A Phase III Trial of Lomustine-Temozolomide Combination Therapy Versus Standard Temozolomide in Patients With Methylated MGMT Promoter Glioblastoma

Who is this study for? Patients with Glioblastoma, Gliosarcoma
What treatments are being studied? Photon Beam Radiation Therapy+Quality-of-Life Assessment+Questionnaire Administration+Temozolomide
Status: Suspended
Location: See all (421) locations...
Intervention Type: Procedure, Drug, Radiation, Other
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

This phase III trial compares the effect of adding lomustine to standard chemotherapy with temozolomide and radiation therapy versus temozolomide and radiation therapy alone in shrinking or stabilizing newly diagnosed MGMT methylated glioblastoma. MGMT methylated tumors are more likely to respond to temozolomide chemotherapy. Temozolomide is in a class of medications called alkylating agents. It works by damaging the cell's DNA and may kill tumor cells and slow down or stop tumor growth. Lomustine is a chemotherapy drug and in a class of medications called alkylating agents. It damages the cell's DNA and may kill tumor cells. Radiation therapy uses high energy x-ray photons to kill tumor cells and shrink tumors. Adding lomustine to standard chemotherapy with temozolomide and radiation therapy may shrink or stabilize glioblastoma.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• STEP 1 REGISTRATION: No known IDH mutation. (If tested before step 1 registration, patients known to have IDH mutation in the tumor on local or other testing are ineligible and should not be registered)

• STEP 1 REGISTRATION: Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue block and hematoxylin and eosin (H\&E) stained slide to be sent for central pathology review for confirmation of histology and MGMT promoter methylation status. Note that tissue for central pathology review and central MGMT assessment must be received by the New York University (NYU) Center for Biospecimen Research and Development (CBRD) on or before postoperative calendar day 30. If tissue cannot be received by postoperative calendar day 30, then patients may NOT enroll on this trial as central pathology review will not be complete in time for the patient to start treatment no later than 8 weeks following surgery. Results of central pathology review and central MGMT analysis will generally be completed within 10 business days of receipt of tissue. Results will be entered by the central lab directly into Rave. Note: In the event of an additional tumor resection(s), tissue must be received within 30 days of the most recent resection and the latest resection must have been performed within 30 days after the initial resection. Surgical resection is required; stereotactic biopsy alone is not allowed because it will not provide sufficient tissue for MGMT analysis

• STEP 1 REGISTRATION: Willing to use highly effective method of contraception for participants of childbearing potential (participants who may become pregnant or who may impregnate a partner) during therapy and for 6 months after completing treatment; this inclusion is necessary because the treatment in this study may be significantly teratogenic

• STEP 1 REGISTRATION: The patient or a legally authorized representative must provide study-specific informed consent prior to study entry and, for patients treated in the United States (U.S.), authorization permitting release of personal health information

• STEP 2 REGISTRATION: Histopathologically proven diagnosis of glioblastoma (or gliosarcoma as a subtype of glioblastoma) confirmed by central pathology review

• STEP 2 REGISTRATION: MGMT promoter with methylation confirmed by central pathology review. Note: Patients with tissue that is insufficient or inadequate for analysis, fails MGMT testing, or has indeterminate or unmethylated MGMT promoter are excluded

⁃ Note: Any MGMT result other than methylated would require step 2 registration to be reported as a central review failure

• STEP 2 REGISTRATION: Contrast-enhanced brain MRI performed either after surgery or prior to step 2 registration

• STEP 2 REGISTRATION: IDH mutation testing by at least one method (such as immunohistochemistry for IDH1 R132H) must be performed as part of standard of care and no mutation must be found (i.e IDH wildtype). (If a mutation is identified then the patient will be ineligible and must be registered as ineligible at step 2.)

