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Phase II Study of Penicillamine and Reduction of Copper for Angiosuppressive Therapy of Adults With Newly Diagnosed Glioblastoma

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

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Trial Information

Phase II Study of Penicillamine and Reduction of Copper for Angiosuppressive Therapy of Adults With Newly Diagnosed Glioblastoma

OBJECTIVES: I. Determine the effect of penicillamine and copper reduction on survival and
time to progression in adults with newly diagnosed glioblastoma. II. Determine the effect of
penicillamine on the reduction of serum copper in these patients. III. Determine whether
penicillamine reduces the tumor volume, vascularity, invasion, and edema in these patients.

OUTLINE: Patients receive oral penicillamine on the following schedule: Week 1: once daily
Week 2: two times daily Week 3: three times daily Week 4: four times daily Week 5 to end of
study: increased dose four times daily. Patients also receive oral pyridoxine daily and
maintain a low copper diet (no greater than 0.5 mg/day). This regimen is continued for up to
2 years in the absence of disease progression or unacceptable toxicity. Radiotherapy is
administered over 6 weeks, beginning on day 1 of penicillamine therapy. Patients are
followed every month (with MRI every 2 months) until death.

PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.

Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically proven supratentorial grade IV astrocytoma
(glioblastoma multiforme)

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60-100% Life
expectancy: At least 2 months Hematopoietic: WBC at least 3000/mm3 Absolute neutrophil
count at least 1500/mm3 Platelet count at least 100,000/mm3 Hemoglobin at least 10.0 g/dL
No serious blood dyscrasias Hepatic: Bilirubin no greater than 2.0 mg/dL AST and ALT no
greater than 4 times upper limit of normal (ULN) Albumin at least 3.0 g/dL PT and PTT no
greater than 1.5 times ULN No liver failure Renal: Creatinine no greater than 1.7 mg/dL OR
BUN no greater than 40 mg/dL No renal failure Other: Not pregnant or nursing Fertile
patients must use effective contraception No serious infection No concurrent serious
medical illness No allergy to penicillin or history of serious reaction to penicillamine
No prior malignancy within the past 5 years except curatively treated carcinoma in situ or
basal cell skin cancer

PRIOR CONCURRENT THERAPY: Biologic therapy: No prior immunotherapy for brain tumor No
prior biologic therapy for brain tumor, including: Immunotoxins Immunoconjugates Antisense
Peptide receptor antagonists Interferons Interleukins Tumor infiltrating lymphocytes
Lymphokine activated killer cells Gene therapy No concurrent growth factors (e.g.,
filgrastim or epoetin alfa) Chemotherapy: No prior chemotherapy for brain tumor Endocrine
therapy: Must be on stable corticosteroid regimen for at least 1 week (at least 5 days) No
other prior hormonal therapy for brain tumor Radiotherapy: No prior radiotherapy for brain
tumor Surgery: Recovered from prior surgery Other: No concurrent investigational agents No
concurrent gold compounds (auronofin, gold sodium thiomalate) No concurrent herbal dietary

Type of Study:


Study Design:

Primary Purpose: Treatment

Principal Investigator

Steven Brem, MD

Investigator Role:

Study Chair

Investigator Affiliation:

H. Lee Moffitt Cancer Center and Research Institute


United States: Federal Government

Study ID:

NABTT-9704 CDR0000066872



Start Date:

March 1999

Completion Date:

July 2005

Related Keywords:

  • Brain and Central Nervous System Tumors
  • adult glioblastoma
  • adult giant cell glioblastoma
  • adult gliosarcoma
  • Glioblastoma
  • Nervous System Neoplasms
  • Central Nervous System Neoplasms



University of Alabama Comprehensive Cancer Center Birmingham, Alabama  35294
H. Lee Moffitt Cancer Center and Research Institute Tampa, Florida  33612
Johns Hopkins Oncology Center Baltimore, Maryland  21287
Comprehensive Cancer Center of Wake Forest University Baptist Medical Center Winston-Salem, North Carolina  27157-1082
University of Pennsylvania Cancer Center Philadelphia, Pennsylvania  19104
University of Texas Health Science Center at San Antonio San Antonio, Texas  78284-7811
Massachusetts General Hospital Cancer Center Boston, Massachusetts  02114
Henry Ford Hospital Detroit, Michigan  48202
Emory University School of Medicine Atlanta, Georgia  30322