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hydroxychloroquine and Astrocytoma, Grade IV

hydroxychloroquine has been researched along with Astrocytoma, Grade IV in 6 studies

Hydroxychloroquine: A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970)
hydroxychloroquine : An aminoquinoline that is chloroquine in which one of the N-ethyl groups is hydroxylated at position 2. An antimalarial with properties similar to chloroquine that acts against erythrocytic forms of malarial parasites, it is mainly used as the sulfate salt for the treatment of lupus erythematosus, rheumatoid arthritis, and light-sensitive skin eruptions.

Research Excerpts

ExcerptRelevanceReference
" The primary objective of this trial was to determine the maximum tolerated dose (MTD) and efficacy of HCQ in combination with radiation therapy (RT) and temozolomide (TMZ) for newly diagnosed glioblastoma (GB)."9.19A phase I/II trial of hydroxychloroquine in conjunction with radiation therapy and concurrent and adjuvant temozolomide in patients with newly diagnosed glioblastoma multiforme. ( Amaravadi, RK; Brem, S; Chang, YC; Davis, LE; Desideri, S; Fisher, J; Grossman, SA; Heitjan, DF; Hu, J; McAfee, Q; Mikkelson, T; O'Dwyer, PJ; Piao, S; Pontiggia, L; Rosenfeld, MR; Supko, JG; Tan, KS; Troxel, AB; Wang, D; Ye, X, 2014)
"Neuroblastoma is the most common tumour in children under 1 year old, accounting for 12-15% of childhood cancer deaths."5.91Autophagy Inhibition via Hydroxychloroquine or 3-Methyladenine Enhances Chemotherapy-Induced Apoptosis in Neuro-Blastoma and Glioblastoma. ( Balachandar, A; Bhagirath, E; Pandey, S; Vegh, C; Wear, D, 2023)
" The primary objective of this trial was to determine the maximum tolerated dose (MTD) and efficacy of HCQ in combination with radiation therapy (RT) and temozolomide (TMZ) for newly diagnosed glioblastoma (GB)."5.19A phase I/II trial of hydroxychloroquine in conjunction with radiation therapy and concurrent and adjuvant temozolomide in patients with newly diagnosed glioblastoma multiforme. ( Amaravadi, RK; Brem, S; Chang, YC; Davis, LE; Desideri, S; Fisher, J; Grossman, SA; Heitjan, DF; Hu, J; McAfee, Q; Mikkelson, T; O'Dwyer, PJ; Piao, S; Pontiggia, L; Rosenfeld, MR; Supko, JG; Tan, KS; Troxel, AB; Wang, D; Ye, X, 2014)
"Neuroblastoma is the most common tumour in children under 1 year old, accounting for 12-15% of childhood cancer deaths."1.91Autophagy Inhibition via Hydroxychloroquine or 3-Methyladenine Enhances Chemotherapy-Induced Apoptosis in Neuro-Blastoma and Glioblastoma. ( Balachandar, A; Bhagirath, E; Pandey, S; Vegh, C; Wear, D, 2023)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's4 (66.67)24.3611
2020's2 (33.33)2.80

Authors

AuthorsStudies
Wear, D1
Bhagirath, E1
Balachandar, A1
Vegh, C1
Pandey, S1
Liu, LQ1
Wang, SB1
Shao, YF1
Shi, JN1
Wang, W1
Chen, WY1
Ye, ZQ1
Jiang, JY1
Fang, QX1
Zhang, GB1
Xuan, ZX1
Hsu, SPC1
Chen, YC1
Chiang, HC1
Huang, YC1
Huang, CC1
Wang, HE1
Wang, YS1
Chi, KH1
Adamski, V1
Schmitt, C1
Ceynowa, F1
Adelung, R1
Lucius, R1
Synowitz, M1
Hattermann, K1
Held-Feindt, J1
Rosenfeld, MR1
Ye, X1
Supko, JG1
Desideri, S1
Grossman, SA1
Brem, S1
Mikkelson, T1
Wang, D1
Chang, YC1
Hu, J1
McAfee, Q2
Fisher, J1
Troxel, AB1
Piao, S2
Heitjan, DF1
Tan, KS1
Pontiggia, L1
O'Dwyer, PJ1
Davis, LE2
Amaravadi, RK2
Zhang, Z1
Samanta, A1
Levi, SM1
Ma, XH1
Lynch, JP1
Uehara, T1
Sepulveda, AR1
Winkler, JD1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase I/II Trial of Hydroxychloroquine in Conjunction With Radiation Therapy and Concurrent and Adjuvant Temozolomide in Patients With Newly Diagnosed Glioblastoma Multiforme[NCT00486603]Phase 1/Phase 292 participants (Actual)Interventional2007-10-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

(Phase I) Number of Participants Who Experienced Dose Limiting Toxicity (DLT)

Dose limiting toxicity defined as: Any DLT must be a toxicity considered at least possibly related to HCQ. DLTs will include any possibly, probably, or definitely HCQ-related Grade 3 or 4 toxicity. Known or reasonably suspected TMZ hematological toxicities will not be considered dose limiting unless the treating physician considers the toxicity to be exacerbated by HCQ. Nonhematological toxicities: Any Grades 3-4 severity (except nausea and vomiting without sufficient antiemetic prophylaxis) (NCT00486603)
Timeframe: 10 weeks

