Phase-1 Study of Folinic Acid to Modulate MGMT Gene in Glioblastoma
NCT01700569 · Status: TERMINATED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2023-02-21
Summary
O6-méthylguanine méthyltransférase (MGMT) is the main repair gene after DNA lesion induced by Temozolomide in combination with radiation therapy of Glioblastoma (GBM) in Stupp.R et al published regimen. In preclinical models, it has been demonstrated that MGMT methylation (which is silencing the DNA repair process) is achievable by folic acid. About half of the patients with operated GBM have an un-methylated MGMT gene status and therefore a poorer prognosis. A phase-1 dose escalation study is proposed with pharmacologic doses of folinic acid in combination with temozolomide and radiotherapy of operated GBM.
Conditions
- Grade IV Astrocytoma
- Glioblastoma
Interventions
- DRUG
-
All the Patients are treated by oral Temozolomide 75 mg/m²/day every day during 42 days, 30 minutes after Folinic acid and 120 min before the radiation dose to the brain tumor. After one month rest, the maintenance phase consists of:Temozolomide is given orally (30 min after Folinic acid), at 200 mg/m²/day every day during 5 days: one course every month during 6 months (6 maintenance course).
- DRUG
-
folinic acid at pharmacological dose is the escalated drug
- RADIATION
-
High voltage radiation therapy (linear accelerator)
Brain tumor field is irradiated Five days a week, during Stupp regimen during 6 weeks. During the sams time, Folinic acid and Temozolomide are given orally every days (six weeks).
Sponsors & Collaborators
-
Centre Antoine Lacassagne
collaborator OTHER -
Hospices Civils de Lyon
collaborator OTHER -
Institut Cancerologie de l'Ouest
lead OTHER
Principal Investigators
-
Mario CAMPONE, MD, PhD · Institut Cancerologie de l'Ouest
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-01-31
- Primary Completion
- 2019-12-12
- Completion
- 2021-04-16
Countries
- France
Study Locations
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