A Randomized, Open-Label, Phase 2 Study Evaluating Abemaciclib in Combination With Temozolomide Compared to Temozolomide Monotherapy in Children and Young Adults With Newly Diagnosed High-Grade Glioma Following Radiotherapy
概览
- 阶段
- 2 期
- 干预措施
- Abemaciclib
- 疾病 / 适应症
- Glioma
- 发起方
- Eli Lilly and Company
- 入组人数
- 45
- 试验地点
- 89
- 主要终点
- Event Free Survival as Determined by Blinded Independent Review Committee
- 状态
- 进行中(未招募)
- 最后更新
- 12天前
概览
简要总结
The purpose of this study is to measure the benefit of adding abemaciclib to the chemotherapy, temozolomide, for newly diagnosed high-grade glioma following radiotherapy.
Your participation could last approximately 11 months and possibly longer depending upon how you and your tumor respond.
研究者
入排标准
入选标准
- •Biopsy proven high-grade glioma (HGG) as defined by 2016 World Health Organization (WHO) Classification Criteria, Grade 3-4 including:
- •Anaplastic astrocytoma
- •Anaplastic ganglioglioma
- •Anaplastic oligodendroglioma.
- •Anaplastic pleomorphic xanthoastrocytoma,
- •Glioblastoma
- •OR as defined by the 2021 WHO Classification Criteria as molecularly characterized:
- •Non-pontine diffuse midline glioma, H3 K27-altered,
- •Diffuse hemispheric glioma, H3 G34-mutant
- •Diffuse pediatric HGG, H3/IDH-wildtype
排除标准
- •Participants are excluded if any of the following apply:
- •Diffuse Intrinsic Pontine Glioma (DIPG) or diffuse midline glioma located in the pons.
- •Recurrent or refractory HGG including any recurrence/progression during/after radiotherapy.
- •Secondary HGG, defined as a previously treated low-grade glioma that now meets high- grade criteria, or that resulted from a previously treated malignancy.
- •Have known pathogenic somatic mutations appropriate for an anaplastic lymphoma kinase (ALK), B-rapidly accelerated fibrosarcoma (BRAF), or neurotrophic tyrosine receptor kinase (NTRK ) inhibitor, in regions where these therapies are available and deemed appropriate by the investigator.
- •Prior HGG treatment (including bevacizumab), except for surgery and radiotherapy (with or without concomitant temozolomide).
- •Current enrollment in another trial deemed incompatible with this study.
- •Treatment with an investigational product within the last 30 days or 5 half-lives (whichever is longer).
- •Prior malignancy within the previous 3 years that, per the investigator and the medical monitor, may affect interpretation of study results.
- •A preexisting medical condition(s) that, per the investigator, would preclude study participation.
研究组 & 干预措施
Abemaciclib + Temozolomide - Arm A
Participants will receive abemaciclib administered orally in addition to temozolomide administered orally or intravenously (IV).
干预措施: Abemaciclib
Abemaciclib + Temozolomide - Arm A
Participants will receive abemaciclib administered orally in addition to temozolomide administered orally or intravenously (IV).
干预措施: Temozolomide
Temozolomide - Arm B
Participants will receive temozolomide administered orally or IV.
干预措施: Temozolomide
结局指标
主要结局
Event Free Survival as Determined by Blinded Independent Review Committee
时间窗: Baseline up to approximately 11 months
Event free survival as determined by blinded independent review committee.
次要结局
- Overall Response Rate (ORR)(Baseline up to approximately 3 months)
- Overall Survival (OS)(Baseline to date of death due to any cause (up to approximately 18 months))
- Event Free Survival as Determined by Investigator Assessment(Baseline up to approximately 11 months)
- Disease Control Rate (DCR)(Baseline through to disease progression (up to approximately 3 months ))
- Duration of Response (DoR)(Date of Complete Response (CR) or Partial Response (PR) or Minor Response (MR) to date of disease progression or death (up to approximately 3 months ))
- Pharmacokinetic (PK): Abemaciclib Plasma Concentration(Cycle 1 through Cycle 4 (21 Day cycle))
- Abemaciclib Acceptability and Palatability Questionnaire(Day 1 of Cycles 1 through 3 (21 Day Cycles)])