Valproic Acid in Childhood Progressive Brain Tumors
Study Details
Study Description
Brief Summary
The study investigates valproic acid added to radiation and temozolomide therapy (standard of care) for progressive or recurrent pediatric brain tumors.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Detailed Description
Patients with progressive or recurrent pediatric brain tumors are administered valproic acid, an HDAC inhibitor, along with standard of care therapy (radiation and temozolomide) for induction therapy. Thereafter, patients will be able to continue on valproic acid and temozolomide therapy as long as the combination is well tolerated and the tumor is not progressing.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Treatment arm All participants will be enrolled on to one, open-label arm. Participants will be treated with valproic acid in addition to standard of care therapy. |
Drug: Valproic Acid
All participants enrolled on valproic acid arm.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Completion of protocol [2 months]
Number of participants completing the protocol will be measured.
Secondary Outcome Measures
- Time to progression [2 months]
Participants will be evaluated for progression every 2 months while on the study.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Subject, parent, or guardian willing and able to give informed consent
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Recurrent or progressive pediatric brain tumor, with MRI evidence of disease
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Age at first diagnosis of brain tumor 1-21 years old
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Lansky or Karnofsky performance score of at least 50 at diagnosis
Exclusion Criteria:
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Pregnancy
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Prior intolerance to valproic acid
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History of use of temozolomide
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Use of enzyme inducing anticonvulsant medications (see appendix B)
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Known urea cycle disorder (e.g. ornithine transcarbamylase deficiency)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
Sponsors and Collaborators
- Medical University of South Carolina
Investigators
- Principal Investigator: Amy L Bredlau, MD, Medical University of South Carolina
Study Documents (Full-Text)
None provided.More Information
Publications
- Asklund T, Kvarnbrink S, Holmlund C, Wibom C, Bergenheim T, Henriksson R, Hedman H. Synergistic killing of glioblastoma stem-like cells by bortezomib and HDAC inhibitors. Anticancer Res. 2012 Jul;32(7):2407-13.
- Fu J, Shao CJ, Chen FR, Ng HK, Chen ZP. Autophagy induced by valproic acid is associated with oxidative stress in glioma cell lines. Neuro Oncol. 2010 Apr;12(4):328-40. doi: 10.1093/neuonc/nop005. Epub 2009 Oct 15.
- Masoudi A, Elopre M, Amini E, Nagel ME, Ater JL, Gopalakrishnan V, Wolff JE. Influence of valproic acid on outcome of high-grade gliomas in children. Anticancer Res. 2008 Jul-Aug;28(4C):2437-42.
- Van Nifterik KA, Van den Berg J, Slotman BJ, Lafleur MV, Sminia P, Stalpers LJ. Valproic acid sensitizes human glioma cells for temozolomide and γ-radiation. J Neurooncol. 2012 Mar;107(1):61-7. doi: 10.1007/s11060-011-0725-z. Epub 2011 Oct 26.
- Weller M, Gorlia T, Cairncross JG, van den Bent MJ, Mason W, Belanger K, Brandes AA, Bogdahn U, Macdonald DR, Forsyth P, Rossetti AO, Lacombe D, Mirimanoff RO, Vecht CJ, Stupp R. Prolonged survival with valproic acid use in the EORTC/NCIC temozolomide trial for glioblastoma. Neurology. 2011 Sep 20;77(12):1156-64. doi: 10.1212/WNL.0b013e31822f02e1. Epub 2011 Aug 31.
- VA2013
- IRG-97-219-14