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CompletedNCT00612989Updated Jul 16, 2014

Ph I 5-day Temozolomide + O6-BG in Treatment of Pts w Recurrent / Progressive GBM

A Phase 1 interventional study of Temodar and O6-Benzylguanine in Glioblastoma and Gliosarcoma, sponsored by Duke University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-07-16.

Sponsored by Duke University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
42
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary objectives To determine maxi tolerated dose of Temodar® in combo w O6-benzylguanine administered for 5 consecutive days in pts w progressive/recurrent GBM To characterize toxicity associated w Temodar® in combo w O6-BG administered for 5 consecutive days in pts w progressive/recurrent GBM To determine Neulasta®-supported MTD defined as the MTD of Temodar® in combo with O6-BG administered for 5 days while receiving Neulasta® once per treatment cycle between days 7 \& 14 in pts w progressive/recurrent GBM To obtain preliminary response rates of Temodar® in combo w O6-BG administered for 5 consecutive days in pts w progressive/recurrent GBM

Read the detailed description

1 primary objective is to determine maximum tolerated dose of Temodar in combo w O6-benzylguanine administered for 5 consecutive days in pts w progressive/recurrent GBM. Another primary objective is to characterize toxicity associated w Temozolomide in combo w O6-BG administered for 5 consecutive days in pts w progressive/recurrent GBM. 3rd primary objective is to determine Neulasta-supported MTD defined as MTD of Temozolomide in combo w O6-BG administered for 5 days while receiving Neulasta once per treatment cycle between days 7 \& 14 in pts w progressive/recurrent GBM. Secondary objective is to obtain preliminary response rates of Temodar in combo w O6-BG administered for 5 consecutive days in pts w progressive/recurrent GBM. Population is Glioblastoma. O6-BG Administration: O6-BG 120mg/m2 administered intravenously over 1 hr followed by continuous infusion of O6-BG at 30mg/m2/day for 5 consecutive days. Every 48hrs repeat dose of 120mg/m2 over 1hr administered for total of 3 doses.

Temodar Administration: Temodar administered orally, in fasting state within 60 mins of end of 1st 1-hr infusion of O6-BG \& then every 24 hrs during continuous infusion of O6-BG. Temozolomide administered on day 1 of treatment cycle and every 24 hrs thereafter for 5 days w treatment cycles repeated every 28 days. Body surface area calculated at beginning of each cycle will be used to calculate daily dose of Temozolomide administered for that cycle.

Neulasta Administration. Neulasta administered by subcutaneous injection in 0.6mL pre-filled syringe containing 6mg of pegfilgrastim. It will be administered once per chemotherapy cycle between days 7 \& 14. Neulasta should not be administered in period between 14 days before \& 24hrs after administration of cytotoxic chemo including Temozolomide.

Data Analysis will be conducted by Biostatistics department of Duke.

02

Conditions studied

  • Glioblastoma
  • Gliosarcoma

Keywords

  • Glioblastoma
  • Gliosarcoma
  • GBM
  • Temodar
  • Temozolomide
  • O6-BG
  • O6-Benzylguanine
  • Recurrent GBM
  • Progressive GBM
  • Brain tumor
  • Malignant glioma
  • Neulasta
  • Pegfilgrastim
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 42 is above the median of 36 across 1,618 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

Duke University is the lead sponsor of 2,025 studies on the registry; 275 are open to participants now.

Of its 194 completed or terminated interventional studies of FDA-regulated products, 159 (82%) have results posted.

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

Inclusion criteria

  • Pts have histologically proven supratentorial GBM
  • Pts have recurrent/progressive MG. If pt received stereotactic radiosurgery / brachytherapy as part of their prior therapy, then histologic confirmation of recurrence/metabolic imaging consistent w recurrent tumor is recommended but not mandated
  • There must be measurable disease on contrast-enhanced magnetic resonance imaging study / CT scan performed \<2wks of study drug administration
  • Interval of >12 wks between completion of XRT \& enrollment on protocol
  • Interval of >4 wks between prior chemo \& enrollment on protocol unless there is unequivocal evidence of tumor progression
  • Interval of >2 wks between prior surgical resection \& enrollment on protocol unless there is unequivocal evidence of tumor progression
  • Age >18 yrs
  • KPS >70 percent
  • Following baseline study will be required \<1wk of study drug administration: serum creatinine \< 1.5 x ULN \& Hematologic Status
  • Following baseline studies will be required \<1wk of study drug administration: absolute neutrophil count >2000 cells/microliter; platelet count >125,000 cells/microliter
  • Following baseline studies will be required \<1 wk of study drug administration: serum SGOT \& total bilirubin \< 2.5 x ULN
  • Signed informed consent, approved by IRB, will be obtained prior to initiating treatment
  • Pts w Reproductive Potential: Pts must agree to practice effective birth control measures while on study \& for 2 months after completing therapy

Exclusion criteria

Exclusion Criteria:

  • Pregnant/breast feeding women/ women/men w reproductive potential not practicing adequate contraception. Therapy may be associated w potential toxicity to fetus/child that exceeds mini risks necessary to meet health needs of mother
  • Prior treatment w O6-BG + Temozolomide in combo
  • Active infection requiring intravenous antibiotics
  • Known diagnosis of HIV infection
  • Pts w history of another primary malignancy that is currently clinically significant/currently requires active intervention
  • Pts unwilling/unable to comply w protocol due to serious medical/psychiatric condition
  • Pts who have received investigational drugs \<2 wks prior to start on study drug/have not recovered from side effects of such therapy.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
42 participants (estimated)

Study arms

  • Experimental
    1

    Schedule 1

    Drug: Temodar and O6-Benzylguanine

  • Experimental
    2

    Schedule 2

    Drug: Temodar and O6-Benzylguanine

  • Experimental
    3

    Schedule 2, Neulasta-supported

    Drug: Temodar and O6-Benzylguanine

Interventions

  • DrugTemodar and O6-Benzylguanine

    O6-BG 120mg/m2 administered intravenously over 1 hr followed by continuous infusion of O6-BG at 30 mg/m2/day for 5 consecutive days. Every 48 hrs repeat dose of 120 mg/m2 over 1 hr administered for total of 3 doses. Temodar administered orally, in fasting state within 60 minutes of end of 1st 1-hr infusion of O6-BG \& then every 24 hrs during continuous infusion of O6-BG. Temodar administered on day 1 of treatment cycle \& every 24 hrs thereafter for 5 days with treatment cycles repeated every 28 days. Pts must fast for minimum of 1 hr prior to administration of each dose of Temodar \& continue fasting 2 hrs after administration of each Temodar dose.

    Also known as: Temodar, Temozolomide, O6-BG, O6-Benzylguanine, NSC637037, Neulasta, Pegfilgrastim

06

What researchers measure

Primary outcomes

  1. Dose limiting toxicity

    Time frame: 6 months

Secondary outcomes

  1. Progression-free survival

    Time frame: 6 months

07

Study locations

1 site
  • Duke University Health System
    Durham, North Carolina 27710, United States
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00612989
Lead sponsor
Duke University
Collaborators
Schering-Plough, Keryx / AOI Pharmaceuticals, Inc.
First posted
Feb 12, 2008
Start date
Feb 2005
Primary completion
Aug 2007
Completion
Jul 2008
Last update
Jul 16, 2014

Study contacts

David A. Reardon, MD
principal investigator · Duke Health

Oversight

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

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

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