• STEP 2 REGISTRATION: History/physical examination within 28 days prior to step 2 registration

• STEP 2 REGISTRATION: Karnofsky performance status (KPS) \>= 70 within 28 days prior to step 2 registration

• STEP 2 REGISTRATION: Neurologic function assessment within 28 days prior to step 2 registration

• STEP 2 REGISTRATION: Age 18-70 years

• STEP 2 REGISTRATION: Hemoglobin \>= 10 g/dl (Note: the use of transfusion or other intervention to achieve hemoglobin \[Hgb\] \>= 10.0 g/dl is acceptable) (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: Leukocytes \>= 2,000/mm\^3 (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: Absolute neutrophil count \>= 1,500/mm\^3 (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: Platelets \>= 100,000/mm\^3 (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: Total bilirubin =\< 1.5 x institutional/lab upper limit of normal (ULN) (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase \[SGOT\]) =\< 2.5 x ULN (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: Alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase \[SGPT\]) =\< 2.5 x ULN (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: Serum creatinine =\< 1.5 x ULN OR creatinine clearance (CrCl) \>= 50 mL/min (if using the Cockcroft-Gault formula) (Within 14 days prior to step 2 registration)

• STEP 2 REGISTRATION: For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated

⁃ Note: Known positive test for hepatitis B virus surface antigen (HBV sAg) indicating acute or chronic infection would make the patient ineligible unless the viral load becomes undetectable on suppressive therapy. Patients who are immune to hepatitis B (anti-hepatitis B surface antibody positive) are eligible (e.g. patients immunized against hepatitis B)

• STEP 2 REGISTRATION: For patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load

⁃ Note: Known positive test for hepatitis C virus ribonucleic acid (HCV ribonucleic acid \[RNA\]) indicating acute or chronic infection would make the patient ineligible unless the viral load becomes undetectable on suppressive therapy

• STEP 2 REGISTRATION: Known human immunodeficiency virus (HIV) infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months prior to step 2 registration are eligible for this trial. Testing is not required for entry into protocol

• STEP 2 REGISTRATION: Negative serum or urine pregnancy test (in persons of childbearing potential) within 14 days prior to step 2 registration

⁃ Childbearing potential is defined as any person who has experienced menarche and who has not undergone surgical sterilization (hysterectomy or bilateral oophorectomy) or who is not postmenopausal

