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Anlotinib Combined With STUPP for MGMT Nonmethylated Glioblastoma

Phase 2
Conditions
MGMT-Unmethylated Glioblastoma
Interventions
Registration Number
NCT04725214
Lead Sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Brief Summary

The purpose of this study is to test the efficacy and safety of Anlotinib in combination with STUPP regimen for MGMT promoter nonmethylated glioblastoma.

Detailed Description

For MGMT unmethylated glioblastoma patients undergoing STUPP regimen adjuvant therapy, during adjuvant chemotherapy, concurrent with anti-angiogenesis targeted therapy(Anlotinib capsule,d1-14).

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
33
Inclusion Criteria
  1. Aged 18-70 years,
  2. Histologically proven diagnosis of glioblastoma (WHO grade IV),
  3. Have received standard STUPP treatment plan,
  4. Gross resection or partial resection of the tumor (confirmed by MRI)> 50%,
  5. The pathological tissue specimens are detected as MGMT unmethylated,6.Karnofsky performance status ≥ 60,
  6. No previous radiotherapy, chemotherapy, immunotherapy or biotherapy 7.Adequate bone marrow function: Hemoglobin ≥ 100g/L,Platelets ≥ 80×109/L,Absolute neutrophil count (ANC) ≥ 1.5×109/L

8.Adequate renal function: Serum creatinine ≤ 1.25 x UNL (upper normal limit) or creatinine clearance ≥ 60 ml/min 9.Adequate hepatic function: serum bilirubin ≤ 1.5 x UNL, AST and ALT ≤ 2.5 x UNL,ALP≤5x UNL 10.For females of child-bearing potential, negative serum pregnancy test within 14 days prior to registration. Women of childbearing potential and male participants must practice adequate contraception during participation in the study and within 8 weeks after the last administration of the drug 11.Able to provide written informed consent

Exclusion Criteria
  1. Recurrent or multiple malignant gliomas
  2. Subtentorial glioblastoma or metastatic lesions outside the skull
  3. Have received radiotherapy, chemotherapy or other anti-tumor drugs for the disease before surgery
  4. Previously received radiation therapy for the head and neck cancer
  5. Have received any antibody treatment before
  6. Contraindication of radiotherapy and chemotherapy defined as follows: Acute bacterial or fungal infection,Unstable angina and/or congestive heart failure within the last 6 months,co-morbidity with immunosuppressive therapy
  7. Evidence of bleeding diathesis or coagulopathy
  8. Prior invasive malignancy (except for non-melanomatous skin cancer or carcinoma in situ of cervix)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ExperimentalAnlotinibFor MGMT unmethylated glioblastoma, during temozolomide adjuvant, concurrent with anti-angiogenesis targeted therapy(Anlotinib capsule,d1-14)
Primary Outcome Measures
NameTimeMethod
1-year OSfrom enrollment to death (for any reason).assessed up to 12 months

1-year overall survival

Secondary Outcome Measures
NameTimeMethod
PFSfrom enrollment to progression or death (for any reason),assessed up to 24months

Progression-Free Survival

OSfrom enrollment to death (for any reason).assessed up to 24 months

Overall Survival

adverse eventfrom enrollment to death (for any reason).assessed up to 24 months

Adverse events are described in terms of CTC AE 5.0

Health-related quality of lifefrom enrollment to death (for any reason).assessed up to 24 months

Health-related quality of life are measured by the EORTC-QL30/BN20

Neurocognitive functionfrom enrollment to death (for any reason).assessed up to 24 months

Neurocognitive function are measured by John-Hopkins adapted cognitive exam (ACE)

Trial Locations

Locations (1)

The Second Affiliated Hospital of Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

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