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TerminatedNCT01018836Updated May 2, 2014

Riluzole and Whole-Brain Radiation Therapy in Treating Patients With Brain Metastases

A Phase 1 interventional study of riluzole and whole-brain radiation therapy in Metastatic Cancer and Unspecified Adult Solid Tumor, Protocol Specific, sponsored by Rutgers, The State University of New Jersey. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-05-02.

Sponsored by Rutgers, The State University of New Jersey · Phase 1, Interventional, and Treatment

Why this study was terminated
Slow accrual
Phase
Phase 1
Study type
Interventional
Enrollment
9
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, such as riluzole, may make tumor cells more sensitive to radiation therapy. Giving riluzole together with whole-brain radiation therapy may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of riluzole when given together with whole-brain radiation therapy in treating patients with brain metastases.

Read the detailed description

OBJECTIVES:

Primary

  • To determine the maximum tolerated dose of riluzole that can be administered concurrently with standard whole-brain radiotherapy (WBRT) in patients with multiple brain metastases.

Secondary

  • To determine the long-term toxicity of riluzole when administered with WBRT.
  • To assess neurocognitive function before and after treatment with riluzole and WBRT.
  • To determine the MRI response of brain metastasis after treatment with riluzole and WBRT.
  • To compare survival of patients treated with riluzole and WBRT to published historical data for patients with brain metastases.
  • To evaluate the response of brain metastasis to riluzole and WBRT as a function of the expression of glutamate receptors on the primary tumor specimen.

OUTLINE: This is a dose-escalation study of riluzole.

Patients receive oral riluzole twice daily beginning on day 0. Beginning within 2 days after the initiation of riluzole, patients undergo whole-brain radiotherapy for 15 fractions.

Patients undergo neurocognitive and quality-of-life assessments at baseline, at 5 weeks, and at 3 months.

Tumor tissue samples are collected for laboratory biomarker studies.

After completion of study treatment, patients are followed up at 6 weeks, every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

02

Conditions studied

  • Metastatic Cancer
  • Unspecified Adult Solid Tumor, Protocol Specific

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Keywords

  • tumors metastatic to brain
  • unspecified adult solid tumor, protocol specific
03

In context

Brain Neoplasms

1,960 studies on the registry are indexed under Brain Neoplasms; 516 are open to participants now.

This study's enrollment of 9 is below the median of 40 across 1,458 interventional studies indexed under Brain Neoplasms.

Browse Brain Neoplasms studies →

Lead sponsor

Rutgers, The State University of New Jersey is the lead sponsor of 496 studies on the registry; 130 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 30 (79%) 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

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor
  • Has ≥ 2 brain metastases as demonstrated by baseline MRI

    • Patients with only 1 metastasis are eligible provided the metastasis is too large for radiosurgery and not amenable to surgical resection
  • Not being considered for surgical resection
  • Eligible to undergo whole-brain radiotherapy (WBRT)

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • ANC ≥ 1,000/μL
  • Platelet count ≥ 50,000/μL
  • Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST/ALT ≤ 1.5 times ULN
  • INR ≤ 1.5 times ULN
  • Sodium normal
  • Thyroid-stimulating hormone normal
  • Negative pregnancy test
  • Fertile patients must use effective contraception before, during, and for ≥ 6 months after completion of study treatment
  • No headaches, disequilibrium, vertigo, or dizziness
  • No known history of hepatitis B or C
  • No concurrent serious systemic disorder (including active infection) that would compromise the safety of the patient or compromise the patient's ability to complete the study, at the discretion of the investigator
  • No history of allergic reactions attributed to riluzole

PRIOR CONCURRENT THERAPY:

  • No prior WBRT
  • At least 2 weeks since prior systemic chemotherapy
  • No systemic chemotherapy during and for ≥ 3 weeks after completion of WBRT
  • Radiosurgical boosts to ≤ 3 metastases allowed, based on the discretion of the treating radiation oncologist
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Riluzole; Radiation Therapy

    Drug: riluzole · Radiation: whole-brain radiation therapy

Interventions

  • Drugriluzole

    The first dose of Riluzole will be day 0 of study enrollment. WBRT must begin within 48 hours of the initiation of Riluzole therapy. At the completion of radiation, Riluzole should be discontinued and steroids should be tapered over the course of 1-3 weeks, at the discretion of the treating physicians.

  • Radiationwhole-brain radiation therapy

    Standard whole brain irradiation will be carried out at 250 cGy per day fractions times 15 to a total dose of 3750 cGy using a standard opposed lateral helmet field with the inferior border inclusive of C1.

06

What researchers measure

Primary outcomes

  1. Maximum tolerated dose of riluzole

    Time frame: 2.5 years

Secondary outcomes

  1. Long-term toxicity of riluzole

    Time frame: .25 years

  2. Neurocognitive function before and after treatment

    Time frame: 2.5 years

  3. MRI response of brain metastasis after treatment

    Time frame: 2.5 years

  4. Survival

    Time frame: 2.5 years

  5. Response of brain metastasis to treatment as a function of the expression of glutamate receptors

    Time frame: 2.5 years

07

Study locations

1 site
  • Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08903, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 2, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01018836
Lead sponsor
Rutgers, The State University of New Jersey
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Nov 25, 2009
Start date
Nov 2009
Primary completion
Dec 2013
Completion
Dec 2013
Last update
May 2, 2014

Study contacts

Bruce G. Haffty, MD
principal investigator · Rutgers Cancer Institute of New Jersey

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2014. You cannot join it, but the record below documents what was studied.

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