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Phenylbutyrate in Treating Children With Progressive or Recurrent Cancer of the Central Nervous System



Phenylbutyrate in Treating Children With Progressive or Recurrent Cancer of the Central Nervous System

For Condition: Brain Cancer
Status: No longer recruiting
Sponsor(s): Texas Children's Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of phenylbutyrate in treating children who have recurrent or progressive cancer of the central nervous system.
Details: OBJECTIVES: - Determine the therapeutic efficacy of phenylbutyrate in terms of response rate and time to progression in children with recurrent or progressive CNS malignancy. - Determine the toxicity of this regimen in these patients. - Determine the correlation between serum steady state phenylbutyrate levels and response or toxicity in these patients. OUTLINE: This is a multicenter study. Patients are stratified according to tumor histology (high grade glioma (anaplastic astrocytoma or glioblastoma multiforme) vs brain stem glioma vs medulloblastoma or primitive neuroectodermal tumors vs other). Patients receive phenylbutyrate IV continuously on days 1-28. Treatment continues every 4 weeks for up to a maximum of 12 courses in the absence of disease progression or unacceptable toxicity. Patients are followed at 1 week. PROJECTED ACCRUAL: A maximum of 120 patients (approximately 9-24 evaluable patients per stratum) will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 2 Years/21 Years
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed recurrent or progressive brain tumor after radiotherapy, chemotherapy, or bone marrow transplantation - High grade glioma (anaplastic astrocytoma or glioblastoma multiforme) - Brain stem glioma - Medulloblastoma or primitive neuroectodermal tumors present in supratentorial or posterior fossa - Other - Histological confirmation waived in brain stem tumors - Patients previously treated with radiosurgery require a biopsy, PET scan or NMR spectroscopy - Measurable disease by CT or MRI imaging that clearly demonstrates recurrent or progressive nature of the lesion - Histologic evidence of bone marrow involvement allowed PATIENT CHARACTERISTICS: Age: - 2 to 21 Performance status: - Lansky 50-100% (10 and under) - Karnofsky 50-100% (over 10) Life expectancy: - At least 8 weeks Hematopoietic: - Absolute neutrophil count at least 1,000/mm^3* - Platelet count at least 50,000/mm^3* - Hemoglobin at least 8.0 g/dL* NOTE: *Transfusion allowed Hepatic: - Bilirubin no greater than 1.5 mg/dL - SGPT no greater than 2 times normal Renal: - Creatinine normal for age OR - Creatinine clearance at least 70 mL/min Other: - No other concurrent significant systemic illness (e.g., infection) - No significant electrolyte abnormalities - No amino acidurias or organic acidemias - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for 6 months after study PRIOR CONCURRENT THERAPY: Biologic therapy: - See Disease Characteristics - Recovered from toxic effects of prior immunotherapy - Prior bone marrow transplantation allowed - No concurrent prophylactic hematopoietic growth factors except for neutropenia or documented infection Chemotherapy: - See Disease Characteristics - At least 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosoureas) - Recovered from prior chemotherapy - No other concurrent chemotherapy Endocrine therapy: - If receiving dexamethasone must be on stable or decreasing dose for 2 weeks prior to study Radiotherapy: - See Disease Characteristics - Recovered from prior radiotherapy - More than 8 weeks since prior radiotherapy to evaluable lesion - More than 4 months since prior radiosurgery to evaluable lesion - Prior extensive radiotherapy (i.e., craniospinal radiotherapy or field encompassing region greater than hemipelvis) allowed Surgery: - See Disease Characteristics - See Radiotherapy Other: - No other concurrent investigational agents - Concurrent electrolyte supplements to maintain electrolyte levels allowed
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
SusanBlaney,  Study Chair,  Texas Children's Cancer Center

Children's National Medical Center
Washington D.C.,  District of Columbia,  20010-2970
United States
 

University of Minnesota Cancer Center
Minneapolis,  Minnesota,  55455
United States
 

UCSF Comprehensive Cancer Center
San Francisco,  California,  94143-0128
United States
 

Texas Children's Cancer Center
Houston,  Texas,  77030-2399
United States
 

Children's Hospital of Pittsburgh
Pittsburgh,  Pennsylvania,  15213
United States
 

Children's Hospital of Philadelphia
Philadelphia,  Pennsylvania,  19104-4318
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068163;  TCCC-H-6321,TCCC-GCRC-0692,NCI-T98-0042,NCI-O1-C-0028
Study Start Date: 
Record last reviewed: April 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00006238

Other Brain Cancer Studies:
1. SU5416 in Treating Children With Recurrent or Progressive Brain Tumors

2. Phenylbutyrate in Treating Children With Progressive or Recurrent Cancer of the Central Nervous System

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