 100 mg p.o. if BSA ≥ 1.7) are then given daily D1 to 20. This TMZ/PCB cycle is repeated every 28 days over a total period of 6 cycles.

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

Inclusion Criteria:

1. Newly diagnosed supratentorial GBM (WHO Grade IV,including GBM subtypes, e.g. gliosarcoma), histopathologically confirmed by central assessment as part of the screening for the CENTRIC trial. 2. Males or females ≥18 years of age. 3. Proven unmethylated MGMT gene promoter status, centrally assessed as part of the screening for the CENTRIC trial. 4. Written informed consent for the present trial obtained before undergoing any study-related activities. The informed consent also allows access to all information obtained during the screening for the CENTRIC trial, notably the result of the MGMT testing. 5. Available post-operative Gd-MRI performed within <48 hours after surgery (in case it was not possible to obtain a Gd-MRI within <48 hours post surgery, a Gd-MRI is to be performed prior to randomization). 6. Stable or decreasing dose of steroids for >5 days prior to randomization. 7. ECOG PS of 0-1. 8. Interval of ≥2 weeks but ≤7 weeks after surgery or biopsy before first administration of study treatment. 9. Meets one of the following RPA classifications:
  • - Class III (age <50 years and ECOG PS 0).
  • - Class IV (meeting one of the following criteria: 1.
Age <50 years and ECOG PS 1 or. 2. Age ≥50 years, underwent prior partial or total tumor resection, Mini Mental State Examination [MMSE]≥27).
  • - Class V (meeting one of the following criteria: 1.
Age ≥50 years and underwent prior partial or total tumour resection, MMSE <27 or. 2. Age ≥50 years and underwent prior tumor biopsy only). 10. Laboratory values (within 2 week prior to randomization):
  • - Absolute neutrophil count ≥1500/mm3.
  • - Platelets ≥ 100,000/mm3.
  • - Creatinine ≤1.5 x upper limit of normal (ULN) or creatinine clearance rate ≥60 mL/min.
  • - Prothrombin time (PT) international normalized ratio (INR) and partial thromboplastin time (PTT) within normal limits.
  • - Hemoglobin ≥10 g/dL.
  • - Total bilirubin ≤1.5 x the ULN.
  • - Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x ULN(except when attributable to anticonvulsants).
  • - Alkaline phosphatase ≤ 2.5 x ULN.
Exclusion criteria.Subjects are not eligible for this study, if they fulfill one or more of the following

exclusion criteria:

1. Prior chemotherapy within the last 5 years. 2. Prior RTX of the head. 3. Receiving concurrent investigational agents or has received an investigational agent(s) within the past 30 days prior to the first dose of Cilengitide . 4. Prior systemic antiangiogenic therapy. 5. Placement of Gliadel® wafer at surgery. 6. Treatment with a prohibited concomitant medication. 7. Planned surgery for other diseases (e.g. dental extraction). 8. History of recent peptic ulcer disease (endoscopically proven gastric ulcer, duodenal ulcer, or esophageal ulcer) within 6 months of enrollment. 9. History of malignancy. Subjects with curatively treated cervical carcinoma in situ or basal cell carcinoma of the skin, or subjects who have been free of other malignancies for ≥ 5 years are eligible for this study. 10. History of coagulation disorder associated with bleeding or recurrent thrombotic events. 11. Clinically manifest myocardial insufficiency (NYHA III, IV) or history of myocardial infarction during the past 6 months. Uncontrolled arterial hypertension. 12. Concurrent illness, including severe infection, which may jeopardize the ability of the subject to receive the procedures outlined in this protocol with reasonable safety. 13. Subject is pregnant (positive serum beta human chorionic gonadotropin [β-HCG] test at screening) or is currently breast-feeding, anticipates becoming pregnant/ impregnating their partner during the study or within 6 months after study participation, or subject does not agree to follow acceptable methods of birth control, such as hormonal contraception, intra-uterine pessar, condoms or sterilization, to avoid conception during the study and for at least 6 months after receiving the last dose of study treatment. 14. Current alcohol dependence or drug abuse. 15. Known hypersensitivity to the study treatment. 16. Legal incapacity or limited legal capacity. 17. Inability to undergo Gd-MRI. 18. Presence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule. 19. Signs and symptoms suggestive of transmissible spongiform encephalopathy, or of family members who suffer(ed) from such.

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.

NCT01124240
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.

Northern Sydney and Central Coast Area Health Service
Principal Investigator

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

N/A
Principal Investigator Affiliation N/A
Agency Class

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

Other, Industry
Overall Status Unknown status
Countries Australia
Conditions

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

Newly Diagnosed Non Methylated Glioblastoma Multiforme Grade 4

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.

International Sites

Royal North Shore Hospital, Sydney, New South Wales, Australia

Status

Recruiting

Address

Royal North Shore Hospital

Sydney, New South Wales, 2065

Site Contact

Sally McCowatt, Rn

[email protected]

61299265049