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Clinical Trial Questions?
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Phase I/II Study of Sorafenib and Temsirolimus in Patients With Recurrent Glioblastoma (Phase I Closed to Accrual as of 11/21/07)
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outcomes Outline Trial Contact Information Registry Information
Alternate Title
Sorafenib and Temsirolimus in Treating Patients With Recurrent Glioblastoma
Basic Trial Information
| Phase | Type | Status | Age | Protocol IDs |
|---|
| Phase II, Phase I | Biomarker/Laboratory analysis, Treatment | Active | 18 and over | NCCTG-N0572 N0572, NCT00329719 |
Objectives Primary - Establish a maximum tolerable dose of temsirolimus in combination with sorafenib in patients with recurrent glioblastoma not receiving enzyme-inducing anticonvulsants (EIACs). (Phase I [closed to accrual as of 11/21/07])
- Define the safety profile of temsirolimus and sorafenib in these patients. (Phase I [closed to accrual as of 11/21/07])
- Assess the evidence of antitumor activity. (Phase I [closed to accrual as of 11/21/07])
- Assess the efficacy, as measured by progression-free survival, of temsirolimus and sorafenib in patients with recurrent glioblastoma not receiving EIACs . (Phase II)
- Assess the safety and toxicities of this regimen in these patients. (Phase II)
Secondary - Correlate tumor and blood biomarkers with clinical outcome of patients treated with temsirolimus and sorafenib.
- Evaluate tumor tissue specimens for evidence of bioactivity of these agents.
Entry Criteria Disease Characteristics:
- Histologically confirmed grade IV astrocytoma (glioblastoma) or gliosarcoma
- Evidence of tumor progression by MRI or CT scan after prior radiotherapy or most recent antitumor therapy
- Bidimensionally measurable or evaluable disease by MRI or CT scan
Prior/Concurrent Therapy:
- See Disease Characteristics
- At least 12 weeks since prior radiotherapy
- At least 6 weeks since prior temsirolimus, sorafenib, or other agents specifically targeting mTOR, raf, or vascular endothelial growth factor (VEGF)/VEGF receptors and recovered
- No prior poor tolerance to such agents
- At least 4 weeks since prior cytotoxic chemotherapy (6 weeks for nitrosoureas)
- At least 2 weeks since prior cytostatic chemotherapy (e.g., tamoxifen, isotretinoin, or thalidomide)
- At least 1 week since prior fixed or decreasing dose of corticosteroids (or no corticosteroids)
- At least 1 week since prior minor surgery other than venous line placement (3 weeks for major surgery)
- No more than 2 prior systemic chemotherapy regimens
- No prior surgical procedures affecting absorption
- No prior intratumoral chemotherapy (e.g., polifeprosan 20 with carmustine implant or cintredekin besudotox), stereotactic radiosurgery, or interstitial brachytherapy unless there is a separate lesion on MRI that is not part of the previous treatment field or there is proof of recurrent disease based on biopsy, MRI spectroscopy, or positron emission tomography scan
- No concurrent enzyme-inducing antiepileptic drugs (e.g., phenytoin,
fosphenytoin, carbamazepine, phenobarbital, or primidone) or any other potent CYP3A4 inducer, such as rifampin or Hypericum perforatum (St. John’s wort)
- No other concurrent investigational agents
- No concurrent prophylactic hematopoietic colony-stimulating factors
- No other concurrent anticancer agents or therapies
- Concurrent prophylactic anticoagulation therapy (e.g., low-dose
warfarin) allowed provided coagulation parameter levels (prothrombin time [INR]) < 1.1 times upper limit of normal (ULN)
- Concurrent full-dose anticoagulants (e.g., warfarin) allowed provided all of the following criteria are met:
- In-range INR
(between 2 and 3) on a stable dose of oral anticoagulant or on a stable
dose of low molecular weight heparin
- No active bleeding
or pathological condition that carries a high risk of bleeding (e.g., tumor
involving major vessels or known varices)
Patient Characteristics:
- ECOG performance status 0-2
- WBC ≥ 3,000/mm3
- Absolute neutrophil count ≥ 1,500/mm3
- Platelet count ≥ 100,000/mm3
- Hemoglobin ≥ 10 g/dL
- Bilirubin ≤ 2.0 times ULN
- AST ≤ 2.5 times ULN
- Creatinine ≤ 2.0 times ULN
- Cholesterol ≤ 350 mg/dL
- Triglycerides ≤ 400 mg/dL
- INR ≤ 1.5 (unless on full-dose warfarin)
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for 6 months after completion of study therapy
- No HIV positivity
- No evidence of bleeding diathesis or coagulopathy
- No condition (e.g., gastrointestinal tract disease resulting in an inability to take
oral medication, requirement for IV alimentation, or active peptic ulcer disease) that would impair the ability to
swallow pills
- No uncontrolled hypertension with systolic blood pressure (BP) > 140 mm Hg or diastolic BP pressure
> 90 mm Hg
- No uncontrolled infection
- No known hypersensitivity to any of the components of temsirolimus or sorafenib
- No immunocompromised patients (other than that related to the use of corticosteroids)
- No other active malignancy
- No uncontrolled intercurrent illness, including, but not limited to, any of the following:
- Ongoing or active infection
- Symptomatic congestive heart failure
- Unstable angina pectoris
- Cardiac arrhythmia
- Psychiatric illness or social situation that would preclude study compliance
- No significant intratumoral, intracerebral, or subarachnoid hemorrhage on baseline MRI or CT scan
- No other history of significant intratumoral, intracerebral, or subarachnoid hemorrhage
Expected Enrollment 141A total of 141 patients will be accrued for this study. Outcomes Primary Outcome(s)Progression-free survival at 6 months
Secondary Outcome(s)Time to disease progression Overall survival Objective response Adverse events as assessed by NCI CTCAE v3.0 Correlation of biomarkers with antitumor activity/patient outcomes
