A Phase 2, Multicenter, Clinical Study to Evaluate the Efficacy and Safety of Safusidenib Erbumine in Participants With Isocitrate Dehydrogenase 1 (IDH1)-Mutant Glioma Who Discontinued Vorasidenib Treatment Due to Progressive Disease
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 入组人数
- 40
- 试验地点
- 8
- 主要终点
- Objective Response Rate (ORR) per modified Response Assessment in Neuro-Oncology (RANO) 2.0 assessed by Blinded Independent Central Review (BICR)
研究概览
简要总结
This study will include up to 40 participants with Grade 2 or Grade 3 IDH1-mutant glioma who have undergone surgery and received vorasidenib as their only treatment, experienced radiographic disease progression on vorasidenib (confirmed by Blinded Independent Central Review [BICR] per modified Response Assessment in Neuro-Oncology [RANO] 2.0), and are not in need of immediate chemotherapy or radiotherapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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
- •Histologically confirmed Grade 2 or 3 IDH-mutant astrocytoma or IDH-mutant and 1p19q co-deleted oligodendroglioma, according to WHO CNS 2021 criteria
- •IDH1 mutation (e.g., R132H/C/G/S/L) based on immunohistochemistry (IHC) (R132H only), PCR, or next generation sequencing (NGS).
- •Have had at least 1 prior surgery for glioma (biopsy, sub-total resection, or gross total resection).
- •Measurable disease per modified RANO 2.0 confirmed by BICR during Screening.
- •Previously treated with vorasidenib and experienced radiographic disease progression during treatment and are not in need of immediate chemotherapy or radiotherapy in the opinion of the Investigator. Disease progression must be confirmed by BICR using modified RANO 2.
- •Adequate hematologic and organ function
- •Expected survival of ≥12 months
排除标准
- •Any prior anticancer therapy other than surgery (biopsy, sub-total, or gross total resection) and vorasidenib for treatment of glioma.
- •Discontinued vorasidenib for toxicity or any reason other than radiographic disease progression
- •Prior treatment with anti-angiogenic agents such as Avastin (bevacizumab) or investigational agents for glioma.
- •Brainstem or spinal cord involvement either as primary location, site of multifocal involvement, or by significant tumor extension.
- •Significant functional or neurocognitive deficits, including uncontrolled seizures
- •Evidence of leptomeningeal disease.
- •Use of therapeutic doses of steroids for signs/symptoms of glioma. Participants taking physiologic doses (defined as equivalent of <1.5 mg of dexamethasone equivalent) for medical conditions not related to glioma will be permitted.
研究组 & 干预措施
Safusidenib
Safusidenib 250 mg BID
干预措施: Safusidenib (Drug)
结局指标
主要结局
Objective Response Rate (ORR) per modified Response Assessment in Neuro-Oncology (RANO) 2.0 assessed by Blinded Independent Central Review (BICR)
时间窗: From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
ORR defined as the proportion of participants with the confirmed best overall response of Complete Response (CR), Partial Response (PR) or Minor Response (MR) per modified RANO 2.0, assessed by BICR
次要结局
- Progression Free Survival (PFS) per modified RANO 2.0 assessed by BICR and by Investigator(From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months)
- Time to Response (TTR) per modified RANO 2.0 assessed by BICR and by Investigator(From the date of first dose of study drug to the first documentation of objective response (CR, PR, or MR), approximately 18 months)
- Overall Survival (OS)(From the date of first dose of study drug until the date of death, approximately 18 months)
- Safety and tolerability(From the date of first dose of study drug until 30 days after the date of the last dose of study drug, approximately 18 months)
- Seizure Activity(From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months)
- ORR per modified RANO 2.0 assessed by Investigator(From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months)
- Volumetric Tumor Growth Rate (TGR) by BICR(From historical scans through the final scan in the study, approximately 18 months)
- Duration of Response (DOR) per modified RANO 2.0 assessed by BICR and by Investigator(From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months)
- Time to Next Intervention (TTNI)(From the date of first dose of study drug until the date of the start of another anticancer treatment or date of death, approximately 18 months)
