Phase II Study of Lenalidomide and Radiation Therapy in Patients With Newly Diagnosed Glioblastoma Multiforme.

Dana-Farber Cancer Institute4 sites in 1 country23 target enrollmentSeptember 2005

ConditionsGlioblastoma Gliosarcoma Malignant Gliomas

Drugslenalidomide

Overview

Phase: Phase 2
Intervention: Not specified
Conditions: Glioblastoma
Sponsor: Dana-Farber Cancer Institute
Enrollment: 23
Locations: 4
Primary Endpoint: To determine the efficacy of lenalidomide with conventional radiation therapy in the treatment of patients with newly-diagnosed supratentorial glioblastoma or gliosarcoma.
Status: Completed
Last Updated: 16 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

The purpose of this study is to find out if the combination of lenalidomide and radiation therapy is effective in controlling tumor growth in patients with newly-diagnosed supratentorial glioblastoma or gliosarcoma.

Detailed Description

* Patients will receive lenalidomide orally once daily for 21 days followed by a one week rest period (this is equivalent to one cycle). * Four to seven days from the first dose of lenalidomide, the patient will start radiation therapy for approximately 6-7 weeks. * A neurologic exam and routine blood tests will be performed weekly while the patient is receiving radiation therapy. * Following the 11th week of treatment a MRI/CT scan will be performed to assess the status of the tumor. If there is no change, or there is shrinkage in the size of the tumor, the treatment will continue for another 4 week cycle. * The four week cycle will continue as long as the disease remains stable or improved and the patient does not develop intolerable side effects. A MRI/CT scan will be done every 2 cycles (8 weeks).

Registry

clinicaltrials.gov

Start Date

September 2005

End Date

July 2009

Last Updated

16 years ago

Study Type

Interventional

Study Design

Single Group

Sex

All

Investigators

Sponsor

Dana-Farber Cancer Institute

Eligibility Criteria

Inclusion Criteria

•Patients with histologically confirmed newly-diagnosed supratentorial glioblastoma multiforme (GBM) or gliosarcoma will be eligible for this protocol.
•The patient must have recovered from the effects of surgery, post-operative infections and other complications before entry into the study.
•Diagnosis will have been established by biopsy or resection no more than 28 days prior to registration.
•If tumor resection or open biopsy was performed, cranial MRI or contrast CT must have been performed before and after surgery. Imaging within 96 h of surgery is preferred but not required.
•If needle biopsy (stereotactic) was performed, gadolinium MRI or contrast CT within 14 days prior to registration is required. A post-operative scan is not required. The use of MRI rather than CT is preferred. The same type of scan, i.e., MRI or CT must be used throughout the period of protocol treatment for tumor measurement. Patients without measurable or assessable disease are eligible.
•Patients receiving steroids must be on stable or decreasing doses for at least 5 days prior to entry.
•Patients must have a plan to begin partial brain radiotherapy 4-7 days after beginning lenalidomide, and within 35 days of the surgical procedure that established the diagnosis.
•Radiotherapy must be at the Radiation Oncology Department of the registered institution.
•Patients must be willing to forego cytotoxic and non-cytotoxic drug therapy against the tumor while being treated with lenalidomide.
•All patients must sign an informed consent indicating that they are aware of the investigational nature of this study.

Exclusion Criteria

•Patient must not have had prior cranial radiation therapy.
•Patients must not have received prior cytotoxic drug therapy, non-cytotoxic drug therapy, or experimental drug therapy for brain tumors. Patients who received Gliadel wafers will be excluded.
•Patients must not have any significant medical illnesses that in the investigator's opinion cannot be adequately controlled with appropriate therapy or would compromise the patients ability to tolerate this therapy.
•Patients with a history of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix), unless in complete remission and off of all therapy for that disease for a minimum of 3 years are ineligible.
•Patients must not have active infection.
•Patients must not be pregnant/breast feeding and must agree to practice adequate contraception.
•Patients must not have any disease that will obscure toxicity or dangerously alter drug metabolism.
•Patients must not have serious concurrent medical illness.
•Patient with recent thromboembolic disease (deep vein thrombosis and pulmonary embolism) are eligible if they are clinically stable and the thromboembolic event occurred more than 2 weeks prior to enrollment into this protocol.
•Patients must not have metastases below the tentorium or beyond the cranial vault.

Outcomes

Primary Outcomes

To determine the efficacy of lenalidomide with conventional radiation therapy in the treatment of patients with newly-diagnosed supratentorial glioblastoma or gliosarcoma.

Time Frame: 3 years

Secondary Outcomes

To assess the proportion of patients treated with lenalidomide and radiation therapy surviving at 12 months(3 years)
to evaluate the time to tumor progression(3 years)
the radiologic response(3 years)
to determine the safety and toxicity of the combination of lenalidomide and radiation therapy.(3 years)