Eine Studie zur Bewertung mehrerer Therapien bei neu diagnostiziertem und rezidivierendem Glioblastom (GBM AGILE)
GBM AGILE: Global Adaptive Trial Master Protocol: Eine internationale, nahtlose Phase-II/III-Response-Adaptive-Randomization-Platform-Studie zur Bewertung mehrerer Therapien bei neu diagnostiziertem und rezidivierendem GBM
Glioblastoma (GBM) adaptive, global, innovative learning environment (GBM AGILE) is an international, seamless Phase II/III response adaptive randomization platform trial designed to evaluate multiple therapies in newly diagnosed (ND) and recurrent GBM.
All institutions are enrolling Newly Diagnosed participants. Institutions also enrolling Recurrent participants are marked with an asterisk (*).
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Glioblastoma (GBM) adaptive, global, innovative learning environment (GBM AGILE) is an international, seamless Phase II/III response adaptive randomization platform trial designed to evaluate multiple therapies in newly diagnosed (ND) and recurrent GBM. Its goals are to identify effective therapies for glioblastoma and match effective therapies with patient subtypes. Bayesian response adaptive randomization is used within subtypes of the disease to assign participants to Arms based on their performance. The primary endpoint is overall survival (OS).
GBM AGILE is designed to efficiently evaluate therapies. The trial will be conducted under a single Master Investigational New Drug Application/Clinical Trial Application and Master Protocol, allowing multiple drugs and drug combinations from different pharmaceutical companies to be evaluated simultaneously. The plan is to add experimental therapies as new information about promising new drugs are identified and remove therapies as they complete their evaluation.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 2
- Phase 3
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Patient Information
- Telefonnummer: 310-598-3199
- E-Mail: patientinfo@gcaresearch.org
Studieren Sie die Kontaktsicherung
- Name: Sarah Untch
- E-Mail: suntch@gcaresearch.org
Studienorte
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New South Wales
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St Leonards, New South Wales, Australien, 2065
- Rekrutierung
- Northern Sydney Cancer Centre/Royal North Shore Hospital
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Hauptermittler:
- Helen Wheeler, MD
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Kontakt:
- Daisy Yu
- Telefonnummer: (02) 9463 1217
- E-Mail: wenqiong.yu@health.nsw.gov.au
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Waratah, New South Wales, Australien, 2298
- Aktiv, nicht rekrutierend
- Calvary Mater Newcastle
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Queensland
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Herston, Queensland, Australien, 4029
- Rekrutierung
- Royal Brisbane and Women's Hospital
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Hauptermittler:
- Zarnie Lwin, MD
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Kontakt:
- Allison Hyde
- Telefonnummer: +61 7 36471153
- E-Mail: allison.hyde@health.qld.gov.au
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South Australia
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Bedford Park, South Australia, Australien, 5042
- Rekrutierung
- Flinders Medical Centre
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Hauptermittler:
- Ganessan Kichenadasse, MD
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Kontakt:
- Monique Swan
- Telefonnummer: (08) 8404 2702
- E-Mail: Health.FMCCancerResearchNurse@sa.gov.au
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Victoria
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Heidelberg, Victoria, Australien, 3084
- Rekrutierung
- Austin Health
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Hauptermittler:
- Hui Gan, MBBS, FRACP, PhD
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Kontakt:
- Samantha Chakar
- Telefonnummer: (03) 9496 3088
- E-Mail: samantha.chakar@austin.org.au
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Kontakt:
- Anne-Marie Woods
- Telefonnummer: 61 9496 3352
- E-Mail: anne-marie.woods@austin.org.au
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Melbourne, Victoria, Australien
- Rekrutierung
- Peter MacCallum Cancer Centre
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Hauptermittler:
- Jim Whittle, MD
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Kontakt:
- Lucy Willis
- Telefonnummer: 1110289 +61 3 8559 5000
- E-Mail: Lucy.Willis@petermac.org
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Kontakt:
- Iris Huang
- Telefonnummer: 1110502 +61 3 8559 5000
- E-Mail: Iris.Huang@petermac.org
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Cologne, Deutschland, 50937
- Rekrutierung
- Uniklinik Koeln - Zentrum fuer Neurologie und Psychiatrie
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Kontakt:
- Norbert Galldiks
- Telefonnummer: +49-221-478-86124
- E-Mail: norbert.galldiks@uk-koeln.de
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Hauptermittler:
- Norbert Galldiks, Prof.