Locations
United States
Alaska
Fairbanks Memorial Hospital
Fairbanks
Arkansas
Highlands Oncology Group - Fayetteville
Fayetteville
University of Arkansas for Medical Sciences
Little Rock
Highlands Oncology Group - Rogers
Rogers
Highlands Oncology Group
Springdale
California
Kaiser Permanente-Anaheim
Anaheim
Kaiser Permanente-Deer Valley Medical Center
Antioch
Sutter Auburn Faith Hospital
Auburn
Sutter Cancer Centers Radiation Oncology Services-Auburn
Auburn
Kaiser Permanente-Bellflower
Bellflower
Alta Bates Summit Medical Center-Herrick Campus
Berkeley
Mercy Cancer Center - Carmichael
Carmichael
Mercy San Juan Medical Center
Carmichael
John Muir Medical Center-Concord
Concord
City of Hope Comprehensive Cancer Center
Duarte
Kaiser Permanente Dublin
Dublin
Mercy Cancer Center - Elk Grove
Elk Grove
Kaiser Permanente-Fremont
Fremont
Palo Alto Medical Foundation-Fremont
Fremont
Fresno Cancer Center
Fresno
Kaiser Permanente Fresno Orchard Plaza
Fresno
Kaiser Permanente-Fresno
Fresno
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
Irvine
Kaiser Permanente Los Angeles Medical Center
Los Angeles
Kaiser Permanente- Modesto MOB II
Modesto
Kaiser Permanente-Modesto
Modesto
Palo Alto Medical Foundation-Camino Division
Mountain View
Kaiser Permanente Oakland-Broadway
Oakland
Kaiser Permanente-Oakland
Oakland
Kaiser Permanente-Ontario
Ontario
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange
Palo Alto Medical Foundation Health Care
Palo Alto
Kaiser Permanente-Rancho Cordova Cancer Center
Rancho Cordova
Kaiser Permanente- Marshall Medical Offices
Redwood City
Kaiser Permanente-Richmond
Richmond
Mercy Cancer Center - Rocklin
Rocklin
Rohnert Park Cancer Center
Rohnert Park
Kaiser Permanente-Roseville
Roseville
Sutter Cancer Centers Radiation Oncology Services-Roseville
Roseville
Sutter Roseville Medical Center
Roseville
The Permanente Medical Group-Roseville Radiation Oncology
Roseville
Kaiser Permanente Downtown Commons
Sacramento
Kaiser Permanente-South Sacramento
Sacramento
Mercy Cancer Center - Sacramento
Sacramento
South Sacramento Cancer Center
Sacramento
Sutter Medical Center Sacramento
Sacramento
Kaiser Permanente-San Diego Zion
San Diego
California Pacific Medical Center-Pacific Campus
San Francisco
Kaiser Permanente-San Francisco
San Francisco
Kaiser Permanente-Santa Teresa-San Jose
San Jose
Kaiser Permanente San Leandro
San Leandro
Kaiser San Rafael-Gallinas
San Rafael
Kaiser Permanente Medical Center - Santa Clara
Santa Clara
Kaiser Permanente-Santa Rosa
Santa Rosa
Sutter Pacific Medical Foundation
Santa Rosa
Kaiser Permanente Cancer Treatment Center
South San Francisco
Kaiser Permanente-South San Francisco
South San Francisco
Kaiser Permanente-Stockton
Stockton
Palo Alto Medical Foundation-Sunnyvale
Sunnyvale
Kaiser Permanente Medical Center-Vacaville
Vacaville
Kaiser Permanente-Vallejo
Vallejo
John Muir Medical Center-Walnut Creek
Walnut Creek
Kaiser Permanente-Walnut Creek
Walnut Creek
Woodland Memorial Hospital
Woodland
Colorado
Memorial Hospital North
Colorado Springs
Rocky Mountain Cancer Centers-Penrose
Colorado Springs
UCHealth Memorial Hospital Central
Colorado Springs
Cancer Care and Hematology-Fort Collins
Fort Collins
Poudre Valley Hospital
Fort Collins
Lutheran Hospital - Cancer Centers of Colorado
Golden
UCHealth Greeley Hospital
Greeley
AdventHealth Littleton
Littleton
Medical Center of the Rockies
Loveland
AdventHealth Parker
Parker
Connecticut
Smilow Cancer Hospital Care Center at Greenwich
Greenwich
Smilow Cancer Center/Yale-New Haven Hospital
New Haven
Yale University
New Haven
Smilow Cancer Hospital Care Center-Trumbull
Trumbull
Smilow Cancer Hospital Care Center - Waterford
Waterford
Florida
Baptist MD Anderson Cancer Center
Jacksonville
Miami Cancer Institute
Miami
Georgia
Emory University Hospital Midtown
Atlanta
Emory University Hospital/Winship Cancer Institute
Atlanta
Augusta University Medical Center
Augusta
Memorial Health University Medical Center
Savannah
Iowa
Mary Greeley Medical Center
Ames
McFarland Clinic - Ames
Ames
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny
