- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04388475
Open-label Study Investigating of OKN-007 Combined With Temozolomide in Patients With Recurrent Glioblastoma
April 1, 2024 updated by: Oblato, Inc.
A Phase II Open-label Study Investigating the Efficacy, Safety and Pharmacokinetic Properties of OKN-007 Combined With Temozolomide in Patients With Recurrent Glioblastoma
This is a phase II open-label study investigating the efficacy, safety and pharmacokinetic(PK) properties of OKN-007 combined with temozolomide(TMZ) in patients with recurrent glioblastoma(GBM).
All patients will have been previously treated with the standard-of-care treatment which includes surgical resection, radiation and chemotherapy, and in some cases treatment for recurrent disease.
Patients with unequivocal recurrence (first or greater) established by MRI and meeting inclusion and exclusion criteria, will be eligible for OKN-007 treatment on this protocol.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
57
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham
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Arizona
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Phoenix, Arizona, United States, 85013
- St. Joseph's Hospital and Medical Center
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California
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Santa Monica, California, United States, 90404
- Providence Saint John's Health Center - John Wayne Cancer Institute
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Colorado
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Englewood, Colorado, United States, 80113
- Swedish Medical Center
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Florida
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Orlando, Florida, United States, 32804
- AdventHealth Orlando
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa
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Kentucky
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Louisville, Kentucky, United States, 40241
- Norton Healthcare
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Health System
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North Carolina
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest Baptist Comprehensive Cancer Center
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Ohio
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Toledo, Ohio, United States, 43606
- The University of Toledo
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73117
- The University of Oklahoma
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Rhode Island
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Providence, Rhode Island, United States, 02903
- Lifespan Office of Research
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Washington
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Seattle, Washington, United States, 35143
- St. Joseph Hospital of Orange
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Confirmed Glioblastoma based on histopathology or molecular profile analysis (WHO Grade IV), following primary treatment with TMZ and radiotherapy (minimum of 50 Gy) and at least two cycles of maintenance TMZ (5 days of a 28 day cycle) as first-line or second-line treatment with another treatment regimen, excluding bevacizumab.
- Patients must have medical records available documenting O6-methylguanine-DNA methyltransferase (MGMT) promoter methylation status analysis or must have tumor tissue samples available from prior GBM surgery or open biopsy for MGMT status determination.
- For patients with unresected recurrent tumor, unequivocal radiographic evidence of tumor progression by MRI. These patients must have at least one measurable lesion.
- Patients with recent resection of recurrent viable tumor are eligible following post-operative MRI perfusion scan with or without measurable lesions.
- No more than two prior lines of therapy for glioblastoma. Any second-line therapy is acceptable, excluding bevacizumab as second line.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
- Full recovery (≤ grade 1) from the toxic effects.
Adequate renal, liver and bone marrow function:
- Hemoglobin >9.0 g/dL
- Leukocytes >3,000/mcL
- Absolute neutrophil count >1,500/mcL
- Platelets >100,000/mcL
- Total bilirubin ≤ 1.5 × upper limit of normal (ULN)
- AST (SGOT) / ALT (SGPT) ≤2.5 × ULN
- Creatinine clearance ≥ 60 mL/min
- Patients must be ≥18 years of age
Exclusion Criteria:
- Early discontinuation of TMZ in prior line due to treatment related Adverse events (AEs).
- Second primary malignancy expected to require treatment within a 6 month period (except adequately treated basal cell carcinoma of the skin).
- Have received treatment within the last 28 days with a drug that has not received regulatory approval for any indication at the time of study entry.
- Have received chemotherapeutic agents (including temozolomide) within 28 days or within 5 half-lives for non-cytotoxic agents (whichever is shorter) of study entry
- Serious concomitant systemic disorders
- Patients with abnormal sodium, potassium, or creatinine levels ≥ grade 2.
- Patients with prothrombin time/partial thromboplastin time (PT/PTT) or International normalized ratio (INR) above the ULN.
- Inability to comply with protocol or study procedures.
- Patients who have received bevacizumab for recurrent glioblastoma or are planning to initiate treatment with bevacizumab for tumor necrosis. (Past treatment with bevacizumab for tumor necrosis is acceptable).
