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 temozolomide in treating patients who have recurrent or progressive malignant glioma.
OBJECTIVES: * Determine the progression-free survival and response rate of patients with recurrent or progressive malignant glioma treated with temozolomide. * Determine whether certain categories of malignant gliomas, such as oligodendroglioma, are more sensitive to temozolomide. * Determine the toxicity of this regimen in these patients. OUTLINE: Patients are stratified according to histologic categories (recurrent glioblastoma multiforme \[closed to accrual 11/30/01\] vs recurrent anaplastic astrocytoma vs recurrent anaplastic oligodendroglioma). Patients receive oral temozolomide twice daily for 5 consecutive days. Courses repeat every 28 days for up to 1 year in the absence of disease progression or unacceptable toxicity. PROJECTED ACCRUAL: A total of 100 patients will be accrued for this study within 3 years.
Study Type
INTERVENTIONAL
Purpose
TREATMENT
Stanford University Medical Center
Stanford, California, United States
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, United States
Robert H. Lurie Comprehensive Cancer Center, Northwestern University
Chicago, Illinois, United States
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Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, United States
Neurological Clinic
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University of Pennsylvania Cancer Center
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Froedtert Memorial Lutheran Hospital
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