XERECEPT® (hCRF) for Primary Glioma Patients Requiring Dexamethasone to Treat Peritumoral Brain Edema

Study Overview
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Brief Summary
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The purpose of this study is to examine the safety and efficacy of XERECEPT (human Corticotropin-Releasing Factor, or hCRF) compared to dexamethasone in patients with primary malignant glioma who require increased dexamethasone doses to control symptom of peritumoral brain edema.

Detailed Description
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XERECEPT is not a potential treatment for cancer, but may reduce the edema associated with tumors and as a result, decrease neurological symptoms.

Official Title
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A Phase III Randomized, Double-Blind Study Comparing Human Corticotropin-Releasing Factor (hCRF) to Dexamethasone for Control of Symptoms Associated With Peritumoral Brain Edema in Patients With Primary Malignant Glioma

Conditions
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Brain Edema, Brain Tumor

Intervention / Treatment
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* Drug: hCRF
* Drug: placebo hCRF


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Histologically confirmed diagnosis of a primary malignant glioma. Symptomatic peritumoral brain edema requiring initiation or increase of dexamethasone treatment. If a patient is on dexamethasone for treatment of symptomatic peritumoral brain edema, the dose must be stable and should not exceed 24mg/dl for a minimum of 7 days prior to Baseline. Presence of peritumoral brain edema confirmed by MRI scan or comparable diagnostic technology obtained within 21 days of Baseline. Capable of self-administration of subcutaneous injections twice daily for 8 weeks or availability of assistance from caregiver. Exclusion Criteria: Need for surgery, radiosurgery or radiation therapy or the introduction of new chemotherapeutic regime within 2 weeks of study treatment. Systemic steroid use for any other indication than peritumoral brain edema. Patients on dexamethasone or anticonvulsant therapy. Serious concomitant cardiovascular, pulmonary, renal, gastrointestinal or endocrine metabolic disease which could put the patient at unusual risk for study participation. Central nervous system (CNS) infection. Conditions that are considered contradictions for patients to receive niacin

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: I<br>Patients will receive hCRf (XERECEPT) 2mg/day and dexamethasone 4 mg/day along with any open-label dexamethasone that they may be taking | Drug: hCRF<br>* hCRF 2mg/day; dexamethasone 4mg/day along with any open-label dexamethasone they may be taking<br>* Other names: XERECEPT (corticorelin acetate injection);|
| Placebo Comparator: II<br>Patients will receive placebo hCRF (XERECEPT) 2mg/day and dexamethasone 4 mg/day along with any open-label dexamethasone they may be taking | Drug: placebo hCRF<br>* placebo hCRF 2mg/day, dexamethasone 4mg/day and any open-label dexamethasone they may be taking<br>* Other names: placebo XERECEPT (corticorelin acetate injection);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The primary efficacy endpoint is the proportion of responders, i.e. patients in each treatment group who show improvement at the end of Week 1 and continue to be classified as improved relative to Baseline at Week 2. |  | Prospective | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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peritumoral brain edema, edema, malignant brain tumor, astrocytoma, brain tumor, dexamethasone, Decadron