Phase I/II Trial of BIBW 2992 (Afatinib) in Treating Patients With Recurrent Glioblastoma Multiforme
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 151
- 试验地点
- 28
- 主要终点
- Number of Participants With DLT- Phase I
研究概览
简要总结
Phase I Part: To determine the maximum tolerated dose (MTD) and pharmacokinetics of BIBW 2992 administered in combination with TMZ in patients with recurrent malignant gliomas (WHO Grade III and IV).
Phase II Part: To estimate the efficacy and safety of BIBW 2992 monotherapy and BIBW 2992 / TMZ combination therapy compared to TMZ monotherapy (three treatment arms) in patients with recurrent GBM. To evaluate molecular determinants of response to BIBW 2992.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
BIBW 2992
BIBW 2992 once daily
干预措施: BIBW 2992 (Drug)
TMZ
TMZ 21/28 days
干预措施: TMZ (Drug)
BIBW 2992 plus TMZ
BIBW 2992 once daily plus TMZ 21/28 days
干预措施: BIBW 2992 plus TMZ (Drug)
结局指标
主要结局
Number of Participants With DLT- Phase I
时间窗: From randomization till data cut-off (10 Jun 2009), with a mean treatment duration of 51 days
Number of Participants With Dose Limiting Toxicities (DLT) - Phase I Part
Progression-free Survival (PFS-6) at Six Months - Phase II
时间窗: At six months after randomization
PFS-6 is defined as probability of patients surviving to six months after randomization without progression. Disease progression was evaluated by an independent review committee and by the investigators, independently. The evaluation by the independent review committee was used for the primary outcome measure. The measurement "Number" the estimated PFS-6 value from the Kaplan-Meier curve of PFS.
次要结局
- Objective Tumor Response in Phase II(From randomization to until the date of first documented progression or data cutoff on July 15, 2016, whichever came first, with a mean treatment duration of 110.0 days)
- Progression-free Survival (PFS)- Phase II Part(from date of randomization until the date of first documented progression or death by any cause, whichever came first, assessed up to 9 Months.)
- Objective Tumor Response in Phase I(From treatment start until the date of first documented progression or data cutoff at May 12, 2011, whichever came first, with a mean treatment duration of 69.7 days.)
- Cmax for Temozolomide(Before (-0.05 h) the first drug administration and 0.5, 1, 1.5, 2, 3, 4, 6, 8 h after drug administration on Day 1 (in absence of afatinib) and Day 15 (in presence of afatinib) of treatment Cycle 1)
- Number of Participants With PTEN Marker Assessed by IHC Test.(Baseline (during screening))
- AUCτ,ss for Afatinib(Before (-0.05 h) the drug administration and 0.5, 1, 1.5, 2, 3, 4, 6, 8 h and 24 h after drug administration on Day 15 (in presence of temozolomide) and Day 28 (in absence of temozolomide) of treatment Cycle 1)
- Cmax,ss for Afatinib(Before (-0.05 h) the drug administration and 0.5, 1, 1.5, 2, 3, 4, 6, 8 h and 24h after drug administration on Day 15 (in presence of temozolomide) and Day 28 (in absence of temozolomide) of treatment Cycle 1)
- Tmax,ss for Afatinib(Before (-0.05 h) the drug administration and 0.5, 1, 1.5, 2, 3, 4, 6, 8 h and 24h after drug administration on Day 15 (in presence of temozolomide) and Day 28 (in absence of temozolomide) of treatment Cycle 1)
- AUC (0-8) for Temozolomide(Before (-0.05 h) the first drug administration and 0.5, 1, 1.5, 2, 3, 4, 6, 8 h after drug administration on Day 1 (in absence of afatinib) and Day 15 (in presence of afatinib) of treatment Cycle 1)
- Number of Participants With Chromosomes (CEP7) Assessed by FISH(Baseline (during screening))
- Number of Participants With Chromosomes (CEP10) Assessed by FISH(Baseline (during screening))
- Number of Participants With Investigator Defined Drug-Related AEs, AEs Leading to Discontinuation of Trial Drug, All Serious Adverse Events (AE) and Other Significant AEs - Phase I(From first administration of treatment until 28 days after last drug administration, up to 491 days.)
- Number of Participants With Adverse Events (AEs) Based on Intensity and Incidence of AE's - Phase I(From first administration of treatment until 28 days after last drug administration, up to 491 days.)
- Number of Participants With Adverse Events, Graded According CTCAE - Phase I(From first administration of treatment until 28 days after last drug administration, up to 491 days.)
- Causes of Death - Phase I(From first administration of treatment until 28 days after last drug administration, up to 491 days.)
- Number of Participants With Investigator Defined Drug-Related AEs, AE Leading to Dose Reduction, AEs Leading to Discontinuation of Trial Drug and All SAE- Phase II(From first administration of treatment until 28 days after last drug administration, up to 518 days.)
- Tmax for Temozolomide(Before (-0.05 h) the first drug administration and 0.5, 1, 1.5, 2, 3, 4, 6, 8 h after drug administration on Day 1 (in absence of afatinib) and Day 15 (in presence of afatinib) of treatment Cycle 1)
- Phase II - Trough Plasma Concentration of Afatinib(Before (-0.05 h) the drug administration of afatinib on Day 15 of Cycle 2 & 3)
- Number of Participants With EGFRvIII Assessed by IHC Test.(Baseline (during screening))
- t1/2 for Temozolomide(Before (-0.05 h) the first drug administration and 0.5, 1, 1.5, 2, 3, 4, 6, 8 h after drug administration on Day 1 (in absence of afatinib) and Day 15 (in presence of afatinib) of treatment Cycle 1)
- Number of Participants With PTEN Assessed by FISH(Baseline (during screening))
- Number of Participants With MGMT Marker Assessed by IHC Test.(Baseline (during screening))
- Number of Participants With EGFR Marker Assessed by IHC Test.(Baseline (during screening))
- Number of Participants With Adverse Events (AEs) Based on Intensity and Incidence of AE's - Phase II(From first administration of treatment until 28 days after last drug administration, up to 518 days.)
- Number of Participants With Adverse Events, Graded According CTCAE - Phase II(From first administration of treatment until 28 days after last drug administration, up to 518 days.)
- Causes of Death - Phase II(From first administration of treatment until 28 days after last drug administration, up to 518 days.)
- Number of Participants With Clinically Relevant Abnormalities for Decreased Cardiac Left Ventricular Function - Phase II(From first administration of treatment until 28 days after last drug administration, up to 518 days.)
- Number of Participants With PAKT Marker Assessed by IHC Test.(Baseline (during screening))
- Number of Participants With EGFR Assessed by FISH(Baseline (during screening))
