Disulfiram for Brain Tumor
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether disulfiram, a drug used for other conditions, can help treat glioblastoma, an aggressive brain tumor. Researchers aim to determine if disulfiram can make the tumor environment less hostile to the immune system and reduce brain swelling before surgery. The trial seeks participants with glioblastoma who are scheduled for surgery and can begin taking disulfiram a few days prior. Participants should be ready to stay in the hospital during the study and must avoid alcohol. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants a chance to contribute to groundbreaking research.
Do I need to stop taking my current medications for the trial?
The trial requires you to stop taking dexamethasone or other systemic glucocorticoids before enrolling. You also cannot use metronidazole or other medications that interact with disulfiram. It's best to discuss your current medications with the trial team to ensure they are not contraindicated.
Is there any evidence suggesting that disulfiram is likely to be safe for humans?
Research has shown that disulfiram, a drug commonly used to treat alcoholism, is under investigation for its potential to treat brain cancer. Lab studies indicate that disulfiram can kill certain cancer cells, suggesting it might be useful for treating aggressive brain tumors like glioblastoma.
Although disulfiram has been used for a long time, its application in cancer treatment is new. The current study remains in the early stages, so researchers are still assessing its safety for treating brain tumors. Early research on disulfiram for other purposes suggests it is generally well-tolerated. However, since this study is just beginning, the main focus is on ensuring its safety for people with brain tumors.
In summary, while disulfiram appears promising, more research is needed to fully understand its safety and effectiveness.12345Why do researchers think this study treatment might be promising?
Disulfiram is unique because it is traditionally used to treat alcohol dependence, but researchers are now exploring its potential in fighting brain tumors. Unlike standard treatments for brain tumors, which typically include surgery, radiation, and chemotherapy targeting rapidly dividing cells, Disulfiram works differently by inhibiting a specific enzyme related to tumor growth. This repurposing of a known drug offers a promising new approach, as it may offer a less invasive and potentially more targeted treatment option. Researchers are particularly excited because Disulfiram's new mechanism of action could open the door to innovative ways to tackle brain tumors.
What evidence suggests that disulfiram might be an effective treatment for glioblastoma?
Studies have shown that disulfiram, a drug typically used to treat alcoholism, might also help fight glioblastoma, a type of brain cancer. Lab research suggests that disulfiram can kill glioblastoma cells, especially when combined with chemotherapy. It seems to work by making the tumor environment less suitable for cancer growth. Disulfiram might also reduce the need for steroids, which often control brain swelling. Although the results are promising, more research is needed to confirm these effects in people with glioblastoma. Participants in this trial will receive disulfiram to further investigate its potential benefits for glioblastoma treatment.678910
Who Is on the Research Team?
Tiffany Hodges, MD
Principal Investigator
University Hospitals Cleveland Medical Center
Are You a Good Fit for This Trial?
This trial is for adults (18+) with suspected or confirmed high-grade glioma who are scheduled for brain tumor surgery. Participants must have good organ function, be able to avoid alcohol during treatment, and not be pregnant or breastfeeding. People with certain health issues, allergies to disulfiram, or needing steroids right away cannot join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-surgery Treatment
Participants receive disulfiram to reduce immunosuppression and brain swelling before surgery
Surgery
Participants undergo planned surgery for glioblastoma
Follow-up
Participants are monitored for safety, effectiveness, and changes in immunosuppressive and inflammatory program scores
What Are the Treatments Tested in This Trial?
Interventions
- Disulfiram
Trial Overview
The study tests if taking disulfiram before surgery can reduce immune suppression in the tumor and lower steroid dependence in people with high-grade glioma. Disulfiram is started a few days before planned surgery; all participants receive standard care otherwise.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
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Find a Clinic Near You
Who Is Running the Clinical Trial?
Case Comprehensive Cancer Center
Lead Sponsor
Citations
1.
ecancer.org
ecancer.org/en/news/3494-anti-alcoholism-drug-could-help-treat-most-common-type-of-adult-brain-cancerAnti-alcoholism drug could help treat most common type of ...
They found that the drug was effective at killing glioblastoma cells growing in the lab, particularly when combined with the chemotherapy drug ...
Disulfiram, a drug widely used to control alcoholism, ...
Our studies suggest that DSF has the potential to be repurposed for treatment of refractory GBM. INtrODUctION. Glioblastoma (GBM) is the most ...
Disulfiram for Brain Tumor · Info for Participants
The study tests if taking disulfiram before surgery can reduce immune suppression in the tumor and lower steroid dependence in people with high-grade glioma.
4.
researchportal.bath.ac.uk
researchportal.bath.ac.uk/en/publications/alcohol-abuse-drug-disulfiram-targets-pediatric-glioma-via-mll-de/Alcohol-abuse drug disulfiram targets pediatric glioma via ...
Our results show that disulfiram efficiently kills pediatric glioma cell lines as well as patient-derived glioma stem cells. We propose a novel ...
Effect of Disulfiram and Copper Plus Chemotherapy vs ...
Median overall survival was 8.2 months (95% CI, 5.4-10.2 months) with SOC and 5.5 months (95% CI, 3.9-9.3 months) with SOC plus disulfiram and ...
Effect of Disulfiram and Copper Plus Chemotherapy vs ...
There was no significant difference in the primary outcome, namely survival at 6 months after randomization, with 62% (26 of 42 patients) alive ...
Effect of Disulfiram and Copper Plus Chemotherapy vs ... - PMC
This randomized clinical trial found that the addition of disulfiram and copper to alkylating chemotherapy did not improve survival in patients ...
Disulfiram, a drug widely used to control alcoholism ...
This study provides in vitro evidence that DSF is an effective treatment for GBM and suggests it augments cytotoxicity of the currently used chemotherapeutic ...
9.
thebraintumourcharity.org
thebraintumourcharity.org/news/research-news/alcohol-abuse-drug-may-hold-key-treating-aggressiv/Alcohol abuse drug may hold key to treating aggressive ...
“Our study showed that disulfiram can effectively kill paediatric glioma cells paving the way for it to be repurposed as a potential new ...
10.
centerwatch.com
centerwatch.com/clinical-trials/listings/NCT02678975/disulfiram-in-recurrent-glioblastomaDisulfiram in Recurrent Glioblastoma | Clinical Research ...
There is now anecdotal clinical evidence of disulfiram as an anticancer agent. So far no clinical studies have been published in glioma patients ...
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