Mercy Hospital
Cedar Rapids
Oncology Associates at Mercy Medical Center
Cedar Rapids
Mercy Cancer Center-West Lakes
Clive
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive
Greater Regional Medical Center
Creston
Broadlawns Medical Center
Des Moines
Iowa Methodist Medical Center
Des Moines
Mercy Medical Center - Des Moines
Des Moines
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines
Siouxland Regional Cancer Center
Sioux City
UI Health Care Mission Cancer and Blood - Waukee Clinic
Waukee
Mercy Medical Center-West Lakes
West Des Moines
The Iowa Clinic PC
West Des Moines
Idaho
Saint Luke's Cancer Institute - Boise
Boise
Saint Luke's Cancer Institute - Fruitland
Fruitland
Saint Luke's Cancer Institute - Meridian
Meridian
Saint Luke's Cancer Institute - Nampa
Nampa
Saint Luke's Cancer Institute - Twin Falls
Twin Falls
Illinois
Alton Memorial Hospital
Alton
Advocate Outpatient Center - Aurora
Aurora
Rush-Copley Medical Center
Aurora
Advocate Good Shepherd Hospital
Barrington
Illinois CancerCare-Bloomington
Bloomington
Illinois CancerCare-Canton
Canton
Illinois CancerCare-Carthage
Carthage
Centralia Oncology Clinic
Centralia
Advocate Illinois Masonic Medical Center
Chicago
Rush MD Anderson Cancer Center
Chicago
University of Chicago Comprehensive Cancer Center
Chicago
University of Illinois
Chicago
AMG Crystal Lake - Oncology
Crystal Lake
Carle at The Riverfront
Danville
Cancer Care Specialists of Illinois - Decatur
Decatur
Decatur Memorial Hospital
Decatur
Advocate Good Samaritan Hospital
Downers Grove
Carle Physician Group-Effingham
Effingham
Crossroads Cancer Center
Effingham
Advocate Sherman Hospital
Elgin
Illinois CancerCare-Eureka
Eureka
Illinois CancerCare-Galesburg
Galesburg
Advocate South Suburban Hospital
Hazel Crest
Illinois CancerCare-Kewanee Clinic
Kewanee
AMG Libertyville - Oncology
Libertyville
Illinois CancerCare-Macomb
Macomb
Carle Physician Group-Mattoon/Charleston
Mattoon
UC Comprehensive Cancer Center at Silver Cross
New Lenox
Cancer Care Center of O'Fallon
O'fallon
HSHS Saint Elizabeth's Hospital
O'fallon
Advocate Christ Medical Center
Oak Lawn
University of Chicago Medicine-Orland Park
Orland Park
Illinois CancerCare-Ottawa Clinic
Ottawa
Advocate Lutheran General Hospital
Park Ridge
Illinois CancerCare-Pekin
Pekin
Illinois CancerCare-Peoria
Peoria
OSF Saint Francis Medical Center
Peoria
Illinois CancerCare-Peru
Peru
Illinois CancerCare-Princeton
Princeton
Memorial Hospital East
Shiloh
Southern Illinois University School of Medicine
Springfield
Springfield Clinic
Springfield
Springfield Memorial Hospital
Springfield
Carle Cancer Center
Urbana
The Carle Foundation Hospital
Urbana
Illinois CancerCare - Washington
Washington
Midwestern Regional Medical Center
Zion
Indiana
Northwest Cancer Center - Main Campus
Crown Point
UChicago Medicine Northwest Indiana
Crown Point
Northwest Oncology LLC
Dyer
Northwest Cancer Center - Hobart
Hobart
Saint Mary Medical Center
Hobart
Community Cancer Center East
Indianapolis
Community Cancer Center North
Indianapolis
Community Cancer Center South
Indianapolis
The Community Hospital
Munster
Women's Diagnostic Center - Munster
Munster
Northwest Cancer Center - Valparaiso
Valparaiso
Kansas
University of Kansas Cancer Center
Kansas City
University of Kansas Cancer Center-Overland Park
Overland Park
University of Kansas Hospital-Indian Creek Campus
Overland Park
University of Kansas Hospital-Westwood Cancer Center
Westwood
Ascension Via Christi Hospitals Wichita
Wichita
Kentucky
University of Kentucky/Markey Cancer Center
Lexington
Norton Brownsboro Hospital and Medical Campus
Louisville
The James Graham Brown Cancer Center at University of Louisville
Louisville
UofL Health Medical Center Northeast
Louisville
Maryland
University of Maryland/Greenebaum Cancer Center
Baltimore
Central Maryland Radiation Oncology in Howard County
Columbia
UM Baltimore Washington Medical Center/Tate Cancer Center
Glen Burnie
UM Capital Region Medical Center
Largo
Maine
Lafayette Family Cancer Center-EMMC
Brewer
Michigan