Outline This is a multicenter, phase I (closed to accrual as of 11/21/07), dose-escalation study of temsirolimus followed by a phase II open-label study. Biopsy or resected tissue and blood are collected prior to treatment (usually at diagnosis) and analyzed for biomarkers. After completion of study treatment, patients are followed every 6 months for 5 years and then annually thereafter.
Trial Contact Information
Trial Lead Organizations North Central Cancer Treatment Group  |  |  | | Kurt Jaeckle, MD, Protocol chair |  | |  | | David Schiff, MD, Protocol co-chair |  | | Ph: 434-982-4415; 800-223-9173 |
|  | | Bradley Erickson, MD, PhD, Protocol co-chair |  | |  | Trial Sites
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| U.S.A. |
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| Arizona |
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Scottsdale |
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| | | | | | | | | Mayo Clinic Scottsdale |
| | | Clinical Trials Office - All Mayo Clinic Locations | |
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| Florida |
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Jacksonville |
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| | | | Mayo Clinic - Jacksonville |
| | | Clinical Trials Office - All Mayo Clinic Locations | |
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| Illinois |
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Bloomington |
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| | | | St. Joseph Medical Center |
| | | John Kugler, MD | |
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Canton |
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| | | Graham Hospital |
| | | John Kugler, MD | |
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Carthage |
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| | | Memorial Hospital |
| | | John Kugler, MD | |
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Eureka |
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| | | Eureka Community Hospital |
| | | John Kugler, MD | |
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Galesburg |
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| | | Galesburg Clinic, PC |
| | | John Kugler, MD | |
| | | Galesburg Cottage Hospital |
| | | John Kugler, MD | |
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Havana |
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| | | Mason District Hospital |
| | | John Kugler, MD | |
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Macomb |
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| | | McDonough District Hospital |
| | | John Kugler, MD | |
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Normal |
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| | | BroMenn Regional Medical Center |
| | | John Kugler, MD | |
| | | Community Cancer Center |
| | | John Kugler, MD | |
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Ottawa |
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| | | Community Hospital of Ottawa |
| | | John Kugler, MD | |
| | | Oncology Hematology Associates of Central Illinois, PC - Ottawa |
| | | John Kugler, MD | |
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Pekin |
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| | | Cancer Treatment Center at Pekin Hospital |
| | | John Kugler, MD | |
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Peoria |
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| | | CCOP - Illinois Oncology Research Association |
| | | John Kugler, MD | |
| | | Methodist Medical Center of Illinois |
| | | Clinical Trials Office - Methodist Medical Center of Illinois | |
| | | Oncology Hematology Associates of Central Illinois, PC - Peoria |
| | | John Kugler, MD | |
| | | OSF St. Francis Medical Center |
| | | John Kugler, MD | |
| | | Proctor Hospital |
| | | John Kugler, MD | |
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Peru |
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| | | Illinois Valley Community Hospital |
| | | John Kugler, MD | |
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Spring Valley |
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| | | St. Margaret's Hospital |
| | | John Kugler, MD | |
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| Iowa |
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Ames |
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| | | | McFarland Clinic, PC |
| | | Clinical Trials Office - McFarland Clinic, PC | |
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Cedar Rapids |
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| | | Cedar Rapids Oncology Associates |
| | | Clinical Trials Office - Cedar Rapids Oncology Associates | |
| | | Mercy Regional Cancer Center at Mercy Medical Center |
| | | Martin Wiesenfeld, MD | |
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Clive |
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| | | Medical Oncology and Hematology Associates - West Des Moines |
| | | Robert Behrens | |
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Des Moines |
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| | | CCOP - Iowa Oncology Research Association |
| | | Robert Behrens | | Ph: | 515-244-7586 | | 888-244-6061 |
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| | | John Stoddard Cancer Center at Iowa Lutheran Hospital |
| | | Clinical Trials Office - John Stoddard Cancer Center at Iowa Lutheran Hospital | |
| | | John Stoddard Cancer Center at Iowa Methodist Medical Center |
| | | Clinical Trials Office - John Stoddard Cancer Center at Iowa Methodist Medical Center | |
| | | Medical Oncology and Hematology Associates at John Stoddard Cancer Center |
| | | Robert Behrens | |
| | | Medical Oncology and Hematology Associates at Mercy Cancer Center |
| | | Robert Behrens | |
| | | Mercy Cancer Center at Mercy Medical Center - Des Moines |
| | | Robert Behrens | | Ph: | 515-643-8206 | | 888-221-4849 |
