ABT-414 alone or ABT-414 plus temozolomide versus temozolomide or lomustine alone in subjects with recurrent glioblastoma.
- Conditions
- Glioblastoma MultiformeMedDRA version: 19.1 Level: PT Classification code 10018336 Term: Glioblastoma System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2014-004438-24-IE
- Lead Sponsor
- AbbVie Deutschland GmbH & Co. KG
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- Not specified
- Target Recruitment
- 246
1. Histologically confirmed de novo (primary) GBM with unequivocal tumor progression or recurrence.
2. In case of testing at the time of first progression: either at least 3 months after the end of radiotherapy or have tumor progression that is clearly outside the radiation field or have tumor progression unequivocally proven by surgery/biopsy
3. Age = 18 years
4. Absence of any psychological, familial, sociological or geographical factors potentially hampering compliance with the study protocol and follow-up schedule; such conditions should be assessed with the patient before registration in the trial.
5. Availability of adequate biological material (formalin-fixed paraffin embedded [FFPE] tumor) for central testing of EGFR amplification
6. Presence of EGFR amplification confirmed by central assessment; patients with undetermined EGFR status are excluded
7. WHO Performance status 0 - 2
8. No more than one line of chemotherapy for GBM (concurrent and adjuvant TMZ based chemotherapy including in combination with another investigational agent is considered one line of chemotherapy). Chemotherapy must have been completed at least 4 weeks prior to randomization.
Are the trial subjects under 18? yes
Number of subjects for this age range: 6
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 120
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 120
1. Prior treatment with nitrosoureas
2. Prior treatment with bevacizumab
3. Previous exposure to EGFR targeted agents, including EGFRvIII targeting agents
4. Prior discontinuation of temozolomide chemotherapy for toxicity reasons
5. Prior RT with a dose over 65 Gy to the brain, stereotactic radiosurgery or brachytherapy unless the recurrence is histologically proven
6. Previous other malignancies, except for any previous malignancy which was treated with curative intent more than 5 years prior to randomization, and except for adequately controlled limited basal cell carcinoma of the skin, squamous carcinoma of the skin or carcinoma in situ of the cervix
7. Women of childbearing potential must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 72 hours prior to randomization.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Timepoint(s) of evaluation of this end point: Overall Survival at final analysis and Progression Free Survival at interim futility analysis after observation of 45 PFS events.;Main Objective: Overall Survival and Progression Free survival according to RANO criteria and assessed at interim analysis.;Secondary Objective: Progression Free Survival according to RANO criteria, Objective Response Rate, Overall Survival in the subgroup with EGFRvIII mutation.;Primary end point(s): Overall Survival and Progression Free survival according to RANO criteria and assessed at interim analysis.
- Secondary Outcome Measures
Name Time Method <br> Secondary end point(s): • Progression Free Survival<br> • Overall Response Rate (ORR) <br> • Overall Survival in the subgroup with Epithelial Growth Factor Receptor (EGFRvIII) mutation.<br> <br> <br> ;<br> Timepoint(s) of evaluation of this end point: • Progression Free Survival as assessed by RANO from date of randomization to date of first objective progression (or death).<br> • The overall response rate will be evaluated at each assessment of disease according to RANO criteria. <br> • Subgroup with EGFR vIII mutation will be measured up to 28 months (study length), until death, or lost to follow up.<br>