Próba oceny wielu schematów leczenia nowo zdiagnozowanego i nawracającego glejaka wielopostaciowego (GBM AGILE)
GBM AGILE: Global Adaptive Trial Master Protocol: Międzynarodowa, bezproblemowa próba adaptacyjnej platformy randomizacji fazy II/III, zaprojektowana do oceny wielu schematów w nowo zdiagnozowanym i nawracającym 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 (*).
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
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.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 2
- Faza 3
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Patient Information
- Numer telefonu: 310-598-3199
- E-mail: patientinfo@gcaresearch.org
Kopia zapasowa kontaktu do badania
- Nazwa: Sarah Untch
- E-mail: suntch@gcaresearch.org
Lokalizacje studiów
-
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New South Wales
-
St Leonards, New South Wales, Australia, 2065
- Rekrutacyjny
- Northern Sydney Cancer Centre/Royal North Shore Hospital
-
Główny śledczy:
- Helen Wheeler, MD
-
Kontakt:
- Daisy Yu
- Numer telefonu: (02) 9463 1217
- E-mail: wenqiong.yu@health.nsw.gov.au
-
Waratah, New South Wales, Australia, 2298
- Aktywny, nie rekrutujący
- Calvary Mater Newcastle
-
-
Queensland
-
Herston, Queensland, Australia, 4029
- Rekrutacyjny
- Royal Brisbane and Women's Hospital
-
Główny śledczy:
- Zarnie Lwin, MD
-
Kontakt:
- Allison Hyde
- Numer telefonu: +61 7 36471153
- E-mail: allison.hyde@health.qld.gov.au
-
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South Australia
-
Bedford Park, South Australia, Australia, 5042
- Rekrutacyjny
- Flinders Medical Centre
-
Główny śledczy:
- Ganessan Kichenadasse, MD
-
Kontakt:
- Monique Swan
- Numer telefonu: (08) 8404 2702
- E-mail: Health.FMCCancerResearchNurse@sa.gov.au
-
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Victoria
-
Heidelberg, Victoria, Australia, 3084
- Rekrutacyjny
- Austin Health
-
Główny śledczy:
- Hui Gan, MBBS, FRACP, PhD
-
Kontakt:
- Samantha Chakar
- Numer telefonu: (03) 9496 3088
- E-mail: samantha.chakar@austin.org.au
-
Kontakt:
- Anne-Marie Woods
- Numer telefonu: 61 9496 3352
- E-mail: anne-marie.woods@austin.org.au
-
Melbourne, Victoria, Australia
- Rekrutacyjny
- Peter MacCallum Cancer Centre
-
Główny śledczy:
- Jim Whittle, MD
-
Kontakt:
- Lucy Willis
- Numer telefonu: 1110289 +61 3 8559 5000
- E-mail: Lucy.Willis@petermac.org
-
Kontakt:
- Iris Huang
- Numer telefonu: 1110502 +61 3 8559 5000
- E-mail: Iris.Huang@petermac.org
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-
-
-
-
Bron, Francja, 69677
- Rekrutacyjny
- Centre Hospitalier Lyon Sud / Hôpital Neurologique P. Wertheimer
-
Główny śledczy:
- Francois Ducray, MD
-
Kontakt:
- Cecile Novello
- Numer telefonu: 00 33 4 27 85 52 69
- E-mail: cecile.novello01@chu-lyon.fr
-
Marseille, Francja, 13005
- Rekrutacyjny
- Hopital de la Timone
-
Kontakt:
- Didier Autran
- Numer telefonu: +334 91 3848 34
- E-mail: didier.autran@ap-hm.fr
-
Główny śledczy:
- Emelie Tabouret, MD
-
Paris, Francja, 75013
- Rekrutacyjny
- Hopital Piti-Salpetriere
-
Kontakt:
- Mehdi Touat, MD
- Numer telefonu: +33 (0)1 42 16 03 81
- E-mail: mehdi.touat@ahph.fr
-
Główny śledczy:
- Mehdi Touat, MD
-
-
-
-
Ontario
-
Toronto, Ontario, Kanada, M4N 3M5
- Rekrutacyjny
- Sunnybrook Health Sciences Centre
-
Kontakt:
- Delareese Mackenzie
- Numer telefonu: 7362 416-480-5000
- E-mail: delareese.mackenzie@sunnybrook.ca
-
Główny śledczy:
- James Perry, MD, FRCPC
-
Kontakt:
- Shirin Shamsaasef
- Numer telefonu: 685841 416-480-5000
- E-mail: Shirin.shamsaasef@sunnybrook.ca
-
Toronto, Ontario, Kanada, M5G 2C1
- Rekrutacyjny
- Princess Margaret Cancer Centre
-
Główny śledczy:
- Warren Mason, MD
-
Kontakt:
- On Yee Jones, RN
- Numer telefonu: 4603 416-946-4501
- E-mail: onyee.jones@uhn.ca
-
Kontakt:
- Tenzin Yangdol
- Numer telefonu: 4624 416-946-4501
- E-mail: Tenzin.Yangdol@uhn.ca
-
-
Quebec
-
Montreal, Quebec, Kanada, H3A 2B4
- Aktywny, nie rekrutujący
- Montreal Neurological Institute and Hospital, McGill University
-
Sherbrooke, Quebec, Kanada, J1H 5H3
- Aktywny, nie rekrutujący
- Université de Sherbrooke
-
-
-
-
-
Cologne, Niemcy, 50937
- Rekrutacyjny
- Uniklinik Koeln - Zentrum fuer Neurologie und Psychiatrie
-
Kontakt:
- Norbert Galldiks
- Numer telefonu: +49-221-478-86124
- E-mail: norbert.galldiks@uk-koeln.de
-
Główny śledczy:
- Norbert Galldiks, Prof.
