Pediatric Phase I Trial of RMP-7 and Carboplatin in Brain Tumors
RMP-7 and carboplatin
Enfermedades del Cerebro+10
+ Enfermedades del Sistema Nervioso Central
+ Neoplasias
Estudio de Tratamiento
Resumen
Fecha de inicio: 1 de abril de 1996
Fecha en la que se inscribió al primer participante.The presence of a highly selective blood-brain barrier (BBB) at the level of the brain capillary endothelium prevents chemotherapeutic agents from attaining therapeutic concentrations at the target site. RMP-7 is a synthetic bradykinin analog which specifically binds to B2 receptors expressed on the brain capillary endothelial cells and preferentially increases capillary permeability within CNS tumors. Carboplatin is an anticancer agent with preclinical and clinical antitumor activity against a variety of brain tumors. A pediatric phase I trial of the combination of RMP-7 and carboplatin will be conducted to determine the maximum tolerated dose of RMP-7 in children with refractory brain tumors.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 30 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.Voluntarios sanos permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
DISEASE CHARACTERISTICS: Histologically confirmed brain tumor including but not limited to the following: Anaplastic astrocytoma, Glioblastoma multiforme, Low-grade glioma, Ependymoma, Medulloblastoma, Pineal tumors, Chiasmal glioma, Craniopharyngioma, Brain stem glioma (requirement for histologic diagnosis may be waived). Disease refractory to standard therapy or no standard chemotherapy exists and ineligible for potential curative surgery or radiotherapy. Measurable or evaluable disease on radiographic studies with evidence of progression on prior chemotherapy or radiotherapy or persistent disease after surgery. PRIOR/CURRENT THERAPY: See Disease Characteristics At least 6 months since carboplatin. At least 3 weeks since myelosuppressive therapy. Patients who received stem cell or bone marrow rescue after nitrosourea therapy are eligible after 3 weeks if they have recovered from hematologic toxicities of their prior therapy. Concurrent steroids allowed if dose stable for at least 2 weeks prior to entry. Recovered from toxic effects of any prior therapy. PATIENT CHARACTERISTICS: Age: 21 and under. Performance status: ECOG 0-2. Life expectancy: At least 8 weeks. HEMATOLOGIC: Absolute granulocyte count greater than 1,500/mm(3). Platelet count greater than 100,000/mm(3) (at least 75,000/mm(3) in patients with prior bone marrow transplantation or craniospinal irradiation). Hemoglobin greater than 8.0 g/dL. HEPATIC: Bilirubin no greater than 2 times normal. ALT no greater than 2 times normal. RENAL: Creatinine within normal limits for age as follows: Age (in years) -- Creatinine (in mg/dL): Younger than 5 -- no greater than 1.2; 5-10 -- no greater than 1.5; 10-15 -- no greater than 1.8; Older than 15 -- no greater than 2.4. OTHER: No significant systemic illness. No pregnant or nursing women. Negative pregnancy test required of fertile women. Effective contraception required of fertile patients. Durable power of attorney required of all patients 18-21 years of age.
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene una ubicación
National Cancer Institute (NCI)
Bethesda, United StatesAbrir National Cancer Institute (NCI) en Google Maps