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Frankfurt, Deutschland, 60528
- Rekrutierung
- Dr. Senckenbergisches Institut für Neuroonkologie
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Kontakt:
- Michael Ronellenfitsch, MD,PhD
- Telefonnummer: +49(0)69 6301 87711
- E-Mail: m.ronellenfitsch@med.uni-frankfurt.de
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Hauptermittler:
- Michael Ronellenfitsch, MD, PhD
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Heidelberg, Deutschland, 69120
- Rekrutierung
- Universitätsklinik Heidelberg
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Hauptermittler:
- Antje Wick, MD
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Kontakt:
- Antje Wick, MD
- Telefonnummer: 7075 +49 (0) 6221-56
- E-Mail: antje.wick@med.uni-heidelberg.de
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Mannheim, Deutschland, 68167
- Rekrutierung
- Universitaetsklinikum Heidelberg - Neurologische Klinik
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Hauptermittler:
- Michael Platten, MD
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Kontakt:
- Yvonne Neu
- Telefonnummer: +49 621 383-6801
- E-Mail: yvonne.neu@umm.de
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Regensburg, Deutschland, 93053
- Rekrutierung
- Universitätsklinikum Regensburg
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Hauptermittler:
- Peter Hau, MD
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Kontakt:
- Peter Hau, MD
- Telefonnummer: +49 (0)941 941-8083
- E-Mail: Peter.Hau@ukr.de
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Tübingen, Deutschland, 72076
- Rekrutierung
- Universitätsklinikum Tübingen
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Hauptermittler:
- Ghazaleh Tabatabai, MD
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Kontakt:
- Ghazaleh Tabatabai
- Telefonnummer: +49 (0)707 12983269
- E-Mail: Ghazaleh.Tabatabai@med.uni-tuebingen.de
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Bron, Frankreich, 69677
- Rekrutierung
- Centre Hospitalier Lyon Sud / Hôpital Neurologique P. Wertheimer
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Hauptermittler:
- Francois Ducray, MD
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Kontakt:
- Cecile Novello
- Telefonnummer: 00 33 4 27 85 52 69
- E-Mail: cecile.novello01@chu-lyon.fr
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Marseille, Frankreich, 13005
- Rekrutierung
- Hopital de la Timone
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Kontakt:
- Didier Autran
- Telefonnummer: +334 91 3848 34
- E-Mail: didier.autran@ap-hm.fr
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Hauptermittler:
- Emelie Tabouret, MD
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Paris, Frankreich, 75013
- Rekrutierung
- Hopital Piti-Salpetriere
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Kontakt:
- Mehdi Touat, MD
- Telefonnummer: +33 (0)1 42 16 03 81
- E-Mail: mehdi.touat@ahph.fr
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Hauptermittler:
- Mehdi Touat, MD
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Ontario
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Toronto, Ontario, Kanada, M4N 3M5
- Rekrutierung
- Sunnybrook Health Sciences Centre
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Kontakt:
- Delareese Mackenzie
- Telefonnummer: 7362 416-480-5000
- E-Mail: delareese.mackenzie@sunnybrook.ca
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Hauptermittler:
- James Perry, MD, FRCPC
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Kontakt:
- Shirin Shamsaasef
- Telefonnummer: 685841 416-480-5000
- E-Mail: Shirin.shamsaasef@sunnybrook.ca
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Toronto, Ontario, Kanada, M5G 2C1
- Rekrutierung
- Princess Margaret Cancer Centre
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Hauptermittler:
- Warren Mason, MD
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Kontakt:
- On Yee Jones, RN
- Telefonnummer: 4603 416-946-4501
- E-Mail: onyee.jones@uhn.ca
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Kontakt:
- Tenzin Yangdol
- Telefonnummer: 4624 416-946-4501
- E-Mail: Tenzin.Yangdol@uhn.ca
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Quebec
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Montreal, Quebec, Kanada, H3A 2B4
- Aktiv, nicht rekrutierend
- Montreal Neurological Institute and Hospital, McGill University
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Sherbrooke, Quebec, Kanada, J1H 5H3
- Aktiv, nicht rekrutierend
- Université de Sherbrooke
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Zurich, Schweiz
- Rekrutierung
- University Hospital Zurich
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Hauptermittler:
- Michael Weller, MD
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Kontakt:
- Telefonnummer: +41 44 255 55 11
- E-Mail: neurologie@usz.ch
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Canton of Vaud
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Lausanne, Canton of Vaud, Schweiz, 1011
- Rekrutierung
- Centre Hospitalier Universitaire Vaudois Lausanne
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Hauptermittler:
- Andreas Hottinger, MD
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Kontakt:
- Andreas Hottinger, MD
- Telefonnummer: +41 79 556 97 74
- E-Mail: Andreas.Hottinger@chuv.ch
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Alabama
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Birmingham, Alabama, Vereinigte Staaten, 35249
- Rekrutierung
- University of Alabama at Birmingham
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Hauptermittler:
- Louis B Nabors, MD
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Kontakt:
- Thiru Pillay
- Telefonnummer: 205-934-1432
- E-Mail: Tpillay@uabmc.edu
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Kontakt:
- Yantong (Lily) Liu
- Telefonnummer: 205-975-2283
- E-Mail: yantongliu@uabmc.edu
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California
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La Jolla, California, Vereinigte Staaten, 92093
- Rekrutierung
- University of California, San Diego
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Hauptermittler:
- David Piccioni, MD, PhD
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Kontakt:
- Sheila Medina
- Telefonnummer: (858) 246-1093
- E-Mail: s4medina@health.ucsd.edu
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Kontakt:
- E-Mail: Neuro-Onc_CRC@health.ucsd.edu
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Los Angeles, California, Vereinigte Staaten, 90048
- Aktiv, nicht rekrutierend
- Cedars Sinai - Samuel Oschin Comprehensive Cancer Institute
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Los Angeles, California, Vereinigte Staaten, 90095
- Aktiv, nicht rekrutierend
- University of California, Los Angeles
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Orange, California, Vereinigte Staaten, 92868
- Rekrutierung
- St. Joseph Hospital
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Hauptermittler:
- Lars Anker, MD
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Kontakt:
- Andrea Torres
- Telefonnummer: 714-734-6220
- E-Mail: andrea.torres@providence.org
