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Sponsors and Collaborators: |
Children's Hospital Medical Center, Cincinnati Genentech |
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Information provided by: | Children's Hospital Medical Center, Cincinnati |
ClinicalTrials.gov Identifier: | NCT00890786 |
The outcome for children with high-grade gliomas and diffuse intrinsic brainstem gliomas remains poor despite the use of multi-modal therapy with surgery, radiation therapy and chemotherapy. Novel therapies are needed to improve the outcome of these children. Recent studies have demonstrated very promising results of treatment with bevacizumab/irinotecan in patients with recurrent high grade gliomas. Based on these promising results, and the tolerability of the irinotecan and bevacizumab in children with recurrent CNS malignancies both anecdotally and in a study conducted by the Pediatric Brain Tumor Consortium, we have designed a novel study incorporating concurrent radiation therapy with bevacizumab ± temozolomide followed by bevacizumab, irinotecan ±temozolomide in patients with newly diagnosed high-grade gliomas and diffuse intrinsic pontine gliomas.
Condition | Intervention | Phase |
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Newly Diagnosed High-Grade Gliomas Diffuse Intrinsic Pontine Glioma |
Drug: Temozolomide Drug: Bevacizumab Drug: Irinotecan |
Phase I Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Open Label, Single Group Assignment, Safety/Efficacy Study |
Official Title: | A Pilot Study of Bevacizumab-Based Therapy in Patients With Newly Diagnosed High-Grade Gliomas and Diffuse Intrinsic Pontine Gliomas |
Estimated Enrollment: | 35 |
Study Start Date: | May 2009 |
Estimated Study Completion Date: | April 2012 |
Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
High Grade Glioma Temozolomide during radiotherapy: 90mg/m2/day PO daily; must begin by Day 5 of radiotherapy for a total of 42 days consecutively.
High Grade Glioma Temozolomide during maintenance chemotherapy: 150mg/m2/day PO on Days 1-5.
High Grade Glioma Bevacizumab during radiotherapy: 10 mg/kg as a 90 minute infusion on Day 21 and Day 35 (+or-1 day) of radiotherapy.
High Grade Glioma Bevacizumab during maintenance chemotherapy:10 mg/kg as a 90 minute infusion on Day 1 and Day 15 (+or-1 day) of each course.
Diffuse Intrinsic Pontine Gliomas Bevacizumab during radiotherapy: 10 mg/kg as a 90 minute infusion on Days 1,15, 29, and 43(+or -1 day) of radiotherapy.
Diffuse Intrinsic Pontine Gliomas Bevacizumab during maintenance chemotherapy: 10 mg/kg as a 90 minute infusion on Day 1 and 15 (+or-1 day).
Ages Eligible for Study: | 3 Years to 30 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Diagnosis:
Organ Function Requirements All patients must have adequate organ function as defined below.
Exclusion Criteria:
Contact: Rebecca Turner, MS, CCRP | 513-636-2799 | Rebecca.Turner@CCHMC.org |
United States, Ohio | |
Cincinnati Children's Hospital Medical Center | |
3333 Burnet Avenue, Ohio, United States, 45229 | |
Cincinnati Children's Hospital Medical Center | |
Cincinnati, Ohio, United States, 45229 |
Principal Investigator: | Maryam Fouladi, MD | Children's Hospital Medical Center, Cincinnati |
Responsible Party: | CIncinnati Children's Hospital Medical Center ( Maryam Fouladi, MD ) |
Study ID Numbers: | HGG |
Study First Received: | April 29, 2009 |
Last Updated: | May 4, 2009 |
ClinicalTrials.gov Identifier: | NCT00890786 History of Changes |
Health Authority: | United States: Institutional Review Board |
Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Irinotecan Neuroepithelioma Antineoplastic Agents, Alkylating Bevacizumab |
Glioma Angiogenesis Inhibitors Antineoplastic Agents, Phytogenic Alkylating Agents Temozolomide Neoplasms, Glandular and Epithelial |
Neoplasms by Histologic Type Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Growth Substances Physiological Effects of Drugs Neoplasms, Nerve Tissue Irinotecan Enzyme Inhibitors Bevacizumab Angiogenesis Inhibitors Temozolomide Pharmacologic Actions |
Neuroectodermal Tumors Neoplasms Therapeutic Uses Neoplasms, Germ Cell and Embryonal Growth Inhibitors Angiogenesis Modulating Agents Glioma Antineoplastic Agents, Alkylating Neoplasms, Neuroepithelial Antineoplastic Agents, Phytogenic Alkylating Agents Neoplasms, Glandular and Epithelial |