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Cerebrospinal fluid (CSF) and plasma pharmocokinetics of liposomal cytarabine (DepoCyte®) after intrathecal administration in children with malignant brain tumors and leptomeningeal disseminatio

Conditions
To measure concentrations of liposomal cytarabine in CSF and plasma over time after intrathecal administration of liposomal cytarabine in children of different age groups with a malignant brain tumor and leptomenigeal dissemination. Measurements of concentrations of cytarabine after intrathecal administration of liposomal cytarabine will help to ensure proper dosage of liposomal cytarabine in small children, avoiding neurotoxic events and subtherapeutic drug levels.
Registration Number
EUCTR2006-004982-32-AT
Lead Sponsor
Medical University of Vienna, Department of Pedatrics
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

•Female or male, aged between 0 and 19 years (at time of first study dose)
•Malignant brain tumor with leptomeningeal dissemination or risk of leptomeningeal dissemination, for whom no routine protocol is available (for example, AT/RT or Infantile malignant glioma)
OR:
Relapse of a brain tumor with leptomeningeal dissemination or risk of leptomeningeal dissemination of any histology
•Treatment with intrathecal administered liposomal cytarabine for therapeutic reasons
•Life expectancy of at least 8 weeks
•Written informed consent of parents
•Serum creatinine < 1.5 mg/L
•Total serum bilirubin < 2.0 mg/dL and ALT less than 5 times upper limit of normal
•Platelet count > 40.000/mm3 within 48 hours before first treatment

Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years)
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

•Treatment with liposomal cytarabine not indicated
•Evidence of obstructive hydrocephalus or compartmentalization of CSF flow
•Severe uncontrolled infection

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: CSF: AUC, t1/2, Cmax, Cmin, Cav(ss);Secondary Objective: Frequency and degree of toxic reactions, adverse events, and leukencephalopathy; plasma: AUC, t1/2, Cmax, Cmin, Cav(ss);Primary end point(s): Pharmacokinetics of liposomal cytarabine in CSF of infants with brain malignancy
Secondary Outcome Measures
NameTimeMethod
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