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San Francisco, California, Vereinigte Staaten, 94143
- Rekrutierung
- University of California, San Francisco
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Hauptermittler:
- Nicholas Butowski, MD
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Kontakt:
- UCSF Neuro Onc New Patient Coordinator
- Telefonnummer: (415) 353-2193
- E-Mail: NeuroOncNewPatientCoord@ucsf.edu
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Stanford, California, Vereinigte Staaten, 94305
- Abgeschlossen
- Stanford Cancer Center
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Colorado
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Aurora, Colorado, Vereinigte Staaten, 80045
- Rekrutierung
- University of Colorado Denver
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Hauptermittler:
- Denise Damek, MD
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Kontakt:
- Katherine Harr
- Telefonnummer: 303-724-9693
- E-Mail: Katherine.harr@cuanschutz.edu
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Connecticut
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New Haven, Connecticut, Vereinigte Staaten, 06511
- Rekrutierung
- Yale Cancer Center / Smilow Cancer Hospital*
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Hauptermittler:
- Nicholas Blondin, MD
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Kontakt:
- Amy L. Rodrigues
- Telefonnummer: 203-785-5702
- E-Mail: Amy.rodrigues@yale.edu
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Florida
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Jacksonville, Florida, Vereinigte Staaten, 32224
- Abgeschlossen
- Mayo Clinic Cancer Center
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Miami, Florida, Vereinigte Staaten, 33136
- Rekrutierung
- Sylvester Comprehensive Cancer Center*
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Hauptermittler:
- Macarena I De La Fuente, MD
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Kontakt:
- Leonela Wright
- Telefonnummer: 305-243-0864
- E-Mail: lxw612@med.miami.edu
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Tampa, Florida, Vereinigte Staaten, 33612
- Rekrutierung
- Moffitt Cancer Center
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Hauptermittler:
- Patrick Grogan, MD
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Kontakt:
- Minnah Mohamed
- Telefonnummer: 813-745-5848
- E-Mail: minnah.mohamed@moffitt.org
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Kontakt:
- Carie Bliss
- Telefonnummer: 813-745-2131
- E-Mail: carie.bliss@moffitt.org
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Georgia
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Atlanta, Georgia, Vereinigte Staaten, 30309
- Aktiv, nicht rekrutierend
- Piedmont Atlanta Hospital
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Atlanta, Georgia, Vereinigte Staaten, 30322
- Aktiv, nicht rekrutierend
- Winship Cancer Institute of Emory University
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Louisiana
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New Orleans, Louisiana, Vereinigte Staaten, 70112
- Abgeschlossen
- LSU Health Sciences Center - New Orleans
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02114
- Rekrutierung
- Massachusetts General Hospital
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Hauptermittler:
- Patrick Wen, MD
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Kontakt:
- Patrick Wen, MD
- Telefonnummer: 617-726-5130
- E-Mail: pwen@mgb.org
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Boston, Massachusetts, Vereinigte Staaten, 02115
- Rekrutierung
- Dana Farber Cancer Institute
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Kontakt:
- Amanda Dresser
- Telefonnummer: 617-582-9314
- E-Mail: amanda_dresser@dfci.harvard.edu
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Kontakt:
- Kathryn Partridge
- Telefonnummer: 617-582-9314
- E-Mail: Kathryn_partridge@dfci.harvard.edu
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Hauptermittler:
- Laxmi Nayak, MD
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Michigan
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Detroit, Michigan, Vereinigte Staaten, 48202
- Abgeschlossen
- Henry Ford Health System
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Minnesota
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Minneapolis, Minnesota, Vereinigte Staaten, 55407
- Rekrutierung
- Allina Health Systems/Abbott Northwestern Hospital
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Hauptermittler:
- Andrea Wasilewski, MD
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Kontakt:
- Telefonnummer: 612-863-3452
- E-Mail: neurooncologyresearch@allina.com
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Rochester, Minnesota, Vereinigte Staaten, 55905
- Abgeschlossen
- Mayo Clinic Cancer Center - Rochester
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Mississippi
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Jackson, Mississippi, Vereinigte Staaten, 39213
- Abgeschlossen
- University of Mississippi Medical Center
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Missouri
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St Louis, Missouri, Vereinigte Staaten, 63110
- Abgeschlossen
- Washington University School of Medicine - Siteman Cancer Center
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New York
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New York, New York, Vereinigte Staaten, 10032
- Rekrutierung
- Columbia University Medical Center
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Hauptermittler:
- Andrew Lassman, MD
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Kontakt:
- Andrew Lassman, MD
- Telefonnummer: 212-342-0571
- E-Mail: cancerclinicaltrials@cumc.columbia.edu
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New York, New York, Vereinigte Staaten, 10016
- Aktiv, nicht rekrutierend
- Perlmutter Cancer Center, NYU Langone Health
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New York, New York, Vereinigte Staaten, 10029
- Aktiv, nicht rekrutierend
- Icahn School of Medicine at Mount Sinai
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New York, New York, Vereinigte Staaten, 10065
- Rekrutierung
- Memorial Sloan Kettering Cancer Center*
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Hauptermittler:
- Ingo Mellinghoff, MD
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Kontakt:
- Kerina Yang
- Telefonnummer: 901-883-0840
- E-Mail: yangk3@mskcc.org
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Kontakt:
- Nancy Keith
- Telefonnummer: 646-300-0216
- E-Mail: KeithN@mskcc.org
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North Carolina
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Durham, North Carolina, Vereinigte Staaten, 27710
- Aktiv, nicht rekrutierend
- Duke University Medical Center
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Winston-Salem, North Carolina, Vereinigte Staaten, 272157
- Rekrutierung
- Comprehensive Cancer Center of Wake Forest*
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Hauptermittler:
- Glenn Lesser, MD
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Kontakt:
- Monique Mercado
- Telefonnummer: 336-716-9123
- E-Mail: monique.mercado@advocatehealth.org
