Full Text View
Tabular View
No Study Results Posted
Related Studies
Gossypol in Treating Patients With Progressive or Recurrent Glioblastoma Multiforme
This study is ongoing, but not recruiting participants.
First Received: October 5, 2007   Last Updated: July 23, 2009   History of Changes
Sponsored by: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00540722
  Purpose

RATIONALE: Gossypol may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying how well gossypol works in treating patients with progressive or recurrent glioblastoma multiforme.


Condition Intervention Phase
Brain and Central Nervous System Tumors
Drug: R-(-)-gossypol acetic acid
Genetic: protein expression analysis
Other: immunoenzyme technique
Other: laboratory biomarker analysis
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase 2 Study of R-(-)-Gossypol (Ascenta's AT-101) in Recurrent Glioblastoma Multiforme

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Survival [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Acute and late toxicities of gossypol as assessed by NCI CTCAE v3.0 [ Designated as safety issue: Yes ]
  • Tumor response rate [ Designated as safety issue: No ]
  • 6-month progression-free survival [ Designated as safety issue: No ]
  • Correlation of overall survival with changes in potential serum biomarkers, baseline tumor protein expression, and gene methylation status [ Designated as safety issue: No ]

Estimated Enrollment: 56
Study Start Date: January 2008
Detailed Description:

OBJECTIVES:

Primary

  • To estimate the overall survival rate of patients with progressive or recurrent glioblastoma multiforme treated with R-(-)-gossypol.

Secondary

  • To assess and estimate the acute and late toxicities in patients treated with this drug.
  • To determine the tumor response rate in patients treated with this drug.
  • To estimate the 6-month progression-free survival of patients treated with this drug.
  • To explore associations of the clinical outcome, in terms of overall survival, with changes in potential serum biomarkers, baseline tumor protein expression, and gene methylation status.

OUTLINE: This is a multicenter study.

Patients receive oral R-(-)-gossypol once daily on days 1-21. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

Patients undergo tumor tissue and blood sample collection at baseline and periodically during study for biomarker correlative studies. Archived tumor tissue samples, if available, are analyzed for Bcl-2 family protein expression (e.g., Bcl-2, Bcl-xL, MCl-1, Bax, Bak, and BH3 domain for BH3 members only) and MGMT gene methylation status. Blood samples are analyzed for apoptotic protein levels (Bcl-2) by enzyme-linked immunosorbent assay.

After completion of study therapy, patients are followed every 2 months.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically confirmed supratentorial glioblastoma multiforme

    • Progressive or recurrent disease after prior radiotherapy (with or without chemotherapy)
    • Patients with a previous low-grade glioma that progressed after prior radiotherapy (with or without chemotherapy) and are found to have glioblastoma by biopsy are eligible
  • Patients must have tumor tissue form completed and signed by a pathologist
  • Measurable disease, defined as contrast-enhancing progressive or recurrent glioblastoma multiforme by MRI or CT scan within the past 2 weeks

PATIENT CHARACTERISTICS:

  • Karnofsky performance status 60-100%
  • ANC ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Creatinine ≤ 1.5mg/dL
  • Total bilirubin ≤ 1.5mg/dL
  • ALT and AST ≤ 2.5 times upper limit of normal
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use adequate contraception before, during, and for at least one month after the last dose of R-(-)-gossypol
  • Mini Mental State Exam score ≥ 15
  • No serious concurrent infection or medical illness that would jeopardize the ability of the patient to receive the study treatment with reasonable safety, including, but not limited to, any of the following:

    • Uncontrolled hypertension
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
  • No psychiatric illness or social situation that would limit study compliance
  • No allergic reaction to gossypol
  • No other prior malignancy except curatively treated carcinoma in situ or basal cell carcinoma of the skin

    • Patients with a prior malignancy are ineligible unless they have been free of disease for ≥ 5 years
  • No sensory neuropathy ≥ grade 2
  • No condition (e.g., gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for IV alimentation, or active peptic ulcer disease) that impairs ability to swallow pills
  • No malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel
  • No ulcerative colitis, inflammatory bowel disease, or partial or complete small bowel obstruction
  • No symptomatic hypercalcemia > grade 2

