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A Phase I/II Trial Of MGI114 For Treatment Of Patients With Recurrent Malignant Gliomas

Phase 1/Phase 2
18 Years
Not Enrolling
Brain and Central Nervous System Tumors

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Trial Information

A Phase I/II Trial Of MGI114 For Treatment Of Patients With Recurrent Malignant Gliomas


- Determine the maximum tolerated dose (MTD) of irofulven alone or combined with
anticonvulsants known to be metabolized by cytochrome P450 in patients with progressive
or recurrent high-grade anaplastic astrocytoma, anaplastic oligodendroglioma, or
glioblastoma multiforme.

- Assess the pharmacokinetics of this drug on this schedule and determine the effects of
P450-inducing anticonvulsants on the pharmacokinetics in these patients.

- Determine the response rate of patients treated with this drug administered at the MTD.

- Determine the duration of progression-free survival and overall survival of patients
treated with this drug.

- Determine the toxic effects of this drug in these patients.

OUTLINE: This is a dose-escalation, multicenter study. Patients are stratified according to
concurrent use of anticonvulsant drugs that induce cytochrome P450 (yes vs no drugs or
modest-induction drugs).

Patients receive irofulven IV over 30 minutes on days 1-4 or 1-5 (depending on
dose-escalation level). Courses repeat every 4 weeks in the absence of disease progression
or unacceptable toxicity.

Cohorts of 3-6 patients (per stratum) receive escalating doses of irofulven until the
maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at
which at least 2 of 6 patients experience dose-limiting toxicity. Once the MTD is
determined, additional patients are accrued to receive treatment with irofulven at the
recommended phase II dose.

Patients are followed at 1 week and then every 2 months thereafter.

PROJECTED ACCRUAL: Approximately 18 patients (9 per stratum) will be accrued for the phase I
portion of the study. Approximately 17-35 patients will be accrued for the phase II portion
of the study within 6-12 months.

Inclusion Criteria


- Histologically proven malignant high-grade glioma that is progressive or recurrent
after radiotherapy and/or chemotherapy

- Anaplastic astrocytoma

- Anaplastic oligodendroglioma

- Glioblastoma multiforme

- Prior low-grade glioma that has progressed to high-grade glioma after radiotherapy
and/or chemotherapy allowed

- Measurable disease by MRI or CT scan



- 18 and over

Performance status:

- Karnofsky 60-100%

Life expectancy:

- Not specified


- Absolute neutrophil count at least 1,500/mm^3

- Platelet count at least 100,000/mm^3


- Bilirubin no greater than 1.5 mg/dL

- Transaminases no greater than 2.5 times upper limit of normal


- Creatinine no greater than 1.5 mg/dL


- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No serious concurrent infection or medical illness that would preclude study therapy

- No other prior malignancy within the past 5 years except curatively treated basal
cell or squamous cell skin cancer or carcinoma in situ of the cervix or breast

- Mini mental score at least 15


Biologic therapy:

- Not specified


- See Disease Characteristics

- No more than 2 prior chemotherapy regimens

- At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas) and recovered

Endocrine therapy:

- Maintained on a stable corticosteroid regimen for at least 5 days before and during


- See Disease Characteristics

- At least 3 months since prior radiotherapy and recovered


- Recovered from prior surgery


- No other concurrent investigational agents

Type of Study:


Study Design:

Primary Purpose: Treatment

Principal Investigator

Steven S. Rosenfeld, MD, PhD

Investigator Role:

Study Chair

Investigator Affiliation:

University of Alabama at Birmingham


United States: Federal Government

Study ID:




Start Date:

July 2001

Completion Date:

October 2003

Related Keywords:

  • Brain and Central Nervous System Tumors
  • recurrent adult brain tumor
  • adult glioblastoma
  • adult anaplastic astrocytoma
  • adult anaplastic oligodendroglioma
  • adult giant cell glioblastoma
  • adult gliosarcoma
  • Brain Neoplasms
  • Nervous System Neoplasms
  • Central Nervous System Neoplasms



H. Lee Moffitt Cancer Center and Research Institute Tampa, Florida  33612
Emory University Hospital - Atlanta Atlanta, Georgia  30322
University of Texas Health Science Center at San Antonio San Antonio, Texas  78284-7811
Abramson Cancer Center of the University of Pennsylvania Philadelphia, Pennsylvania  19104-4283
Massachusetts General Hospital Cancer Center Boston, Massachusetts  02114
University of Alabama at Birmingham Comprehensive Cancer Center Birmingham, Alabama  35294-3300
Comprehensive Cancer Center at Wake Forest University Winston-Salem, North Carolina  27157-1082
Henry Ford Hospital Detroit, Michigan  48202
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Baltimore, Maryland  21231-2410
Cleveland Clinic Taussig Cancer Center Cleveland, Ohio  44195