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Completed

NCT Number: NCT00424554

Low-dose Temozolomide for 2 Weeks on Brain Tumor Enzyme in Patients With Gliomas (P04602 AM1) (Completed)

The main purpose of this study is to assess the effect of a two-week pre-surgery treatment with low-dose temozolomide (TMZ) on brain tumor methylguanine-DNA (deoxyribonucleic acid) methyltransferase (MGMT) activity in patients with gliomas.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Presence of a brain tumor with high probability of being a glioma as detected by Magnetic Resonance Imaging (MRI). These would include newly diagnosed tumors or potentially recurrent gliomas.
  • No prior treatment for the tumor including chemotherapy or radiotherapy.
  • Amenable to surgery for biopsy or resection of the brain tumor. Surgically confirmed diagnosis of glioma (glioblastoma multiforme [GBM], anaplastic astrocytoma [AA], anaplastic oligodendroglioma [AO], anaplastic oligoastrocytoma [AOA], astrocytoma [A] or oligodendroglioma [O]) will be

required for patients to be maintained in the study. Those not fulfilling this requirement will be discontinued and will be replaced.

  • Use of medically approved contraception in fertile males and females.
  • Women with childbearing potential must have a negative urine or serum

pregnancy test (urinary excretion or serum level of beta-Human Chorionic

Gonadotropin [bHCG]) within 72 hours of randomization.

  • Karnofsky Performance Status score >= 70%.
  • Signed informed consent form

Exclusion criteria

  • Prior chemotherapy.
  • Prior radiotherapy at the tumor site.
  • History of non-compliance to other therapies.
  • Inadequate haematological, renal and hepatic function according to all of the following laboratory values (to be performed within 14 days, inclusive, prior to study inclusion):
  • Absolute neutrophil count ≤1.5 x 10^9/L;
  • Platelets ≤100 x 10^9/L;
  • Haemoglobin <90 g/L;
  • Serum creatinine ≥1.5 times upper limit of laboratory normal;
  • Total serum bilirubin ≥1.5 times upper limit of laboratory normal (ULN);
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2.0 ULN;
  • Alkaline phosphatase of > 2.5 ULN.
  • Known Human Immunodeficiency Virus [HIV] infection.
  • Known chronic hepatitis B or hepatitis C infection.
  • Any other serious medical condition according to the medical judgment of the physician prior to inclusion in the study.
  • Any medical condition, which could interfere with oral medication intake (e.g., frequent vomiting, partial bowel obstruction).

Treatment and study plan

Temozolomide

Drug

Temozolomide 75 mg/m^2 daily for 14 days prior to surgery.

As standard of care, it could also be given at the same dose for up to 28 days after surgery, per investigator discretion.

Other names: SCH 052365

Primary outcomes

  1. MethylGuanine-DNA MethylTransferase [MGMT] Activity Measured From the Tumor Tissue During Surgery

    Time frame: 14 days

    An experimental assay was developed to measure MGMT levels.

Secondary outcomes

  1. Safety: Number of Participants Who Experienced Grade 3 or 4 Toxicities

    Time frame: 12 months

    Grade 3 was defined as severe per Common Terminology Criteria for Adverse Events (CTCAE).

    Grade 4 was defined as life-threatening per CTCAE.

  2. Tolerability: Number of Participants Discontinuing Treatment Due to Adverse Events (AE)

    Time frame: 12 months

    An AE was defined as any event which was adverse, including what were commonly described as adverse or undesirable experiences, adverse events, adverse reactions, side effects, or death due to any cause associated with, or observed in conjunction with the use of a drug, biological product, or device in humans, whether or not considered related to the use of that product. Additionally, any event which was associated with, or observed in conjunction with product overdose whether accidental or intentional, or product abuse and/or withdrawal was also considered an AE.

  3. Concentrations of Temozolomide in the Serum, Cerebrospinal Fluid, and Brain Tumor

    Time frame: 14 days

    No data available: at the time of tumor collection, the temozolomide levels were below the detection limits of the assay.

  4. MGMT Activity in the Brain Tumor Tissues by Temozolomide Levels

    Time frame: 14 days

    No data available: at the time of tumor collection, the temozolomide levels were below the detection limits of the assay.

Sponsors and collaborators

Lead sponsor

Merck Sharp & Dohme LLC

Industry

Registry information

Official study title

A Phase II Trial to Evaluate the Effect of Low Dose Temozolomide (TMZ) for 2 Weeks on Brain Tumor O-6-methylguanine-DNA Methyltransferase (MGMT) Activity in Patients With Gliomas.

Important dates

Study start
2006
Primary completion
2010
Study completion
2011
First posted
Jan 19, 2007
Registry last updated
Jun 7, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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