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High Light and Low Light Dose PDT in Glioma

Phase 3
Completed
Conditions
Brain and Central Nervous System Tumors
Interventions
Procedure: adjuvant therapy
Procedure: conventional surgery
Registration Number
NCT00118222
Lead Sponsor
Case Comprehensive Cancer Center
Brief Summary

RATIONALE: Photodynamic therapy uses a drug, such as porfimer sodium, that becomes active when it is exposed to a certain kind of light. When the drug is active, tumor cells are killed. Giving photodynamic therapy after surgery may kill any remaining tumor cells.

PURPOSE: This randomized clinical trial is studying two different light doses of photodynamic therapy using porfimer sodium to compare how well they work in treating patients who are undergoing surgery for recurrent malignant astrocytoma.

Detailed Description

OBJECTIVES:

* Compare survival of patients undergoing surgical resection for recurrent high-grade malignant supratentorial astrocytoma treated with intraoperative high vs low light dose photodynamic therapy using porfimer sodium.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center. Patients are randomized to 1 of 2 treatment arms.

All patients receive porfimer sodium IV. One day later, patients undergo craniotomy and tumor resection.

* Arm I: During surgery, patients receive low light dose photodynamic therapy.

* Arm II: During surgery, patients receive high light dose photodynamic therapy. After completion of study treatment, patients are followed at 1 day, 6 weeks, and 3 months and then every 3 months for up to 2 years.

PROJECTED ACCRUAL: Approximately 120 patients will be accrued for this study within 4-5 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Low light dose during surgeryadjuvant therapyArm I: During surgery, patients receive low light dose photodynamic therapy.
Low light dose during surgeryconventional surgeryArm I: During surgery, patients receive low light dose photodynamic therapy.
High light dose during surgeryadjuvant therapyArm II: During surgery, patients receive high light dose photodynamic therapy.
High light dose during surgeryconventional surgeryArm II: During surgery, patients receive high light dose photodynamic therapy.
Low light dose during surgeryporfimer sodiumArm I: During surgery, patients receive low light dose photodynamic therapy.
High light dose during surgeryporfimer sodiumArm II: During surgery, patients receive high light dose photodynamic therapy.
Primary Outcome Measures
NameTimeMethod
Time to progression and survival measuredat 4-6 weeks post-operatively and then every 3-4 months thereafter
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

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