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Study Evaluating ABT-414 in Japanese Subjects With Malignant Glioma

Phase 1
Completed
Conditions
Malignant Glioma
Glioblastoma Multiforme
Interventions
Radiation: Whole Brain Radiation
Registration Number
NCT02590263
Lead Sponsor
AbbVie
Brief Summary

This study seeks to evaluate the tolerability, pharmacokinetics (PK), efficacy, and safety of ABT-414 in Japanese participants with newly diagnosed and recurrent, World Health Organization (WHO) grade III or IV malignant glioma.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
53
Inclusion Criteria
  • Japanese participants with WHO grade III or IV malignant glioma
  • 70 or above on Karnofsky Performance Status in Arm A of Phase 1 portion and Phase 2 portion
  • 80 or above on Karnofsky Performance Status in Arm B and Arm C of Phase 1 portion
  • Adequate bone marrow function
  • Recurrent malignant glioma per RANO criteria in Arm A of Phase 1 portion and Phase 2 portion
  • Histologically proven newly diagnosed malignant glioma in Arm B and Arm C of Phase 1 portion
  • Participants must have confirmed EGFR amplification by central lab in Phase 2 portion
Exclusion Criteria
  • Anti-cancer treatment 28 days prior to study Day 1 for Arm A of Phase 1 portion and Phase 2 portion (except temozolomide therapy for newly diagnosed treatment for Phase 2 portion)
  • Anti-cancer treatment prior to study Day 1 for Arm B and Arm C of Phase 1 portion
  • Participant has received prior treatment with bevacizumabor, EGFR therapy in Arm A of Phase 1 portion and Phase 2 portion, or for recurrent glioblastoma in Phase 2 portion
  • Participant has a history of major immunologic reaction to any Immunoglobulin G containing agents or component of ABT-414.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm B of Phase 1 portionWhole Brain RadiationABT-414 administered every other weeks in combination with radiation and temozolomide
Arm C of Phase 1 portionWhole Brain RadiationABT-414 administered every other weeks in combination with radiation and temozolomide
Arm C of Phase 1 portionABT-414ABT-414 administered every other weeks in combination with radiation and temozolomide
Arm B of Phase 1 portionABT-414ABT-414 administered every other weeks in combination with radiation and temozolomide
Arm A of Phase 1 portionABT-414ABT-414 administered every other weeks monotherapy
Phase 2 portionABT-414ABT-414 administered every other weeks in combination with temozolomide
Phase 2 portionTemozolomideABT-414 administered every other weeks in combination with temozolomide
Arm B of Phase 1 portionTemozolomideABT-414 administered every other weeks in combination with radiation and temozolomide
Arm C of Phase 1 portionTemozolomideABT-414 administered every other weeks in combination with radiation and temozolomide
Primary Outcome Measures
NameTimeMethod
Area under the plasma concentration-time curve (AUC) of ABT-414Multiple time points in Cycles 1, 2 and 3 (4 weeks each) and Day 1 of remaining cycles until end of treatment for approximately 1 year for recurrent subjects and in every week of Day 1 until Week 7 and end of treatment for the newly diagnosed subjects

Assessed during the Phase 1 portion of the study, the area under the plasma concentration-time curve (AUC) is a method of measurement to determine the total exposure of a drug in blood plasma.

Maximum plasma concentration (Cmax) of ABT-414Multiple time points in Cycles 1, 2 and 3 (4 weeks each) and Day 1 of remaining cycles until end of treatment for approximately 1 year for recurrent subjects and in every week of Day 1 until Week 7 and end of treatment for the newly diagnosed subjects

Assessed during the Phase 1 portion of the study, the maximum plasma concentration (Cmax) is the highest concentration that a drug achieves in the blood after administration in a dosing interval.

Percentage of participants with adverse eventsAt each visit for approximately 4 years
Number of Dose Limiting ToxicitiesAt each visit for approximately 1 year

Measurement by clinical lab results, vital signs, physical exam and electrocardiogram (ECG) during the Phase 1 portion of the study.

Progression-free survivalAt each visit for approximately 1 year

Time to progression-free survival is defined as the number of days from the date of first dose to the date of earliest disease progression based on Response Assessment in Neuro-Oncology (RANO) criteria or to the date of death, if disease progression does not occur (except Arm B and Arm C of Phase 1 portion).

Secondary Outcome Measures
NameTimeMethod
Objective Response RateAt each visit for approximately 1 year

The objective response rate is defined as the proportion of participants with at least one measurable lesion at baseline who achieves a confirmed complete (CR) or partial response (PR) based on RANO criteria (except Arm B and Arm C of Phase 1 portion).

Duration of Overall ResponseAt each visit for approximately 1 year

The duration of overall response for a given participant is defined as the number of days from the day the RANO criteria are met for CR or PR (whichever is recorded first) to the date that progressive disease (PD) is objectively documented (based RANO criteria) (except Arm B and Arm C of Phase 1 portion).

Overall SurvivalAt each visit for approximately 1 year

Overall survival is defined as number of days from the date of first dose to the date of death for all dosed participants (except Arm B and Arm C of Phase 1 portion).

Trial Locations

Locations (22)

University of Tsukuba Hospital /ID# 140433

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Tsukuba-shi, Ibaraki, Japan

Osaka University Hospital /ID# 140438

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Suita-shi, Osaka, Japan

Iwate Medical University Hospital /ID# 149145

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Shiwa-gun, Iwate, Japan

Kyorin University Hospital /ID# 140360

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Mitaka-shi, Tokyo, Japan

Kitasato University Hospital /ID# 148493

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Sagamihara-shi, Kanagawa, Japan

Okayama University Hospital /ID# 148674

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Okayama-shi, Okayama, Japan

Kumamoto University Hospital /ID# 138558

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Kumamoto-shi, Kumamoto, Japan

Hokkaido University Hospital /ID# 150589

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Sapporo-shi, Hokkaido, Japan

Shizuoka Cancer Center /ID# 148673

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Sunto-gun, Shizuoka, Japan

Hiroshima University Hospital /ID# 139399

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Hiroshima-shi, Hiroshima, Japan

NHO Kyoto Medical Center /ID# 140437

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Kyoto, Japan

Nagoya University Hospital /ID# 138559

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Nagoya-shi, Aichi, Japan

Kyoto Prefect Univ Med /ID# 149093

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Kyoto-shi, Kyoto, Japan

Saitama Medical University International Medical Center /ID# 140361

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Hidaka-shi, Saitama, Japan

Kyoto University Hospital /ID# 163206

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Kyoto-shi, Kyoto, Japan

Tohoku University Hospital /ID# 138464

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Sendai-shi, Miyagi, Japan

Nihon University Itabashi Hospital /ID# 149385

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Itabashi-ku, Tokyo, Japan

National Cancer Center Hospital /ID# 140435

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Chuo-ku, Tokyo, Japan

Dokkyo Medical University Hospital /ID# 150990

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Shimotsuga-gun, Tochigi, Japan

Osaka International Cancer Institute /ID# 148494

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Osaka, Japan

Tokyo Women's Medical University Hospital /ID# 140436

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Shinjuku-ku, Tokyo, Japan

Chiba Cancer Center /ID# 164375

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Chiba, Japan

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