EUCTR2020-003417-35-NL进行中（未招募）1 期
A Phase I/II Combination Study of NMS-03305293 and Temozolomide in Adult Patients with Recurrent Glioblastoma
erviano Medical Sciences S.r.l0 个研究点目标入组 75 人开始时间: 2021年4月12日最近更新:
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 75
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •1. Histologically confirmed diagnosis of an intracranial diffuse glioma (i.e. diffuse astrocytoma, oligodendroglioma or glioblastoma).
- •2. Patients at first relapse after chemotherapy including temozolomide as long as no more than 12 cycles of temozolomide were administered.
- •3. Patients may have been operated for recurrence. If operated:
- •- residual and measurable disease after surgery is not required but pathology must have confirmed tumor recurrence.
- •- a post-surgery MRI should be available within 48 hours following surgery.
- •- surgery completed at least 2 weeks before enrolment and patient clinical status should not be worsened respect to pre-surgery condition
- •1. Histologically confirmed diagnosis of Glioblastoma, IDH wildtype as per WHO 2021 classification including IDH-wildtype diffuse and astrocytic glioma in adults if there is microvascular proliferation or necrosis or TERT promoter mutation or EGFR gene amplification or +7/- 10 chromosome copy number changes or c-IMPACT-NOW 3 definition including diffuse astrocytic glioma, IDH-wildtype, with molecular features of glioblastoma, WHO Grade 4.
- •2. Patients at first relapse after initial standard therapy including temozolomide as long as no more than 6 cycles of temozolomide were administered and provided that patient completed standard of care concurrent temozolomide and the radiation therapy.
- •3. Patients may have been operated for recurrence. If operated:
- •residual and measurable disease after surgery is not required but pathology must have confirmed tumor recurrence.
- •a post-surgery MRI should be available within 48 hours following surgery.
- •surgery completed at least 2 weeks before enrolment and patient clinical status should not be worsened respect to pre-surgery condition.
- •Phase I and Phase II
- •4. For non-operated patients with measurable disease in Phase I and for all patients in Phase 2, recurrent disease must be defined by at least one bidimensionally measurable contrast-enhancing lesion with clearly defined margins with minimal diameters of 10 mm, visible on 2 or more axial slices 5 mm apart, based on MRI scan done within two weeks prior to enrolment/randomization.
- •5. Patients on steroids should have stable or decreasing dose of steroids for 7 days prior to the baseline MRI scan.
- •6. Life expectancy of at least 3 months.
- •7. Able to undergo brain MRI scans with IV gadolinium.
- •8. No evidence of symptomatic and acute intratumoral hemorrhage on MRI. Patients with MRI demonstrating old hemorrhage or subacute blood after a neurosurgical procedure (biopsy or resection) are eligible.
- •9. Sufficient tissue representative of the disease available for central MGMT promoter methylation status (Phase I and II) and IDH status evaluation (Phase I).
- •10. Male or female patients with age = 18 years.
- •11. ECOG performance status <2.
- •12. Signed and dated IEC or IRB-approved Informed Consent.
- •13. Resolution of all acute toxic effects (excluding alopecia) of any prior anticancer therapy to NCI CTCAE (Version 5.0) Grade = 1 or to the baseline laboratory values as stated in the protocol
- •14. Baseline laboratory values fulfilling defined requirements as stated in the protocol
- •15. Patients must use effective contraception or abstinence. Female patients of childbearing potential must agree to use effective contraception or abstinence during the period of therapy and in the following 6 months after discontinuation of study treatment. Being NMS-03305293 a potential CYP3A perpetrato
排除标准
- •1. Current enrollment in another interventional clinical trial.
- •2. Current treatment with other anticancer agents, or treatment at recurrence with carmustine wafer implants and proteasome inhibitors.
- •3. Previous treatment with PCV (procarbazine, lomustine and vincristine) or any of its components, carmustine wafer implants, or bevacizumab.
- •4. Previous treatment with PARP inhibitors.
- •5. Major surgery, other than surgery for recurrent diffuse glioma, within 4 weeks prior to treatment.
- •6. Standard radiotherapy within the three months (12 weeks) prior to the diagnosis of progression unless the progression is clearly outside the radiation field (eg, beyond the high-dose region or 80% isodose line) or unless the recurrence is histologically proven.
- •7. Prior radiotherapy with a dose over 65 Gy, stereotactic radiosurgery or brachytherapy, unless the recurrence is histologically proven.
- •8. Use of full-dose anticoagulants unless the INR or aPTT is within therapeutic limits (according to the medical standard in the institution) and the patient has been on a stable dose of anticoagulants for at least two weeks before enrollment.
- •9. Treatment with concomitant medications known to be sensitive substrates of CYP2D6 and CYP2C19 that cannot be replaced with another treatment
- •10. Treatment with enzyme-inducing anti-epileptic drugs (EIAED). Patients may be on non-EIAED or not be taking any anti-epileptic drugs. Patients previously on EIAED must be fully switched to non-EIAED at least 2 weeks prior to enrolment.
- •11. Pregnant or breast-feeding women.
- •12. Known hypersensitivity to any component of NMS-03305293 or TMZ drug formulations.
- •13. Known active infections (bacterial, fungal, viral including HIV positivity) requiring systemic treatment.
- •14. Patients with QTc interval =460 milliseconds for women, =450 milliseconds for men or with risk factors for torsade de pointes (e.g., uncontrolled heart failure, uncontrolled hypokalemia, history of prolonged QTc interval or family history of long QT syndrome). For patients receiving treatment with concomitant medications known to prolong the QTc interval, replacement with another treatment prior to enrollment is mandatory.
- •15. Active gastrointestinal disease (e.g., documented gastrointestinal ulcer, Crohn’s disease, ulcerative colitis, or short gut syndrome) or other syndromes that would impact on drug absorption.
- •16. Any of the following in the past 6 months: myocardial infarction, unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, active bleeding disorder.
- •17. Prior invasive malignancy (except for non melanoma skin cancer, carcinoma in situ or localized cancer) unless the patient has been disease-free and off therapy for that disease for = 3 years.
- •18. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the patient inappropriate for entry into this study or could compromise protocol objectives in the opinion of the Investigator and/or the Sponsor.
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