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton
Trinity Health Medical Center - Brighton
Brighton
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton
Trinity Health Medical Center - Canton
Canton
Caro Cancer Center
Caro
Chelsea Hospital
Chelsea
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea
Henry Ford Health Saint John Hospital
Detroit
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids
Trinity Health Grand Rapids Hospital
Grand Rapids
Henry Ford Saint John Hospital - Van Elslander
Grosse Pointe Woods
Beacon Kalamazoo
Kalamazoo
Bronson Methodist Hospital
Kalamazoo
West Michigan Cancer Center
Kalamazoo
University of Michigan Health - Sparrow Lansing
Lansing
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia
Henry Ford Saint John Hospital - Macomb Medical
Macomb
Saint Mary's Oncology/Hematology Associates of Marlette
Marlette
Michigan Healthcare Professionals Pontiac
Pontiac
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac
MyMichigan Medical Center Saginaw
Saginaw
Oncology Hematology Associates of Saginaw Valley PC
Saginaw
MyMichigan Medical Center Tawas
Tawas City
Henry Ford Health Warren Hospital
Warren
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch
University of Michigan Health - West
Wyoming
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti
Minnesota
Sanford Joe Lueken Cancer Center
Bemidji
Essentia Health Saint Joseph's Medical Center
Brainerd
Fairview Ridges Hospital
Burnsville
Minnesota Oncology - Burnsville
Burnsville
Mercy Hospital
Coon Rapids
Essentia Health - Deer River Clinic
Deer River
Essentia Health Cancer Center
Duluth
Essentia Health Saint Mary's Medical Center
Duluth
Miller-Dwan Hospital
Duluth
Fairview Southdale Hospital
Edina
Unity Hospital
Fridley
Essentia Health Hibbing Clinic
Hibbing
Fairview Clinics and Surgery Center Maple Grove
Maple Grove
Minnesota Oncology Hematology PA-Maplewood
Maplewood
Saint John's Hospital - Healtheast
Maplewood
Avera Cancer Institute at Marshall
Marshall
Abbott-Northwestern Hospital
Minneapolis
Health Partners Inc
Minneapolis
Hennepin County Medical Center
Minneapolis
Monticello Cancer Center
Monticello
North Memorial Medical Health Center
Robbinsdale
Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park
Regions Hospital
Saint Paul
United Hospital
Saint Paul
Essentia Health Sandstone
Sandstone
Lakeview Hospital
Stillwater
Essentia Health Virginia Clinic
Virginia
Ridgeview Medical Center
Waconia
Missouri
Saint Francis Medical Center
Cape Girardeau
Siteman Cancer Center at Saint Peters Hospital
City Of Saint Peters
Siteman Cancer Center at West County Hospital
Creve Coeur
Parkland Health Center - Farmington
Farmington
Research Medical Center
Kansas City
University of Kansas Cancer Center - North
Kansas City
University of Kansas Cancer Center - Lee's Summit
Lee's Summit
University of Kansas Cancer Center at North Kansas City Hospital
North Kansas City
Sainte Genevieve County Memorial Hospital
Sainte Genevieve
Mercy Hospital Springfield
Springfield
Mercy Hospital Saint Louis
St Louis
Missouri Baptist Medical Center
St Louis
Siteman Cancer Center at Christian Hospital
St Louis
Siteman Cancer Center-South County
St Louis
Washington University School of Medicine
St Louis
Missouri Baptist Sullivan Hospital
Sullivan
BJC Outpatient Center at Sunset Hills
Sunset Hills
Montana
Billings Clinic Cancer Center
Billings
Bozeman Health Deaconess Hospital
Bozeman
North Carolina
UNC Lineberger Comprehensive Cancer Center
Chapel Hill
North Dakota
Sanford Bismarck Medical Center
Bismarck
Sanford Broadway Medical Center
Fargo
Sanford Roger Maris Cancer Center
Fargo
New Hampshire
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon
New Jersey
John F Kennedy Medical Center
Edison
Englewood Hospital and Medical Center
Englewood
Jersey City Medical Center
Jersey City
Saint Barnabas Medical Center
Livingston
Monmouth Medical Center
Long Branch
Jersey Shore Medical Center
Neptune City
Rutgers Cancer Institute of New Jersey
New Brunswick
Rutgers New Jersey Medical School
Newark
Community Medical Center
Toms River
