Overview

Fenretinide in Treating Patients With Recurrent Malignant Glioma

Status:
Completed
Trial end date:
2004-11-01
Target enrollment:
0
Participant gender:
All
Summary
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 fenretinide in treating patients who have recurrent malignant glioma.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
North American Brain Tumor Consortium
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Collaborator:
National Cancer Institute (NCI)
Treatments:
Fenretinide
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed supratentorial malignant primary glioma
Glioblastoma multiforme (closed to accrual as of 05/31/2001) Gliosarcoma (closed to accrual
as of 05/31/2001) Anaplastic astrocytoma Anaplastic oligodendroglioma Mixed malignant
gliomas Original histological diagnosis of low-grade glioma allowed if a subsequent
histological diagnosis of malignant glioma is confirmed Prior treatment for no more than 2
prior relapses allowed Disease progression documented by at least 2 pre-study brain scans
Recent prior tumor resection of recurrent or progressive tumor allowed if recovered from
the effects of prior surgery

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life
expectancy: More than 8 weeks Hematopoietic: Absolute neutrophil count at least 1,500/mm3
Platelet count at least 100,000/mm3 Hemoglobin at least 10 g/dL (may be transfusion
dependent) Hepatic: Bilirubin less than 2 times upper limit of normal (ULN) SGOT less than
2 times ULN Renal: Creatinine less than 1.5 mg/dL Creatinine clearance at least 60 mL/min
Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective
barrier contraception during and for at least 2 months after study Able to swallow capsules
No active infection No disease or other serious concurrent medical illness that would
preclude study

PRIOR CONCURRENT THERAPY: Biologic therapy: At least 1 week since prior interferon At least
1 week since prior thalidomide Chemotherapy: Recovered from prior chemotherapy At least 4
weeks since prior cytotoxic therapy (2 weeks for vincristine, 3 weeks for procarbazine, or
6 weeks for nitrosoureas) Endocrine therapy: At least 1 week since prior tamoxifen Prior
steroids allowed if on stable or decreasing dose for at least 5-7 days before baseline MRI
If steroid dose is increased between date of baseline MRI and initiation of study drug, a
new baseline MRI is required Radiotherapy: Not specified Surgery: See Disease
Characteristics No concurrent surgery Other: At least 1 week since any prior noncytotoxic
agents (e.g., isotretinoin) No other concurrent anticancer therapy, including other
investigational drugs