- Patients receiving or planning to initiate treatment with the tumor treating fields device (Optune®) (Optune® prior to enrollment is permitted).
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: All patients
All patients enrolled in this study
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Drug: OKN-007 (400 mg OKN-007/mL in a phosphate buffer) Administered via IV infusion, at a dose level of 60 mg/kg, given three times a week for 12 weeks, two times a week for a further 12 weeks and once per week until disease progression or up to two years.
Other Names:
Administered via oral, at a dose level of 150 mg/m2, once daily on Days 1-5 of each 28 day cycle in Cycle 1.
If this dose level is tolerated, then in Cycle 2 (and subsequent cycles), at a dose level of 200 mg/m2, once daily on Days 1-5 of each 28 day cycle.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidents of Adverse Events during the subjects are taking OKN-007 with Temozolomide
Time Frame: Through study completion up to 24 months
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Evaluate incidents of Adverse Events during the subjects are taking OKN-007 with Temozolomide.
Adverse events will be graded according to Common Terminology Criteria for Adverse Events (CTCAE, version 5.0).
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Through study completion up to 24 months
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Number of subjects with decreased neurological function
Time Frame: Change from baseline at Day 1 of each 28 day cycle
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Neurologic function assessed by Neurologic Assessment in Neuro-Oncology (NANO) scale.
The NANO Scale evaluates 9 major domains of neurologic function, with each domain being scored on a range from 0 (no deficits) to 2 or 3 (maximum deficits).
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Change from baseline at Day 1 of each 28 day cycle
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Number of subjects with decreased performance
Time Frame: Change from baseline at Day 1 of each 28 day cycle
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Number of participants with decreased performance assessed by Eastern Oncology Cooperative Group (ECOG) scale.
Minimum 0 (normal function) and maximum 4 (maximum disability).
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Change from baseline at Day 1 of each 28 day cycle
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Overall Survival (OS) rate
Time Frame: 6 months
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Proportion of subjects who are alive after six months of starting treatment.
OS is defined as the time from first treatment dose until date of death due to any cause.
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Radiographic response rate
Time Frame: 24 months
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To determine the objective response rate to study therapy using Radiographic Assessment in Neuro-Oncology (RANO) criteria.
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24 months
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Progression Free Survival (PFS) rate
Time Frame: 6 months
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Proportion of subjects who are alive and progression free after six months of starting treatment.
PFS is defined as the time from first treatment dose until objective tumor progression on the RANO criteria or death.
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6 months
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Cmax of OKN-007 in blood plasma
Time Frame: Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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The sample will be collected at 10 time points during 24 hours after OKN-007 administration.
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Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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AUC of OKN-007 in blood plasma
Time Frame: Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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The sample will be collected at 10 time points during 24 hours after OKN-007 administration.
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Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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Tmax of OKN-007 in blood plasma
Time Frame: Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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The sample will be collected at 10 time points during 24 hours after OKN-007 administration.
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Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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Cmax of Temozolomide in blood plasma
Time Frame: Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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The sample will be collected at 8 time points during 24 hours after Temozolomide administration.
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Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
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AUC of Temozolomide in blood plasma
Time Frame: Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
|
The sample will be collected at 8 time points during 24 hours after Temozolomide administration.
|
Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
|
Tmax of Temozolomide in blood plasma
Time Frame: Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
|
The sample will be collected at 8 time points during 24 hours after Temozolomide administration.
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Day 1 and Day 5 in Cycle 1 and 2 (28 Day Cycle)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 12, 2020
Primary Completion (Estimated)
June 30, 2024
Study Completion (Estimated)
January 31, 2025
Study Registration Dates
First Submitted
May 6, 2020
First Submitted That Met QC Criteria
May 11, 2020
First Posted (Actual)
May 14, 2020
Study Record Updates
Last Update Posted (Actual)
April 2, 2024
Last Update Submitted That Met QC Criteria
April 1, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms, Glandular and Epithelial
- Disease Attributes
- Astrocytoma
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Glioblastoma
- Recurrence
- Glioma
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Temozolomide
Other Study ID Numbers
- OKN-007-IV-RMG-201
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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