Overview

Irinotecan in Treating Patients With Recurrent Malignant Glioma

Status:
Completed
Trial end date:
2004-04-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I/II trial to study the effectiveness of irinotecan in treating patients with recurrent malignant glioma.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
New Approaches to Brain Tumor Therapy Consortium
Collaborator:
National Cancer Institute (NCI)
Treatments:
Camptothecin
Irinotecan
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed malignant glioma that is progressive or
recurrent following radiation therapy or chemotherapy Anaplastic astrocytoma Glioblastoma
multiforme Low grade glioma that has progressed to biopsy proven high grade glioma is
eligible if the progression occurred after radiotherapy with or without chemotherapy
Measurable progression or recurrence by serial MR or CT imaging

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60-100% Life
expectancy: Greater than 2 months Hematopoietic: Absolute neutrophil count 1,500/mm3
Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 1.5 mg/dL
Transaminases no greater than 4 times upper limit of normal Renal: Creatinine no greater
than 1.7 mg/dL Cardiovascular: No uncontrolled hypertension No angina pectoris No evidence
of uncontrolled cardiac dysrhythmia Other: No serious infection or other medical illness No
other prior or concurrent malignancy within 5 years except curatively treated basal or
squamous cell carcinoma of the skin or carcinoma in situ of the cervix and breast Not
pregnant or nursing Adequate contraception required of all fertile patients

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior
topoisomerase 1 inhibitor (topotecan, irinotecan, 9- aminocamptothecin) No more that 1
prior chemotherapy regimen At least 6 weeks since nitrosourea and recovered At least 3
weeks since any other chemotherapy and recovered Endocrine therapy: Not specified
Radiotherapy: At least 3 months since completion of most recent course of radiotherapy and
recovered Surgery: Not specified Other: No concurrent investigational agents At least 14
days since prior valproic acid No concurrent valproic acid