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临床试验/NCT00826930
NCT00826930终止1 期

Open-label Study to Determine the Effect of Trans Sodium Crocetinate (TSC) on Intra-tumoral Oxygen Concentration, Tolerability, and Pharmacokinetics of TSC in Post-operative Patients With High Grade Glioma (HGG)

Diffusion Pharmaceuticals Inc1 个研究点 分布在 1 个国家目标入组 1 人开始时间: 2009年3月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
入组人数
1
试验地点
1
主要终点
Change from baseline in tumor tissue oxygen monitoring recordings

研究概览

简要总结

The purpose of this study is to evaluate the impact of Trans Sodium Crocetinate (TSC) on oxygen levels in brain tumor tissue in patients with high grade glioma. The proposed clinical indication for TSC is a radiation sensitizer for the treatment of cancerous tumors.

详细描述

In this open-label, one-site study, up to 48 patients with high grade glioma (HGG) who are undergoing biopsy or partial debulking of the tumor as part of standard of care will have an oxygen monitoring probe placed in residual tumor tissue. Oxygen levels in the tumor tissue will be measured prior to and after administering a single bolus injection of TSC. Safety assessments will occur throughout the trial, including at a 7 to 14 day follow-up visit. Pharmacokinetic assessments will be performed prior to and during the first 24 hours after TSC dosing.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
None

入排标准

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

入选标准

  • At least 18 years old.
  • Prior histological diagnosis of high grade glioma (HGG) with prior initial treatment and radiation therapy for HGG; recurrence of HGG suspected, and care plan includes surgical procedure.
  • Undergoing surgical procedure for clinical reasons, and gross surgical resection not expected.
  • Neurosurgeon is planning stereotactic biopsy or tumor debulking for clinical reasons; frozen tissue confirmation of malignancy during this operative procedure is necessary.
  • Neurosurgeon evaluates that placement of oxygen monitoring probe after biopsy or debulking can be done safely without complications.
  • Contrast enhancing disease on MRI within 21 days prior to enrollment.
  • Karnofsky Performance Score ≥ 60 at Screening.
  • Recovered from toxicity of prior antineoplastic therapy, and off cytotoxic chemotherapy for 7 days prior to Screening.
  • Recovered from prior radiotherapy and had at least 21 days elapse since completion of radiotherapy prior to Screening.
  • Recovered from prior surgery for their brain tumor in investigator's clinical judgment.
  • If female, negative serum or urine pregnancy test at Screening.
  • Within 2 weeks of starting study, hematologic and renal functions as specified: Absolute neutrophil count ≥ 1500/mm3, platelets ≥ 100,000/mm3, hemoglobin ≥ 9.0g/dL, creatinine ≤ 1.7mg/dl, serum bilirubin ≤ 1.5mg/dL, blood urea nitrogen within 2 times the upper limit of normal, transaminases ≤ 4 times above the upper limits of the institutional norm, and prothrombin time and partial thromboplastin time within institutional norm or below.
  • Patient or patient's medical power of attorney provided written consent to participate in the study.
  • Mini Mental Status Exam score ≥ 15.

排除标准

  • Pregnant or lactating.
  • Receiving concurrent cytotoxic chemotherapy for their tumor within 7 days prior to Screening, or decision is made at the time of surgery to treat with other modality of treatment (e.g., gliadel wafers).
  • Serious concurrent infection or medical illness which would jeopardize the ability of the patient to safely participate.
  • Behavioral, cognitive, or psychiatric disease or personal situation that might interfere with optimal participation.
  • Cannot undergo an MRI.
  • Received an investigational drug not approved for human use by the FDA within 30 days of enrollment.
  • Previously received TSC.

研究组 & 干预措施

1A

Experimental

0.5 mg/kg TSC, anticonvulsants at Baseline - phenytoin only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

2A

Experimental

0.75 mg/kg TSC, anticonvulsants at Baseline - phenytoin only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

3A

Experimental

1.0 mg/kg TSC, anticonvulsants at Baseline - phenytoin only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

4A

Experimental

Dose of TSC either 0.5 mg/kg, 0.75 mg/kg, or 1.0 mg/kg based on the Data Monitoring Committee decision, anticonvulsants at Baseline - phenytoin only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

1B

Experimental

0.5 mg/kg TSC, anticonvulsants at Baseline - any except phenytoin-only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

2B

Experimental

0.75 mg/kg TSC, anticonvulsants at Baseline - any except phenytoin-only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

3B

Experimental

1.0 mg/kg TSC, anticonvulsants at Baseline - any except phenytoin-only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

4B

Experimental

Dose of TSC either 0.5 mg/kg, 0.75 mg/kg, or 1.0 mg/kg based on the Data Monitoring Committee decision, anticonvulsants at Baseline - any except phenytoin-only or none

干预措施: Trans Sodium Crocetinate (TSC) (Drug)

结局指标

主要结局

Change from baseline in tumor tissue oxygen monitoring recordings

时间窗: Daily while inpatient

Safety assessments (laboratory tests)

时间窗: Daily while inpatient, 7-14 Day Follow-up

次要结局

  • Pharmacokinetic assessments(Day 1, Day 2)
  • Tumor hypoxia biomarkers (HIF 1-alpha, osteopontin, carbonic anhydrase IX)(Daily while inpatient)

研究者

申办方类型
Industry

研究点 (1)

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