Ignite Creation Date:
2024-05-05 @ 6:33 PM
Last Modification Date:
2024-10-26 @ 9:34 AM
Study NCT ID:
NCT00504660
Status:
COMPLETED
Last Update Posted:
2012-01-11
First Post:
2007-07-18
Brief Title:
6-TG Capecitabine and Celecoxib Plus TMZ or CCNU for Anaplastic Glioma Patients
Sponsor:
MD Anderson Cancer Center
Organization:
MD Anderson Cancer Center
Study Overview
Official Title:
Combination of 6-Thioguanine Capecitabine Celecoxib and Temozolomide or CCNU for Recurrent Anaplastic Glioma and Glioblastoma Multiforme
Status:
COMPLETED
Status Verified Date:
2011-12
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:
The goal of this clinical research study is to learn if the combination of 6-Thioguanine Xeloda capecitabine and Celebrex celecoxib with Temodar temozolomide or Lomustine CCNU is effective in the treatment of recurrent or progressive anaplastic glioma or glioblastoma multiforme in patients who have failed previous treatments The safety of these combination treatment will also be studied
Objectives
11 To determine the efficacy as measured by 12 month progression-free survival of TEMOZOLOMIDE or CCNU with 6-THIOGUANINE followed by CAPECITABINE and CELECOXIB in the treatment of patients with recurrent andor progressive anaplastic gliomas or glioblastoma multiforme
12 To determine the long-term toxicity of TEMOZOLOMIDE or CCNU with 6-THIOGUANINE followed by CAPECITABINE and CELECOXIB in recurrent anaplastic glioma or glioblastoma multiforme patients treated in this manner
13 To determine the clinical relevance of genetic subtyping tumors as a predictor of response to this chemotherapy and long term survival
Objectives
11 To determine the efficacy as measured by 12 month progression-free survival of TEMOZOLOMIDE or CCNU with 6-THIOGUANINE followed by CAPECITABINE and CELECOXIB in the treatment of patients with recurrent andor progressive anaplastic gliomas or glioblastoma multiforme
12 To determine the long-term toxicity of TEMOZOLOMIDE or CCNU with 6-THIOGUANINE followed by CAPECITABINE and CELECOXIB in recurrent anaplastic glioma or glioblastoma multiforme patients treated in this manner
13 To determine the clinical relevance of genetic subtyping tumors as a predictor of response to this chemotherapy and long term survival
Detailed Description:
Capecitabine is a drug that damages the DNA deoxyribonucleic acid of tumor cells and blocks the function of DNA and RNA ribonucleic acid of tumor cells These actions help to kill the tumor cells
Celecoxib is a drug that may help to prevent the development of some types of cancer by blocking a type of enzyme COX-2 that is found in tumor cells
Temozolomide and CCNU are the current standard treatment for malignant brain tumors Both drugs work by damaging the DNA deoxyribonucleic acid of tumor cells to kill these tumor cells
6-Thioguanine is a drug that helps to increase the effects of Temozolomide and CCNU on tumor cells
Depending on the previous treatment you have received you will be treated according to Arms 1 2 or 3
If you have not received temozolomide before you will be treated on Arm 1 If you have received temozolomide before but only during radiation therapy and not as chemotherapy afterwards and the treatment was over 6 months ago you will be treated with temozolomide according to Arm 1
If you have not received lomustine or carmustine you will be treated on Arm 2 If you have received Gliadel wafers at surgery greater than 6 months ago and have not been treated with lomustine or carmustine you will be treated with CCNU according to Arm 2
Arm 3 will include glioblastoma multiforme patients who may be treated with either temozolomide or lomustine according to the above guidelines and regimens described in Arms 1 and 2
Arm 1
Treatment will begin with 6-thioguanine taken by mouth 4 times a day every 6 hours for 3 days in a row Days 1-3 This will be followed by temozolomide taken by mouth at bedtime for 5 days in a row Days 4-8 After a rest period of 6 days capecitabine and celecoxib will be taken by mouth twice a day 12 hours apart for 14 days Days 14-27 Each cycle of treatment on arm 1 will be 28 days
Arm 2
Treatment will begin with 6-thioguanine taken by mouth 4 times a day every 6 hours for 3 days in a row Days 1-3 This will be followed by lomustine taken by mouth at bedtime for 1 day Day 4 After a rest period of 1 week capecitabine and celecoxib will be taken by mouth twice a day 12 hours apart for 14 days Days 11-24 Each cycle of treatment on arm 2 will take 42 days