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Ohio
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Cleveland, Ohio, Vereinigte Staaten, 44195
- Rekrutierung
- Cleveland Clinic
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Hauptermittler:
- Mina Lobbous, MD
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Kontakt:
- Kathy Robinson
- Telefonnummer: 216-444-8923
- E-Mail: robinsk2@ccf.org
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Kontakt:
- Rachel Hufsey
- Telefonnummer: 216-442-6671
- E-Mail: HUFSEYR@ccf.org
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Cleveland, Ohio, Vereinigte Staaten, 44106
- Rekrutierung
- University Hospitals Cleveland Medical Center*
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Hauptermittler:
- Herbert Newton, MD
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Kontakt:
- Carmen Gray
- E-Mail: carmen.gray@UHhospitals.org
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Kontakt:
- Melissa Brately
- Telefonnummer: 216-983-3021
- E-Mail: melissa.brately@UHhospitals.org
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Columbus, Ohio, Vereinigte Staaten, 43210
- Aktiv, nicht rekrutierend
- Ohio State University Cancer Center
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
- Aktiv, nicht rekrutierend
- University of Pennsylvania - Perelman Center for Advanced Medicine
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Pittsburgh, Pennsylvania, Vereinigte Staaten, 15232
- Aktiv, nicht rekrutierend
- University of Pittsburgh Medical Center - Hillman Cancer Center
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Pittsburgh, Pennsylvania, Vereinigte Staaten, 15212
- Abgeschlossen
- Allegheny General Hospital
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South Carolina
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Charleston, South Carolina, Vereinigte Staaten, 29425
- Rekrutierung
- Medical University of South Carolina - Hollings Cancer Center
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Hauptermittler:
- Scott Lindhorst, MD
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Kontakt:
- HCC Clinical Trials Office
- Telefonnummer: 843-792-9321
- E-Mail: hcc-clinical-trials@musc.edu
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Texas
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Austin, Texas, Vereinigte Staaten, 78705
- Aktiv, nicht rekrutierend
- Texas Oncology - Austin
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Dallas, Texas, Vereinigte Staaten, 75390
- Aktiv, nicht rekrutierend
- University of Texas Southwestern Medical Center
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Houston, Texas, Vereinigte Staaten, 77030
- Aktiv, nicht rekrutierend
- University of Texas - MD Anderson Cancer Center
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Utah
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Salt Lake City, Utah, Vereinigte Staaten, 84112
- Rekrutierung
- University of Utah - Huntsman Cancer Institute
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Hauptermittler:
- Howard Colman, MD, PhD
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Kontakt:
- Yuri Kida
- Telefonnummer: 801-646-4397
- E-Mail: yuri.kida@hci.utah.edu
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Kontakt:
- Rachel Kingsford
- Telefonnummer: 801-505-0115
- E-Mail: rachel.kingsford@hci.utah.edu
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Virginia
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Charlottesville, Virginia, Vereinigte Staaten, 22908
- Rekrutierung
- University of Virginia Health
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Kontakt:
- CJ Woodburn
- Telefonnummer: 434-243-9900
- E-Mail: cjw4v@virginia.edu
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Hauptermittler:
- David Schiff, MD
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Washington
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Seattle, Washington, Vereinigte Staaten, 98101
- Aktiv, nicht rekrutierend
- University of Washington Medical Center
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Wisconsin
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Milwaukee, Wisconsin, Vereinigte Staaten, 53226
- Rekrutierung
- Froedtert Hospital/Medical College of Wisconsin
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Hauptermittler:
- Jennifer Connelly, MD
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Kontakt:
- Chris Fueger
- Telefonnummer: 414-805-8837
- E-Mail: cfueger@mcw.edu
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Kontakt:
- Bailee Fritz
- Telefonnummer: 414-805-8939
- E-Mail: bfritz@mcw.edu
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Newly Diagnosed Inclusion Criteria:
- Age ≥ 18 years.
- Histologically confirmed Grade IV GBM, inclusive of gliosarcoma (WHO criteria; IDH wild-type by immunohistochemistry [IHC] or sequencing for IDH) established following either a surgical resection or biopsy. An MRI scan with the required imaging sequences performed within 21 days prior to randomization preferably. The post-operative MRI scan performed within 96 hours of surgery or the MRI scan performed for radiation therapy planning may serve as the MRI scan performed during screening if all required imaging sequences were obtained.
- Karnofsky performance status ≥ 60% performed within a 14-day window prior to randomization.
- Availability of tumor tissue representative of GBM from definitive surgery or biopsy.
Recurrent Inclusion Criteria:
- Age ≥ 18 years.
- Histologically confirmed Grade IV GBM, inclusive of gliosarcoma (WHO criteria; IDH wild-type by immunohistochemistry [IHC] or sequencing for IDH) at first or second recurrence after initial standard, control or experimental therapy that includes at a minimum radiation therapy (RT).
- Evidence of recurrent disease demonstrated by disease progression using slightly modified Response Assessment in Neuro-Oncology (RANO) criteria.
- Two scans to confirm progression are required: at least 1 scan at the time of progression and 1 scan prior to the time of progression.
- Karnofsky performance status ≥ 70% performed within a 14-day window prior to randomization.
- Availability of tumor tissue representative of GBM from initial definitive surgery and/or, recurrent surgery, if performed.
Newly Diagnosed Exclusion Criteria:
- Received any prior treatment for glioma including: a. Prior prolifeprospan 20 with carmustine wafer. b. Prior intracerebral, intratumoral, or cerebral spinal fluid (CSF) agent. c. Prior radiation treatment for GBM or lower-grade glioma. d. Prior chemotherapy or immunotherapy for GBM or lower-grade glioma. Receiving additional, concurrent, active therapy for GBM outside of the trial.
- Extensive leptomeningeal disease.
- QTc > 470 msec
- History of another malignancy in the previous 2 years, with a disease-free interval of < 2 years. Patients with prior history of in situ cancer or basal or squamous cell skin cancer are eligible.
Recurrent Exclusion Criteria:
- Early disease progression prior to 3 months (12 weeks) from the completion of RT.
- More than 2 prior lines for chemotherapy administration. (NOTE: In the 1st line adjuvant setting, combination of temozolomide (TMZ) with an experimental agent, is considered one line of chemotherapy.)
