A Study of MEDI-575 in Subjects With Recurrent Glioblastoma Multiforme
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Purpose
The primary objective of this Phase II study is to evaluate the progression-free survival at 6 months in adult subjects with a first recurrence of Glioblastoma Multiforme who are treated with MEDI-575.
| Condition | Intervention | Phase |
|---|---|---|
|
Glioblastoma Multiforme |
Drug: MEDI-575 |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 2 Study of MEDI-575 in Adult Subjects With Recurrent Glioblastoma Multiforme |
- Evaluate the progression free survival at 6 months in subjects with a recurrence of Glioblastoma Multiforme [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Assess Medi-575 activity, safety and toleability [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]1) To evaluate other antitumor activities of MEDI-575 2) To describe the safety and tolerability of MEDI-575 3) To determine the expression of PDGFRα in the tumor cells of archived tumor samples
| Estimated Enrollment: | 55 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | May 2013 |
| Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: MEDI-575 treatment |
Drug: MEDI-575
MEDI-575 as an IV infusion.
|
Detailed Description:
This is a Phase 2, multicenter, open-label, single-arm study to evaluate the antitumor activity, safety, and pharmacology of MEDI-575 in adult subjects with first recurrence of GBM.
Approximately 55 subjects will be enrolled to determine the preliminary efficacy profile of MEDI-575 in the treatment of subjects with first recurrence of GBM. Subjects will receive MEDI-575 as a 60-minute IV infusion on Day 1 every 21 days until disease progression, initiation of alternative anticancer therapy, unacceptable toxicity, or other reasons for subject withdrawal.
The primary assessment of antitumor activity is PFS-6; tumor response and progression will be determined using Updated Response Assessment Criteria of High Grade Gliomas- Neuro-Oncology Working Group v.1. Approximately 15 investigational sites in the United States will participate in this study. All subjects will be followed every 3 months for the duration of the trial (defined as 9 months from the date the last subject is entered into the trial or when the sponsor stops the study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Written informed consent and HIPAA authorization (applies to covered entities in the USA only) obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations
- Age ≥18 years old at the time of screening
- Histologically confirmed diagnosis of World Health Organization Grade IV malignant glioma (glioblastoma or gliosarcoma)
- Previous first line treatment with radiotherapy and temozolomide (treatment prior to radiation and temozolomide permitted, [ie, Gliadel])
- Documented first recurrence of GBM by diagnostic biopsy or by contrast-enhanced magnetic resonance imaging (MRI) as per Updated Response Assessment Criteria of High Grade Gliomas- Neuro-Oncology Working Group (Wen et al, 2010)
- Life expectancy ≥ 12 weeks
- Adequate hematologic and organ function
- Negative serum pregnancy test (women only)
- Two methods of birth control for female participants of child-bearing potential or male participants with their female partners of child-bearing potential
Exclusion Criteria:
- Treatment with any chemotherapy, radiotherapy, immunotherapy, biologic, hormonal therapy or investigational agent 30 days prior to study entry
- Concurrent enrollment in another clinical study involving an investigational agent
- Employees of the clinical study site or any other individuals involved with the conduct of the study, or immediate family members of such individuals
- Previous mAb treatment specifically directed against PDGF or PDGF receptors
- Previous bevacizumab or other VEGF and anti-angiogenic treatment
- More than 1 recurrence of GBM
- Any surgery (not including minor diagnostic procedures) within 2 weeks prior to baseline disease assessments; or not fully recovered from any side effects of previous procedures
- History of serious allergy or reaction to any component of the MEDI-575 formulation
- New York Heart Association ≥ Grade 2 congestive heart failure within 6 months prior to study entry
- Uncontrolled or significant cardiovascular disease
- History of other invasive malignancy within 5 years prior to study entry except for cervical carcinoma in situ (CIS), non-melanomatous carcinoma of the skin or ductal carcinoma in situ (DCIS) of the breast that have been surgically cured
- History of active human immunodeficiency virus or active hepatitis B or C viral infection will be excluded to eliminate the risk of increased AEs due to immune compromise.
- Systemic immunosuppressive therapy.
- Subjects taking corticosteroids must be on a stable dose for 7 days prior to initiation of treatment with MEDI-575 16) Presence of extracranial metastatic or leptomeningeal disease
Contacts and Locations| United States, Arizona | |
| Research Site | |
| Tucson, Arizona, United States, 85718 | |
| United States, California | |
| Research Site | |
| Los Angeles, California, United States, 90095 | |
| Research Site | |
| Los Angeles, California, United States, 90048 | |
| Research Site | |
| Stanford, California, United States, 94305 | |
| United States, Illinois | |
| Research Site | |
| Chicago, Illinois, United States, 60611 | |
| United States, Massachusetts | |
| Research Site | |
| Boston, Massachusetts, United States, 02115 | |
| United States, Michigan | |
| Research Site | |
| Detroit, Michigan, United States, 48202 | |
| United States, New York | |
| Research Site | |
| New York, New York, United States, 10032 | |
| United States, Ohio | |
| Research Site | |
| Canton, Ohio, United States, 44718 | |
| United States, Pennsylvania | |
| Research Site | |
| Pittsburgh, Pennsylvania, United States, 15232 | |
| United States, Tennessee | |
| Research Site | |
| Nashville, Tennessee, United States, 37232 | |
| Research Site | |
| Nashville, Tennessee, United States, 37203 | |
| United States, Texas | |
| Research Site | |
| San Antonio, Texas, United States, 78229 | |
| United States, Washington | |
| Research Site | |
| Seattle, Washington, United States, 98109 | |
| Study Director: | Naimish Pandya, M.D. | MedImmune LLC |
More Information
Additional Information:
No publications provided
| Responsible Party: | MedImmune LLC |
| ClinicalTrials.gov Identifier: | NCT01268566 History of Changes |
| Other Study ID Numbers: | CD-ON-MEDI-575-1042 |
| Study First Received: | December 29, 2010 |
| Last Updated: | April 4, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by MedImmune LLC:
|
Glioblastoma |
Additional relevant MeSH terms:
|
Glioblastoma Astrocytoma Glioma Neoplasms, Neuroepithelial Neuroectodermal Tumors |
Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms Neoplasms, Glandular and Epithelial Neoplasms, Nerve Tissue |
ClinicalTrials.gov processed this record on May 22, 2013