TITRE |
Étude ouverte de phase III à répartition aléatoire visant à comparer l’efficacité et l’innocuité de l’association de l’éflornithine et de la lomustine à celles de la lomustine en monothérapie dans le traitement de patients atteints d’un Astrocytome anaplasique ayant progressé ou récidivé après une radiothérapie et une chimiothérapie adjuvante à base de témozolomide |
PROTOCOLE ID |
Orbus OT-15-0011 |
CLINICAL TRIAL.gov ID |
NCT02796261 |
TYPE(S) DE CANCER |
Cerveau (SNC) |
PHASE |
Phase III |
TYPE D'ÉTUDE |
|
INSTITUTION |
CENTRE UNIVERSITAIRE DE SANTE MCGILL
1001 boul. Décarie
|
VILLE |
Montréal
|
INVESTIGATEUR(RICE) PRINCIPAL(E) |
Kevin Petrecca
|
COORDONATEUR(RICE) |
Gabriele Riva gabriele.riva@mcgill.ca 514-398-6907
|
STATUT |
Actif en recrutement
|
CRITÈRES D'ÉLIGIBILITÉ |
(EN)
- Patients must meet all of the following inclusion criteria to be eligible for participation in this study:
- Surgical or biopsy-proven diagnosis of WHO grade 3 AA.
- Unequivocal evidence of first AA tumor progression or recurrence ≤ 3 months prior to randomization based on MRI criteria for tumor progression using enlarging Gd-contrast enhancement and/or T2 hyperintensity. Patients with non-measurable Gd contrast enhancing tumors will only be eligible if there is no necrosis seen on MRI and/or histopathological confirmation of AA per standard of care procedures is obtained.
- First tumor progression or recurrence following surgical resection or biopsy, if resection is not feasible, EBRT and temozolomide chemotherapy.
- Completion of EBRT ≥ 6 months prior to randomization.
- A patient whose AA tumor has progressed or recurred and has had another surgical resection prior to randomization will be eligible if a) pathology review confirms AA, and b) post-surgical MRI demonstrates measurable tumor on T2/FLAIR.
- Karnofsky Performance Status (KPS) score of ≥ 70.
|
CRITÈRES D'EXCLUSION |
(EN)
- Patients who meet any of the following exclusion criteria are not eligible for study participation:
- MRI defining progression is consistent with a diagnosis of glioblastoma or radiation necrosis.
- Patients who are considered to be refractory to EBRT and temozolomide but who have not progressed.
- Prior systemic therapy for recurrence of AA.
- Presence of extracranial or leptomeningeal disease.
- Prior lomustine use.
- Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the patient unsuitable for the study.
- Pregnant or breastfeeding.
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