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Sirolimus in Treating Patients With Glioblastoma Multiforme

Basic Trial Information
Trial Description
     Summary
     Further Trial Information
     Eligibility Criteria
Trial Contact Information

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase II, Phase ITreatmentCompleted18 and overNCI, OtherCDR0000257255
P30CA016042, UCLA-0203078, NCI-G02-2114, NCT00047073

Trial Description

Summary

RATIONALE: Chemotherapy drugs such as sirolimus use different ways to stop tumor cells from dividing so they stop growing or die. Giving a chemotherapy drug before surgery may shrink the tumor so that it can be removed during surgery.

PURPOSE: Phase I/II trial to study the effectiveness of sirolimus in treating patients who have glioblastoma multiforme that did not respond to previous radiation therapy.

Further Study Information

OBJECTIVES:

  • Determine the maximum tolerated dose of sirolimus in patients with glioblastoma multiforme.
  • Determine the safety profile of this drug in these patients.
  • Determine the efficacy of this drug, in terms of 6-month progression-free survival and objective response, in these patients.

OUTLINE: This is a dose-escalation study.

  • Phase I: Patients receive oral sirolimus for 5-7 days before surgery. Patients then undergo surgical resection. Patients resume oral sirolimus once daily after full recovery from surgery. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of sirolimus until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

  • Phase II: Patients receive oral sirolimus as in phase I at the dose determined in that phase.

Patients are followed for survival.

PROJECTED ACCRUAL: A total of 3-12 patients will be accrued for phase I of the study within 3-12 months. A total of 32 patients will be accrued for phase II of the study.

Eligibility Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed intracranial glioblastoma multiforme
  • Disease progression by MRI or CT scan
  • Confirmation of true progressive disease (not radiation necrosis) by positron-emission tomography, thallium scanning, MRI, or surgical documentation required if patient received prior interstitial brachytherapy or stereotactic radiosurgery
  • Failed prior radiotherapy
  • Phase I patients:
  • Eligible for salvage surgery
  • No limits on prior therapy
  • Phase II patients:
  • Tumor progression by MRI or CT scan required within the past 14 days if recurrent disease is present
  • No prior therapy for more than 3 relapses
  • Recent resection of recurrent or progressive tumor allowed as long as all of the following conditions apply:
  • Recovered from surgery
  • MRI or CT scan performed no more than 96 hours since prior surgery OR within 4-6 weeks after surgery
  • Baseline MRI or CT scan performed within 14 days of study entry

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Karnofsky 60-100%

Life expectancy

  • More than 8 weeks

Hematopoietic

  • WBC at least 3,000/mm^3
  • Absolute neutrophil count at least 2,000/mm^3
  • Platelet count at least 100,000/mm^3
  • Hemoglobin at least 10 g/dL (transfusion allowed)

Hepatic

  • Bilirubin less than 1.5 times upper limit of normal (ULN)
  • SGOT less than 1.5 times ULN

Renal

  • Creatinine less than 1.5 mg/dL

Other

  • Cholesterol less than 350 mg/dL
  • Triglycerides less than 400 mg/dL
  • No concurrent disease that would obscure toxicity or dangerously alter drug metabolism
  • No other significant uncontrolled serious medical illness that would preclude study participation
  • No other cancer except non-melanoma skin cancer or carcinoma in situ of the cervix unless patient is in complete remission and off all therapy for that disease for at least 3 years
  • No active infection
  • No prior allergic reactions to compounds of similar chemical or biological composition to sirolimus
  • No psychiatric illness that would preclude study participation
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 1 week since prior interferon

Chemotherapy

  • At least 2 weeks since prior vincristine
  • At least 3 weeks since prior procarbazine
  • At least 6 weeks since prior nitrosoureas

Endocrine therapy

  • At least 1 week since prior tamoxifen

Radiotherapy

  • See Disease Characteristics
  • At least 4 weeks since prior radiotherapy

Surgery

  • See Disease Characteristics

Other

  • Recovered from prior therapy
  • At least 1 week since prior noncytotoxic agents (except radiosensitizers)

Trial Contact Information

Trial Lead Organizations/Sponsors

Jonsson Comprehensive Cancer Center at UCLA

National Cancer Institute

Timothy F. CloughesyPrincipal Investigator

Link to the current ClinicalTrials.gov record.
NLM Identifer NCT00047073
ClinicalTrials.gov processed this data on October 17, 2013

Note: Information about this trial is from the ClinicalTrials.gov database. The versions designated for health professionals and patients contain the same text. Minor changes may be made to the ClinicalTrials.gov record to standardize the names of study sponsors, sites, and contacts. Cancer.gov only lists sites that are recruiting patients for active trials, whereas ClinicalTrials.gov lists all sites for all trials. Questions and comments regarding the presented information should be directed to ClinicalTrials.gov.

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