- Received any prior treatment with lomustine, agents part of any of the experimental arms, or bevacizumab or other vascular endothelial growth factor (VEGF) or VEGF receptor-mediated targeted agent.
- Any prior treatment with prolifeprospan 20 with carmustine wafer.
- Any prior treatment with an intracerebral agent.
- Receiving additional, concurrent, active therapy for GBM outside of the trial
- Extensive leptomeningeal disease.
- QTc > 470 msec
- History of another malignancy in the previous 2 years, with a disease-free interval of < 2 years. Patients with prior history of in situ cancer or basal or squamous cell skin cancer are eligible.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Sequenzielle Zuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Aktiver Komparator: Control Arm
Newly Diagnosed GBM: Radiation therapy (XRT) 60 Gy for 6 weeks. Temozolomide 75 mg/m2 orally daily during radiation therapy. Rest Period 2-6 weeks from the last day of radiation, and the start of the first cycle of Maintenance Therapy 2-6 weeks after the last day of radiotherapy. The start of all subsequent maintenance therapy cycles (2-12) every 4 weeks + 7 days after the first daily dose of temozolomide of the preceding cycle. Total number of cycles should comply with institutional or country standards. During maintenance therapy, the first cycle of temozolomide will be at 150 mg/m2 for Days 1-5 of a 28-day cycle. Second and subsequent cycles of maintenance therapy will be at 200 mg/m2 for Days 1-5 of a 28-day cycle. Recurrent GBM: Lomustine started at 110 mg/m2/day on Day 1 of a 42-day cycle as per local standards. Treatment will continue for up to 6 total cycles. |
Dosage Form: Capsule for oral administration Strengths: 5 mg, 20 mg, 100 mg, 140 mg, 180 mg, or 250 mg
Andere Namen:
Dosage Form: Capsule for oral administration Strength: 5 mg, 10 mg, 40 mg, and 100 mg
Andere Namen:
60 Gy |
|
Experimental: Regorafenib Treatment Arm- Enrollment concluded
Newly Diagnosed MGMT Unmethylated GBM: XRT 60 Gy for 6 weeks. Temozolomide 75 mg/m2 orally daily during radiation therapy. Rest Period 4 weeks from the last day of radiation. Maintenance period: Regorafenib (Dosage Form: Tablet for oral administration; Strength: 40 mg) 160 mg orally (PO) every day (QD) for 3 weeks of every 4 week cycle (i.e., 3 weeks on, 1 week off). Recurrent GBM: Regorafenib (Dosage Form: Tablet for oral administration; Strength: 40 mg) 160 mg orally (PO) every day (QD) for 3 weeks of every 4 week cycle (i.e., 3 weeks on, 1 week off). |
Dosage Form: Tablet for oral administration Strength: 40 mg Standard Regimen: 160 mg orally (PO) every day (QD) for 3 weeks of every 4 week cycle (i.e., 3 weeks on, 1 week off)
Andere Namen:
|
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Experimental: Paxalisib Treatment Arm- Enrollment concluded
Newly Diagnosed MGMT Unmethylated GBM: XRT 60 Gy for 6 weeks. Temozolomide 75 mg/m2 orally daily during radiation therapy. Rest Period 4 weeks from the last day of radiation. Maintenance period: Paxalisib (Dosage Form: Tablet for oral administration; Strength: 15 mg per tablet) 45 mg orally (PO) every day for 28 days for the first cycle. If tolerated, increase dose to 60 mg orally (PO) every day for 28 days for all subsequent cycles. Recurrent GBM: Paxalisib (Dosage Form: Tablet for oral administration; Strength: 15 mg per tablet) 45 mg orally (PO) every day for 21 days for the first cycle. If tolerated, increase dose to 60 mg orally (PO) every day for 21 days for all subsequent cycles. |
Dosage Form: Tablet for oral administration Strength: 15 mg Standard Regimen: 45 mg orally (PO) every day for 28 days for the first cycle. If tolerated, increase dose to 60 mg orally (PO) every day for 28 days for all subsequent cycles
Andere Namen:
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Experimental: VAL-083 Treatment Arm- Enrollment concluded
Newly Diagnosed MGMT Methylated and Unmethylated GBM: XRT 60 Gy for 6 weeks. Temozolomide 75 mg/m2 orally daily during radiation therapy. Rest Period 4 weeks from the last day of radiation. Maintenance period: VAL-083 (Dosage Form: Infusion for intravenous administration; Strength: 30 mg/m2) on Day 1, 2 and 3 of 21-day cycle. Recurrent GBM: VAL-083 (Dosage Form: Infusion for intravenous administration; Strength: 30 mg/m2) on Day 1, 2 and 3 of 21-day cycle. |
Dosage Form: Infusion for intravenous administration Strength: 40 mg per vial Standard Regimen: 30 mg/m2 on Day 1, 2 and 3 of 21-day cycle. The drug is available in powder form. It is reconstituted with 5 mL of 0.9% Sodium Chloride for Injection, USP. This will produce a solution of 40 mg VAL-083 in 5 mL. The required volume of reconstituted VAL-083 for the patient is then calculated at the rate of 30 mg/m2. The corresponding volume is further diluted into 250 mL of 0.9% Sodium Chloride for Injection, USP, prior to intravenous administration.
