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A Phase 2 Study of Aminolevulinic Acid (ALA) to Enhance Visualization and Resection of Malignant Glial Tumors of the Brain

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City:   Tacoma
State:   Washington
Zip Code:   98405
Conditions:   Malignant Glioma - Glioma - Glioblastoma - Glioblastoma Multiforme - Astrocytoma
Purpose:   In this study subjects will be administered a single oral dose of Aminolevulinic Acid (ALA) prior to surgical resection of their brain tumor. The ALA ultimately causes brain tumor tissue to fluoresce or light up under ultraviolet light. During surgery an ultraviolet light in the microscope chain will be turned on. The tumor tissue will fluoresce bright pink allowing the surgeon to more easily differentiate tumor tissue from normal brain tissue. The aim of the study is to determine whether ALA and fluorescent visualization of tumor tissue improves the surgeon's ability to completely resect or remove the brain tumor.
Study Summary:   This is a Phase 2 study and all subjects will receive open label Aminolevulinic Acid in a dose of 20mg/kg given orally 3 hours prior to surgery. Brain tumors will be resected with the aid of ultraviolet light to visualize the tumor. After surgery an MRI will be done to determine whether the tumor has been completely or partially resected. All subjects will be followed for safety. All subjects will be followed closely by clinical examination and by MRI to monitor for disease recurrence.
Criteria:   Inclusion Criteria: - Clinically documented primary brain tumor for which surgical resection is indicated. - Age 18 years and older. - ECOG Performance status less than or equal to 2. - Laboratory values as follows: Leukocytes greater than or equal to 3,000. ANC greater than or equal to 1,500. Platelets greater than or equal to 100,000. Total Bilirubin WNL. AST/ALT less than or equal to 2.5 times ULN. Creatinine WNL. or Creatinine Clearance greater than or equal to 60ml/min/1.73m2 if SCr above institutional normal. -Ability to provide informed consent or consent from a Legally Authorized Representative. Exclusion Criteria: - Receipt of an investigational agent within 30 days. - Allergy to ALA or similar compounds. - Personal or family history of porphyria. - Uncontrolled intercurrent illness. - Inability to comply with the protocol. - Pregnancy, breastfeeding.
NCT ID:   NCT01351519
Primary Contact:   Principal Investigator
William Morris, MD
MultiCare Health System

Diane Miller, RN, MSN
Phone: 253-403-5265
Email: diane.miller@multicare.org
Backup Contact:   Email: christine.goetz@multicare.org
Christine Goetz, BS
Phone: 253-403-7193
Location Contact:   Tacoma, Washington 98405
United States

Richard Shine, PharmD, BCPS
Phone: 253-403-7250
Email: richard.shine@multicare.org

Site Status: Recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 24, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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