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Cilengitide, Temozolomide, and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma and Methylated Gene Promoter Status
Bu çalışma, yeni tanı konmuş glioblastom (glioblastoma) yani agresif bir beyin tümörü olan ve MGMT gen promotörü metile olan hastalarda Cilengitide, Temozolomide ve radyoterapiyi birlikte değerlendirmektedir. Çalışmaya, ameliyat veya açık biyopsiyle doğrulanmış supratentoryal glioblastomu olan ve MGMT gen promotör metilasyonu kanıtlanmış hastalar katılabilmiştir. Çalışma Faz 3 aşamasında yürütülmüş ve tamamlanmıştır.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion Criteria: 1. Tumor tissue specimens from the glioblastoma surgery or open biopsy (formalin-fixed, paraffin-embedded block; stereotactic biopsy not allowed) must be available for MGMT status analysis and central pathology review 2. Newly diagnosed histologically proven supratentorial glioblastoma (World Health Organization \[WHO\] Grade IV) 3. Proven methylated MGMT gene promoter methylation status 4. Available post-operative gadolinium-enhanced magnetic resonance imaging (Gd-MRI) performed within less than (\<) 48 hours after surgery (in case it was not possible to obtain a Gd-MRI within \<48 hours post surgery, a Gd-MRI is to be performed prior to randomization) 5. Stable or decreasing dose of steroids for greater than or equal to (\>=) 5 days prior to randomization 6. Eastern Cooperative Oncology Group performance score (ECOG PS) of 0-1 7. Meets 1 of the following recursive partitioning analysis (RPA) classifications: Class III (Age \< 50 years and ECOG PS 0). Class IV (meeting one of the following criteria: a) Age \< 50 years and ECOG PS 1 or b) Age \>= 50 years, underwent prior partial or total tumor resection, mini mental state examination \[MMSE\] \>= 27). Class V (meeting one of the following criteria: a) Age \>= 50 years and underwent prior partial or total tumor resection, MMSE \< 27 or b) Age \>= 50 years and underwent prior tumor biopsy only) 8. Other protocol defined inclusion criteria could apply Exclusion Criteria: 1. Prior chemotherapy within the last 5 years 2. Prior RTX of the head 3. Receiving concurrent investigational agents or has received an investigational agent within the past 30 days prior to the first dose of cilengitide 4. Prior systemic antiangiogenic therapy 5. Placement of Gliadel® wafer at surgery 6. Inability to undergo Gd-MRI. 7. Planned surgery for other diseases 8. History of recent peptic ulcer disease (endoscopically proven gastric ulcer, duodenal ulcer, or esophageal ulcer) within 6 months of enrollment 9. History of malignancy. Subjects with curatively treated cervical carcinoma in situ or basal cell carcinoma of the skin, or subjects who have been free of other malignancies for \>= 5 years are eligible for this study 10. History of coagulation disorder associated with bleeding or recurrent thrombotic events 11. Clinically manifest myocardial insufficiency (New York Heart Association \[NYHA\] III, IV) or history of myocardial infarction during the past 6 months; uncontrolled arterial hypertension 12. Other protocol defined exclusion criteria could apply