Blood tests less than 2 teaspoons will be repeated every 2 weeks and before each new cycle of treatment a total of about 2 tablespoons The neurological exam anticonvulsant level blood tests and the stool test for blood will be repeated before every cycle on Arms 2 and 3 CCNU and before every 2 cycles on Arms 1 and 3 temozolomide Kidney function will be evaluated from the blood tests before every other course Patients taking anticoagulants coumadin warfarin will have procedures to test the clotting ability of the blood before each cycle or more frequently if the doctor feels it is necessary
Arm 3
Glioblastoma Multiforme patients will be treated on Arm 3 which will include the drug regimen from either Arm 1 or Arm 2
Treatment on all arms will continue for 1 year as long as the tumor does not grow and any side effects are tolerable Treatment may continue beyond one year if your doctor feels it is needed During the study you may not receive any other investigational drug or have any other treatment for the cancer including surgery
This is an investigational study All drugs used in this study are FDA approved and are commercially available A total of 140 patients will take part in this study All patients will be enrolled at M D Anderson
Celecoxib is a drug that may help to prevent the development of some types of cancer by blocking a type of enzyme COX-2 that is found in tumor cells
Temozolomide and CCNU are the current standard treatment for malignant brain tumors Both drugs work by damaging the DNA deoxyribonucleic acid of tumor cells to kill these tumor cells
6-Thioguanine is a drug that helps to increase the effects of Temozolomide and CCNU on tumor cells
Depending on the previous treatment you have received you will be treated according to Arms 1 2 or 3
If you have not received temozolomide before you will be treated on Arm 1 If you have received temozolomide before but only during radiation therapy and not as chemotherapy afterwards and the treatment was over 6 months ago you will be treated with temozolomide according to Arm 1
If you have not received lomustine or carmustine you will be treated on Arm 2 If you have received Gliadel wafers at surgery greater than 6 months ago and have not been treated with lomustine or carmustine you will be treated with CCNU according to Arm 2
Arm 3 will include glioblastoma multiforme patients who may be treated with either temozolomide or lomustine according to the above guidelines and regimens described in Arms 1 and 2
Arm 1
Treatment will begin with 6-thioguanine taken by mouth 4 times a day every 6 hours for 3 days in a row Days 1-3 This will be followed by temozolomide taken by mouth at bedtime for 5 days in a row Days 4-8 After a rest period of 6 days capecitabine and celecoxib will be taken by mouth twice a day 12 hours apart for 14 days Days 14-27 Each cycle of treatment on arm 1 will be 28 days
Arm 2
Treatment will begin with 6-thioguanine taken by mouth 4 times a day every 6 hours for 3 days in a row Days 1-3 This will be followed by lomustine taken by mouth at bedtime for 1 day Day 4 After a rest period of 1 week capecitabine and celecoxib will be taken by mouth twice a day 12 hours apart for 14 days Days 11-24 Each cycle of treatment on arm 2 will take 42 days
Blood tests less than 2 teaspoons will be repeated every 2 weeks and before each new cycle of treatment a total of about 2 tablespoons The neurological exam anticonvulsant level blood tests and the stool test for blood will be repeated before every cycle on Arms 2 and 3 CCNU and before every 2 cycles on Arms 1 and 3 temozolomide Kidney function will be evaluated from the blood tests before every other course Patients taking anticoagulants coumadin warfarin will have procedures to test the clotting ability of the blood before each cycle or more frequently if the doctor feels it is necessary
Arm 3
Glioblastoma Multiforme patients will be treated on Arm 3 which will include the drug regimen from either Arm 1 or Arm 2
Treatment on all arms will continue for 1 year as long as the tumor does not grow and any side effects are tolerable Treatment may continue beyond one year if your doctor feels it is needed During the study you may not receive any other investigational drug or have any other treatment for the cancer including surgery
This is an investigational study All drugs used in this study are FDA approved and are commercially available A total of 140 patients will take part in this study All patients will be enrolled at M D Anderson
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