A Pilot Study of Dronabinol for Adult Patients With Primary Gliomas

• Status: Completed
• Trial end date: 2012-04-01
• Target enrollment: 0
• Participant gender: All

Summary

This study seeks to define the tolerability and safety associated with the administration of Dronabinol in the treatment of adults with nausea, vomiting and appetite loss in patients with primary gliomas who are undergoing chemotherapy treatment. The study will also describe the effect of Dronabinol on the quality of life in terms of nausea, vomiting and anorexia in this patient group.

• Phase: Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Duke University
• Collaborator: Solvay Pharmaceuticals
• Treatments: Dronabinol

Criteria

Inclusion Criteria:

• Patients with histologically confirmed diagnosis of primary malignant brain tumor (grade 3 or 4)

• Karnofsky greater than or equal to 80%

• Life expectancy greater than or equal to 6 months

• Patients must be undergoing one of the following chemotherapy administrations:

Temozolomide; Lomustine (CCNU) or Irinotecan or Camptosar (CPT-11)

• Patients must give written informed consent

• Patients must have aspartate aminotransferase (AST), alanine transaminase (ALT), total serum bilirubin, and alkaline phosphatase less than 2 times upper limits of normal laboratory values, performed within 14 days prior to initiation of study

• For women, negative risk of pregnancy through standard chemotherapy screening procedures inclusive of pregnancy test, menopause or surgical procedure

• Patient must have social support with caregiver daily monitoring for side effects

Exclusion Criteria:

• Premorbid central nervous system (CNS) diagnosis (cerebral vascular accident (CVA), closed head injury (CHI), multiple sclerosis (MS)

• Patients with global aphesis limiting the informed consent process

• Patients with unmanaged psychiatric disease

• Patients with history of drug addiction or recent illicit drug usage within the last 3 months

• Patients with hypersensitivity to dronabinol, marijuana or sesame seed oil

• Patients must not be taking an concomitant meds contraindicated with Dronabinol (including anxiolytics, sedative, hypnotics, barbiturates, general anesthetics, monoamine oxidase inhibitors [MAOIs], opiate agonists, phenothiazines, sedating H1 blockers, skeletal muscle relaxants and sympathomimetics)

• Patients who have hepatic enzyme elevation of greater than two times upper limits of normal laboratory values for AST, ALT, total serum bilirubin or alkaline phosphatase

• Pregnant or breastfeeding women

• Women of childbearing potential who are not using an effective method of contraception (oral contraceptives, female and/or male barrier devices, spermicidal agents, or surgical procedures inhibiting contraception)

• Patients who live alone