A randomised study of radiotherapy and concomitant Temodal® (temozolomide) or neoadjuvant chemotherapy followed by radiotherapy and concomitant Temodal® in patients with high grade glioma

ISRCTN ISRCTN45209900
DOI https://doi.org/10.1186/ISRCTN45209900
Secondary identifying numbers N/A
Submission date
25/08/2010
Registration date
23/09/2010
Last edited
07/09/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Roger Henriksson
Scientific

Radiumhemmet
Karolinska sjukhuset i Solna
Stockholm
171 74
Sweden

Study information

Study designMulticentre prospective phase III randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Written and oral
Scientific titleA multicentre, phase III, randomised controlled trial of radiotherapy and concomitant Temodal® (temozolomide) or neoadjuvant chemotherapy followed by radiotherapy and concomitant Temodal® in patients with high grade glioma
Study acronymTemodal, neoadjuvant trial
Study objectivesTo compare the efficacy and safety of conventional and concomitant Temodal® in patients with anaplastic astrocytoma (AA) or glioblastoma multiforme (GBM).
Ethics approval(s)The local ethics committee (Ethic comitteé Umeà) approved in August 2008 (ref: 02-317)
Health condition(s) or problem(s) studiedGrade III (anaplastic astrocytoma) or grade IV (glioblastoma multiforme) tumours
InterventionPatients will be randomised to receive either
1. Conventional radiotherapy and temozolomide:
60 Gy radiotherapy is administered in 2 Gy fractions over 6 weeks, concomitantly with daily doses of temozolomide 75 mg/m2
2. Neoadjuvant temozolomide 2-3 cycles followed by radiotherapy
3 cycles of temozolomide dosage 200 mg/m2 days 1-5 in a 28 days schedule, with radiologic evaluation before start of treatment and after 2 cycles. If progression is noted cycle 3 is omitted. Radiotherapy is administered in the same way as for the standard treatment arm.
Follow up for both treatment arms is 1 ond 3 months after end of treatment.
Intervention typeOther
Primary outcome measureOverall survival
Secondary outcome measures1. Safety, all adverse events are collected
2. Quality of Life (QoL), evaluated by the EORTC QLQ-30 before start of treatment, then 12 and 24 months after start of treatment.
Overall study start date13/01/2003
Completion date21/05/2009

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participantsPlanned 322, stopped at 143
Key inclusion criteria1. Written informed consent
2. Histologically proven astrocytic glioma (grade III: AA or grade IV: GBM)
3. Age 18 - 60 years
4. Performance status WHO 0-2
5. Life expectancy > 3 months
6. Normal organ function, except if abnormal due to tumour involvement as indicated by:
6.1. Platelet count (TPK) < 100 x 10^9/L
6.2. Haemoglobin (Hb) > 90 g/L
6.3. Neutrophils: < 1.5 x 10^3/mm3 or LPK < 3.0 x 10^9/L
6.4. Serum creatinine and bilirubin < 1.5 times the upper limit of normal (ULN)
6.5. Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) < 3 x ULN
7. Men and women of child bearing potential must be using adequate contraception
Key exclusion criteria1. Prior chemotherapy or radiotherapy for malignant glioma
2. Any other active malignancies within the last 5 years, except adequately treated basal or squamous cell carcinoma of the skin or carcinoma in situ
3. Pregnancy or breast feeding
4. Any condition (medical, social, psychological) which would prevent adequate information and follow up
Date of first enrolment13/01/2003
Date of final enrolment21/05/2009

Locations

Countries of recruitment

  • Denmark
  • Finland
  • Norway
  • Sweden

Study participating centre

Radiumhemmet
Stockholm
171 74
Sweden

Sponsor information

Nordic Clinical Brain Tumour Study Group (Sweden)
Research organisation

c/o Prof Roger Henriksson
Radiumhemmet
Karolinska sjukhuset i Solna
Stockholm
171 74
Sweden

Funders

Funder type

Research organisation

Nordic Clinical Brain Tumour Study Group (Sweden)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan