Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically confirmed primary supratentorial glioma
- WHO histologic grade 3 or 4
- Patients who have undergone prior treatment for low-grade glioma that has
transformed to glioblastoma (biopsy proven) allowed
- Amenable to standard temozolomide treatment
- First or second recurrent disease after prior surgery and/or radiotherapy OR newly
diagnosed disease that is not amenable to radiotherapy (e.g., multifocal disease)
PATIENT CHARACTERISTICS:
- ECOG or WHO performance status 0-2
- Hemoglobin ≥ 10.0 g/dL
- Neutrophil count ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
- Bilirubin ≤ 1.5 x upper limit of normal (ULN)
- Alkaline phosphatase and transaminases ≤ 2.5 x ULN
- Serum creatinine < 1.7 mg/dL
- Not pregnant or lactating
- Negative pregnancy test
- Fertile patients must use effective contraception
- Clinically normal cardiac function
- No ischemic heart disease within the past 6 months
- No clinically significant abnormalities or uncontrolled cardiac arrhythmia by ECG
- QTc interval ≤ 450 msec (males) or ≤ 470 msec (females) by baseline 12-lead ECG
- No history of congenital long QTc syndrome
- No history of stroke
- No other prior or concurrent malignancy within the past 5 years except cone biopsied
carcinoma of the cervix or adequately treated basal or squamous cell skin carcinoma
- No unstable systemic diseases
- No active uncontrolled infections
- No uncontrolled hypertension
- No psychological, familial, sociological, or geographical condition that would
preclude study participation
- Must be able to swallow tablets
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No more than 1 prior chemotherapy regimen in the adjuvant setting or for first
recurrence
- Prior temozolomide allowed provided there was no disease progression during
temozolomide treatment or within 6 weeks of completing temozolomide treatment
- Prior surgery for primary brain tumor within the past 3 months allowed
- Patients who are receiving corticosteroid treatment must be on a stable or decreasing
dose for at least 1 week before study entry
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)
- At least 14 days since prior and no concurrent enzyme-inducing antiepileptic drugs
including, but not limited to, any of the following:
- Phenytoin
- Carbamazepine
- Phenobarbital
- More than 30 days since prior and no other concurrent investigational treatments
- No concurrent anticoagulant treatment (e.g., warfarin)
- Low molecular weight heparin for patients who require anticoagulant therapy
after starting study treatment may be allowed
- No concurrent routine use of colony-stimulating factors
- No other concurrent anticancer agents