Unique ID issued by UMIN | UMIN000025579 |
---|---|
Receipt number | R000029437 |
Scientific Title | An exploratory phase II study of neoadjuvant bevacizumab and temozolomide chemotherapy for patients with newly diagnosed malignant glioma |
Date of disclosure of the study information | 2017/01/16 |
Last modified on | 2018/01/09 20:39:20 |
An exploratory phase II study of neoadjuvant bevacizumab and temozolomide chemotherapy for patients with newly diagnosed malignant glioma
Neoadjuvant bevacizumab and temozolomide for malignant glioma
An exploratory phase II study of neoadjuvant bevacizumab and temozolomide chemotherapy for patients with newly diagnosed malignant glioma
Neoadjuvant bevacizumab and temozolomide for malignant glioma
Japan |
malignant glioma
Neurosurgery |
Malignancy
NO
An exploratory phase II study to evaluate the safety and efficacy of neoadjuvant bevacizumab and temozolomide chemotherapy for patients with primary malignant glioma suspected by imaging findings, clinical course, and laboratory data.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
Progression free survival
safety (adverse event related to neoadjuvant chemotherapy, the rate of accomplishment of the planned operation following neoadjuvant chemotherapy)
response rate for neoadjuvant bevacizumab and temozolomide chemotherapy
(Response assessment in neuro-oncology (RANO) and tumor volume decrease according to sum of products of diameters (SPD))
two year survival rate
overall survival
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
NO
NO
Institution is not considered as adjustment factor.
NO
Central registration
1
Treatment
Other |
Tumor is removed 21~30 days after one course of neoadjuvant bevacizumab and temozolomide chemotherapy. Radiation and temozolomide combination therapy is initiated more than 10 days after the operation. Maintenance phase of temozolomide monotherapy (5/28 schedule, at least 6 courses) is initiated 28 days after the completion of radiochemotherapy.
18 | years-old | <= |
75 | years-old | > |
Male and Female
1) Newly diagnosed supratentorial malignant glioma primarily by imaging findings (ring enhancement and marked peritumoral edema on MRI) that is expected to gain a benefit from the neoadjuvant strategy (ex.hypervascular tumor, tumors with invasion into eloquent area).
2) Age between 18 to 75
3) Performance status (ECOG) of 0-2
4) Sufficient function of important organs.
Neu>1,500/mm3, Hb>8.0 g/dL, Plt>100,000/mm3, AST and ALT<3 times normal value, Bil<2.0 mg/dL, Cr<1.5 mg/dL, ECG: normal, lung function:SpO2>92%
5) Written informed consents are obtained.
1) Uncontrollable severe infectious diseases.
2) Presence of active other cancers.
3) History of radiotherapy for head
4) Uncontrollable hypertention: SAP>150mmHg, DBP>100mmHg
5) Clinically significant cardiac disease (ex. congestive heart failure:NYHA gradeII)
6) Symptomatic myocardial infarction, cerebral infarction, deep vein thrombosis and pulmonary embolism within 6 months
7) Symptomatic intracerebral hemorrhage within 6 months
8) Hemoptysis within 28 days (CTCAE v4.0: grade2)
9) Bleeding diathesis and blood coagulation disorder
10) Unhealed scar and untreated bone fracture
11) Severe gastric ulcer
12) Pulmonary fibrosis and interstitial pneumonia
13) Pregnancy or lactation. Patients hope pregnancy
14) Allergy for temozolomide or bevacizumab
15) Allergy for gadolinium
16) Judged as inappropriate for this study by doctors.
15
1st name | |
Middle name | |
Last name | Hikaru Sasaki |
Keio university school of medicine
Department of Neurosurgery
Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
03-3353-1211
hsasaki@keio.jp
1st name | |
Middle name | |
Last name | Hikaru Sasaki |
Keio university school of medicine
Department of Neurosurgery
Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
03-3353-1211
http://www.neurosurgery.med.keio.ac.jp/medic/clinical_research.html
hsasaki@keio.jp
Keio university school of medicine
None
Self funding
Jikei University Kashiwa Hospital
Kagawa University Hospital
NO
2017 | Year | 01 | Month | 16 | Day |
Unpublished
2017 | Year | 01 | Month | 06 | Day |
2017 | Year | 01 | Month | 16 | Day |
2017 | Year | 01 | Month | 09 | Day |
2018 | Year | 01 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029437