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CompletedNCT00274833Updated Dec 6, 2012

Radiation Therapy, Temozolomide, and Erlotinib in Treating Patients With Newly Diagnosed Glioblastoma Multiforme

A Phase 2 interventional study of erlotinib hydrochloride and temozolomide in CNS Tumor, Adult, sponsored by David Peereboom. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-12-06.

Sponsored by David Peereboom · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
27
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving radiation therapy together with temozolomide and erlotinib after surgery may kill any remaining tumor cells.

PURPOSE: This phase II trial is studying how well giving radiation therapy together with temozolomide and erlotinib works in treating patients with newly diagnosed glioblastoma multiforme.

Read the detailed description

OBJECTIVES:

  • Determine the progression-free survival and overall survival of patients with newly diagnosed glioblastoma multiforme treated with adjuvant radiotherapy, temozolomide, and erlotinib hydrochloride.
  • Evaluate the toxicity of this regimen in these patients.

OUTLINE: This is a non-randomized study.

Patients receive oral temozolomide once daily on days 1-42 and undergo concurrent radiotherapy once daily on days 1-5, 8-12, 15-19, 22-26, 29-33, and 36-40. Four weeks after completion of radiotherapy and temozolomide, patients receive oral temozolomide once daily on days 1-5. Treatment with temozolomide repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. Patients also receive oral erlotinib hydrochloride once daily beginning on day 1 of radiotherapy and continuing in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed periodically.

PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.

02

Conditions studied

  • CNS Tumor, Adult

Keywords

  • adult glioblastoma
  • adult giant cell glioblastoma
  • adult gliosarcoma
03

In context

Central Nervous System Neoplasms

684 studies on the registry are indexed under Central Nervous System Neoplasms; 68 are open to participants now.

This study's enrollment of 27 is below the median of 35 across 474 interventional studies indexed under Central Nervous System Neoplasms.

Browse Central Nervous System Neoplasms studies →

Lead sponsor

David Peereboom is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically proven glioblastoma multiforme

    • Newly diagnosed disease
  • Has undergone diagnostic biopsy or surgical resection within the past 28 days

PATIENT CHARACTERISTICS:

  • ECOG 0-2
  • Absolute neutrophil count ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Hemoglobin > 9 g/L
  • Serum creatinine and total serum bilirubin \< 1.5 times upper limit of normal (ULN)
  • AST or ALT \< 2.5 times ULN
  • Alkaline phosphatase \< 2.5 times ULN
  • No other severe underlying disease (including HIV or chronic hepatitis B or C infection)
  • Fertile patients must use effective contraception
  • Not pregnant or nursing
  • No medical condition that could interfere with the oral administration of temozolomide or erlotinib hydrochloride
  • No other malignancy within the past 3 years with the exception of surgically cured carcinoma in situ of the cervix, nonmelanoma skin cancer, or adequately treated stage I or II cancer from which the patient is in complete remission
  • No active infection
  • No other condition that would preclude ability of the patient to be followed closely at the Cleveland Clinic

PRIOR CONCURRENT THERAPY:

  • No prior radiotherapy or chemotherapy for this cancer
  • No prior cranial radiotherapy
  • No concurrent enzyme-inducing anti-epileptic drugs
  • No prior temozolomide or erlotinib hydrochloride
  • No other concurrent antineoplastic therapy
  • No concurrent filgrastim (G-CSF) or sargramostim (GM-CSF) during chemotherapy
  • No concurrent electron, particle, or implant boost radiotherapy
  • No concurrent radiosurgery
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
27 participants (actual)

Study arms

  • Experimental
    Radiation Therapy, Temozolomide, and Erlotinib

    Drug: erlotinib hydrochloride · Drug: temozolomide · Radiation: radiation therapy

Interventions

  • Erlotinib is available as 25 mg, 100 mg, and 150 mg tablets. It should be administered orally once daily at the prescribed dose specified in the clinical study protocol per dose escalation schema. Preferably, erlotinib should be taken in the morning with up to 200 mL of water at least 1 hour before or 2 hours after a meal.

    Also known as: Tarceva

  • TMZ is supplied in white opaque, preservative-free, two piece hard gelatin capsules of the following sizes: 100mg capsules, 20mg capsules, and 5mg capsules. TMZ will be a once a day orally administered (75 mg/m2 x BSA x 42 days)set of capsules taken at least two hours after and one hour before a meal.

    Also known as: Temodar

  • Radiationradiation therapy

    Concomitant focal RT will be delivered once daily at 2 Gy per fraction, 5 d/wk, for a total of 60 Gy. (6 weeks) as mentioned in therapeutic modalities.

    Also known as: RT

06

What researchers measure

Primary outcomes

  1. Progression-free survival

    Time frame: at 6 months

Secondary outcomes

  1. Progression Free Survival

    Time frame: at 1 yr

  2. Number of patients that experience toxicity (CTCAE V2)

    Time frame: at 6 months

  3. Overall Survival

    Time frame: date of final follow up visit

07

Study locations

1 site
  • Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center
    Cleveland, Ohio 44195, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 6, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00274833
Lead sponsor
David Peereboom
Responsible party
David Peereboom (Principal Investigator, Case Comprehensive Cancer Center) — Sponsor-investigator
First posted
Jan 11, 2006
Start date
Oct 2005
Primary completion
Oct 2007
Completion
Sep 2012
Last update
Dec 6, 2012

Study contacts

David M. Peereboom, MD
study chair · Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2012. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Erlotinib · Temozolomide

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