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Cediranib in Combination With Lomustine Chemotherapy in Recurrent Glioblastoma (REGAL)
This study is ongoing, but not recruiting participants.

First Received on October 20, 2008.   Last Updated on June 13, 2011   History of Changes
Sponsor: AstraZeneca
Information provided by: AstraZeneca
ClinicalTrials.gov Identifier: NCT00777153
  Purpose

The purpose of this study is to see how effective cediranib is in treating a brain tumour called recurrent glioblastoma. Two drugs are being tested in this study. Lomustine is an approved oral chemotherapy that belongs to the class of drugs called alkylating agents. Cediranib is a new drug that has not yet been approved for this disease. This study will compare the use of lomustine with cediranib, cediranib alone or lomustine with placebo ("inactive substance") to see whether the combination or cediranib alone will be more effective than the chemotherapy alone (lomustine) in preventing the growth of cancer cells.


Condition Intervention Phase
Recurrent Glioblastoma
Drug: Cediranib
Drug: Lomustine Chemotherapy
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Phase III, Randomised, Parallel Group, Multi-Centre Study in Recurrent Glioblastoma Patients to Compare the Efficacy of Cediranib [RECENTIN™, AZD2171] Monotherapy and the Combination of Cediranib With Lomustine to the Efficacy of Lomustine Alone

Resource links provided by NLM:


Further study details as provided by AstraZeneca:

Primary Outcome Measures:
  • Assessment of progression free survival (PFS). [ Time Frame: MRI taken at baseline and thereafter every 6 weeks until progression ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Assessment of overall survival [ Time Frame: Prior to first administration of investigational product (IP). After intake of IP, assessments taken every week for first 6 weeks, then every 3 weeks through study end ] [ Designated as safety issue: No ]
  • Assessment of overall response rate [ Time Frame: Prior to first administration of investigational product (IP). After intake of IP, assessments taken every week for first 6 weeks, then every 3 weeks through study end ] [ Designated as safety issue: No ]
  • Assessment of APF6 [ Time Frame: Prior to first administration of investigational product (IP). After intake of IP, assessments taken every week for first 6 weeks, then every 3 weeks through study end ] [ Designated as safety issue: No ]
  • Assessment of daily steroid dose [ Time Frame: Prior to first administration of investigational product (IP). After intake of IP, assessments taken every week for first 6 weeks, then every 3 weeks through study end ] [ Designated as safety issue: No ]
  • Assessment of steroid-free days [ Time Frame: Prior to first administration of investigational product (IP). After intake of IP, assessments taken every week for first 6 weeks, then every 3 weeks through study end ] [ Designated as safety issue: No ]

Enrollment: 325
Study Start Date: October 2008
Estimated Study Completion Date: June 2012
Primary Completion Date: April 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Cediranib 30mg
Cediranib 30mg
Drug: Cediranib
30 mg/day, oral, until progression
Cediranib 20mg + lomustine
Cediranib 20mg + lomustine
Drug: Cediranib
20 mg/day, oral, until progression
Drug: Lomustine Chemotherapy
110 mg/m2 / Q6W, oral, until progression
Active Comparator: Lomustine
Lomustine
Drug: Lomustine Chemotherapy
110 mg/m2 / Q6W, oral, until progression

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Confirmation of recurrent glioblastoma
  • Life expectancy ≥ 12 weeks
  • Received only one prior systemic chemotherapy regimen and this regimen must contain temozolomide

Exclusion Criteria:

  • Patients on enzyme-inducing anti-epileptic drugs within 3 weeks prior to randomisation
  • Poorly controlled hypertension
  • Previous anti-angiogenesis (eg bevacizumab, sorafenib, sunitinib) therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00777153

  Show 78 Study Locations
Sponsors and Collaborators
AstraZeneca
Investigators
Study Director: Jane Robertson AstraZeneca
Principal Investigator: Tracy Batchelor, MD, MPH Massachusetts General Hospital
  More Information

Additional Information:
No publications provided

Responsible Party: Jane Robertson, Medical Science Director (RECENTIN), AstraZeneca Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00777153     History of Changes
Other Study ID Numbers: D8480C00055
Study First Received: October 20, 2008
Last Updated: June 13, 2011
Health Authority: United States: Food and Drug Administration;   Austria: Agency for Health and Food Safety;   Australia: Department of Health and Ageing Therapeutic Goods Administration;   Belgium: Federal Agency for Medicinal Products and Health Products;   Canada: Health Canada;   Czech Republic: State Institute for Drug Control;   France: Afssaps - French Health Products Safety Agency;   Germany: Federal Ministry of Food, Agriculture and Consumer Protection;   Netherlands: The Central Committee on Research Involving Human Subjects (CCMO);   United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by AstraZeneca:
Cancer
Tumour
Advanced Solid Tumour
GBM
Glioblastoma

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
Lomustine
Antineoplastic Agents, Alkylating
Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antineoplastic Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on February 09, 2012