Safety and Efficacy Study of Trans Sodium Crocetinate (TSC) With Concomitant Radiation Therapy and Temozolomide in Newly Diagnosed Glioblastoma (GBM)
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Purpose
This open-label study will evaluate the safety and efficacy of TSC when dosed concomitantly with the standard of care (radiation therapy and temozolomide) for newly diagnosed glioblastoma in adults. All patients will receive TSC in the study. The objective of the study is to evaluate the effect of TSC on survival and tumor response in patients with GBM while establishing an acceptable patient risk profile.
| Condition | Intervention | Phase |
|---|---|---|
|
Glioblastoma GBM Glioma High Grade Glioma |
Drug: Trans Sodium Crocetinate (TSC) |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open-label Phase 1/2 (Safety Lead-in) Study of Trans Sodium Crocetinate (TSC) With Concomitant Treatment of Fractionated Radiation Therapy and Temozolomide in Newly Diagnosed Glioblastoma (GBM) Patients to Evaluate Safety and Efficacy |
- Overall Survival [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Quality of Life (QoL) [ Time Frame: Baseline, Week 6, Week 10, Week 18, Week 26, Week 52, Week 74 through Week 110 ] [ Designated as safety issue: No ]Evaluate QoL and daily functioning using EORTC QLQ-C30/BN20 and Karnofsky Performance Score(KPS)
| Enrollment: | 59 |
| Study Start Date: | February 2012 |
| Estimated Study Completion Date: | September 2016 |
| Estimated Primary Completion Date: | September 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: TSC 0.25 mg/kg for 9 or 18 doses |
Drug: Trans Sodium Crocetinate (TSC)
TSC administered intravenously as a bolus injection prior to radiation therapy sessions during 6 weeks of radiotherapy.
|
Detailed Description:
The overall objectives of this Phase 1/2 clinical study in newly diagnosed GBM patients are to evaluate the safety and tolerability, efficacy, PK profile, PFS/time to disease progression, QoL, and overall survival in adults when TSC is added to the standard of care regimen of radiation therapy and temozolomide. All patients will receive TSC in this study. The primary objective of the Phase 1 portion of the study is to evaluate the safety (DLT rate) and to define the dosing regimen of TSC for the larger Phase 2 study. The primary clinical endpoint is overall survival at 24 months and patients will be followed for up to 3 years.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Aged at least 18 years of age; male or female. A patient who is 70 years of age or older may be considered for enrollment after review of patient clinical and laboratory data by the Protocol Medical Monitor.
- Histologically confirmed diagnosis of GBM.
- Contrast enhancing disease on MRI within 21 days prior to Screening.
- Karnofsky score (KPS) of ≥ 60 at Screening.
- No prior RT, chemotherapy (including Gliadel wafer), immunotherapy or therapy with a biologic agent, or hormonal therapy. Glucocorticoid therapy is allowed.
- Within 2 weeks of Baseline visit, hematologic and renal functions as specified: Absolute neutrophil count ≥ 1500/mm3, platelets ≥ 100,000/mm3, Hgb ≥ 9.0g/dL, creatinine ≤ 1.7mg/dl, total bilirubin ≤ 1.5mg/dL, blood urea nitrogen (BUN) within 2 times the upper limit of normal, transaminases ≤ 4 times above the upper limits of the institutional norm.
- Sexually active patients must use an acceptable method of contraception while receiving doses of study medication.
- Females of childbearing potential must have a negative serum or urine pregnancy test at Screening and have additional pregnancy tests during study.
Exclusion Criteria:
- Pt. who cannot undergo MRI.
- Pregnant or lactating.
- Serious concurrent infection or medical illness that would jeopardize the ability of the patient to receive study treatment with reasonable safety.
- Pt. receiving concurrent chemotherapeutics or investigational agents within 30 days of Baseline assessments, including gliadel wafers or gliasite application.
Contacts and Locations| United States, Arizona | |
| St. Joseph's Medical Center Barrow Neurology Clinics | |
| Phoenix, Arizona, United States, 85013 | |
| United States, Arkansas | |
| University of Arkansas Winthrop P. Rockefeller Cancer Institute | |
| Little Rock, Arkansas, United States, 72205 | |
| United States, California | |
| Cedars-Sinai Medical Center | |
| Los Angeles, California, United States, 90048 | |
| USC/Norris Comprehensive Cancer Center | |
| Los Angeles, California, United States, 90033 | |
| United States, District of Columbia | |
| The George Washington University Medical Center | |
| Washington, District of Columbia, United States, 20037 | |
| United States, Florida | |
| University of Florida McKnight Brain Institute | |
| Gainesville, Florida, United States, 32611 | |
| United States, Georgia | |
| Emory University Winship Cancer Institute | |
| Atlanta, Georgia, United States, 30322 | |
| United States, Illinois | |
| Northwestern University Robert H. Lurie Comprehensive Cancer Center | |
| Chicago, Illinois, United States, 60611 | |
| Rush University Medical Center | |
| Chicago, Illinois, United States, 60612 | |
| United States, Kentucky | |
| University of Kentucky Markey Cancer Center | |
| Lexington, Kentucky, United States, 40536 | |
| United States, New York | |
| North Shore University Hospital | |
| Manhasset, New York, United States, 11030 | |
| United States, North Carolina | |
| Forsyth Regional Cancer Center | |
| Winston-Salem, North Carolina, United States, 27103 | |
| United States, Pennsylvania | |
| Penn State University Milton S. Hershey Medical Center | |
| Hershey, Pennsylvania, United States, 17033 | |
| Fox Chase Cancer Center | |
| Philadelphia, Pennsylvania, United States, 19111 | |
| United States, South Carolina | |
| Medical University of South Carolina | |
| Charleston, South Carolina, United States, 29425 | |
| United States, Texas | |
| Baylor University Medical Center | |
| Dallas, Texas, United States, 75246 | |
| University of Texas Health Science Center Memorial Hermann Medical Center | |
| Houston, Texas, United States, 77030 | |
| United States, Virginia | |
| UVA Health Sciences Center Emily Couric Clinical Cancer Center | |
| Charlottesville, Virginia, United States, 22908 | |
| Virginia Commonwealth University Massey Cancer Center | |
| Richmond, Virginia, United States, 23298 | |
| United States, Wisconsin | |
| Froedtert & Medical College of Wisconsin Cancer Center | |
| Milwaukee, Wisconsin, United States, 53226 | |
More Information
No publications provided
| Responsible Party: | Diffusion Pharmaceuticals LLC |
| ClinicalTrials.gov Identifier: | NCT01465347 History of Changes |
| Other Study ID Numbers: | DP100-202 |
| Study First Received: | November 2, 2011 |
| Last Updated: | March 11, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Diffusion Pharmaceuticals LLC:
|
Primary brain tumor Glioblastoma Glioma GBM Radiation therapy |
Additional relevant MeSH terms:
|
Glioblastoma Glioma Astrocytoma Neoplasms, Neuroepithelial Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms Neoplasms, Glandular and Epithelial Neoplasms, Nerve Tissue Temozolomide |
Vitamin A Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents Therapeutic Uses Vitamins Micronutrients Growth Substances Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 13, 2013