Safety Study of Cetuximab, Radiotherapy and Temozolomide in Primary Glioblastoma Multiforme(GERT)
Recruitment status was Recruiting
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Purpose
GERT is a one-armed single-center phase I/II trial. In a first step, dose-escalation of TMZ from 50 mg/m2 to 75mg/m2 together with radiotherapy and cetuximab will be performed. Should safety be proven, the phase II trial will be initiated with the standard dose of 75mg/m2 of TMZ. Cetuximab will be applied in the standard application dose of 400mg/m2 in week 1, thereafter at a dose of 250mg/m2 weekly. A total of 46 patients will be included into this phase I/II trial.
Primary endpoints are feasibility and toxicity, secondary endpoints are overall and progression-free survival. An interim analysis will be performed after inclusion of 15 patients into the main study. Patients’ enrolment will be performed over a period of 2 years. The observation time will end 2 years after inclusion of the last patient.
| Condition | Intervention | Phase |
|---|---|---|
|
Glioblastoma Multiforme |
Drug: Cetuximab Drug: Temozolomide Procedure: Radiation therapy |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Treatment of Primary Glioblastoma Multiforme With Cetuximab, Radiotherapy and Temozolomide (GERT) – Phase I/II Trial |
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- >= 18 and < 70 years of age
- Karnofsky Performance Score >= 60
- histologically confirmed supratentorial GBM
- interval between primary diagnosis and registration for the study < 4 weeks
- patients will be included according to the incidental gender distribution for patients with GBM of ♀/♂ 2:3
- adequate blood values (not older than 14 days prior to initiation of RCHT)
- neutrophil count (ANC) ≥1500/mm3 or white blood cells (WBC) ≥2000/mm3
- platelets ≥100.000/mm3
- hemoglobin ≥10g/dL
- BUN <1.5 times the upper range
- Total and direct bilirubin <1.5times the upper laboratory limit
- Adequate liver enzymes <3 times the upper laboratory limit
- Life expectancy >12 weeks
- Written informed consent
Exclusion Criteria:
- refusal of the patients to take part in the study
- previous radiotherapy of the brain or chemotherapy with DTIC or TMZ
- known allergy against extrinsical proteins
- previous chemotherapy or therapy with an EGFR-inhibitor
- Previous antibody therapy
- Patients who have not yet recovered from acute toxicities of prior therapies
- Acute infections requiring systemic application of antibiotics
- Frequent vomiting or a medical condition preventing the oral application of TMZ
- Clinically active kidney- liver or cardiac disease
- Known carcinoma < 5 years ago (excluding Carcinoma in situ of the cervix, basal cell carcinoma, squamous cell carcinoma of the skin)
- HIV
- Pregnant or lactating women
- Participation in another clinical study
Contacts and Locations| Contact: Daniela Schulz-Ertner, MD | +49-6221-56 ext 8201 | Daniela.Ertner@med.uni-heidelberg.de |
| Contact: Stephanie E Combs, MD | +49-6221-56 ext 8201 | Stephanie.Combs@med.uni-heidelberg.de |
| Germany | |
| University of Heidelberg | Recruiting |
| Heidelberg, Baden-Württemberg, Germany, 69120 | |
| Contact: Daniela Schulz-Ertner, MD +49-6221-56 ext 8201 Daniela.Ertner@med.uni-heidelberg.de | |
| Contact: Stephanie E Combs, MD +49-6221-56 ext 8201 Stephanie.Combs@med.uni-heidelberg.de | |
| Principal Investigator: Daniela Schulz-Ertner, MD | |
| Sub-Investigator: Stephanie E Combs, MD | |
| Principal Investigator: | Daniela Schulz-Ertner, MD | University of Heidelberg |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00311857 History of Changes |
| Other Study ID Numbers: | Eudract-2005-003911-63, PEI 119/01 |
| Study First Received: | April 5, 2006 |
| Last Updated: | September 7, 2006 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University of Heidelberg:
|
Cetuximab |
Additional relevant MeSH terms:
|
Glioblastoma Astrocytoma Glioma Neoplasms, Neuroepithelial Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms Neoplasms, Glandular and Epithelial Neoplasms, Nerve Tissue |
Temozolomide Dacarbazine Cetuximab Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013