Andere Namen:
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Experimental: VT1021 Treatment Arm - Dose Finding Phase
Newly diagnosed MGMT Methylated and Unmethylated GBM: Rolling 6 design. Treatment as outlined in section "Experimental: VT1021 Treatment Arm" with the first 6 patients receiving VT1021 at 12 mg/kg twice weekly in combination with temozolomide and radiation therapy. If there are two dose limiting toxicities reported, the dose will be de-escalated to 9 mg/kg two times a week. 6 patients will then be receiving 9 mg/kg two times a week and observed for DLTs for 4 weeks. Recurrent GBM: Dose Finding Phase is not applicable for patients with Recurrent GBM in the VT1021 treatment arm. |
Dosage Form: Infusion for intravenous administration Strength: 10 mg/mL Standard Regimen Newly Diagnosed: Dose as confirmed through the dose finding phase, administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). Standard Regimen Recurrent: 12 mg/kg administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). The drug is available as a sterile solution of the acetate salt formulated with phosphate-buffered saline, mannitol, and 2.5% polysorbate 80. The required volume stock solution for the patient is calculated. The corresponding volume is diluted in 500 mL of either 0.9% saline or D5W, prior to intravenous administration. |
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Experimental: VT1021 Treatment Arm - Enhanced Safety Management (ESM)
Experimental: VT1021 Treatment Arm - Enhanced Safety Management (ESM) Newly diagnosed MGMT Methylated and Unmethylated GBM: Supplemental safety assessments including bi-weekly collection of adverse events, dose modification profile, hematology, serum chemistry and coagulation panels. PK and PD assessments are done for patients as a part of ESM. ESM will continue until the Data Safety Monitoring Board (DSMB) suspends collection of additional data. Recurrent GBM: ESM is not applicable for patients with Recurrent GBM in the VT1021 treatment arm. |
Dosage Form: Infusion for intravenous administration Strength: 10 mg/mL Standard Regimen Newly Diagnosed: Dose as confirmed through the dose finding phase, administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). Standard Regimen Recurrent: 12 mg/kg administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). The drug is available as a sterile solution of the acetate salt formulated with phosphate-buffered saline, mannitol, and 2.5% polysorbate 80. The required volume stock solution for the patient is calculated. The corresponding volume is diluted in 500 mL of either 0.9% saline or D5W, prior to intravenous administration. |
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Experimental: VT1021 Treatment Arm
Newly diagnosed MGMT Methylated and Unmethylated GBM: XRT 60 Gy for 6 weeks. Temozolomide 75 mg/m2 orally daily and VT1021 (Dosage Form: Infusion for intravenous administration; Strength: 10 mg/mL; Dose: As confirmed through the dose finding phase) twice weekly during radiation therapy. Rest period: 2-6 weeks from last day of radiation. VT1021 dosing will continue during the rest period. Maintenance period: The first cycle of temozolomide will be at 150 mg/m2 for days 1-5 of a 28-day cycle. Second and subsequent cycles of maintenance therapy will be at 200 mg/m2 for days 1-5 of a 28-day cycle. Temozolomide will be administered for up to 6 cycles in the maintenance phase in combination with VT1021. After 6 cycles, VT1021 only. Recurrent GBM: VT1021 (Dosage Form: Infusion for intravenous administration; Strength: 10 mg/mL; Dose: 12mg/kg) twice weekly. |
Dosage Form: Infusion for intravenous administration Strength: 10 mg/mL Standard Regimen Newly Diagnosed: Dose as confirmed through the dose finding phase, administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). Standard Regimen Recurrent: 12 mg/kg administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). The drug is available as a sterile solution of the acetate salt formulated with phosphate-buffered saline, mannitol, and 2.5% polysorbate 80. The required volume stock solution for the patient is calculated. The corresponding volume is diluted in 500 mL of either 0.9% saline or D5W, prior to intravenous administration. |
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Experimental: Troriluzole Treatment Arm - Dose Finding Phase
Newly diagnosed MGMT Methylated and Unmethylated GBM: Rolling 6 design. The first 6 patients will receive troriluzole at 100 mg BID for the first two weeks followed by 200 mg BID for the next two weeks in combination with temozolomide and radiation therapy. If there are two dose limiting toxicities (DLTs) reported, the dose will be de-escalated to 100 mg in the morning and followed by 200 mg in the evening. 6 patients will receive this dose and observed for 4 weeks. If there are two DLTs reported, then this dose will be de-escalated to 100 mg BID. 6 patients will then be receiving this dose and observed for DLTs for 4 weeks. Recurrent GBM: Rolling 6 design. The first 6 patients receiving troriluzole 100 mg twice a day (BID) for the first two weeks followed by 200 mg BID for the next two weeks in combination with lomustine. The dose de-escalation is similar to that of newly diagnosed patients during the rolling 6 design. |
Dosage Form: Capsule for oral administration Strength: 100 mg Standard Regimen: Dose as confirmed through the dose finding phase orally BID.
Andere Namen:
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Experimental: Troriluzole Treatment Arm - Enhanced Safety Management (ESM)
Newly diagnosed MGMT Methylated and Unmethylated GBM and Recurrent GBM: Supplemental safety assessments including bi-weekly collection of adverse events, dose modification profile, hematology, serum chemistry and coagulation panels. ESM will continue until the Data Safety Monitoring Board (DSMB) suspends collection of additional data. |
Dosage Form: Capsule for oral administration Strength: 100 mg Standard Regimen: Dose as confirmed through the dose finding phase orally BID.
Andere Namen:
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Experimental: Troriluzole Treatment Arm
Newly diagnosed MGMT Methylated and Unmethylated GBM: XRT 60 Gy for 6 weeks. Temozolomide 75 mg/m2 orally daily and troriluzole (Dosage Form: Capsule for oral administration; Strength: 100 mg; Dose: As confirmed by dose finding phase) BID. Rest period: 2-6 weeks from last day of radiation. Troriluzole dosing will continue during the rest period. Maintenance period: The first cycle of temozolomide will be at 150 mg/m2 for days 1-5 of a 28-day cycle. Second and subsequent cycles of maintenance therapy will be at 200 mg/m2 for days 1-5 of a 28-day cycle. Temozolomide will be administered for up to 6 cycles in the maintenance phase in combination with troriluzole. After 6 cycles, troriluzole only. Recurrent GBM: Lomustine 100 mg/m2 orally on day 1 of a 42-day cycle in combination with troriluzole (Dosage Form: Capsule for oral administration; Strength: 100 mg; Dose: As confirmed by dose finding phase) BID. After 6 cycles, troriluzole only. |
Dosage Form: Capsule for oral administration Strength: 100 mg Standard Regimen: Dose as confirmed through the dose finding phase orally BID.
