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CompletedNCT01727531Updated Apr 8, 2015

IDO2 Genetic Status Informs the Neoadjuvant Efficacy of Chloroquine (CQ) in Brain Metastasis Radiotherapy

An interventional study of Chloroquine diphosphate in Brain Metastasis, sponsored by Main Line Health. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-04-08.

Sponsored by Main Line Health · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This research is being done to determine if a short course of Chloroquine (five weeks) before, during and after whole brain radiation therapy (WBRT) will improve the overall survival of subjects being treated for brain metastases.

Read the detailed description

Hypothesis one: A short course of chloroquine one week prior and four weeks after initiation of WBRT is tolerable and significantly increases the median survival time of patients suffering from brain metastasis as assessed one, three, six, nine, twelve and 24 months post radiotherapy, when compared to historic controls.

Hypothesis two: The presence of one or both single-nucleotide polymorphisms (SNP)s in the gene coding for the immunoregulatory enzyme indoleamine 2,3-dioxygenase 2 (IDO2) improves the clinical outcomes of WBRT or the response to CQ co-treatment.

3.2. Specific Aims:

The specific aims of this study are:

  1. Determine patients physical profiles prior WBRT and at regular intervals afterwards up to 24 months after radiotherapy.
  2. Record the status of patient metastases (i.e. number, location, size)
  3. Determine patients' KPS values.
  4. Record the incidence and causes of mortality of patients.
  5. Determine the genotype of IDO2 for each patient.
  6. Following data analysis, test the validity of the two hypotheses.
02

Conditions studied

  • Brain Metastasis

Keywords

  • chloroquine
  • WBRT
  • survival
  • brain metastasis
  • radiotherapy
  • SNPs
  • gene coding
  • immunoregulatory enzyme IDO2
03

In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's enrollment of 20 is below the median of 54 across 2,767 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Main Line Health is the lead sponsor of 11 studies on the registry; 1 is 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

Inclusion criteria

  • Patients with histologically confirmed primary solid malignancy
  • Patients with single or multiple brain metastases
  • Patients with metastasis diameter \< 5 cm
  • Age > 18
  • Clearance from the patient's physician that treatment with chloroquine should not pose a problem to the patient

Exclusion criteria

Exclusion Criteria:

  • Patients with a history of hypotension, cardiomyopathy, epilepsy, seizures
  • Patients with impaired renal function
  • Patients with psoriasis, porphyria
  • Patients with known hypersensitivity to 4-aminoquinoline compounds
  • Pregnancy, nursing
  • Prior radiotherapy
  • During the chloroquine treatment, patients complaining from visual or auditory disturbances, and patients suffering from acute gastrointestinal problems i.e. Anorexia, nausea, vomiting, diarrhea, abdominal cramps
05

Study design

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

Study arms

  • Experimental
    CQ Arm

    250 mg chloroquine once a day by mouth beginning one week prior to beginning radiation therapy and continue for a total of five weeks.

    Drug: Chloroquine diphosphate

Interventions

  • DrugChloroquine diphosphate

    250 mg chloroquine once a day by mouth beginning one week prior to beginning radiation therapy and continue for a total of five weeks

06

What researchers measure

Primary outcomes

  1. Specific Aim

    Determine patients physical profiles prior WBRT and at regular intervals afterwards up to 24 months after radiotherapy

    Time frame: up to 24-months after completion of treatment

Secondary outcomes

  1. Secondary endpoint: death

    from any cause

    Time frame: up to 24 months after completion of treatment

Other outcomes

  1. Additional Aims

    Record the status of patient metastases (i.e. number, location, size)

    Time frame: up to 24 months after completion of treatment

  2. Additional Aims

    Record KPS

    Time frame: up to 24 months after completion of treatment

  3. Additional Aims

    Record genotype of IDO2

    Time frame: up to 24 months after completion of treatment

07

Study locations

1 site
  • Lankenau Medical Center
    Wynnewood, Pennsylvania 19096, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01727531
Lead sponsor
Main Line Health
Responsible party
Albert DeNittis (Principal Investigator, Main Line Health) — Principal investigator
First posted
Nov 16, 2012
Start date
Dec 2008
Primary completion
Aug 2013
Completion
Aug 2013
Last update
Apr 8, 2015

Study contacts

Albert DeNittis, MD
principal investigator · Main Line Health

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2015. You cannot join it, but the record below documents what was studied.

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