New Mexico
University of New Mexico Cancer Center
Albuquerque
Nevada
Renown Regional Medical Center
Reno
New York
Sands Cancer Center
Canandaigua
Noyes Memorial Hospital/Myers Cancer Center
Dansville
Northwell Health/Center for Advanced Medicine
Lake Success
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York
University of Rochester
Rochester
State University of New York Upstate Medical University
Syracuse
Montefiore Medical Center-Einstein Campus
The Bronx
Ohio
Cleveland Clinic Akron General
Akron
Indu and Raj Soin Medical Center
Beavercreek
Dayton Physicians LLC-Miami Valley South
Centerville
Miami Valley Hospital South
Centerville
Adena Regional Medical Center
Chillicothe
Bethesda North Hospital
Cincinnati
Good Samaritan Hospital - Cincinnati
Cincinnati
University of Cincinnati Cancer Center-UC Medical Center
Cincinnati
Cleveland Clinic Foundation
Cleveland
MetroHealth Medical Center
Cleveland
Ohio State University Comprehensive Cancer Center
Columbus
Riverside Methodist Hospital
Columbus
Dayton Physician LLC - Englewood
Dayton
Miami Valley Hospital
Dayton
Miami Valley Hospital North
Dayton
Premier Blood and Cancer Center
Dayton
Dublin Methodist Hospital
Dublin
Atrium Medical Center-Middletown Regional Hospital
Franklin
Dayton Physicians LLC-Atrium
Franklin
Dayton Physicians LLC-Wayne
Greenville
Miami Valley Cancer Care and Infusion
Greenville
Wayne Hospital
Greenville
Kettering Medical Center
Kettering
ProMedica Flower Hospital
Sylvania
ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
Toledo
Dayton Physicians LLC - Troy
Troy
Upper Valley Medical Center
Troy
University of Cincinnati Cancer Center-West Chester
West Chester
Oklahoma
University of Oklahoma Health Sciences Center
Oklahoma City
Oklahoma Cancer Specialists and Research Institute-Tulsa
Tulsa
Oregon
Saint Charles Health System
Bend
Legacy Mount Hood Medical Center
Gresham
Providence Newberg Medical Center
Newberg
Kaiser Permanente Northwest
Portland
Legacy Good Samaritan Hospital and Medical Center
Portland
Providence Saint Vincent Medical Center
Portland
Legacy Meridian Park Hospital
Tualatin
Pennsylvania
Lehigh Valley Hospital-Cedar Crest
Allentown
UPMC Altoona
Altoona
Lehigh Valley Hospital - Muhlenberg
Bethlehem
Geisinger Medical Center
Danville
UPMC Hillman Cancer Center Erie
Erie
UPMC Cancer Center at UPMC Horizon
Farrell
UPMC Cancer Centers - Arnold Palmer Pavilion
Greensburg
UPMC Hillman Cancer Center in Greenville/UPMC Horizon
Greenville
Penn State Milton S Hershey Medical Center
Hershey
Jefferson Hospital
Jefferson Hills
UPMC-Johnstown/John P. Murtha Regional Cancer Center
Johnstown
Geisinger Medical Oncology-Lewisburg
Lewisburg
Forbes Hospital
Monroeville
Allegheny General Hospital
Pittsburgh
University of Pittsburgh Cancer Institute (UPCI)
Pittsburgh
UPMC-Passavant Hospital
Pittsburgh
UPMC-Shadyside Hospital
Pittsburgh
Geisinger Cancer Services-Pottsville
Pottsville
Reading Hospital
West Reading
Wexford Health and Wellness Pavilion
Wexford
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-barre
South Carolina
Bon Secours Saint Francis Hospital
Charleston
Charleston Oncology - Roper
Charleston
Charleston Oncology - Saint Francis
Charleston
Roper Hospital
Charleston
South Dakota
Avera Cancer Institute at Pierre
Pierre
Rapid City Regional Hospital
Rapid City
Avera Cancer Institute
Sioux Falls
Sanford Cancer Center Oncology Clinic
Sioux Falls
Sanford USD Medical Center - Sioux Falls
Sioux Falls
Avera Cancer Institute at Yankton
Yankton
Texas
Parkland Memorial Hospital
Dallas
UT Southwestern/Simmons Cancer Center-Dallas
Dallas
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston
Ben Taub General Hospital
Houston
Memorial Hermann Texas Medical Center
Houston
Memorial Hermann Northeast Hospital
Humble
Memorial Hermann The Woodlands Hospital
The Woodlands
Utah
American Fork Hospital / Huntsman Intermountain Cancer Center
American Fork
Sandra L Maxwell Cancer Center
Cedar City
Logan Regional Hospital
Logan
Intermountain Medical Center
Murray
McKay-Dee Hospital Center
Ogden
Utah Valley Regional Medical Center
