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A Phase I/II trial of Temozolomide and ACNU Combination Chemotherapy for Patients with Recurrent Malignant Glioma

Phase 1
Conditions
recurrent malignant glioma
Registration Number
JPRN-UMIN000006334
Lead Sponsor
Department of Neurosurgery Kyoto University Graduate School of Medicine
Brief Summary

Eligible patients: 49(I:15, II:40). Median age: 50. Histology: glioblastoma(73%), anaplastic astrocytoma(22%), anaplastic oligodendroglioma(4%). Phase I: MTD: TMZ 150 mg/m2 plus ACNU 40 mg/m2. Phase II: Toxicity: mainly grade 3 or 4 hematological. PFS at 6 and 12 months: 24%(95% CI, 12-35%) and 8% (95% CI, 4-15%). Median PFS: 13 months (95% CI, 9.2-17.2 months). OS at 6 and 12: 78% (95% CI, 67-89%) and 49% (95% CI, 33-57%). Median OS: 11.8 months (95% CI, 8.2-14.5 months).

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
49
Inclusion Criteria

Not provided

Exclusion Criteria

1) After two chemotherapy regimens 2) Co-existence of uncured cancer. 3) Infection with systemic therapy indicated 4) fever over 38 degrees Celsius 5) Co-existence of meningitis 6) Women during pregnancy, possible pregnancy or breast-feeding 7) Psychosis 8) Uncontrollable diabetes mellitus or administration of insulin 9) Unstable angina within 3 weeks, or with a history of myocardial infarction within 6 months 10) Interstitial pneumonia, or fibroid lung 11) Patients who can 't receive gadolinium 12) After stereotactic radiation or boron neutron capture therapy 13) Symptomatic cerebrovascular disease

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Safety
Secondary Outcome Measures
NameTimeMethod
progression-free survival, response rate, adverse events
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