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A Phase I Dose-Finding and Pharmacokinetic Study of Intravenous RTA 744 Injection in Patients With Recurrent or Refractory Anaplastic Astrocytoma (AA), Anaplastic Oligodendroglioma (AO), Anaplastic Mixed Oligo-Astrocytoma (AOA), Glioblastoma Multiforme (GBM) or Gliosarcoma (GS), With or Without Concurrent Treatment With Enzyme-Inducing Anticonvulsant Therapy


Phase 1
18 Years
N/A
Not Enrolling
Both
Glioma

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Trial Information

A Phase I Dose-Finding and Pharmacokinetic Study of Intravenous RTA 744 Injection in Patients With Recurrent or Refractory Anaplastic Astrocytoma (AA), Anaplastic Oligodendroglioma (AO), Anaplastic Mixed Oligo-Astrocytoma (AOA), Glioblastoma Multiforme (GBM) or Gliosarcoma (GS), With or Without Concurrent Treatment With Enzyme-Inducing Anticonvulsant Therapy


Malignant gliomas, glioblastoma multiforme and anaplastic astrocytoma, are rapidly growing
primary brain tumors associated with a high degree of morbidity and mortality. Despite
aggressive treatment, the median survival rate for GBM is approximately 12 months, with
two-year survival rates no more than 8 to 12%, while median survival for patients with AA
ranges from 2 to 3 years from time of first diagnosis.

RTA 744 is a close chemical analogue of the well characterized anti-cancer agent
doxorubicin. Unlike doxorubicin, RTA 744 has shown ability to cross the blood brain barrier
and to achieve high concentration in CNS tumor tissue in animal models. It will be
administered by i.v. infusions either daily for 3 consecutive days repeated every three
weeks, or once weekly for 4 consecutive weeks repeated every 5 weeks. Once the maximum
tolerated dose is determined , a new group of patients will be enrolled into the study to
evaluate the tolerability and MTD when administered on an expanded schedule (once a week).


Inclusion Criteria:



- Prior histologically confirmed anaplastic astrocytoma, anaplastic oligodendroglioma,
anaplastic mixed oligo-astrocytoma, glioblastoma multiforme, or gliosarcoma, for whom
no other effective therapy is available.

- A prior histologic diagnosis of a lower grade of glioma is allowed if there is
current histologic proof of progression to a diagnosis of AA, AO, AOA, GBM or GS

- Unequivocal evidence of recurrence or progression by neuroimaging procedure.

- Surgical resection at least 2 weeks prior to enrollment and must have completely
recovered from the side effects.

- A stable dose of steroids for at least 7 days prior to obtaining the Gd-MRI of the
brain.

- Previously implanted Gliadel® wafer may be eligible.

- Karnofsky Performance Status (KPS) of ≥ 60.

- Laboratory parameters: Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L, Hemoglobin
(Hgb) ≥ 9 g/dl, Platelets ≥ 100 x 109/L, AST and ALT ≤ 3.0 x Upper Limit of Normal
(ULN), Serum bilirubin ≤ 1.5 x ULN, Serum creatinine ≤ 1.5 x ULN and 24 hour
creatinine clearance ≥ 50 ml/min

- Life expectancy of greater than 12 weeks.

- Written informed consent obtained.

Exclusion Criteria:

- Pregnancy or breast feeding, or adults of reproductive potential not employing an
effective method of birth control

- Total urinary protein in 24 hours urine collection > 500 mg

- Any concurrent severe and/or uncontrolled medical conditions which could compromise
participation in the study.

- Impaired cardiac function, other significant prior cardiac disease or arrhythmia of
any

- A history of CHF or arrhythmias.

- Therapeutic doses of warfarin sodium (Coumadin®).

- Prior or concurrent therapy, or not recovered from the toxic effects of such therapy:
investigational drugs, chemotherapy, metronomic daily dosing of chemotherapy agents,
biologic, immunotherapy or cytostatic agents within 4 weeks prior to study entry;
radiation therapy within 2 weeks prior to study entry, any medication known to cause
QT interval prolongation

- Any surgery other than resection of a brain tumor within 2 weeks prior to enrollment.

- A contraindication to MRI imaging.

Type of Study:

Interventional

Study Design:

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

To determine the maximum tolerated dose (MTD) and dose limiting toxicity (DLT) of RTA 744 Injection in the patient population studied and to determine the qualitative and quantitative toxic effects of RTA 744 Injection.

Outcome Time Frame:

at end of first cycle for each patient cohort

Safety Issue:

Yes

Authority:

United States: Food and Drug Administration

Study ID:

RTA 744-C-0401

NCT ID:

NCT00526812

Start Date:

November 2005

Completion Date:

Related Keywords:

  • Glioma
  • Glioma
  • Astrocytoma
  • Oligodendroglioma
  • Glioblastoma

Name

Location

The University of Texas M. D. Anderson Cancer Center Houston, Texas  77030
University of Texas Southwestern Medical Center Dallas, Texas  
UCLA School of Medicine, Department of Neurology Los Angeles, California  90095
Baylor University Medical Center: Neuro-Oncology Associates Dallas, Texas  75246