Safety and Efficacy Study of Safusidenib in Participants With IDH1-Mutant Glioma Who Discontinued Vorasidenib Treatment Due to Progressive Disease
A Phase 2, Multicenter, Clinical Study to Evaluate the Efficacy and Safety of Safusidenib Erbumine in Participants With Isocitrate Dehydrogenase 1 (IDH1)-Mutant Glioma Who Discontinued Vorasidenib Treatment Due to Progressive Disease
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Fáze 2
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Clinical Trials at Nuvation Bio
- Telefonní číslo: 332-208-6102
- E-mail: ClinicalTrials@nuvationbio.com
Studijní místa
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California
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Los Angeles, California, Spojené státy, 90095
- University of California, Los Angeles
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Vrchní vyšetřovatel:
- Robert Chong, MD
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Kontakt:
- Quan Li
- Telefonní číslo: 310-825-1416
- E-mail: quanli@mednet.ucla.edu
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San Francisco, California, Spojené státy, 94143
- University of California, San Francisco
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Vrchní vyšetřovatel:
- John De Groot, MD
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Kontakt:
- Neuro Onc New Patient Coordinator
- Telefonní číslo: 415-353-2193
- E-mail: neurooncnewpatientcoord@ucsf.edu
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Connecticut
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New Haven, Connecticut, Spojené státy, 06510
- Yale University
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Vrchní vyšetřovatel:
- Nicholas Blondin, MD
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Kontakt:
- Amy Rodrigues
- E-mail: amy.rodrigues@yale.edu
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Kontakt:
- E-mail: cto-neuro@yale.edu
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Indiana
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Indianapolis, Indiana, Spojené státy, 46202
- Indiana University
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Vrchní vyšetřovatel:
- Kathryn Nevel, MD
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Kontakt:
- NeuroOncology Clinical Trials
- Telefonní číslo: 3179634823
- E-mail: neuroct@iu.edu
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New Jersey
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New Brunswick, New Jersey, Spojené státy, 08901
- Rutgers Cancer Institute
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Vrchní vyšetřovatel:
- Morana Vojnic, MD
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Kontakt:
- Kasie Diorio
- Telefonní číslo: 732-235-2465
- E-mail: kassie.diorio@rutgers.edu
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New York
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New York, New York, Spojené státy, 10032
- Columbia University Medical Center
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Vrchní vyšetřovatel:
- Andrew Lassman, MD
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Kontakt:
- Research Nurse Navigator
- Telefonní číslo: 212-342-5162
- E-mail: cancerclinicaltrials@cumc.columbia.edu
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New York, New York, Spojené státy, 10016
- NYU Langone Health
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Kontakt:
- Jose McFaline-Figueroa, MD
- Telefonní číslo: 212-731-6267
- E-mail: Jose.McFalineFigueroa@nyulangone.org
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Key Inclusion Criteria:
- Histologically confirmed Grade 2 or 3 IDH-mutant astrocytoma or IDH-mutant and 1p19q co-deleted oligodendroglioma, according to WHO CNS 2021 criteria
- IDH1 mutation (e.g., R132H/C/G/S/L) based on immunohistochemistry (IHC) (R132H only), PCR, or next generation sequencing (NGS).
- Have had at least 1 prior surgery for glioma (biopsy, sub-total resection, or gross total resection).
- Measurable disease per modified RANO 2.0 confirmed by BICR during Screening.
- Previously treated with vorasidenib and experienced radiographic disease progression during treatment and are not in need of immediate chemotherapy or radiotherapy in the opinion of the Investigator. Disease progression must be confirmed by BICR using modified RANO 2.0.
- Adequate hematologic and organ function
- Expected survival of ≥12 months
Key Exclusion Criteria:
- Any prior anticancer therapy other than surgery (biopsy, sub-total, or gross total resection) and vorasidenib for treatment of glioma.
- Discontinued vorasidenib for toxicity or any reason other than radiographic disease progression
- Prior treatment with anti-angiogenic agents such as Avastin (bevacizumab) or investigational agents for glioma.
- Brainstem or spinal cord involvement either as primary location, site of multifocal involvement, or by significant tumor extension.