Andere Namen:
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Experimental: ADI-PEG 20 Treatment Arm - Dose Finding Phase
Newly diagnosed MGMT Methylated and Unmethylated GBM: Dose Finding Phase is not applicable for newly diagnosed patients on the ADI-PEG 20 treatment arm. Recurrent GBM: Rolling 6 design. The first 6 patients will receive ADI-PEG 20 at 36 mg/m2 once a week in combination with lomustine 100 mg/m2 orally on day 1 of a 42-day cycle. 6 patients will receive this dose and be observed for 4 weeks. If there are two dose limiting toxicities (DLTs) reported, the dose will be de-escalated to 18 mg/m2 once a week. 6 patients will receive this dose and be observed for 4 weeks. |
Dosage Form: Solution for intramuscular injection Strength: 11.5 ± 1.0 mg/ml Standard Regimen: For newly diagnosed patients, 36mg/m2. For recurrent disease patients, dose as confirmed through the dose finding phase intramuscularly once a week
Andere Namen:
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Experimental: ADI-PEG 20 Treatment Arm - Enhanced Safety Management (ESM)
Newly diagnosed MGMT Methylated and Unmethylated GBM: ESM is not applicable for newly diagnosed patients on the ADI-PEG 20 treatment arm. Recurrent GBM: Supplemental safety assessments including bi-weekly collection of adverse events, dose modification profile, hematology, serum chemistry and coagulation panels. ESM will continue until the Data Safety Monitoring Board (DSMB) suspends collection of additional data. |
Dosage Form: Solution for intramuscular injection Strength: 11.5 ± 1.0 mg/ml Standard Regimen: For newly diagnosed patients, 36mg/m2. For recurrent disease patients, dose as confirmed through the dose finding phase intramuscularly once a week
Andere Namen:
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Experimental: ADI-PEG 20 Treatment Arm
Newly diagnosed MGMT Methylated and Unmethylated GBM: XRT 60 Gy over 6 weeks. Temozolomide (75 mg/m2 orally daily and ADI-PEG 20 (Dosage Form: Solution for intramuscular injection; Strength: 11.5 ± 1.0 mg/ml; Dose: 36 mg/m2) once a week. Rest period: 2-6 weeks from last day of radiation. ADI-PEG 20 dosing will continue during rest period. Maintenance period: The first cycle of temozolomide will be at 150 mg/m2 for days 1-5 of a 28-day cycle. Subsequent cycles will be at 200 mg/m2 for days 1-5 of a 28-day cycle. Temozolomide will be administered for up to 6 cycles in the maintenance phase in combination with ADI-PEG 20. After 6 cycles, ADI-PEG 20 only for up to 104 weeks of total treatment. Recurrent GBM: Lomustine 100 mg/m2 orally on day 1 of a 42-day cycle in combination with ADI-PEG 20 (Dosage Form: Solution for IM injection; Strength: 11.5 ± 1.0 mg/ml; Dose: As confirmed by dose finding phase, once a week. After 6 cycles, ADI-PEG 20 only for up to 104 weeks of total treatment. |
Dosage Form: Solution for intramuscular injection Strength: 11.5 ± 1.0 mg/ml Standard Regimen: For newly diagnosed patients, 36mg/m2. For recurrent disease patients, dose as confirmed through the dose finding phase intramuscularly once a week
Andere Namen:
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Experimental: AZD1390 Treatment Arm
Newly Diagnosed MGMT Methylated and Unmethylated GBM: XRT 60 Gy for 6 weeks in combination with AZD1390 given on days of radiation followed by 14 days with daily AZD1390. Rest Period 2-4 weeks from the last day of AZD1390. The first cycle of temozolomide will be at 150 mg/m2 for days 1-5 of a 28-day cycle. Second and subsequent cycles of maintenance therapy will be at 200 mg/m2 for days 1-5 of a 28-day cycle, if there is no toxicity. Temozolomide will be administered for up to 6 cycles in the maintenance phase. |
Standard Regimen Newly Diagnosed: Given once daily on days of radiation and once daily for 14 consecutive days after completion of radiation. |
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Experimental: Tinostamustine - Dose finding phase
Newly diagnosed MGMT Methylated and Unmethylated GBM: Tinostamustine Dosage Form: Infusion for intravenous administration; Rolling 6 design. Treatment as outlined in "Investigational: Tinostamustine Treatment Arm" with the first 6 patients receiving Tinostamustine at 80 mg/m2 over 60 minutes with two potential dose de-escalations. If there are two or more dose limiting toxicities at the tested dose, subsequent patients will be enrolled at the next lower dose level (60 mg/m2 and subsequently to 40 mg/m2). Recurrent GBM: Rolling 6 design. Tinostamustine Dosage Form: Infusion for intravenous administration; Strength: Starting dose 80 mg/m2 on Day 1 of 21-day cycle for up to 12 cycles. The first 6 patients will receive Tinostamustine at 80 mg/m2 over 60 minutes with two potential dose de-escalations if there are two or more dose limiting toxicities at the tested dose, subsequent patients will be enrolled at the next lower dose level (60 mg/m2 and subsequently to 40 mg/m2). |
Dosage form: Reconstituted powder for intravenous administration Strength: 2mg/mL Standard Regimen: Dose as confirmed through the dose finding phase, on Day 1 of 21-day cycle for up to 12 cycles in the maintenance phase.