-
Frankfurt, Niemcy, 60528
- Rekrutacyjny
- Dr. Senckenbergisches Institut für Neuroonkologie
-
Kontakt:
- Michael Ronellenfitsch, MD,PhD
- Numer telefonu: +49(0)69 6301 87711
- E-mail: m.ronellenfitsch@med.uni-frankfurt.de
-
Główny śledczy:
- Michael Ronellenfitsch, MD, PhD
-
Heidelberg, Niemcy, 69120
- Rekrutacyjny
- Universitätsklinik Heidelberg
-
Główny śledczy:
- Antje Wick, MD
-
Kontakt:
- Antje Wick, MD
- Numer telefonu: 7075 +49 (0) 6221-56
- E-mail: antje.wick@med.uni-heidelberg.de
-
Mannheim, Niemcy, 68167
- Rekrutacyjny
- Universitaetsklinikum Heidelberg - Neurologische Klinik
-
Główny śledczy:
- Michael Platten, MD
-
Kontakt:
- Yvonne Neu
- Numer telefonu: +49 621 383-6801
- E-mail: yvonne.neu@umm.de
-
Regensburg, Niemcy, 93053
- Rekrutacyjny
- Universitätsklinikum Regensburg
-
Główny śledczy:
- Peter Hau, MD
-
Kontakt:
- Peter Hau, MD
- Numer telefonu: +49 (0)941 941-8083
- E-mail: Peter.Hau@ukr.de
-
Tübingen, Niemcy, 72076
- Rekrutacyjny
- Universitätsklinikum Tübingen
-
Główny śledczy:
- Ghazaleh Tabatabai, MD
-
Kontakt:
- Ghazaleh Tabatabai
- Numer telefonu: +49 (0)707 12983269
- E-mail: Ghazaleh.Tabatabai@med.uni-tuebingen.de
-
-
-
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Alabama
-
Birmingham, Alabama, Stany Zjednoczone, 35249
- Rekrutacyjny
- University of Alabama at Birmingham
-
Główny śledczy:
- Louis B Nabors, MD
-
Kontakt:
- Thiru Pillay
- Numer telefonu: 205-934-1432
- E-mail: Tpillay@uabmc.edu
-
Kontakt:
- Yantong (Lily) Liu
- Numer telefonu: 205-975-2283
- E-mail: yantongliu@uabmc.edu
-
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California
-
La Jolla, California, Stany Zjednoczone, 92093
- Rekrutacyjny
- University of California, San Diego
-
Główny śledczy:
- David Piccioni, MD, PhD
-
Kontakt:
- Sheila Medina
- Numer telefonu: (858) 246-1093
- E-mail: s4medina@health.ucsd.edu
-
Kontakt:
- E-mail: Neuro-Onc_CRC@health.ucsd.edu
-
Los Angeles, California, Stany Zjednoczone, 90048
- Aktywny, nie rekrutujący
- Cedars Sinai - Samuel Oschin Comprehensive Cancer Institute
-
Los Angeles, California, Stany Zjednoczone, 90095
- Aktywny, nie rekrutujący
- University of California, Los Angeles
-
Orange, California, Stany Zjednoczone, 92868
- Rekrutacyjny
- St. Joseph Hospital
-
Główny śledczy:
- Lars Anker, MD
-
Kontakt:
- Andrea Torres
- Numer telefonu: 714-734-6220
- E-mail: andrea.torres@providence.org
-
San Francisco, California, Stany Zjednoczone, 94143
- Rekrutacyjny
- University of California, San Francisco
-
Główny śledczy:
- Nicholas Butowski, MD
-
Kontakt:
- UCSF Neuro Onc New Patient Coordinator
- Numer telefonu: (415) 353-2193
- E-mail: NeuroOncNewPatientCoord@ucsf.edu
-
Stanford, California, Stany Zjednoczone, 94305
- Zakończony
- Stanford Cancer Center
-
-
Colorado
-
Aurora, Colorado, Stany Zjednoczone, 80045
- Rekrutacyjny
- University of Colorado Denver
-
Główny śledczy:
- Denise Damek, MD
-
Kontakt:
- Katherine Harr
- Numer telefonu: 303-724-9693
- E-mail: Katherine.harr@cuanschutz.edu
-
-
Connecticut
-
New Haven, Connecticut, Stany Zjednoczone, 06511
- Rekrutacyjny
- Yale Cancer Center / Smilow Cancer Hospital*
-
Główny śledczy:
- Nicholas Blondin, MD
-
Kontakt:
- Amy L. Rodrigues
- Numer telefonu: 203-785-5702
- E-mail: Amy.rodrigues@yale.edu
-
-
Florida
-
Jacksonville, Florida, Stany Zjednoczone, 32224
- Zakończony
- Mayo Clinic Cancer Center
-
Miami, Florida, Stany Zjednoczone, 33136
- Rekrutacyjny
- Sylvester Comprehensive Cancer Center*
-
Główny śledczy:
- Macarena I De La Fuente, MD
-
Kontakt:
- Leonela Wright
- Numer telefonu: 305-243-0864
- E-mail: lxw612@med.miami.edu
-
Tampa, Florida, Stany Zjednoczone, 33612
- Rekrutacyjny
- Moffitt Cancer Center
-
Główny śledczy:
- Patrick Grogan, MD
-
Kontakt:
- Minnah Mohamed
- Numer telefonu: 813-745-5848
- E-mail: minnah.mohamed@moffitt.org
-
Kontakt:
- Carie Bliss
- Numer telefonu: 813-745-2131
- E-mail: carie.bliss@moffitt.org
-
-
Georgia
-
Atlanta, Georgia, Stany Zjednoczone, 30309
- Aktywny, nie rekrutujący
- Piedmont Atlanta Hospital
-
Atlanta, Georgia, Stany Zjednoczone, 30322
- Aktywny, nie rekrutujący
- Winship Cancer Institute of Emory University
-
-
Louisiana
-
New Orleans, Louisiana, Stany Zjednoczone, 70112
- Zakończony
- LSU Health Sciences Center - New Orleans
-
-
Massachusetts
-
Boston, Massachusetts, Stany Zjednoczone, 02114
- Rekrutacyjny
- Massachusetts General Hospital
-
Główny śledczy:
- Patrick Wen, MD
-
Kontakt:
- Patrick Wen, MD
- Numer telefonu: 617-726-5130
- E-mail: pwen@mgb.org
-
Boston, Massachusetts, Stany Zjednoczone, 02115
- Rekrutacyjny
- Dana Farber Cancer Institute
-
Kontakt:
- Amanda Dresser
- Numer telefonu: 617-582-9314
- E-mail: amanda_dresser@dfci.harvard.edu
-
Kontakt:
- Kathryn Partridge
- Numer telefonu: 617-582-9314
- E-mail: Kathryn_partridge@dfci.harvard.edu
-
Główny śledczy:
- Laxmi Nayak, MD
-
-
Michigan
-
Detroit, Michigan, Stany Zjednoczone, 48202
- Zakończony
- Henry Ford Health System
-
-
Minnesota
-
Minneapolis, Minnesota, Stany Zjednoczone, 55407
- Rekrutacyjny
- Allina Health Systems/Abbott Northwestern Hospital
-
Główny śledczy:
- Andrea Wasilewski, MD
-
Kontakt:
- Numer telefonu: 612-863-3452
- E-mail: neurooncologyresearch@allina.com
-
Rochester, Minnesota, Stany Zjednoczone, 55905
- Zakończony
- Mayo Clinic Cancer Center - Rochester
-
-
Mississippi
-
Jackson, Mississippi, Stany Zjednoczone, 39213
- Zakończony
- University of Mississippi Medical Center
-
-
Missouri
-
St Louis, Missouri, Stany Zjednoczone, 63110
- Zakończony
- Washington University School of Medicine - Siteman Cancer Center
-
-
New York
-
New York, New York, Stany Zjednoczone, 10032
- Rekrutacyjny
- Columbia University Medical Center
-
Główny śledczy:
- Andrew Lassman, MD
-
Kontakt:
- Andrew Lassman, MD
- Numer telefonu: 212-342-0571
- E-mail: cancerclinicaltrials@cumc.columbia.edu
-
New York, New York, Stany Zjednoczone, 10016
- Aktywny, nie rekrutujący
- Perlmutter Cancer Center, NYU Langone Health
-
New York, New York, Stany Zjednoczone, 10029
- Aktywny, nie rekrutujący
- Icahn School of Medicine at Mount Sinai
-
New York, New York, Stany Zjednoczone, 10065
- Rekrutacyjny
- Memorial Sloan Kettering Cancer Center*
-
Główny śledczy:
- Ingo Mellinghoff, MD
-
Kontakt:
- Kerina Yang
- Numer telefonu: 901-883-0840
- E-mail: yangk3@mskcc.org
-
Kontakt:
- Nancy Keith
- Numer telefonu: 646-300-0216
- E-mail: KeithN@mskcc.org
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North Carolina
-
Durham, North Carolina, Stany Zjednoczone, 27710
- Aktywny, nie rekrutujący
- Duke University Medical Center
-
Winston-Salem, North Carolina, Stany Zjednoczone, 272157
- Rekrutacyjny
- Comprehensive Cancer Center of Wake Forest*
-
Główny śledczy:
- Glenn Lesser, MD
-
Kontakt:
- Monique Mercado
- Numer telefonu: 336-716-9123
- E-mail: monique.mercado@advocatehealth.org
-
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Ohio
-
Cleveland, Ohio, Stany Zjednoczone, 44195
- Rekrutacyjny
- Cleveland Clinic
-
Główny śledczy:
- Mina Lobbous, MD
-
Kontakt:
- Kathy Robinson
- Numer telefonu: 216-444-8923
- E-mail: robinsk2@ccf.org
-
Kontakt:
- Rachel Hufsey
- Numer telefonu: 216-442-6671
- E-mail: HUFSEYR@ccf.org
-
Cleveland, Ohio, Stany Zjednoczone, 44106
- Rekrutacyjny
- University Hospitals Cleveland Medical Center*
-
Główny śledczy:
- Herbert Newton, MD
-
Kontakt:
- Carmen Gray
- E-mail: carmen.gray@UHhospitals.org
-
Kontakt:
- Melissa Brately