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Mason City |
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| | | Mercy Cancer Center at Mercy Medical Center - North Iowa |
| | | Clinical Trials Office - Mercy Cancer Center at Mercy Medical Center - North Iowa | |
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Sioux City |
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| | | Mercy Medical Center - Sioux City |
| | | Donald Wender, MD, PhD | |
| | | Siouxland Hematology-Oncology Associates, LLP |
| | | Donald Wender, MD, PhD | |
| | | St. Luke's Regional Medical Center |
| | | Donald Wender, MD, PhD | |
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| Kansas |
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Anthony |
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| | | | Hospital District Sixth of Harper County |
| | | Shaker Dakhil, MD, FACP | |
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Chanute |
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| | | Cancer Center of Kansas, PA - Chanute |
| | | Shaker Dakhil, MD, FACP | |
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Dodge City |
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| | | Cancer Center of Kansas, PA - Dodge City |
| | | Shaker Dakhil, MD, FACP | |
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El Dorado |
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| | | Cancer Center of Kansas, PA - El Dorado |
| | | Shaker Dakhil, MD, FACP | |
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Fort Scott |
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| | | Cancer Center of Kansas - Fort Scott |
| | | Shaker Dakhil, MD, FACP | |
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Independence |
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| | | Cancer Center of Kansas-Independence |
| | | Shaker Dakhil, MD, FACP | |
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Kingman |
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| | | Cancer Center of Kansas, PA - Kingman |
| | | Shaker Dakhil, MD, FACP | |
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Lawrence |
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| | | Lawrence Memorial Hospital |
| | | Shaker Dakhil, MD, FACP | |
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Liberal |
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| | | Southwest Medical Center |
| | | Shaker Dakhil, MD, FACP | |
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Newton |
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| | | Cancer Center of Kansas, PA - Newton |
| | | Shaker Dakhil, MD, FACP | |
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Parsons |
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| | | Cancer Center of Kansas, PA - Parsons |
| | | Shaker Dakhil, MD, FACP | |
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Pratt |
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| | | Cancer Center of Kansas, PA - Pratt |
| | | Shaker Dakhil, MD, FACP | |
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Salina |
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| | | Cancer Center of Kansas, PA - Salina |
| | | Shaker Dakhil, MD, FACP | |
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Wellington |
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| | | Cancer Center of Kansas, PA - Wellington |
| | | Shaker Dakhil, MD, FACP | |
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Wichita |
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| | | Associates in Womens Health, PA - North Review |
| | | Shaker Dakhil, MD, FACP | |
| | | Cancer Center of Kansas, PA - Wichita |
| | | Shaker Dakhil, MD, FACP | |
| | | Cancer Center of Kansas, PA - Medical Arts Tower |
| | | Shaker Dakhil, MD, FACP | |
| | | CCOP - Wichita |
| | | Shaker Dakhil, MD, FACP | |
| | | Via Christi Cancer Center at Via Christi Regional Medical Center |
| | | Shaker Dakhil, MD, FACP | |
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Winfield |
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| | | Cancer Center of Kansas, PA - Winfield |
| | | Shaker Dakhil, MD, FACP | |
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| Michigan |
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Ann Arbor |
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| | | | CCOP - Michigan Cancer Research Consortium |
| | | Philip Stella, MD | |
| | | Saint Joseph Mercy Cancer Center |
| | | Philip Stella, MD | |
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Dearborn |
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| | | Oakwood Cancer Center at Oakwood Hospital and Medical Center |
| | | Clinical Trials Office - Oakwood Cancer Center at Oakwood Hospital and Medical Center | |
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Escanaba |
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| | | Green Bay Oncology, Limited - Escanaba |
| | | Anthony Jaslowski, MD, FACP | |
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Flint |
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| | | Genesys Hurley Cancer Institute |
| | | Clinical Trials Office - Genesys Hurley Cancer Institute | |
| | | Hurley Medical Center |
| | | Clinical Trials Office - Hurley Medical Center | |
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Grosse Pointe Woods |
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| | | Van Elslander Cancer Center at St. John Hospital and Medical Center |
| | | Clincial Trials Office - Van Elslander Cancer Center at St. John Hospital and Medical Center | |
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Iron Mountain |
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| | | Dickinson County Healthcare System |
| | | Anthony Jaslowski, MD, FACP | |
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Lansing |
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| | | Sparrow Regional Cancer Center |