InterventionParticipants (Count of Participants)
Phase 1: RT+TMZ+HCQ - 200mg0
Phase 1: RT+TMZ+HCQ - 400mg0
Phase 1: RT+TMZ+HCQ - 600mg0
Phase 1: RT+TMZ+HCQ - 800mg3

(Phase II) Number of Participants With Grade 3 and 4 Toxicity

Number of participants experiencing Grade 3 and 4 toxicity, as defined by CTCAE v3.0, with a possible, probable or definite relationship to HCQ, TMZ or both (NCT00486603)
Timeframe: up to 2 years

InterventionParticipants (Count of Participants)
Phase 2: RT + TMZ + HCQ22

(Phase II) Overall Survival

Number of months alive after end of study participation (NCT00486603)
Timeframe: 2 years

Interventionmonths (Median)
Phase 2: RT + TMZ + HCQ15.6

Pharmacokinetics (PK) of Hydroxychloroquine as Measured by Lag Time (Tlag)

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model. (NCT00486603)
Timeframe: up to 276 days

Interventionhour (Mean)
Phase 2: RT + TMZ + HCQ1.06

PK of Hydroxychloroquine as Measured by Distribution Volume of Peripheral Compartment (V2/F)

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model. (NCT00486603)
Timeframe: up to 276 days

InterventionLiters (Mean)
Phase 2: RT + TMZ + HCQ963

PK of Hydroxychloroquine as Measured by First-order Absorption Rate Constant (Ka)

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model. (NCT00486603)
Timeframe: up to 276 days

Interventionhours (Mean)
Phase 2: RT + TMZ + HCQ0.51

PK of Hydroxychloroquine as Measured by Oral Clearance (Liters/Hour) From Central Compartment (CL/F)

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model. (NCT00486603)
Timeframe: up to 276 days

InterventionL/hr (Mean)
Phase 2: RT + TMZ + HCQ11.85

PK of Hydroxychloroquine as Measured by Volume of Distribution of Central Compartment (V/F)

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model. (NCT00486603)
Timeframe: up to 276 days

InterventionLiters (Mean)
Phase 2: RT + TMZ + HCQ483.96

(Phase I) Maximum Tolerated Dose (MTD) of Hydroxychloroquine (HCQ)

Number of participants who tolerated doses of HCQ without dose limiting toxicity. The highest dose at which participants did not experience dose limiting toxicity was determined as the MTD. (NCT00486603)
Timeframe: 10 weeks

InterventionParticipants (Count of Participants)
200mg400mg600mg800mg
Phase 1 - Dose Finding3730

Pharmocodynamics as Determined by Number of Participants With Autophagy Inhibition in Relation to Maximal Concentration (Cmax) of HCQ

Autophagy inhibition is represented by an increase in autophagic vacuoles (AV) in participants with at least 2 peripheral blood mononuclear cell samples that were amenable to EM. (NCT00486603)
Timeframe: up to 9 weeks

,
InterventionParticipants (Count of Participants)
AV IncreaseNo AV Increase
HCQ Cmax <= 1785 ng/mL1012
HCQ Cmax>1785 ng/mL126

Trials

1 trial available for hydroxychloroquine and Astrocytoma, Grade IV

ArticleYear
A phase I/II trial of hydroxychloroquine in conjunction with radiation therapy and concurrent and adjuvant temozolomide in patients with newly diagnosed glioblastoma multiforme.
    Autophagy, 2014, Volume: 10, Issue:8

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Autophagy; Brain Neo

2014

Other Studies

5 other studies available for hydroxychloroquine and Astrocytoma, Grade IV

ArticleYear
Autophagy Inhibition via Hydroxychloroquine or 3-Methyladenine Enhances Chemotherapy-Induced Apoptosis in Neuro-Blastoma and Glioblastoma.
    International journal of molecular sciences, 2023, Jul-27, Volume: 24, Issue:15

    Topics: Antineoplastic Agents; Apoptosis; Autophagy; Brain Neoplasms; Cell Line, Tumor; Child; Cisplatin; Gl

2023
Hydroxychloroquine potentiates the anti-cancer effect of bevacizumab on glioblastoma via the inhibition of autophagy.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2019, Volume: 118

    Topics: Antineoplastic Combined Chemotherapy Protocols; Autophagy; Bevacizumab; Brain Neoplasms; Cell Line,

2019
Rapamycin and hydroxychloroquine combination alters macrophage polarization and sensitizes glioblastoma to immune checkpoint inhibitors.
    Journal of neuro-oncology, 2020, Volume: 146, Issue:3

    Topics: Animals; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Brain Neoplasms; Cel

2020
Effects of sequentially applied single and combined temozolomide, hydroxychloroquine and AT101 treatment in a long-term stimulation glioblastoma in vitro model.
    Journal of cancer research and clinical oncology, 2018, Volume: 144, Issue:8

    Topics: Antineoplastic Combined Chemotherapy Protocols; Cell Growth Processes; Cell Line, Tumor; Dacarbazine

2018
Autophagy inhibitor Lys05 has single-agent antitumor activity and reproduces the phenotype of a genetic autophagy deficiency.
    Proceedings of the National Academy of Sciences of the United States of America, 2012, May-22, Volume: 109, Issue:21

    Topics: Adenocarcinoma; Aminoquinolines; Animals; Antimalarials; Antineoplastic Agents; Autophagy; Autophagy

2012