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临床试验/NCT02511405
NCT02511405已完成3 期

A Phase 3, Randomized, Controlled, Double-Arm, Open-Label, Multi-center Study of VB-111 Combined With Bevacizumab vs. Bevacizumab Monotherapy in Patients With Recurrent Glioblastoma

Vascular Biogenics Ltd. operating as VBL Therapeutics57 个研究点 分布在 2 个国家目标入组 252 人开始时间: 2015年8月最近更新:
适应症
干预措施

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
252
试验地点
57
主要终点
Overall survival

研究概览

简要总结

The purpose of this pivotal, phase 3, randomized, multicenter study is to compare VB-111 plus bevacizumab to bevacizumab in adult patients with recurrent Glioblastoma.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
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

入选标准

  • First or second progression of Glioblastoma;
  • Measurable disease by RANO criteria at progression;
  • Patients ≥18 years of age;
  • Patient may have been operated for recurrence. If operated: residual and measurable disease after surgery is required;
  • Surgery completed at least 28 days before randomization;
  • An interval of at least 12 weeks between prior radiotherapy or at least 23 days from prior chemotherapy, 42 days from nitrosoureas and enrollment in this study;
  • Adequate performance, i.e."Karnofsky Performance Score" of at least 70%;
  • Adequate renal, liver, and bone marrow function according to the following criteria:
  • Absolute neutrophil count ≥1500 cells/ml,
  • Platelets ≥ 100,000 cells/ml,
  • Total bilirubin within upper limit of normal (ULN),
  • Aspartate aminotransferase (AST) ≤ 2.0 X ULN,
  • Serum creatinine level ≤ ULN or creatinine clearance ≥ 50 ml/min for patients with creatinine levels above normal limits (creatinine clearance calculated by the Cockcroft-Gault formula, see Appendix II),
  • PT, PTT (in seconds) not to be prolonged beyond >20% of the upper limits of normal.

排除标准

  • Prior anti-angiogenic therapy including VEGF sequestering agents (i.e. bevacizumab, aflibercept, etc.) or VEGFR inhibitors (cedirinib, pazopanib, sunitinib, sorafenib, etc.);
  • Prior stereotactic radiotherapy;
  • Pregnant or breastfeeding patients;
  • Concomitant medication that may interfere with study results; e.g. immunosuppressive agents other than corticosteroids;
  • Active infection;
  • Evidence of significant CNS haemorrhage i.e. CTCAE grade 2 or above;
  • Expected to have surgery during study period;
  • Patients with active vascular disease, either myocardial or peripheral (i.e. acute coronary syndrome, cerebral stroke, transient ischemic attack or arterial thrombosis or symptomatic peripheral vascular disease within the past 3 months);
  • Patients with known proliferative and/or vascular retinopathy;
  • Patients with known liver disease (alcoholic, drug/toxin induced, genetic, or autoimmune);
  • Patients with known active second malignancy other than non-melanoma skin cancers, non-metastatic prostate cancer, in situ cervical cancer, and ductal or lobular carcinoma in situ of the breast. Patients are not considered to have a currently active malignancy if they have completed anticancer therapy and have been disease free for greater than 2 years prior to screening;
  • Patients testing positive to one of the following viruses: HIV, HBV and HCV within the last 6 months;
  • Patients that have undergone major surgery within the last 4 weeks before enrollment;
  • Patients who have received treatment with any other investigational agent within 4 weeks before enrollment.

研究组 & 干预措施

Arm 1

Experimental

VB-111 + Bevacizumab

干预措施: VB-111 + bevacizumab (Drug)

Arm 2

Active Comparator

Bevacizumab

干预措施: Bevacizumab (Drug)

结局指标

主要结局

Overall survival

时间窗: From date of study entry until the date of death from any cause (up to 10 years)

次要结局

  • Progression Free Survival(To be assessed from date of randomization until the date of disease progression, assessed up to 10 years.)
  • Tumor response as measured by RANO Criteria(To be assessed from date of randomization until the date of disease progression, assessed up to 10 years.)

研究者

发起方
Vascular Biogenics Ltd. operating as VBL Therapeutics
申办方类型
Industry
责任方
Sponsor

研究点 (57)

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