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Cilengitide, Temozolomide, and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma a Cancerous Tumor in the Brain and Unmethylated Gene Promoter Status (CORE)
This study is not yet open for participant recruitment.
Verified by EMD Serono, December 2008
Sponsored by: EMD Serono
Information provided by: EMD Serono
ClinicalTrials.gov Identifier: NCT00813943
  Purpose

CORE is a Phase II clinical trial in newly diagnosed glioblastoma multiforme (GBM) (a cancerous tumor in the brain) in patients with an unmethylated promoter of the methylguanine-DNA methyltransferase (MGMT) gene in the tumor tissue.

The MGMT gene promoter is a section of DNA that acts as a controlling element for a specific NDA product (MGMT). Methylation of the MGMT gene promoter has been found to appear to be a predictive marker for benefit from temozolomide (TMZ) treatment.

In a safety run-in period in dedicated study centers the safety and tolerability of Cilengitide given as an intense treatment in combination with the first part of standard therapy will be assessed. Thereafter the trial will investigate the overall survival and progression-free survival in patients receiving two different regimens of Cilengitide in combination with standard treatment versus standard treatment alone.


Condition Intervention Phase
Glioblastoma Multiforme
Drug: Cilengitide
Drug: Temozolomide & Radiotherapy
Phase II

MedlinePlus related topics: Cancer
Drug Information available for: Temozolomide Cilengitide
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study
Official Title: Cilengitide in Subjects With Newly Diagnosed Glioblastoma Multiforme and Unmethylated MGMT Gene Promoter - a Multicenter, Open-Label Phase II Study, Investigating Two Cilengitide Regimens in Combination With Standard Treatment (Temozolomide With Concomitant Radiation Therapy, Followed by Temozolomide Maintenance Therapy).

Further study details as provided by EMD Serono:

Primary Outcome Measures:
  • Overall survival [ Time Frame: 39 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety and tolerability, PFS, and population PK [ Time Frame: 39 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 228
Study Start Date: December 2008
Estimated Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Cilengitide
Cilengitide 2000mg i.v. twice weekly, Temozolomide & Radiotherapy
2: Experimental Drug: Cilengitide
Cilengitide in general 2000mg i.v. twice weekly, however during combination with Temozolomide & Radiotherapy five times per week.
3: Active Comparator Drug: Temozolomide & Radiotherapy
Temozolomide & Radiotherapy

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Newly diagnosed histologically proven supratentorial GBM
  2. Tumor tissue specimens from the GBM surgery or open biopsy must be available for MGMT gene promoter status analysis and central pathology review.
  3. Proven unmethylated MGMT gene promoter status
  4. Males or females ≥18 years of age.
  5. Interval of ≥2 weeks but ≤7 weeks after surgery or biopsy before first administration of study treatment.
  6. Available post-operative Gd-MRI performed within <48 hours after surgery
  7. Stable or decreasing dose of steroids for ‡5 days prior to randomization.
  8. ECOG PS of 0-1.
  9. Meets 1 of the following RPA classifications:

    • Class III (Age <50 years and ECOG PS 0).
    • Class IV (meeting one of the following criteria:

      a) Age <50 years and ECOG PS 1 or b) Age ≥50 years, underwent prior partial or total tumor resection, Mini Mental State Examination [MMSE] ≥27).

    • Class V (meeting one of the following criteria:

      1. Age ≥50 years and underwent prior partial or total tumor resection, MMSE <27 or b) Age ≥50 years and underwent prior tumor biopsy only).

Exclusion Criteria:

  1. Prior chemotherapy within the last 5 years.
  2. Prior RTX of the head.
  3. Receiving concurrent investigational agents or has received an investigational agent within the past 30 days prior to the first dose of cilengitide.
  4. Prior systemic anti-angiogenic therapy.
  5. Placement of Gliadel® wafer at surgery.
  6. Planned surgery for other diseases (e.g. dental extraction).
  7. History of recent peptic ulcer disease (endoscopically proven gastric ulcer, duodenal ulcer, or esophageal ulcer) within 6 months of enrollment.
  8. History of malignancy. Subjects with curatively treated cervical carcinoma in situ or basal cell carcinoma of the skin, or subjects who have been free of other malignancies for ‡5 years are eligible for this study.
  9. History of coagulation disorder associated with bleeding or recurrent thrombotic events.
  10. Clinically manifest myocardial insufficiency (New York Heart Association [NYHA] III, IV) or history of myocardial infarction during the past 6 months; or uncontrolled arterial hypertension.
  11. Inability to undergo Gd-MRI.
  12. Concurrent illness, including severe infection, which may jeopardize the ability of the subject to receive the procedures outlined in this protocol with reasonable safety.
  13. Subject is pregnant (positive serum beta human chorionic gonadotropin [b-HCG] test at screening) or is currently breast-feeding, anticipates becoming pregnant/ impregnating their partner during the study or within 6 months after study participation, or subject does not agree to follow acceptable methods of birth control, such as hormonal contraception, intra-uterine pessar, condoms or sterilization, to avoid conception during the study and for at least 6 months after receiving the last dose of study treatment.
  14. Current alcohol dependence or drug abuse.
  15. Known hypersensitivity to the study treatment.
  16. Legal incapacity or limited legal capacity.
  17. Presence of any psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.
  18. Signs and symptoms suggestive of transmissible spongiform encephalopathy, or family members who suffer(ed) from such.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00813943

Locations
United States, Massachusetts
Research Site
Rockland, Massachusetts, United States
Sponsors and Collaborators
EMD Serono
Investigators
Study Director: Martin Picard, PhD Merck KGaA
  More Information

Responsible Party: Merck KGaA ( Martin Picard, PhD )
Study ID Numbers: EMD 121974-012
Study First Received: December 22, 2008
Last Updated: December 23, 2008
ClinicalTrials.gov Identifier: NCT00813943  
Health Authority: United States: Food and Drug Administration

Keywords provided by EMD Serono:
Newly diagnosed Glioblastoma multiforme (GBM) (WHO Grade IV)

Study placed in the following topic categories:
Neuroectodermal Tumors
Glioblastoma
Glioblastoma multiforme
Astrocytoma
Neoplasms, Germ Cell and Embryonal
Neuroepithelioma
Glioma
Temozolomide
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Neoplasms, Nerve Tissue
Antineoplastic Agents, Alkylating
Neoplasms, Neuroepithelial
Alkylating Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 13, 2009