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临床试验/NCT00032097
NCT00032097已完成1 期

A Phase I Trial To Evaluate Repetitive Intravenous Doses Of Gadolinium-Texaphyrin As A Radiosensitizer In Patients With Glioblastoma Multi Forme

National Cancer Institute (NCI)1 个研究点 分布在 1 个国家开始时间: 2002年4月1日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
已完成
试验地点
1

研究概览

简要总结

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Drugs such as motexafin gadolinium may make the tumor cells more sensitive to radiation therapy.

PURPOSE: Phase I trial to study the effectiveness motexafin gadolinium in treating patients with glioblastoma multiforme who are undergoing radiation therapy to the brain.

详细描述

OBJECTIVES:

  • Determine the toxicity of 2 different schedules of motexafin gadolinium as a radiosensitizer in patients with glioblastoma multiforme receiving cranial radiotherapy.
  • Determine the maximum tolerated doses of this drug on these 2 schedules in these patients.
  • Determine the pharmacokinetic profile of this drug in these patients.
  • Determine the biodistribution of this drug in both neoplastic tissue and normal brain parenchyma in these patients.
  • Determine the effect and accumulation of this drug in both normal brain parenchyma and neoplastic tissue in these patients.
  • Correlate the effect and accumulation of this drug in both normal brain parenchyma and neoplastic tissue with the pharmacokinetics of this drug in these patients.

OUTLINE: This is a multicenter, dose-escalation study of motexafin gadolinium (PCI-0120). Patients are sequentially assigned to 1 of 2 treatment groups.

  • Group I: Patients receive PCI-0120 IV over 30-60 minutes once every other day for 6 weeks. Patients concurrently undergo cranial radiotherapy once daily 5 days a week for 6 weeks.
  • Group II: Patients receive PCI-0120 IV over 30-60 minutes once daily concurrently during radiotherapy. Patients undergo cranial radiotherapy as in group I.

Cohorts of 3-6 patients in each group receive escalating doses of PCI-0120 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity.

研究设计

研究类型
Interventional
主要目的
Treatment

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •DISEASE CHARACTERISTICS:
  • •Histologically confirmed supratentorial grade IV astrocytoma
  • •Glioblastoma multiforme
  • •Previously untreated disease
  • •Measurable and contrast-enhancing tumor by MRI after incomplete resection/biopsy
  • •PATIENT CHARACTERISTICS:
  • •18 and over
  • •Performance status:
  • •Karnofsky 60-100%
  • •Life expectancy:
  • •Not specified
  • •Hematopoietic:
  • •WBC at least 3,000/mm^3
  • •Absolute granulocyte count at least 1,500/mm^3
  • •Platelet count at least 100,000/mm^3
  • •Hemoglobin at least 10 g/dL
  • •Bilirubin no greater than 2.0 mg/dL
  • •SGOT/SGPT no greater than 4 times upper limit of normal (ULN)
  • •Alkaline phosphatase no greater than 4 times ULN
  • •PT/APTT normal
  • •Creatinine no greater than 1.5 mg/dL
  • •Cardiovascular:
  • •No uncontrolled hypertension
  • •Mini mental state exam score at least 15
  • •No history of glucose-6-phosphate dehydrogenase deficiency or porphyria
  • •No other malignancy within the past 5 years except curatively treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or carcinoma in situ of the breast
  • •No serious infection
  • •No other medical illness that would preclude study participation
  • •No allergy to MRI contrast (e.g., motexafin gadolinium)
  • •Not pregnant or nursing
  • •Negative pregnancy test
  • •Fertile patients must use effective contraception during and for up to 2 months after study
  • •PRIOR CONCURRENT THERAPY:
  • •Biologic therapy:
  • •No prior biologic therapy or immunotherapy for this disease, including any of the following:
  • •Immunotoxins
  • •Immunoconjugates
  • •Antisense therapy
  • •Peptide receptor antagonists
  • •Interferons
  • •Interleukins
  • •Tumor-infiltrating lymphocytes
  • •Lymphokine-activated killer cell therapy
  • •Gene therapy
  • •Chemotherapy:
  • •No prior chemotherapy for this disease
  • •Endocrine therapy:
  • •Must be on a stable corticosteroid regimen (i.e., no increase within 5 days prior to treatment on this protocol)
  • •No other prior hormonal therapy for this disease
  • •Radiotherapy:
  • 另有 4 项未显示

排除标准

  • 未提供

研究者

申办方类型
Nih

研究点 (1)

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