- Numer telefonu: 216-983-3021
- E-mail: melissa.brately@UHhospitals.org
-
Columbus, Ohio, Stany Zjednoczone, 43210
- Aktywny, nie rekrutujący
- Ohio State University Cancer Center
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-
Pennsylvania
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
- Aktywny, nie rekrutujący
- University of Pennsylvania - Perelman Center for Advanced Medicine
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Pittsburgh, Pennsylvania, Stany Zjednoczone, 15232
- Aktywny, nie rekrutujący
- University of Pittsburgh Medical Center - Hillman Cancer Center
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15212
- Zakończony
- Allegheny General Hospital
-
-
South Carolina
-
Charleston, South Carolina, Stany Zjednoczone, 29425
- Rekrutacyjny
- Medical University of South Carolina - Hollings Cancer Center
-
Główny śledczy:
- Scott Lindhorst, MD
-
Kontakt:
- HCC Clinical Trials Office
- Numer telefonu: 843-792-9321
- E-mail: hcc-clinical-trials@musc.edu
-
-
Texas
-
Austin, Texas, Stany Zjednoczone, 78705
- Aktywny, nie rekrutujący
- Texas Oncology - Austin
-
Dallas, Texas, Stany Zjednoczone, 75390
- Aktywny, nie rekrutujący
- University of Texas Southwestern Medical Center
-
Houston, Texas, Stany Zjednoczone, 77030
- Aktywny, nie rekrutujący
- University of Texas - MD Anderson Cancer Center
-
-
Utah
-
Salt Lake City, Utah, Stany Zjednoczone, 84112
- Rekrutacyjny
- University of Utah - Huntsman Cancer Institute
-
Główny śledczy:
- Howard Colman, MD, PhD
-
Kontakt:
- Yuri Kida
- Numer telefonu: 801-646-4397
- E-mail: yuri.kida@hci.utah.edu
-
Kontakt:
- Rachel Kingsford
- Numer telefonu: 801-505-0115
- E-mail: rachel.kingsford@hci.utah.edu
-
-
Virginia
-
Charlottesville, Virginia, Stany Zjednoczone, 22908
- Rekrutacyjny
- University of Virginia Health
-
Kontakt:
- CJ Woodburn
- Numer telefonu: 434-243-9900
- E-mail: cjw4v@virginia.edu
-
Główny śledczy:
- David Schiff, MD
-
-
Washington
-
Seattle, Washington, Stany Zjednoczone, 98101
- Aktywny, nie rekrutujący
- University of Washington Medical Center
-
-
Wisconsin
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53226
- Rekrutacyjny
- Froedtert Hospital/Medical College of Wisconsin
-
Główny śledczy:
- Jennifer Connelly, MD
-
Kontakt:
- Chris Fueger
- Numer telefonu: 414-805-8837
- E-mail: cfueger@mcw.edu
-
Kontakt:
- Bailee Fritz
- Numer telefonu: 414-805-8939
- E-mail: bfritz@mcw.edu
-
-
-
-
-
Zurich, Szwajcaria
- Rekrutacyjny
- University Hospital Zurich
-
Główny śledczy:
- Michael Weller, MD
-
Kontakt:
- Numer telefonu: +41 44 255 55 11
- E-mail: neurologie@usz.ch
-
-
Canton of Vaud
-
Lausanne, Canton of Vaud, Szwajcaria, 1011
- Rekrutacyjny
- Centre Hospitalier Universitaire Vaudois Lausanne
-
Główny śledczy:
- Andreas Hottinger, MD
-
Kontakt:
- Andreas Hottinger, MD
- Numer telefonu: +41 79 556 97 74
- E-mail: Andreas.Hottinger@chuv.ch
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Zadanie sekwencyjne
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Aktywny 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
Inne nazwy:
Dosage Form: Capsule for oral administration Strength: 5 mg, 10 mg, 40 mg, and 100 mg
Inne nazwy:
60 Gy |
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Eksperymentalny: 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)
Inne nazwy:
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Eksperymentalny: 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
Inne nazwy:
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Eksperymentalny: 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.
Inne nazwy:
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Eksperymentalny: 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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Eksperymentalny: 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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Eksperymentalny: 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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Eksperymentalny: 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.
Inne nazwy:
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Eksperymentalny: 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.
Inne nazwy:
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Eksperymentalny: 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.
Inne nazwy:
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Eksperymentalny: 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
Inne nazwy:
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Eksperymentalny: 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
Inne nazwy:
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Eksperymentalny: 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
Inne nazwy:
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Eksperymentalny: 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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Eksperymentalny: 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.
Inne nazwy:
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Eksperymentalny: 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.
Inne nazwy:
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Eksperymentalny: 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.
Inne nazwy:
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Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Overall Survival (OS)
Ramy czasowe: 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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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Progression-free survival (PFS)
Ramy czasowe: 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.
|
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
Ramy czasowe: 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)
Ramy czasowe: 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.
|
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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Współpracownicy i badacze
Sponsor
Sponsor
Współpracownicy
Współpracownicy
Śledczy
Śledczy
- Główny śledczy: Tim Cloughesy, MD, GCAR CMO and GBM AGILE Global PI
Publikacje i pomocne linki
Publikacje ogólne
- 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.
Przydatne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Procesy patologiczne
- Nowotwory
- Atrybuty choroby
- Nowotwory według typu histologicznego
- Nowotwory gruczołowe i nabłonkowe
- Gwiaździak
- Glejak
- Nowotwory neuroepitelialne
- Nowotwory neuroektodermalne
- Nowotwory, komórki rozrodcze i embrionalne
- Nowotwory, tkanka nerwowa
- Stany patologiczne, oznaki i objawy
- Nawrót
- Glejaka wielopostaciowego
- Organiczne chemikalia
- Związki heterocykliczne, 1-ring
- Związki heterocykliczne
- Azole
- Węglowodany
- Zjawiska fizyczne
- Dacarbazine
- Triazennes
- Imidazoles
- Amides
- Alkohole
- Związki nitrosourea
- Mocznik
- Związki nitroso
- Alkohole cukrowe
- Galaktytol
- Temozolomid
- GDC-0084
- Lomustyna
- Dianhydrogalaktitol
- Promieniowanie
- Adi Peg20
- regorafenib
- AZD1390
- tinostamustine
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- GCAR-7213
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Global Coalition for Adaptive Research (GCAR) is in the planning stages at this time.
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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