A Rollover Study of NBM-BMX in Combination With Temozolomide in Patients With Newly Diagnosed Glioblastoma

A Rollover Study to Evaluate the Long-Term Safety and Efficacy of NBM-BMX in Combination With Temozolomide in Patients With Newly Diagnosed Glioblastoma Who Completed Study NBM-BMX-003 (the Parent Study)

This clinical trial is a rollover study designed to provide continued access to NBM-BMX and temozolomide (TMZ) for eligible participants with newly diagnosed glioblastoma who have completed the designated treatment in Study NBM-BMX-003 (the parent study), and to evaluate the long-term safety and efficacy of NBM-BMX administered in combination with TMZ.

Study Overview

• Status: Recruiting
• Conditions: Malignant Neoplasm of Brain
• Intervention / Treatment: Drug: NBM-BMX Capsule; Drug: Temozolomide

Detailed Description

This is a multi-center, open-label, single-arm, rollover study designed to provide participants with newly diagnosed glioblastoma who have completed Study NBM-BMX-003 (the parent study) with continued access to study treatment. Eligible participants will transition into this study to continue receiving study drugs (NBM-BMX and temozolomide) at the same doses and schedules as in the parent study.

For participants enrolled in the dose-escalation cohorts of the parent study who received lower doses of NBM-BMX, escalation to a higher dose demonstrated to be safe in the parent study may be permitted with Sponsor approval.

Participants may continue to receive study treatment until disease progression, unacceptable toxicity, withdrawal of consent, death, or up to 12 cycles of treatment, whichever occurs first.

• Study Type: Interventional
• Enrollment (Estimated): 15
• Phase: Phase 2; Phase 1

Contacts and Locations

• Study Contact: Name: Chia-Chung Hou, Ph.D.; Phone Number: 101 886 2 26559109; Email: alison.hou@novelwisepharma.com
• Study Contact Backup: Name: Cherry Hsu; Phone Number: 509 886 2 27891060; Email: cherry.hsu@effpha.com

Study Locations

• Taiwan
  • Kaohsiung City, Taiwan, 807
    • Not yet recruiting
    • Kaohsiung Medical University Chung-Ho Memorial Hospital
    • Contact: Ann-Shung Lieu, M.D.; Phone Number: +886 7 3121101
  • Taichung, Taiwan, 407
    • Not yet recruiting
    • Taichung Veterans General Hospital
    • Contact: Wen-Yu Cheng, M.D.; Phone Number: +886 4 23592525
  • Taoyuan City, Taiwan, 333
    • Recruiting
    • Linkou Chang-Gung Memorial Hospital
    • Contact: Kuo-Chen Wei, M.D.; Phone Number: +886 3 3281200

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Participants must meet all of the following criteria to be eligible for the study:

1. Have completed or currently enrolled in Arm B of Study NBM-BMX-003 (the parent study), and in the opinion of the Investigator, may derive clinical benefit from continued treatment with study drugs.
2. Histologically confirmed glioblastoma.
3. Can enroll into this rollover study within 35 days after completing the last dose of NBM-BMX in the parent study.
4. Have signed and dated the informed consent form.
5. Karnofsky performance status (KPS) ≥ 60 at enrollment in this study.

6. Adequate organ functions as defined by the following criteria:

   1. Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 3 × upper limit of normal (ULN)
   2. Total serum bilirubin ≤ 1.5 × ULN unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin ≤ 3 × ULN
   3. Absolute neutrophil count (ANC) ≥ 1,000/µL
   4. Platelets ≥ 75,000/µL
   5. Hemoglobin ≥ 8.0 g/dL
   6. Non-indexed estimated glomerular filtration rate (eGFR) ≥ 50 mL/min
7. Women of childbearing potential must have a negative pregnancy test performed within 14 days before the first dose of this study.

8. Men and women of childbearing potential must agree to use acceptable contraceptive methods throughout the study period and for at least 6 months after the final dose of temozolomide.

   Acceptable contraceptive methods include implants, injectables, combined oral contraceptives, intra-uterine devices (IUDs), sexual abstinence, surgical sterilization or a partner who is sterile.

9. Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures.

Exclusion Criteria:

Participants with any of the following will be excluded from the study:

1. Currently receive or plan to receive anti-cancer treatments other than the study drugs including Gliadel wafer implant or tumor treating fields (TTFields).
2. Permanently discontinued from the parent study due to unacceptable toxicity, non-compliance with study procedures, withdrawal of consent, or any other reason.
3. A positive test for hepatitis B (HBsAg) and/or hepatitis C (anti-HCV antibody), unless the HBV DNA level and/or HCV RNA level is below the limit of detection.
4. QTcF > 480 msec
5. Currently taking strong inhibitors (e.g., gemfibrozil) or inducers of CYP2C8.
6. Have known hypersensitivity reaction to temozolomide, dacarbazine or NBM-BMX.
7. Have difficulty swallowing (including those require nasogastric tube) or with impaired absorption of oral medications.
8. Female who are pregnant or breastfeeding.
9. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that would impart, in the judgement of the Investigator and/or sponsor, excess risks associated with study participation or study drug administration.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Combination therapy in glioblastoma; Subjects with newly diagnosed glioblastoma who have completed Study NBM-BMX-003 will transition into this study to continue receiving study drugs (NBM-BMX and temozolomide) at the same doses and schedules as in the parent study.	Drug: NBM-BMX Capsule; Each capsule contains 100 mg of the active ingredient.; Drug: Temozolomide; Temodal will be administered orally at a 75 mg/m2 dose daily during concomitant therapy. In the maintenance period, days 1-5 of each cycle will be administered 150-200 mg/m2.; Other Names: TMZ

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Frequency, types, severity, and relationship to NBM-BMX of adverse events (AEs)	To evaluate the long-term safety and tolerability of NBM-BMX in combination with temozolomide.	Through study completion, an average of 1 year.
Progression-free survival (PFS) and overall survival (OS)	To assess the preliminary long-term efficacy of the combination therapy.	Through study completion, an average of 1 year.

Collaborators and Investigators

• Sponsor: Novelwise Pharmaceutical Corporation

Study record dates

Study Major Dates

• Study Start (Actual): April 20, 2026
• Primary Completion (Estimated): September 30, 2029
• Study Completion (Estimated): December 31, 2030

Study Registration Dates

• First Submitted: April 24, 2026
• First Submitted That Met QC Criteria: May 1, 2026
• First Posted (Actual): May 6, 2026

Study Record Updates

• Last Update Posted (Actual): May 6, 2026
• Last Update Submitted That Met QC Criteria: May 1, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neoplasms by Site; Neoplasms; Nervous System Neoplasms; Central Nervous System Neoplasms; Brain Neoplasms; Organic Chemicals; Heterocyclic Compounds, 1-Ring; Heterocyclic Compounds; Azoles; Dacarbazine; Triazenes; Imidazoles; Temozolomide
• Other Study ID Numbers: NBM-BMX-005

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: Yes
• Studies a U.S. FDA-regulated device product: No