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Brief Title: Study of Vismodegib in Combination With Temozolomide Versus Temozolomide Alone in Patients With Medulloblastomas With an Activation of the Sonic Hedgehog Pathway
Official Title: An International, Randomized, Open-label Phase I/II Study of Vismodegib in Combination With Temozolomide Versus Temozolomide Alone in Adult Patients With Recurrent or Refractory Medulloblastomas Presenting an Activation of the Sonic Hedgehog (SHH) Pathway
Study ID: NCT01601184
Brief Summary: The purpose of this study is to evaluate the safety of vismodegib in combination with temozolomide (primary objective - phase I) and to estimate the efficacy of vismodegib in combination with temozolomide in adult patients with recurrent, progressive, or refractory medulloblastomas to standard therapy measured by the 6-month progression-free rate (phase II). This study is an open-label Phase I/II, international, randomized. 38 patients will be included in the study.
Detailed Description: Secondary objectives are : phase I : to collect preliminary results on the 6-month progression-free rate of the combination vismodegib + temozolomide PHASE II To estimate in the two study arms: * the objective response rate (Complete response + Partial Response according to WHO criteria) after 6 months of treatment * the duration of treatment response * the best overall response obtained during the study * the progression-free survival (PFS) * the time to progression (TTP) * the time to treatment failure (TTF) * In the combination arm (vismodegib + temozolomide): to further evaluate the safety of the combination.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
CHU La Timone, Marseille, Bouches Du Rhône, France
Institut Claudius Régaud (iuct-oncopole), Toulouse, Haute-Garonne, France
Hopital de La Pitié Salpétrière, Paris, Ile De France, France
Institut de Cancérologie de l'Ouest - René Gauducheau, St Herblain, Loire Atlantique, France
Hopital Central de Nancy, Nancy, Meurthe Et Moselle, France
CHBS Hôpital du Scorff, Lorient, Morbihan, France
CHRU de Lille, Lille, Nord, France
Centre Léon Bérard, Lyon, Rhone, France
Institut de Cancérologie de l'Ouest - Paul Papin, Angers, , France
Institut Bergonié, Bordeaux, , France
BELLARIA Ospedale, Bologna, , Italy
University of Turin, Torino, , Italy
Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, , Switzerland
University Hospital Zurich, Zurich, , Switzerland
University College London Hospital - Mount Vernon Cancer Centre - Mount Vernon hospital, London, , United Kingdom
Name: didier frappaz
Affiliation: Centre Léon Bérard, Lyon
Role: PRINCIPAL_INVESTIGATOR