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Photodynamic Therapy in Treating Patients With Recurrent Malignant Supratentorial Gliomas



Photodynamic Therapy in Treating Patients With Recurrent Malignant Supratentorial Gliomas

For Condition: adult glioblastoma multiforme,recurrent adult brain tumor,adult anaplastic astrocytoma
Status: Recruiting
Sponsor(s): Roswell Park Cancer Institute , National Cancer Institute (NCI)
Synopsis: RATIONALE: Photodynamic therapy uses light and drugs that make cancer cells more sensitive to light to kill tumor cells. Photodynamic therapy using porfimer sodium may be effective in treating patients with recurrentmalignantsupratentorialgliomas. It is not yet known whether high-dose photodynamic therapy is more effective than low-dose photodynamic therapy in treating recurrent malignant supratentorial gliomas. PURPOSE: Randomizedphase III trial to compare the effectiveness of high-dose photodynamic therapy with that of low-dose photodynamic therapy in treating patients who have recurrent malignant supratentorial gliomas that have not responded to previous surgery and radiation therapy.
Details: OBJECTIVES: - Compare the effect of high or low light dose photodynamic therapy on survival of patients with recurrent malignant supratentorial gliomas. OUTLINE: This is a randomized, multicenter study. Patients receive porfimer sodium (Photofrin) by intravenous injection one day prior to surgery. Craniotomy and tumor resection are performed. Patients are randomized to receive high or low dose light therapy during surgery using a laser and balloon delivery device. Patients receive chemotherapy with procarbazine 2-4 weeks after surgery for 28 days, followed by 28 days of rest. Courses are repeated in the absence of disease progression and unacceptable toxicity. Patients are followed at 4 weeks postsurgery, then every 3 months until death. PROJECTED ACCRUAL: This study will accrue a maximum of 120 patients within 4.5 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Biopsy proven recurrent malignant glioblastoma or malignant astrocytoma - Failed prior surgery and radiotherapy - Resectable tumor PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - Karnofsky 70-100% Life expectancy: - At least 3 months Hematopoietic: - WBC at least 2000/mm^3 - Platelet count at least 80,000/mm^3 Hepatic: - PT/PTT no greater than 1.5 times upper limit of normal (ULN) - Bilirubin and LFTs less than 2 times ULN - Alkaline phosphatase no greater than 3 times ULN - GGT no greater than 3 times ULN Renal: - Creatinine no greater than 2 mg/dL Other: - Not pregnant or nursing - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - No prior procarbazine Endocrine therapy: - Not specified Radiotherapy: - See Disease Characteristics Surgery: - See Disease Characteristics
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
RobertFenstermaker,  Study Chair,  Roswell Park Cancer Institute

Western Pennsylvania Hospital *Recruiting*
Pittsburgh,  Pennsylvania,  15224
United States
Recruiting Robert  Selker 412-578-4340

Rocky Mountain Neurological Associates *Recruiting*
Englewood,  Colorado,  80110
United States
Recruiting Timothy  Fullagar 303-788-4000

St. Michael's Hospital-Annex *Recruiting*
Toronto,  Ontario,  M5B 1A6
Canada
Recruiting Paul  Muller 416-864-5590


Additional Information:
Study ID Numbers:
  CDR0000066753;  RPCI-DS-9802,HEALTHONE-43892,NCI-G98-1484
Study Start Date: 
Record last reviewed: September 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003660

Other Recurrent Adult Brain Tumor Studies:
1. Temozolomide and Carmustine in Treating Patients With Anaplastic Glioma

2. Surgery, Radiation Therapy, and Chemotherapy With or Without Photodynamic Therapy in Treating Patients With Newly Diagnosed or Recurrent Malignant Supratentorial Gliomas

3. Temozolomide in Treating Patients With Recurrent Malignant Glioma

4. Carmustine Wafers Plus Irinotecan in Treating Patients With Recurrent Supratentorial High Grade Gliomas

5. Radiolabeled Monoclonal Antibody in Treating Patients With Glioblastoma Multiforme or Anaplastic Astrocytoma

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