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Recovered from prior therapy
  • At least 3 months since prior radiotherapy
  • At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas)
  • At least 3 weeks since prior investigational, non-cytotoxic agents
  • At least 2 weeks since prior non-cytotoxic, FDA approved agents (e.g., celecoxib or thalidomide)
  • No more than two prior treatments
  • No prior R-(-)-gossypol
  • No prior surgical procedures affecting absorption
  • No other concurrent chemotherapeutic or investigational agents for glioblastoma multiforme
  • No concurrent iron supplements
  • No concurrent cytochrome P450-inducing anticonvulsant drugs that induce hepatic metabolic enzymes (i.e., enzyme-inducing antiepileptic drugs) such as (e.g., phenytoin, carbamazepine, phenobarbital, primidone, or oxcarbazepine)
  • No requirement for routine use of hematopoietic growth factors (e.g., filgrastim [G-CSF], sargramostim [GM-CSF]), or interleukin-11) or platelet transfusions to maintain absolute neutrophil counts or platelet counts above the required thresholds for study entry
  • No concurrent prophylactic hematopoietic growth factors (G-CSF, GM-CSF, or IL-11) during the first course of treatment
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No concurrent drugs, foods, supplements, or over-the-counter medications containing divalent cations (e.g., dairy products, calcium supplements, or antacids for 2 hours before to 4 hours after each dose of study drug
  • Concurrent steroids allowed
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00540722

Locations
United States, Alabama
Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham
Birmingham, Alabama, United States, 35294
United States, Florida
H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
Tampa, Florida, United States, 33612-9497
United States, Georgia
Winship Cancer Institute of Emory University
Atlanta, Georgia, United States, 30322
United States, Maryland
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, United States, 21231-2410
United States, Massachusetts
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
United States, Michigan
Josephine Ford Cancer Center at Henry Ford Hospital
Detroit, Michigan, United States, 48202
United States, North Carolina
Wake Forest University Comprehensive Cancer Center
Winston-Salem, North Carolina, United States, 27157-1096
United States, Ohio
Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, United States, 44195
United States, Pennsylvania
Abramson Cancer Center of the University of Pennsylvania
Philadelphia, Pennsylvania, United States, 19104-4283
Sponsors and Collaborators
Investigators
Study Chair: John Fiveash, MD University of Alabama at Birmingham
  More Information

Additional Information:
Publications:
Fiveash JB, Chowdhary SA, Peereboom D, et al.: NABTT-0702: A phase II study of R-(-)-gossypol (AT-101) in recurrent glioblastoma multiforme (GBM). [Abstract] J Clin Oncol 27 (Suppl 15): A-2010, 2009.

Responsible Party: New Approaches to Brain Tumor Therapy ( Stuart A. Grossman )
Study ID Numbers: CDR0000569405, ABTC-0702, NABTT-0702
Study First Received: October 5, 2007
Last Updated: July 23, 2009
ClinicalTrials.gov Identifier: NCT00540722     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
adult giant cell glioblastoma
adult gliosarcoma
recurrent adult brain tumor
adult glioblastoma

Study placed in the following topic categories:
Glioblastoma
Astrocytoma
Contraceptive Agents
Contraceptive Agents, Female
Central Nervous System Neoplasms
Contraceptive Agents, Male
Gossypol acetic acid
Gossypol
Recurrence
Brain Neoplasms
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Retinol acetate
Neuroepithelioma
Glioma
Glioblastoma Multiforme
Gliosarcoma
Acetic Acid
Antineoplastic Agents, Phytogenic
Nervous System Neoplasms
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Glioblastoma
Contraceptive Agents
Antineoplastic Agents
Neoplasms, Nerve Tissue
Physiological Effects of Drugs
Contraceptive Agents, Female
Central Nervous System Neoplasms
Reproductive Control Agents
Contraceptive Agents, Male
Gossypol
Neoplasms by Site
Neoplasms, Germ Cell and Embryonal
Therapeutic Uses
Antispermatogenic Agents
Glioma
Nervous System Neoplasms
Neoplasms by Histologic Type
Astrocytoma
Nervous System Diseases
Gossypol acetic acid
Pharmacologic Actions
Neuroectodermal Tumors
Neoplasms
Neoplasms, Neuroepithelial
Spermatocidal Agents
Antineoplastic Agents, Phytogenic
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on August 28, 2009