- Significant functional or neurocognitive deficits, including uncontrolled seizures
- Evidence of leptomeningeal disease.
- Use of therapeutic doses of steroids for signs/symptoms of glioma. Participants taking physiologic doses (defined as equivalent of <1.5 mg of dexamethasone equivalent) for medical conditions not related to glioma will be permitted.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
|---|---|
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Experimentální: Safusidenib
Safusidenib 250 mg BID
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Safusidenib administered twice daily as a single agent orally on Days 1 to 28 of a 28-day cycle.
Participants may continue treatment until disease progression or another reason for discontinuation occurs.
|
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Objective Response Rate (ORR) per modified Response Assessment in Neuro-Oncology (RANO) 2.0 assessed by Blinded Independent Central Review (BICR)
Časové okno: From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
|
ORR defined as the proportion of participants with the confirmed best overall response of Complete Response (CR), Partial Response (PR) or Minor Response (MR) per modified RANO 2.0, assessed by BICR
|
From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
|
Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
ORR per modified RANO 2.0 assessed by Investigator
Časové okno: From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
|
ORR defined as the proportion of participants with the confirmed best overall response of CR, PR or MR per modified RANO 2.0, assessed by the Investigator
|
From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
|
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Volumetric Tumor Growth Rate (TGR) by BICR
Časové okno: From historical scans through the final scan in the study, approximately 18 months
|
TGR defined as the percentage change in tumor volume by unit of time, assessed by BICR
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From historical scans through the final scan in the study, approximately 18 months
|
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Duration of Response (DOR) per modified RANO 2.0 assessed by BICR and by Investigator
Časové okno: From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
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DOR, time from the first documentation of objective response (CR, PR, or MR) to the date of the first occurrence of radiographic disease progression per modified RANO 2.0 assessed by BICR and by the Investigator or death from any cause, whichever occurs earlier.
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From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
|
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Time to Next Intervention (TTNI)
Časové okno: From the date of first dose of study drug until the date of the start of another anticancer treatment or date of death, approximately 18 months
|
TTNI, defined as the time from the first dose of study drug to the initiation of first subsequent anticancer therapy or death from any cause, whichever occurs earlier
|
From the date of first dose of study drug until the date of the start of another anticancer treatment or date of death, approximately 18 months
|
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Progression Free Survival (PFS) per modified RANO 2.0 assessed by BICR and by Investigator
Časové okno: From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
|
PFS, defined as the time from the first dose of study drug to the date of the first occurrence of radiographic disease progression per modified RANO 2.0 assessed by BICR and by the Investigator or death from any cause, whichever occurs earlier.
|
From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
|
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Time to Response (TTR) per modified RANO 2.0 assessed by BICR and by Investigator
Časové okno: From the date of first dose of study drug to the first documentation of objective response (CR, PR, or MR), approximately 18 months
|
TTR, defined as the time from the first dose of study drug to the first documentation of objective response (CR, PR, or MR) per modified RANO 2.0, assessed by BICR and by the Investigator
|
From the date of first dose of study drug to the first documentation of objective response (CR, PR, or MR), approximately 18 months
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Overall Survival (OS)
Časové okno: From the date of first dose of study drug until the date of death, approximately 18 months
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OS, defined as the time from the first dose of study drug to death from any cause.
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From the date of first dose of study drug until the date of death, approximately 18 months
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Safety and tolerability
Časové okno: From the date of first dose of study drug until 30 days after the date of the last dose of study drug, approximately 18 months
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The safety and tolerability of safusidenib evaluated based on AEs graded by NCI-CTCAE version 5.0, laboratory abnormalities as graded by NCI-CTCAE version 5.0, vital signs, physical examinations, and ECGs
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From the date of first dose of study drug until 30 days after the date of the last dose of study drug, approximately 18 months
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Seizure Activity
Časové okno: From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
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Evaluate seizure frequencies and severity including type of seizure, seizure-related AEs, and changes in anti-epileptic medications in participants receiving safusidenib
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From the date of first dose of study drug until the date of first documented disease progression, approximately 18 months
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
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