|
||||||||||||||||||||||
|
|
Phase III Study of Radiotherapy plus HU/BCNU vs HU/PCB/CCNU/VCR for Primary Malignant Brain Tumors
Basic Trial Information
Objectives I. Compare the effectiveness of radiotherapy plus hydroxyurea followed by BCNU vs. radiotherapy plus hydroxyurea followed by CCNU/procarbazine/vincristine for primary, intracranial, malignant glioma. Entry Criteria Disease Characteristics: See General Eligibility Criteria Patient Characteristics: See General Eligibility Criteria General Eligibility Criteria: Patients at least 15 years old with biopsy-proven (or with clinical, neurological, and neuroradiological evidence that supports no other diagnosis) primary, intracranial, malignant glioma of the following types: glioblastoma multiforme (closed to glioblastoma multiforme, June 1981), Grade III and IV astrocytoma, anaplastic astrocytoma, gemistocytic astrocytoma and malignant glioma (not otherwise specified). Patients must have: a life expectancy of at least 8 weeks, BUN no greater than 30 mg% or creatinine no greater than 2 mg% (if both tests are done, the patient is eligible if creatinine does not exceed 2 mg%, regardless of BUN); WBC of at least 4,000 and/or granulocyte count of at least 2,000 (if both tests are done, the patient is eligible if the granulocyte count is at least 2,000, regardless of WBC); platelet count of at least 125,000; bilirubin no greater than 1.2 mg% and SGOT and alkaline phosphatase no greater than twice the maximum institution normal. Patients must not have had prior cytotoxic chemotherapy and radiotherapy (and must have a minimal Karnofsky rating of 40%, per August 1978 addendum). Expected Enrollment 200 patients will be entered in 2 years. As of June 1981, 193 patients have been entered (107 with glioblastoma multiforme). Protocol closed to patient entry. Outline Randomized study. Arm I: Radiotherapy plus Single-agent Chemotherapy followed by Single-agent Chemotherapy. Megavoltage radiation to whole brain; plus Hydroxyurea, HU, NSC-32063; followed by BCNU, NSC-409962. Arm II: Radiotherapy plus Single-agent Chemotherapy followed by 3-Drug Combination Chemotherapy. Radiotherapy as in Arm I; plus HU; followed by PCV: Procarbazine, PCB, NSC-77213; CCNU, NSC-79037; Vincristine, VCR, NSC-67574.Published Results Levin VA, Silver P, Hannigan J, et al.: Superiority of post-radiotherapy adjuvant chemotherapy with CCNU, procarbazine, and vincristine (PCV) over BCNU for anaplastic gliomas: NCOG 6G61 final report. Int J Radiat Oncol Biol Phys 18 (2): 321-4, 1990.[PUBMED Abstract] Trial Lead Organizations Clinical Research Program - Northern California Cancer Center
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. |
NCI Home |
Images Version |
Contact Us |
Policies |
Accessibility |
Viewing Files |
FOIA |
Site Help |
Site Map
|
A Service of the National Cancer Institute |