About this trial
This phase I trial tests the safety, side effects, and best dose of triapine in combination with radiation therapy in treating patients with glioblastoma or astrocytoma that has come back after a period of improvement (recurrent). Triapine may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill cancer cells and shrink tumors. Giving triapine in combination with radiation therapy may be safe, tolerable, and/or effective in treating patients with recurrent glioblastoma or astrocytoma.
Eligibility criteria
Qualifiers
GBM or variants, IDH-wildtype, grade 2-4 (standard curative measures available or not)
Astrocytoma, IDH-mutant, grade 2-4 (standard curative measures available or not)
Diffuse midline gliomas, including pediatric-type H3 G34 or E3 K27 mutant tumors.
Tumors ≤ 6 cm in maximal diameter.
Disqualifiers
Patients who have not recovered from adverse events due to prior anti-cancer therapy (i.e., have residual toxicities > grade 1) with the exception of alopecia.
Patients who are receiving any other investigational agents.
Patients who are actively taking medications that are known to induce methemoglobinemia (e.g. sulfonamides, nitrofurans, anti-malarials [primaquine, chloroquine], cyclophosphamide, and ifosfamide).
History of allergic reactions attributed to compounds of similar chemical or biologic composition to triapine.
Trial design
Treatments tested in this trial
- Biospecimen Collection
- Computed Tomography
- Intensity-Modulated Radiation Therapy
- Magnetic Resonance Imaging
- Triapine