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TerminatedNCT00548938Updated Sep 18, 2009

Gliadel Wafer, Temozolomide and Radiation Therapy for Newly Diagnosed GBM

A Phase 2 interventional study of Gliadel wafer and Temozolomide in Glioblastoma Multiforme and High-Grade Glioma, sponsored by Methodist Healthcare. Terminated at 1 site in United States. Open to participants aged 18 Years to 72 Years. Per ClinicalTrials.gov, last updated 2009-09-18.

Sponsored by Methodist Healthcare · Phase 2, Interventional, and Treatment

Why this study was terminated
Principal Investigator has left the institution
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years to 72 Years
Sex
All
01

Study summary

The purpose of this study is to determine the safety and efficacy of the combination of Gliadel wafers plus surgery and limited field radiation therapy with concomitant temozolomide followed by temozolomide given at an extended dose schedule (metronomic schedule) in patients undergoing initial surgery for newly-diagnosed high grade glioma.

Read the detailed description

The patient population in this Phase II clinical trial will be patients with newly diagnosed high-grade glioma undergoing initial surgery. Patients will receive Surgery + Gliadel® wafer implantation + Limited Field Radiation Therapy with concomitant daily temozolomide (75 mg/m2) followed by monthly temozolomide given at the same dose (75 mg/m2 per day for 21 days each month.

Patients will have up to 8 wafers implanted into the tumor resection cavity (depending upon its size) after maximal tumor resection. Between Study Days 14 and 45 all patients will begin a standard course of post-operative limited field radiation therapy to the tumor site and a surrounding margin. Temozolomide will be administered concomitantly with radiation at a daily dose of 75 mg/m2 daily (7 days/week) and then beginning no later than 30 days following completion of radiation therapy on a 75 mg/m2 daily dose given 21 days out of each month for a total of up to 18 cycles.

02

Conditions studied

  • Glioblastoma Multiforme
  • High-Grade Glioma

Keywords

  • Brain Tumor
  • GBM
  • Glioblastoma Multiforme
  • Giladel
  • Temozolomide
03

In context

Glioblastoma

1,920 studies on the registry are indexed under Glioblastoma; 450 are open to participants now.

This study's planned enrollment of 40 is above the median of 36 across 1,618 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

Methodist Healthcare is the lead sponsor of 6 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 to 72 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Men and women, must be between ages 18-72
  • Patients must have radiographic evidence on cranial magnetic resonance imaging (MRI) of a single, contrast-enhancing unilateral supratentorial cerebral tumor suggestive of high-grade glioma
  • Surgical treatment within 4 weeks of the baseline MRI is indicated
  • Karnofsky Performance Score of 60 or higher
  • Patients must have a pathological diagnosis of high-grade (IV) malignant glioma
  • Patients must be willing to use a barrier method of contraception if fertile or if of childbearing potential for up to 2 years after wafer implantation and be counseled regarding the unknown, and potentially harmful, risks to the embryo or fetus while treated on this study

Exclusion criteria

Exclusion Criteria:

  • Patients who have had prior cytoreductive surgery for high-grade glioma (patients who have had a diagnostic stereotactic biopsy are eligible)
  • Patients with more than one focus of tumor or tumor crossing the midline as assessed by coronal cranial MRI scan
  • Concomitant significant life-threatening disease from which the patient could reasonably be expected to die within the first 12 months of the study
  • Known hypersensitivity reactions to temozolomide, nitrosoureas or any components of the Gliadel wafer
  • Prior CNS radiotherapy
  • Patients who have received any prior chemotherapy for malignant glioma prior to the baseline evaluation or patients who are currently being treated with chemotherapeutic agents
  • Patients with fewer than 100,000 platelets per mm3 or fewer than 3,500 leukocytes per mm3
  • Liver function tests greater than or equal to 2.5 times the upper limit of normal (transaminases (SGOT, SGPT), total bilirubin, alkaline phosphatase)
  • Serum creatinine equal to or greater than 1.5 times the upper limit of normal, blood urea nitrogen (BUN) equal to or greater than 2.5 times the upper limit of normal
  • Pregnancy, or lactating females or females of childbearing potential not employing adequate contraception
  • Participation in any other investigational protocol in the prior twelve months for any type of malignancy
  • Psychological, familial, sociological or geographical conditions which do not permit adequate medical follow-up and compliance with the study protocol
05

Study design

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

Interventions

  • DrugGliadel wafer

    Implanted at surgery

  • DrugTemozolomide

    During External Beam Radiation

  • RadiationExternal Beam Radiation Therapy

    60 Gy

06

What researchers measure

Primary outcomes

  1. To determine the efficacy of Gliadel wafer + radiation + temozolomide in patients with newly diagnosed high grade glioma undergoing surgery as determined by time to disease progression.

    Time frame: 2 years

Secondary outcomes

  1. Median, one year and overall survival rate.

    Time frame: 2 years

07

Study locations

1 site
  • Methodist University Hospital
    Memphis, Tennessee 38104, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00548938
Lead sponsor
Methodist Healthcare
First posted
Oct 24, 2007
Start date
Oct 2007
Primary completion
Oct 2009 (estimated)
Completion
Oct 2010 (estimated)
Last update
Sep 18, 2009

Study contacts

Allen K Sills, MD
principal investigator · Methodist University Hospital

Oversight

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

Not currently enrolling

This study is terminated, as verified in Sep 2009. You cannot join it, but the record below documents what was studied.

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