Ignite Creation Date:
2024-05-05 @ 4:36 PM
Last Modification Date:
2024-10-26 @ 9:22 AM
Study NCT ID:
NCT00272350
Status:
COMPLETED
Last Update Posted:
2019-12-05
First Post:
2006-01-05
Brief Title:
ZD6474 to Treat Advanced Brain Cancer in Patients
Sponsor:
National Cancer Institute NCI
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
A Phase III Trial of ZD6474 for Patients With Recurrent High-Grade and Progressive Low-Grade Gliomas
Status:
COMPLETED
Status Verified Date:
2014-02-27
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Background
In vivo experiments have documented the ability of ZD6474 to inhibit tumor growth in various preclinical tumor models Given the pronounced neovasculature associated with malignant gliomas and abundant published data demonstrating the dependence of glioma growth on the maintenance and proliferation of this neovasculature ZD6474 represents a potentially promising new therapeutic approach to these otherwise refractory tumors
Thus we now propose a phase I trial of ZD6474 in patients with recurrent and progressive low-grade gliomas who are on P450-inducing anti-epileptic drugs and a phase II trial for patients with recurrent gliomas not taking P450-inducing anti-epileptic drugs
Objective
Phase I - To establish the maximally tolerated dose of ZD6474 and to obtain preliminary information regarding the spectrum of toxicities of ZD6474 and to obtain pharmacokinetic data to patients taking EIAED
Phase I - To obtain preliminary information regarding potential anti-tumor activity of ZD6474 in patients taking EIAED
Phase II - To establish data regarding the anti-tumor activity of ZD6474 and to collect information regarding the spectrum of toxicities in patients not taking EIAEDs
Eligibility
Patients with histologically proven malignant primary gliomas will be eligible for this protocol Additionally patients with progressive low-grade gliomas and patients with infiltrative brain stem gliomas diagnosed radiographically rather than by biopsy will also be eligible
Design
Phase I - Group B patients will be accrued to the formal dose-escalation phase I trial Groups of patients with recurrent high-grade gliomas will be accrued to increasingly higher doses of ZD6474 until the MTD is established
Phase II - Patients will be treated at a dose of 300 mg day every day on a 4-week cycle
In vivo experiments have documented the ability of ZD6474 to inhibit tumor growth in various preclinical tumor models Given the pronounced neovasculature associated with malignant gliomas and abundant published data demonstrating the dependence of glioma growth on the maintenance and proliferation of this neovasculature ZD6474 represents a potentially promising new therapeutic approach to these otherwise refractory tumors
Thus we now propose a phase I trial of ZD6474 in patients with recurrent and progressive low-grade gliomas who are on P450-inducing anti-epileptic drugs and a phase II trial for patients with recurrent gliomas not taking P450-inducing anti-epileptic drugs
Objective
Phase I - To establish the maximally tolerated dose of ZD6474 and to obtain preliminary information regarding the spectrum of toxicities of ZD6474 and to obtain pharmacokinetic data to patients taking EIAED
Phase I - To obtain preliminary information regarding potential anti-tumor activity of ZD6474 in patients taking EIAED
Phase II - To establish data regarding the anti-tumor activity of ZD6474 and to collect information regarding the spectrum of toxicities in patients not taking EIAEDs
Eligibility
Patients with histologically proven malignant primary gliomas will be eligible for this protocol Additionally patients with progressive low-grade gliomas and patients with infiltrative brain stem gliomas diagnosed radiographically rather than by biopsy will also be eligible
Design
Phase I - Group B patients will be accrued to the formal dose-escalation phase I trial Groups of patients with recurrent high-grade gliomas will be accrued to increasingly higher doses of ZD6474 until the MTD is established
Phase II - Patients will be treated at a dose of 300 mg day every day on a 4-week cycle
Detailed Description:
Background
In vivo experiments have documented the ability of ZD6474 to inhibit tumor growth in various preclinical tumor models Given the pronounced neovasculature associated with malignant gliomas and abundant published data demonstrating the dependence of glioma growth on the maintenance and proliferation of this neovasculature ZD6474 represents a potentially promising new therapeutic approach to these otherwise refractory tumors
Thus we now propose a phase I trial of ZD6474 in patients with recurrent and progressive low-grade gliomas who are on P450-inducing anti-epileptic drugs and a phase II trial for patients with recurrent gliomas not taking P450-inducing anti-epileptic drugs
Objective
Phase I - To establish the maximally tolerated dose of ZD6474 and to obtain preliminary information regarding the spectrum of toxicities of ZD6474 and to obtain pharmacokinetic data to patients taking EIAED
Phase I - To obtain preliminary information regarding potential anti-tumor activity of ZD6474 in patients taking EIAED
Phase II - To establish data regarding the anti-tumor activity of ZD6474 and to collect information regarding the spectrum of toxicities in patients not taking EIAEDs
Eligibility
Patients with histologically proven malignant primary gliomas will be eligible for this protocol Additionally patients with progressive low-grade gliomas and patients with infiltrative brain stem gliomas diagnosed radiographically rather than by biopsy will also be eligible
Design
Phase I - Group B patients will be accrued to the formal dose-escalation phase I trial Groups of patients with recurrent high-grade gliomas will be accrued to increasingly higher doses of ZD6474 until the MTD is established
Phase II - Patients will be treated at a dose of 300 mg day every day on a 4-week cycle
In vivo experiments have documented the ability of ZD6474 to inhibit tumor growth in various preclinical tumor models Given the pronounced neovasculature associated with malignant gliomas and abundant published data demonstrating the dependence of glioma growth on the maintenance and proliferation of this neovasculature ZD6474 represents a potentially promising new therapeutic approach to these otherwise refractory tumors
Thus we now propose a phase I trial of ZD6474 in patients with recurrent and progressive low-grade gliomas who are on P450-inducing anti-epileptic drugs and a phase II trial for patients with recurrent gliomas not taking P450-inducing anti-epileptic drugs
Objective
Phase I - To establish the maximally tolerated dose of ZD6474 and to obtain preliminary information regarding the spectrum of toxicities of ZD6474 and to obtain pharmacokinetic data to patients taking EIAED
Phase I - To obtain preliminary information regarding potential anti-tumor activity of ZD6474 in patients taking EIAED
Phase II - To establish data regarding the anti-tumor activity of ZD6474 and to collect information regarding the spectrum of toxicities in patients not taking EIAEDs
Eligibility
Patients with histologically proven malignant primary gliomas will be eligible for this protocol Additionally patients with progressive low-grade gliomas and patients with infiltrative brain stem gliomas diagnosed radiographically rather than by biopsy will also be eligible
Design
Phase I - Group B patients will be accrued to the formal dose-escalation phase I trial Groups of patients with recurrent high-grade gliomas will be accrued to increasingly higher doses of ZD6474 until the MTD is established
Phase II - Patients will be treated at a dose of 300 mg day every day on a 4-week cycle
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 06-C-0063 | None | None | None |