Durham, North Carolina 27710

  • Brain and Central Nervous System Tumors


RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of temozolomide in treating adults with newly diagnosed primary malignant glioblastoma multiforme.

Study summary:

OBJECTIVES: - Determine the antitumor activity of temozolomide in adults with newly diagnosed glioblastoma multiforme. - Define the relationship between tumor O6-alkylguanine-DNA alkyltransferase activity and tumor response in these patients. - Define the relationship between tumor DNA mismatch repair activity and tumor response to temozolomide. OUTLINE: Patients receive temozolomide orally once daily on days 1-5. Treatment courses are repeated every 28 days. In the absence of disease progression and toxicity, patients receive up to 4 courses of treatment prior to radiation therapy. After radiation therapy, patients demonstrating partial or complete response may receive an additional 12 courses of treatment. Patients are followed every 8-12 weeks for 2 years. PROJECTED ACCRUAL: This study will accrue 50 patients.


DISEASE CHARACTERISTICS: - Histologically proven, newly diagnosed, supratentorial malignant glioblastoma multiforme not requiring immediate radiation therapy - At least 1 bidimensionally measurable lesion PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - Karnofsky 70-100% Life expectancy: - Greater than 12 weeks Hematopoietic: - Absolute neutrophil count at least 1500/mm^3 - Platelet count at least 100,000/mm^3 - Hemoglobin at least 10 g/dL Hepatic: - Bilirubin less than 1.5 times upper limit of normal (ULN) - SGOT and SGPT less than 2.5 times ULN - Alkaline phosphatase less than 2 times ULN Renal: - BUN less than 1.5 times ULN - Creatinine less than 1.5 times ULN Other: - Must be neurologically stable - No systemic disease - No acute infection requiring intravenous antibiotics - No frequent vomiting - No other medical condition that would interfere with oral medication intake such as partial bowel obstruction - No prior or concurrent malignancies except: - Surgically cured carcinoma in situ of the cervix - Basal or squamous cell carcinoma of the skin - HIV negative - No AIDS-related illness - Not pregnant or nursing - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - No prior biologic therapy - No concurrent biologic therapy (growth factors or erythropoietin) Chemotherapy: - No prior chemotherapy - No other concurrent chemotherapy Endocrine therapy: - Concurrent steroid allowed (must be on stable dose for at least 1 week prior to study) Radiotherapy: - No prior radiation therapy - No prior interstitial brachytherapy - No prior radiosurgery to the brain - Not requiring immediate radiation therapy - No concurrent radiotherapy Surgery: - Recovered from any effects of prior surgery - At least 2 weeks since prior surgical resection Other: - No other concurrent investigational drugs



Primary Contact:

Study Chair
Henry S. Friedman, MD
Duke University

Backup Contact:


Location Contact:

Durham, North Carolina 27710
United States

There is no listed contact information for this specific location.

Site Status: N/A

Data Source: ClinicalTrials.gov

Date Processed: June 21, 2021

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