Andere Namen:
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Experimental: Tinostamustine - Enhanced Safety Management
Newly diagnosed MGMT Methylated and Unmethylated GBM: Treatment as outlined in "Investigational: Tinostamustine Treatment Arm". Dose as determined by the dose finding phase. Recurrent GBM: Tinostamustine (Dosage Form: Infusion for intravenous administration; Strength: as determined though the dose finding phase on Day 1 of 21-day cycle for up to 12 cycles. |
Dosage form: Reconstituted powder for intravenous administration Strength: 2mg/mL Standard Regimen: Dose as confirmed through the dose finding phase, on Day 1 of 21-day cycle for up to 12 cycles in the maintenance phase.
Andere Namen:
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Experimental: Investigation arm: Tinostamustine
Newly diagnosed MGMT Methylated and Unmethylated GBM: XRT total of 60 Gy (2 Gy/fraction) over 6 weeks. Temozolomide 75 mg/m2 orally daily during radiation therapy. Rest Period 2-6 weeks from the last day of radiation. Tinostamustine treatment period: Tinostamustine (Dosage Form: Infusion for intravenous administration; Strength: as determined though the dose finding phase) on Day 1 of 21-day cycle for up to 12 cycles. |
Dosage form: Reconstituted powder for intravenous administration Strength: 2mg/mL Standard Regimen: Dose as confirmed through the dose finding phase, on Day 1 of 21-day cycle for up to 12 cycles in the maintenance phase.
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Overall Survival (OS)
Zeitfenster: From date of randomization until the date of death from any cause, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Overall survival is defined from the time of randomization to death from any cause. Patients still alive at the time of an analysis will be considered censored at their date of last contact. |
From date of randomization until the date of death from any cause, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Progression-free survival (PFS)
Zeitfenster: From date of randomization to date of clinically determined progression or date of death from any cause, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Progression-free survival is defined as the time from randomization to clinically determined progression or death from any cause. All participants will be included in the analysis of PFS. |
From date of randomization to date of clinically determined progression or date of death from any cause, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Tumor Response
Zeitfenster: From initiation of study treatment to date of disease progression, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Tumor response is categorized by Complete Response (CR), Partial Response (PR), Stable Disease (SD), and Progressive Disease (PD). Response captured from initiation of study treatment until disease progression. |
From initiation of study treatment to date of disease progression, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Duration of Response (CR + PR)
Zeitfenster: From date of response to date of clinically determined disease progression or date of death from any cause, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Duration of response (CR+PR) is defined as time from date of response to date of clinically determined disease progression or death from any cause. |
From date of response to date of clinically determined disease progression or date of death from any cause, or until 12 months following last patient randomization (approximately 2 years), whichever comes first.
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Tim Cloughesy, MD, GCAR CMO and GBM AGILE Global PI
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Chen JJ, Vincent MY, Shepard D, Peereboom D, Mahalingam D, Battiste J, Patel MR, Juric D, Wen PY, Bullock A, Selfridge JE, Pant S, Liu J, Li W, Fyfe S, Wang S, Zota V, Mahoney J, Watnick RS, Cieslewicz M, Watnick J. Phase 1 dose expansion and biomarker study assessing first-in-class tumor microenvironment modulator VT1021 in patients with advanced solid tumors. Commun Med (Lond). 2024 May 21;4(1):95. doi: 10.1038/s43856-024-00520-z.
- Wen PY, Berry DA, Buxton MB, Colman H, de Groot J, Lim M, Mellinghoff I, Perry JR, Weller M, Blondin NA, Butt OH, Damek DM, de la Fuente MI, Drappatz J, Dunbar E, Giglio P, Hyddmark EV, Iwamoto F, Jaeckle KA, Kim L, Kling HM, Lee EQ, Mantica M, Mikkelsen T, Nabors B, Newton HB, Olson JJ, Schiff D, Walbert T, Weathers SP, Cloughesy T, Lassman AB; GBM AGILE Regorafenib Study Group. Evaluation of Regorafenib in Newly Diagnosed and Recurrent Glioblastoma: GBM AGILE Phase II/III Bayesian Randomized Platform Trial. J Clin Oncol. 2026 Jun 20;44(18):1676-1686. doi: 10.1200/JCO-25-01137. Epub 2026 Apr 14.
Nützliche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Pathologische Prozesse
- Neubildungen
- Krankheitsattribute
- Neubildungen nach histologischem Typ
- Neubildungen, Drüsen und Epithelien
- Astrozytom
- Gliom
- Neubildungen, Neuroepithel
- Neuroektodermale Tumoren
- Neoplasmen, Keimzelle und Embryonal
- Neubildungen, Nervengewebe
- Pathologische Zustände, Anzeichen und Symptome
- Wiederauftreten
- Glioblastom
- Organische Chemikalien
- Heterocyclische Verbindungen, 1-Ring
- Heterocyclische Verbindungen
- Azolen
- Kohlenhydrate
- Physikalische Phänomene
- Dacarbazin
- Triazenes
- Imidazoles
- Amides
- Alkohole
- Nitrosurea -Verbindungen
- Harnstoff
- Nitrosoverbindungen
- Zuckeralkohole
- Galactitol
- Temozolomid
- GDC-0084
- Lomustine
- Dianhydrogalactitol
- Strahlung
- ADI PEG20
- Regorafenib
- AZD1390
- Tinostamustin
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- GCAR-7213
Plan für individuelle Teilnehmerdaten (IPD)
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Beschreibung des IPD-Plans
Global Coalition for Adaptive Research (GCAR) is in the planning stages at this time.
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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