Oral Capecitabine and Temozolomide (CAPTEM) for Newly Diagnosed GBM

Description

The purpose of this study is to evaluate the safety and efficacy of administering the medication capecitabine along with temozolomide when you start your monthly regimen of oral temozolomide for the treatment of your newly diagnosed glioblastoma multiforme (GBM). Capecitabine is an oral chemotherapy that is given to patients with other types of cancer. The study will evaluate whether the dosage of 1500 mg/m2 of capecitabine is tolerable after radiation, when taken along with temozolomide. It will also try to determine if the medication capecitabine helps patients respond to treatment for a longer period of time compared to just temozolomide alone, which is the standard of care.

Conditions

Glioblastoma Multiforme (GBM), Glioblastoma, Glioma of Brain, Glioblastoma, Adult, Brain Tumor, Brain Tumor, Primary, Brain Tumor Adult, Cancer, Brain Cancer

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Study Overview

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Study Details

Study overview

The purpose of this study is to evaluate the safety and efficacy of administering the medication capecitabine along with temozolomide when you start your monthly regimen of oral temozolomide for the treatment of your newly diagnosed glioblastoma multiforme (GBM). Capecitabine is an oral chemotherapy that is given to patients with other types of cancer. The study will evaluate whether the dosage of 1500 mg/m2 of capecitabine is tolerable after radiation, when taken along with temozolomide. It will also try to determine if the medication capecitabine helps patients respond to treatment for a longer period of time compared to just temozolomide alone, which is the standard of care.

Phase I/II Study of Oral Capecitabine and Temozolomide (CAPTEM) for Newly Diagnosed Glioblastoma (GBM)

Oral Capecitabine and Temozolomide (CAPTEM) for Newly Diagnosed GBM

Condition
Glioblastoma Multiforme (GBM)
Intervention / Treatment

-

Contacts and Locations

New York

Lenox Hill Brain Tumor Center, New York, New York, United States, 10075

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Be capable of giving informed consent.
  • 2. Have a pathology proven diagnosis of any of newly diagnosed Glioblastoma Multiforme WHO IV
  • 3. Have completed the first part of standard of care chemo-radiation (Stupp), for 6 weeks, and not started the maintenance phase of temozolomide
  • 4. Agree to use effective barrier contraception while on treatment and for 2 months thereafter, if of childbearing potential
  • 5. Have a life expectancy \> 3 months
  • 6. Be between the ages of 18 to 74
  • 7. Have a performance status KPS 70 or greater
  • 8. Be able to swallow pills and capsules
  • 9. Be able to tolerate oral chemotherapeutic medications, with no health threatening allergies or side effects, based on lab and clinical findings
  • 10. Have adequate bone marrow function, liver function and renal function before commencing therapy
  • 1. Prior chemotherapy with capecitabine or temozolomide for other prior malignancies. Patients previously treated with continuous infusion 5-FU or any schedule of DTIC, which are similar to capecitabine and temozolomide, respectively, will be excluded.
  • 2. Prior chemotherapies for newly diagnosed GBM or AA, other than temozolomide during radiation.
  • 3. Patients with a history of severe hypersensitivity reaction to capecitabine, 5-FU, temozolomide (i.e. anaphylaxis or anaphylactic reactions),
  • 4. Serious medical or psychiatric illness preventing informed consent or treatment (e.g., serious infection)
  • 5. Prior malignancies in the last 5 years other than curatively treated carcinoma in-situ previously treated with curative intent (cancer free for the past one year).
  • 6. Performance status, KPS \< 70
  • 7. Inability to swallow pills and capsules
  • 8. Concurrent chemotherapy or treatment for the active disease, including devices such as Optune, high dose vitamin supplements, or any other chemotherapy
  • 9. Patients taking concomitant medications such as Coumadin and phenytoin medications, need to be excluded because of interactions with capecitabine
  • 10. Patients with previously documented CAD will need to be evaluated by cardiology prior to start to help risk stratify for capecitabine tolerance
  • 11. Patients with renal insufficiency or hepatic insufficiency
  • 12. Patients with coagulopathies
  • 13. Women who are pregnant or lactating.

Ages Eligible for Study

18 Years to 74 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Northwell Health,

John Boockvar, MD, PRINCIPAL_INVESTIGATOR, Lenox Hill Hospital-Northwell Health

Study Record Dates

2026-06