| | | Clinical Trials Office - Sparrow Regional Cancer Center | |
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Livonia |
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| | | St. Mary Mercy Hospital |
| | | Philip Stella, MD | |
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Pontiac |
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| | | St. Joseph Mercy Oakland |
| | | Philip Stella, MD | |
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Port Huron |
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| | | Mercy Regional Cancer Center at Mercy Hospital |
| | | Philip Stella, MD | |
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Saginaw |
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| | | Seton Cancer Institute at Saint Mary's - Saginaw |
| | | Clinical Trials Office - Seton Cancer Institute - Saginaw | |
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Warren |
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| | | St. John Macomb Hospital |
| | | Philip Stella, MD | |
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| Minnesota |
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Alexandria |
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| | | | Donald Jurgens | |
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Bemidji |
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| | | MeritCare Bemidji |
| | | Preston Steen, MD | |
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Burnsville |
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| | | Fairview Ridges Hospital |
| | | Patrick Flynn, MD | |
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Coon Rapids |
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| | | Mercy and Unity Cancer Center at Mercy Hospital |
| | | Patrick Flynn, MD | |
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Duluth |
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| | | CCOP - Duluth |
| | | Daniel Nikcevich, MD, PhD | |
| | | Duluth Clinic Cancer Center - Duluth |
| | | Clinical Trials Office - Duluth Clinic Cancer Center - Duluth | |
| | | Miller - Dwan Medical Center |
| | | Daniel Nikcevich, MD, PhD | |
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Edina |
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| | | Fairview Southdale Hospital |
| | | Clinical Trials Office - Fairview Southdale Hospital | |
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Fridley |
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| | | Mercy and Unity Cancer Center at Unity Hospital |
| | | Patrick Flynn, MD | |
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Hutchinson |
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| | | Hutchinson Area Health Care |
| | | Daniel Anderson | | Ph: | 320-234-5000 | | 800-454-3903 |
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Lichfield |
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| | | Meeker County Memorial Hospital |
| | | Clinical Trials Office - Meeker County Memorial Hospital | |
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Maplewood |
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| | | HealthEast Cancer Care at St. John's Hospital |
| | | Daniel Anderson | |
| | | Minnesota Oncology Hematology, PA - Maplewood |
| | | Patrick Flynn, MD | |
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Minneapolis |
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| | | Hennepin County Medical Center - Minneapolis |
| | | Clinical Trials Office - Hennepin County Medical Center - Minneapolis | |
| | | Virginia Piper Cancer Institute at Abbott - Northwestern Hospital |
| | | Clinical Trials Office - Virginia Piper Cancer Institute | |
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Robbinsdale |
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| | | Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center |
| | | Clinical Trials Office - Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center | |
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Rochester |
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| | | Mayo Clinic Cancer Center |
| | | Clinical Trials Office - All Mayo Clinic Locations | |
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Saint Cloud |
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| | | CentraCare Clinic - River Campus |
| | | Donald Jurgens | |
| | | Coborn Cancer Center |
| | | Donald Jurgens | |
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Saint Louis Park |
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| | | CCOP - Metro-Minnesota |
| | | Patrick Flynn, MD | |
| | | Park Nicollet Cancer Center |
| | | Patrick Flynn, MD | |
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Saint Paul |
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| | | United Hospital |
| | | Patrick Flynn, MD | |
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Shakopee |
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| | | St. Francis Cancer Center at St. Francis Medical Center |
| | | Patrick Flynn, MD | |
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St. Paul |
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| | | Regions Hospital Cancer Care Center |
| | | Clinical Trials Office - Regions Hospital Cancer Care Center | |
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Waconia |
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| | | Ridgeview Medical Center |
| | | Patrick Flynn, MD | |
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Willmar |
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| | | Willmar Cancer Center at Rice Memorial Hospital |
| | | Joseph Ryan, MD | |
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Woodbury |
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| | | Minnesota Oncology Hematology, PA - Woodbury |
| | | Patrick Flynn, MD | |
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| Nebraska |
