A Study of PLB1001 Enteric Capsules in the Treatment of sGBM/IDH Mutant Glioblastoma Patients With the ZM Fusion Gene (FUGEN).
A Randomized, Controlled, Open, Multicenter, Phase II/III Clinical Study to Evaluate the Safety and Efficacy of Vebreltinib Enteric Capsules in the Treatment of sGBM/IDH Mutant Glioblastoma Patients With the ZM Fusion Gene (FUGEN).
The goal of this clinical trial is to evaluate the safety and efficacy of PLB1001 Enteric Capsules in the treatment of PTPRZ1-MET fusion gene positive recurrent secondary glioblastoma. The main questions it aims to answer are:
- To evaluate overall survival (OS) in the treatment of secondary glioblasts with positive recurrence of PTPRZ1-MET (ZM) fusion gene by PLB1001 Enteric Capsules.
- To evaluate if it is safety and tolerant in the treatment of secondary glioblasts with positive recurrence of PTPRZ1-MET (ZM) fusion gene by PLB1001 Enteric Capsules.
Participants will
- Be given PLB1001 300mg BID,oral who were randomly assigned in test group.
- Be given Temozolomide capsules ,oral, who were randomly assigned in control group.
- Be given EP, ivgtt, who were randomly assigned in control group.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100070
- Beijing Tiantan Hospital,Capital Medical University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- histologically confirmed secondary glioblastoma,or glioblastoma with IDH mutantation
- Must have evidence of PRPRZ1-MET fusion gene positivity from the result of molecular pre-screening evaluations
- Prior treatment with temozolomide and radiotherapy
- Stable or decreasing dose of corticosteroids within 5 days prior to the first dose
- Platelet count≥75×109/L,Neutrophilic granulocyte count≥1.5×109/L, Hemoglobin>90g/L,AST or ALT < 3 times the lab's upper normal limit,Serum creatinine < 1.5 times the lab's upper normal limit,INR≤2.0
- Karnofsky performance score ≥ 60%
- Pregnant or nursing women
- Written consent
Exclusion Criteria:
- Previous or current treatment with a c-Met inhibitor or HGF-targeting therapy
- Received antibody anti-tumor drug within 30 days before enrollment
- Previous treatment with Camustine sustained release implant
- The subject is unable to undergo MRI scan
- Patients with active bleeding were found by brain CT or MRI scan before enrollment
- Uncontrolled hypertension defined by a Systolic Blood Pressure (SBP) 150 mm Hg and/or Diastolic Blood Pressure (DBP) ≥100 mm Hg
- Major surgery within 4 weeks prior to first dose of PLB1001
- Pregnant or nursing women
- Involved in other clinical trials <30 days prior to first dose
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: PLB1001
Subjects will receive 300mg of PLB1001 twice daily in cycles of 4 weeks duration until death or adverse event(AE) leading to discontinuation
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PLB1001 is a capsule in the form of 300mg,twice daily.
Other Names:
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Active Comparator: Temozolomide or Cisplatin combined with etoposide
Investigators can choose one of two treatments
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100-150mg/m2/d,day 1 to 7 and day 15 to 22 of each 28-day cycle
Cisplatin:80-100mg/m2/3 days,28 days/cycle Etoposide:100mg/m2/d,3 days,28 days/cycle
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall survival(OS)
Time Frame: 5 years
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Overall survival is defined as the time(in months)from random to the date of death.
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5 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate Evaluated by Investigator(ORR)
Time Frame: 5 years
|
Objective response rate will be determined according to response assessment in neuro-oncology(RANO).
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5 years
|
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Progression Free Survival evaluated by Investigator(PFS)
Time Frame: 5 years
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Progression Free Survival is defined as the time (in months) from the first administration of trial treatment to the date of the first documentation of PD or death due to any cause.
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5 years
|
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Quality of Life Assessment EORTC-QLQ-C30
Time Frame: 5 years
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The EORTC-QLQ-C30 is a 30-item subject self-report questionnaire composed of both multi-item scales and single-item measures.
These include the Physical Functioning Scale and four more functional scales (role, emotional, social, and cognitive), three symptom scales (fatigue, nausea and vomiting, and pain), a global health status / QoL scale, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and difficulties).
Participants rate items on a four-point scale, with 1 as "not at all" and 4 as "very much."
The method for scoring these scales is: 1. Estimate the average of the items that contribute to the scale; this is the raw score.
2. Use a linear transformation to standardize the raw score, so that scores range from 0 to 100; a higher score represents a higher ("better") level of functioning, or a higher ("worse") level of symptoms.
A change of 5 - 10 points is considered a small change.
A change of 10 - 20 points is considered a moderate change.
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5 years
|
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Karnofsky Performance Status score
Time Frame: 5 years
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improved is defined as KPS increases >10 after treatment; worsen is defined as KPS decreases >10; stable is defined as KPS changes ≤10.
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5 years
|
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Quality of Life Assessment EORTC-QLQ-BN20
Time Frame: 5 years
|
The EORTC-QLQ-BN20 covers future uncertainty, visual disorder, motor dysfunction, communication deficit, headache, seizures, drowsiness, hair loss, itching, difficulty with bladder control, and weakness of both legs.
Patients respond by self-report, with most items rated on a 4-point scale, from 1 "not at all" to 4 "very much", except for the two global health status/quality of life items, which are measured on a 7-point Likert scale ("very poor" through "excellent").
The method for scoring these scales is: 1. Estimate the average of the items that contribute to the scale; this is the raw score.
2. Use a linear transformation to standardize the raw score, so that scores range from 0 to 100; a higher score represents a higher ("better") level of functioning, or a higher ("worse") level of symptoms.
A change of 5 - 10 points is considered a small change.
A change of 10 - 20 points is considered a moderate change.
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5 years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Wenbin Li, Beijing Tiantan Hospital
- Principal Investigator: Xiaoguang Qiu, Beijing Tiantan Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Astrocytoma
- Glioma
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Glioblastoma
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Azoles
- Hydrocarbons
- Hydrocarbons, Cyclic
- Carbohydrates
- Podophyllotoxin
- Tetrahydronaphthalenes
- Naphthalenes
- Polycyclic Aromatic Hydrocarbons
- Hydrocarbons, Aromatic
- Polycyclic Compounds
- Glucosides
- Glycosides
- Dacarbazine
- Triazenes
- Imidazoles
- Temozolomide
- Etoposide
Other Study ID Numbers
Other Study ID Numbers
- PLB1001-Ⅱ-GBM-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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