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Tamoxifen and Bortezomib in Treating Patients With Recurrent Gliomas
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), October 2008
First Received: June 2, 2005   Last Updated: May 29, 2009   History of Changes
Sponsored by: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00112762
  Purpose

RATIONALE: Drugs used in chemotherapy, such as tamoxifen, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving tamoxifen together with bortezomib may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving tamoxifen together with bortezomib works in treating patients with recurrent gliomas.


Condition Intervention Phase
Brain and Central Nervous System Tumors
Drug: bortezomib
Drug: tamoxifen citrate
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase II Trial of Tamoxifen and Bortezomib in Patients With Recurrent High-Grade Gliomas

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Response, defined as stable disease or objective (partial or complete) response [ Designated as safety issue: No ]

Estimated Enrollment: 76
Study Start Date: June 2005
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the antitumor activity of tamoxifen and bortezomib in patients with recurrent high-grade gliomas.
  • Determine, preliminarily, the toxic effects of this regimen in these patients.

OUTLINE: Patients are stratified according to disease (glioblastoma multiforme vs anaplastic glioma).

Patients receive oral tamoxifen twice daily on days 1-42 and bortezomib IV on days 3, 6, 10, 13, 24, 27, 31, and 34. Treatment repeats every 42 days for up to 9 courses in the absence of disease progression or unacceptable toxicity. After 9 courses of treatment, patients who continue to benefit from study treatment and who experience no unacceptable toxicity may receive additional courses of treatment at the investigator's discretion.

After completion of study treatment, patients are followed within 2 weeks and then annually thereafter.

PROJECTED ACCRUAL: A total of 46-76 patients (27-40 in stratum 1 and 19-36 in stratum 2) will be accrued for this study within 2 years.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically confirmed high-grade glioma, including any of the following:

    • Glioblastoma multiforme and its variants (e.g., gliosarcoma)
    • Anaplastic glioma, including any of the following types:

      • Anaplastic astrocytoma
      • Anaplastic oligodendroglioma
      • Anaplastic mixed oligoastrocytoma
      • Malignant astrocytoma or glioma not otherwise specified
      • Brainstem glioma by radiography or clinical diagnosis
  • Unequivocal evidence of tumor progression by MRI or CT scan while on a steroid dosage that has been stable for ≥ 5 days
  • Patients who have undergone prior surgical resection of recurrent or progressive tumor must have subsequent residual disease
  • Failed prior radiotherapy
  • No documented tumor progression during prior treatment with tamoxifen

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Karnofsky 60-100%

Life expectancy

  • More than 8 weeks

Hematopoietic

  • WBC ≥ 3,000/mm^3
  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Hemoglobin ≥ 10 g/dL (transfusion allowed)

Hepatic

  • SGOT < 2 times upper limit of normal (ULN)
  • Bilirubin < 2 times ULN
  • No hepatocellular and/or cholestatic dysfunction by liver biopsy, liver ultrasound, or liver function tests
  • No other hepatic disease

Renal

  • Creatinine < 1.5 mg/dL AND/OR
  • Creatinine clearance ≥ 60 mL/min
  • No renal disease by renal biopsy, ultrasound, MRI, CT scan, or blood test

Cardiovascular

  • No coronary artery disease
  • No congestive heart failure
  • No arrhythmia requiring medication
  • No other significant active cardiac disease

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective double-method contraception during and for 2 months after study participation
  • Able to swallow tamoxifen tablets
  • No other significant uncontrolled medical illness that would preclude study participation
  • No significant severe psychiatric disease that requires hospitalization or would preclude study compliance
  • No other active malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • No active infection requiring IV antibiotics
  • No other disease that would obscure study drug toxicity or dangerously alter drug metabolism
  • No peripheral neuropathy ≥ grade 2

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 1 week since prior interferon or thalidomide
  • No concurrent immunotherapy

Chemotherapy

  • At least 2 weeks since prior vincristine
  • At least 6 weeks since prior nitrosoureas
  • At least 3 weeks since prior procarbazine
  • No concurrent standard anticancer chemotherapy

Endocrine therapy

  • See Disease Characteristics
  • More than 6 months since prior tamoxifen

Radiotherapy

  • See Disease Characteristics
  • At least 4 weeks since prior and no concurrent radiotherapy

Surgery

  • See Disease Characteristics

Other

  • Recovered from all prior therapy
  • At least 4 weeks since prior and no concurrent investigational agents
  • At least 4 weeks since prior cytotoxic therapy
  • At least 1 week since other prior noncytotoxic agents (e.g., isotretinoin) except radiosensitizers
  • No concurrent enzyme-inducing anti-epileptic drugs (e.g., phenytoin, phenobarbital, or carbamazepine)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00112762

Locations
United States, Maryland
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office Recruiting
Bethesda, Maryland, United States, 20892-1182
Contact: Clinical Trials Office - Warren Grant Magnusen Clinical Center     888-NCI-1937        
Sponsors and Collaborators
Investigators
Study Chair: Howard A. Fine, MD NCI - Neuro-Oncology Branch
  More Information

Additional Information:
No publications provided

Responsible Party: NCI - Neuro-Oncology Branch ( Howard A. Fine )
Study ID Numbers: CDR0000429542, NCI-05-C-0137
Study First Received: June 2, 2005
Last Updated: May 29, 2009
ClinicalTrials.gov Identifier: NCT00112762     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
adult anaplastic astrocytoma
adult gliosarcoma
adult glioblastoma
adult anaplastic oligodendroglioma
adult mixed glioma
recurrent adult brain tumor
adult giant cell glioblastoma

Study placed in the following topic categories:
Glioblastoma
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Bone Density Conservation Agents
Central Nervous System Neoplasms
Selective Estrogen Receptor Modulators
Hormones
Estrogen Receptor Modulators
Neoplasms, Germ Cell and Embryonal
Neuroepithelioma
Glioma
Nervous System Neoplasms
Estrogens
Estrogen Antagonists
Astrocytoma
Antineoplastic Agents, Hormonal
Bortezomib
Citric Acid
Tamoxifen
Recurrence
Protease Inhibitors
Neuroectodermal Tumors
Brain Neoplasms
Citrate
Oligodendroglioma
Gliosarcoma
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Hormone Antagonists
Neoplasms, Nerve Tissue
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Bone Density Conservation Agents
Central Nervous System Neoplasms
Selective Estrogen Receptor Modulators
Estrogen Receptor Modulators
Neoplasms by Site
Neoplasms, Germ Cell and Embryonal
Therapeutic Uses
Glioma
Nervous System Neoplasms
Estrogen Antagonists
Neoplasms by Histologic Type
Antineoplastic Agents, Hormonal
Nervous System Diseases
Bortezomib
Enzyme Inhibitors
Tamoxifen
Pharmacologic Actions
Protease Inhibitors
Neuroectodermal Tumors
Neoplasms
Neoplasms, Neuroepithelial
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on August 30, 2009