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Omaha |
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| | | | Alegant Health Cancer Center at Bergan Mercy Medical Center |
| | | Clinical Trials Office - Alegant Health Cancer Center at Bergen Mercy Medical Center | |
| | | CCOP - Missouri Valley Cancer Consortium |
| | | Gamini Soori, MD, FACP, FRCP, MBA | |
| | | Creighton University Medical Center |
| | | Clinical Trials Office - Creighton University Medical Center | |
| | | Immanuel Medical Center |
| | | Gamini Soori, MD, FACP, FRCP, MBA | |
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| North Carolina |
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Rutherfordton |
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| | | | Rutherford Hospital |
| | | James Bearden, MD | |
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| North Dakota |
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Bismarck |
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| | | | Bismarck Cancer Center |
| | | Edward Wos, DO | |
| | | Medcenter One Hospital Cancer Care Center |
| | | Edward Wos, DO | |
| | | Mid Dakota Clinic, PC |
| | | Clinical Trials Office - Mid Dakota Clinic, PC | |
| | | St. Alexius Medical Center Cancer Center |
| | | Clinical Trials Office - St. Alexius Medical Center Cancer Center | |
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Fargo |
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| | | CCOP - MeritCare Hospital |
| | | Preston Steen, MD | |
| | | MeritCare Broadway |
| | | Preston Steen, MD | |
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Grand Forks |
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| | | Altru Cancer Center at Altru Hospital |
| | | Clinical Trails Office - Altru Cancer Center at Altru Hospital | |
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| Pennsylvania |
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Allentown |
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| | | | Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest |
| | | Suresh Nair, MD | |
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Danville |
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| | | Geisinger Cancer Institute at Geisinger Health |
| | | Clinical Trials Office - Geisinger Cancer Institute | |
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Hazleton |
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| | | Geisinger Hazleton Cancer Center |
| | | Amy Law, MD | |
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State College |
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| | | Geisinger Medical Group - Scenery Park |
| | | Amy Law, MD | |
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Wilkes-Barre |
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| | | Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center |
| | | Clinical Trials Office - Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center | |
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| South Carolina |
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Anderson |
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| | | | AnMed Cancer Center |
| | | Clinical Trials Office - AnMed Cancer Center | |
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Spartanburg |
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| | | CCOP - Upstate Carolina |
| | | Clinical Trials Office - CCOP - Upstate Carolina | |
| | | Gibbs Regional Cancer Center at Spartanburg Regional Medical Center |
| | | Clinical Trials Office - Gibbs Regional Cancer Center | |
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| South Dakota |
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Rapid City |
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| | | | Rapid City Regional Hospital |
| | | Richard Tenglin | |
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| Virginia |
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Charlottesville |
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| | | | University of Virginia Cancer Center |
| | | David Schiff, MD | |
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| Wisconsin |
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Green Bay |
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| | | | Green Bay Oncology, Limited at St. Mary's Hospital |
| | | Anthony Jaslowski, MD, FACP | |
| | | Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center |
| | | Anthony Jaslowski, MD, FACP | |
| | | St. Mary's Hospital Medical Center - Green Bay |
| | | Anthony Jaslowski, MD, FACP | |
| | | St. Vincent Hospital Regional Cancer Center |
| | | Clinical Trials Office - St. Vincent Hospital Regional Cancer Center | |
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Marinette |
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| | | Bay Area Cancer Care Center at Bay Area Medical Center |
| | | Anthony Jaslowski, MD, FACP | |
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Oconto Falls |
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| | | Green Bay Oncology, Limited - Oconto Falls |
| | | Anthony Jaslowski, MD, FACP | |
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Sturgeon Bay |
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| | | Green Bay Oncology, Limited - Sturgeon Bay |
| | | Anthony Jaslowski, MD, FACP | |
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| Registry Information |  | | Official Title | | A Phase I/II Trial of Sorafenib and CCI-779 in Combination with Recurrent Glioblastoma |  | | Trial Start Date | | 2006-03-24 |  | | Trial Completion Date | | 2010-03-03 (estimated) |  | | Registered in ClinicalTrials.gov | | NCT00329719 |  | | Date Submitted to PDQ | | 2006-03-23 |  | | Information Last Verified | | 2009-11-03 |  | | NCI Grant/Contract Number | | CA25224 |
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. Back to Top |
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