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Study of XL184 in Adults With Glioblastoma Multiforme
This study is currently recruiting participants.
Study NCT00704288   Information provided by Exelixis
First Received: June 20, 2008   Last Updated: September 9, 2009   History of Changes

June 20, 2008
September 9, 2009
May 2008
December 2010   (final data collection date for primary outcome measure)
  • To evaluate the objective response rate for subjects with recurrent or progressive glioblastoma multiforme following treatment with XL184 [ Time Frame: Evaluated approx. every 8 weeks ] [ Designated as safety issue: No ]
  • Evaluate safety and tolerability of XL184 [ Time Frame: Assessed at all visits ] [ Designated as safety issue: Yes ]
  • To evaluate the 6-month progression-free survival rate of XL184 in subjects with recurrent or progressive glioblastoma multiforme [ Time Frame: Evaluated at approx. 6 months ] [ Designated as safety issue: No ]
  • Evaluate safety and tolerability of XL184 [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: Yes ]
Complete list of historical versions of study NCT00704288 on ClinicalTrials.gov Archive Site
  • Assess duration of response, 6-month progression-free survival rate,and overall survival [ Time Frame: Assessed during periodically scheduled visits ] [ Designated as safety issue: No ]
  • Further characterize pharmacokinetics and pharmacodynamic effects of XL184 [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
  • Correlate pathway dysfunction of glioblastoma multiforme-relevant genes such as MET and relevant downstream signaling molecules with clinical outcome [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
  • Correlate changes in serial vascular MRI with clinical outcome and analyze tumor volumetrics based on MRI [ Time Frame: Assessed during periodically scheduled visits, approx. every 8 weeks ] [ Designated as safety issue: No ]
  • Evaluate the glucocorticoid-sparing effect of XL184 [ Time Frame: Assessed periodically ] [ Designated as safety issue: No ]
  • Assess response rate, duration of response, and overall survival [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
  • Further characterize pharmacokinetics and pharmacodynamic effects of XL184 [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
  • Correlate pathway dysfunction of glioblastoma multiforme-relevant genes such as MET and relevant downstream signaling molecules with clinical outcome [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
  • Correlate changes in serial vascular MRI with clinical outcome and analyze tumor volumetrics based on MRI [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
  • Evaluate the steroid-sparing effect of XL184 [ Time Frame: Assessed periodically ] [ Designated as safety issue: No ]
 
Study of XL184 in Adults With Glioblastoma Multiforme
A Phase 2 Study of XL184 in Subjects With Progressive or Recurrent Glioblastoma Multiforme in First or Second Relapse

The purpose of this study is to evaluate the objective response rate and 6-month progression-free survival rate of XL184 in subjects with recurrent or progressive glioblastoma multiforme. XL184 is a new chemical entity that inhibits VEGFR2, MET and RET, kinases implicated in tumor formation, growth and migration.

 
Phase II
Interventional
Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Glioblastoma Multiforme
Drug: XL184
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
160
December 2010
December 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • The subject has radiographic evidence of progressive or recurrent GBM by MRI scan (performed within the past 14 days and while on a fixed or decreasing dose of glucocorticoids for at least 5 days), and in first or second relapse.
  • Subjects having undergone recent resection of recurrent or progressive tumor will be eligible as long as all of the following conditions apply: At least 2 weeks since surgery and the subject has recovered from the effects of surgery (residual disease following resection of recurrent tumor is not mandated for eligibility into the study. To best assess the extent of residual disease post-operatively, a baseline MRI should be done within 14 days before the first dose of XL184. If the steroid dose is increased between the date of imaging and registration, a new baseline MRI is required on a stable or decreasing steroid dose for at least 5 days).
  • The subject is at least 18 years old.
  • The subject has a KPS (Karnofsky Performance Scale) of ≥ 60%.
  • The subject is capable of understanding the protocol and has signed the informed consent document.
  • The subject has adequate organ and marrow function.
  • Sexually active subjects (male and female) must agree to use medically accepted methods of contraception during the course of the study and for 3 months following discontinuation of study drug.
  • Female subjects of childbearing potential must have a negative pregnancy test at enrollment.

Exclusion Criteria:

  • The subject has received anticancer therapy within 28 days of nitrosoureas or mitomycin C within 42 days, a small molecule kinase inhibitor or non-cytotoxic hormonal agent within 7 days or 5 half-lives of the drug or active metabolites, another investigational agent within 28 days, radiation therapy within 42 days of the first scheduled dose of XL184.
  • The subject has received more than two prior antitumor therapies, including initial treatment and treatment for one prior relapse.
  • The subject has evidence of acute intracranial or intratumoral hemorrhage either by MRI or computerized tomography (CT) scan.
  • The subject is unable to undergo MRI scan (eg, has pacemaker).
  • The subject has received enzyme-inducing anti-epileptic agents within 2 weeks before the first dose of XL184 (eg, carbamazepine, phenytoin, phenobarbital, primidone).
  • The subject has not recovered to National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v3.0 Grade ≤ 1 from adverse events (AEs) due to antineoplastic agents, investigational drugs, or other medications that were administered before study enrollment.
  • The subject is pregnant or breast-feeding.
  • The subject has an infection requiring systemic treatment.
  • The subject has a known allergy or hypersensitivity to any of the components of the XL184 formulation.
  • The subject has serious intercurrent illness, such as uncontrolled hypertension, unhealed wounds from recent surgery or cardiac arrhythmias or a recent history of significant disease such as either symptomatic congestive heart failure or unstable angina pectoris within the past 3 months or myocardial infarction within the past 6 months.
  • The subject has had another diagnosis of malignancy (unless nonmelanoma skin cancer, in situ carcinoma of the cervix, or a malignancy diagnosed > 5 years ago and has no evidence of disease for 5 years before screening for this study).
Both
18 Years and older
No
Contact: Exelixis Contact Line 1-866-939-4041
United States
 
NCT00704288
Yifah Yaron, MD, PhD/Director, Clinical Research, Exelixis, Inc.
XL184-201
Exelixis
 
 
Exelixis
September 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP