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临床试验/ACTRN12618001944224
ACTRN12618001944224已完成3 期

To determine if extended post-radiation temozolomide will improve survival outcomes in patients with newly diagnosed glioblastoma

The Walter and Eliza Hall Institute of Medical Research0 个研究点目标入组 46 人开始时间: 2018年11月30日最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
入组人数
46

研究概览

简要总结

In order to reach sufficient numbers for analysis, the individual patient data for the EX-TEM study was combined with the individual patient data of a Spanish study that used a near identical protocol, GEINO14-01 study Results from the study concluded patients with newly diagnosed glioblastoma, extending post-radiation temozolomide from 6 to 12 months is well tolerated but does not improve 6 month progression free survival. We could not identify any individual patient subset that appeared to benefit from extended treatment. Six months of temozolomide should remain standard of care.

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 o limit(—)
性别
All

入选标准

  • 1.Males or females with newly diagnosed, histologically confirmed glioblastoma
  • 2.Adults, aged 18 years and over
  • 3.Completed radiation plus concurrent temozolomide, followed by six cycles of post-radiation temozolomide
  • 4.No evidence of progressive disease on on-study screening MRI. Residual disease or enhancement is allowed, as long as stability or response according to RANO criteria has been demonstrated compared with prior MRI
  • 5.ECOG 0-2
  • 6.Life expectancy of > 12 weeks
  • 7.Fit for further temozolomide
  • 8.Able to start study treatment within four weeks of day one of cycle six
  • 9.Willing and able to comply with all study requirements, including treatment, timing and/or nature of required assessments
  • 10.Signed, written informed consent.

排除标准

  • 1.Progressive disease on on-study screening MRI according to RANO criteria when compared with prior MRI
  • 2.Specific comorbidities or conditions (e.g. psychiatric) or concomitant medications which may interact with the administration of study treatments or procedures
  • 3.Other comorbidities or conditions that may compromise assessment of key outcomes
  • 4.No temozolomide or cranial irradiation in the last five years prior to GBM diagnosis.
  • 5.History of another malignancy within five years prior to registration. Patients with curatively treated carcinoma-in-situ, basal cell carcinoma of the skin, squamous cell carcinoma of the skin or superficial transitional cell carcinoma of the bladder are eligible.
  • 6.Significant infection, including chronic active hepatitis B, hepatitis C or HIV.
  • 7.Concurrent illness,
  • 8.Pregnancy, lactation, or inadequate contraception.

研究者

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