Safety and Efficacy Study of Intracranially Implanted Carmustine to Treat Newly Diagnosed Malignant Glioma

Registration Number
NCT01656980
Lead Sponsor
Shandong Lanjin Pharmaceuticals Co.,Ltd
Brief Summary

The purpose of the study is to determine the safety and efficacy of intracranially implanted Carmustine in the treatment of patients with primary malignant glioma.

Detailed Description

Malignant gliomas recur mostly 2 cm within originated area. Local therapies therefore become particular important. Gliadel wafer developed in the States and marketed in the developed countries is an example of such treatments. The product in this study, Carmustine Sustained Release Implant (CASANT), is similar to that of Gliadel wafer as for the API(Active P...

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
236
Inclusion Criteria
  • Confirmation of high grade glioma(WHO III or above)by frozen or squash preparation;
  • Patients must be 18 to 70 years old, signed ICF;
  • At least 4 weeks after previous chemotherapy (6 weeks since nitrosoureas);
  • KPS ≥ 60;
  • Unilateral, Supratentorial, solitary lesion and not crossing the midline
  • No obvious important organ dysfunction: Hepatic function:Serum total bilirubin ≤1.5 times upper limit of laboratory normal; Aspartate aminotransferase (AST) and/or Alanine aminotransferase (ALT)<2.5 times upper limit of laboratory normal; Renal function:Serum creatinine ≤1.5 times upper limit of laboratory normal;
  • Not Pregnant or lactating for women of childbearing potential.
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Exclusion Criteria
  • Underwent cytoreductive surgery(excluded stereotactic biopsy);
  • With chemotherapy or brain radiotherapy history;
  • Tumor located at ventricular system, Open ventricle tumor cavity postoperatively;
  • Concomitant with other life-threatening diseases and with life expectancy <12 months;
  • Allergic to nitrosourea drugs;
  • With history of intracranial radiotherapy or implant chemotherapy;
  • With serious cardiac, pulmonary, hepatic and renal dysfunction, poor glycemic control;
  • Experienced > 3 times of Large epilepsy within one month preoperatively.
  • Investigators thought unsuitable for enrollment.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Carmustine Sustained Release ImplantCarmustineFor subjects in this group, they will accept intracranially implanted carmustine intraoperatively.
Tumor Resection Surgerytumor resection surgeryFor subjects in this control group, they accept no implants while gliomas maximally be resected.
Primary Outcome Measures
NameTimeMethod
Overall Survival15 months
Secondary Outcome Measures
NameTimeMethod
Progress Free Survival15 months
Overall Survival Rate at 12 months15 months
Karnofsky Performance Status(KPS)15 months
Quality of Life(QOL)15 months
Safety of intracranially implanted carmustine after maximal tumor resection15 months

Occurrence rate of adverse event and serious adverse event revealed by laboratory test outcomes including blood routine and chemistry as well as physical examination, vital signs including blood pressure, temperature, respiratory rate , heart rate.

Trial Locations

Locations (1)

Beijing Tiantan Hospital Affiliated to Capital Medical University

🇨🇳

Beijing, Beijing, China

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