Provo
Riverton Hospital
Riverton
Huntsman Cancer Institute/University of Utah
Salt Lake City
LDS Hospital
Salt Lake City
Saint George Regional Medical Center
St. George
Virginia
Inova Alexandria Hospital
Alexandria
Inova Fair Oaks Hospital
Fairfax
Inova Schar Cancer Institute
Fairfax
Bon Secours Memorial Regional Medical Center
Mechanicsville
Bon Secours Saint Francis Medical Center
Midlothian
Bon Secours Cancer Institute at Reynolds Crossing
Richmond
Bon Secours Saint Mary's Hospital
Richmond
Henrico Doctor's Hospital
Richmond
VCU Massey Cancer Center at Stony Point
Richmond
VCU Massey Comprehensive Cancer Center
Richmond
Vermont
Central Vermont Medical Center/National Life Cancer Treatment
Berlin Corners
University of Vermont and State Agricultural College
Burlington
University of Vermont Medical Center
Burlington
Dartmouth Cancer Center - North
Saint Johnsbury
Washington
Virginia Mason Medical Center
Seattle
Legacy Cancer Institute Medical Oncology and Day Treatment
Vancouver
Legacy Salmon Creek Hospital
Vancouver
Wisconsin
Langlade Hospital and Cancer Center
Antigo
Duluth Clinic Ashland
Ashland
Northwest Wisconsin Cancer Center
Ashland
Aurora Cancer Care-Southern Lakes VLCC
Burlington
Aurora Health Care Germantown Health Center
Germantown
Aurora Cancer Care-Grafton
Grafton
Aurora BayCare Medical Center
Green Bay
Saint Vincent Hospital Cancer Center Green Bay
Green Bay
Essentia Health-Hayward Clinic
Hayward
University of Wisconsin Carbone Cancer Center - Johnson Creek
Johnson Creek
Aurora Cancer Care-Kenosha South
Kenosha
Gundersen Lutheran Medical Center
La Crosse
University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
Madison
University of Wisconsin Carbone Cancer Center - University Hospital
Madison
Aurora Bay Area Medical Group-Marinette
Marinette
Aurora Cancer Care-Milwaukee
Milwaukee
Aurora Saint Luke's Medical Center
Milwaukee
Aurora Sinai Medical Center
Milwaukee
ProHealth D N Greenwald Center
Mukwonago
Cancer Center of Western Wisconsin
New Richmond
ProHealth Oconomowoc Memorial Hospital
Oconomowoc
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh
Aurora Cancer Care-Racine
Racine
Aspirus Cancer Care - James Beck Cancer Center
Rhinelander
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan
Essentia Health-Spooner Clinic
Spooner
Aspirus Cancer Care - Stevens Point
Stevens Point
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay
Aurora Medical Center in Summit
Summit
Essentia Health Saint Mary's Hospital - Superior
Superior
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers
UW Cancer Center at ProHealth Care
Waukesha
Aspirus Regional Cancer Center
Wausau
Aurora Cancer Care-Milwaukee West
Wauwatosa
Aurora West Allis Medical Center
West Allis
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids
West Virginia
West Virginia University Healthcare
Morgantown
Other Locations
Canada
CHUM - Centre Hospitalier de l'Universite de Montreal
Montreal
The Research Institute of the McGill University Health Centre (MUHC)
Montreal
Time Frame
Start Date: 2022-03-28
Completion Date: 2026-08-08
Participants
Target number of participants: 306
Treatments
Active_comparator: Arm I (radiation therapy, temozolomide)
Patients undergo radiation therapy 5 days per week and receive temozolomide PO QD for 6 weeks in the absence of disease progression or unacceptable toxicity. Patients then receive temozolomide PO QD on days 1-5 of each cycle. Treatment repeats every 28 days for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo MRI throughout the trial.
Experimental: ARM II (radiation therapy, temozolomide, lomustine)
Patients undergo radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive lomustine PO on day 1 of each cycle and temozolomide PO QD on days 2-6 of each cycle. Treatment repeats every 42 days for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo MRI throughout the trial.
Sponsors
Leads: NRG Oncology
Collaborators: National Cancer Institute (NCI)

This content was sourced from clinicaltrials.gov

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