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Phase I clinical BNCT Trial to evaluate the safty of iBNCT001 and SPM-011, Accelerator-Based novel High-Power Neutron Source in patient with newly diagnosed glioblastoma

Phase 1
Recruiting
Conditions
ewly-diagnosed glioblastoma
boron, neutron, glioblastoma
Registration Number
JPRN-jRCT2032230554
Lead Sponsor
Sakurai Hideyuki
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
18
Inclusion Criteria

Karnofsky Performance Status is greater than 50.
- Histologically diagnosed glioblastoma (IDH-wild glioblastoma WHO grade 4 according to WHO 2016 classification) (immunostaining negative for IDH-1)
- Measurable target lesions by RANO criteria with the deepest contrast-enhanced lesion within 6 cm of the skin surface on postoperative contrast-enhanced MRI scan.

Exclusion Criteria

- Multiple lesions, bilateral lesions, disseminated lesions on MRI images
- Significant postoperative symptoms of increased intracranial presure
- Patients with severe systemic diseases
- Patients who have a hitory of radiotherapy to the brain
- Patients who meet the following criteria on clinical examination
a) White blood cell count less than 3,500/mm3
b) Platelet count less than 7,5000/mm3
c) AST and ALT greater than 2.5 times the upper limit of the institutional standard
d) Total bilirubin 1.5 times or more than the upper limit of the facility standard
e) BUN 2.5 times or more than the upper limit of the facility standard
f) Creatinine 1.5 times or more than the upper limit of the facility standard
- Patients for whom contrast-enhanced MRI cannot be performed
- Patients who cannot administrate temozolomide
- Patients with ongoing convulsive seizures
- Patients with active multiple cancers other than the target disease
- Patients receiving or scheduled to receive bevacizumab
- Pregnant women or patients who are unable to use contraception during the study period
- Patients with phenylketonuria

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Occurrence rate of dose-limiting toxicity
Secondary Outcome Measures
NameTimeMethod
Safety endpoints<br>- Safety and tolerability after BNCT<br>- Measurements of clinical laboratory tests<br>- Measurements of physical examination and other investigations<br><br>Efficacy endpoints<br>- Overall survival<br>- Progression-free survival<br>- Local control at 90 days after BNCT<br>- KPS measurements and change from baseline<br>- Neurological examination measurements and change from baseline<br>- Tumor responce evaluation<br>- Duration of response
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