Trial of Temozolomide, Bevacizumab Plus Bortezomib for Recurrent Glioblastoma Multiforme

This study is currently recruiting participants. (see Contacts and Locations)
Verified June 2014 by Emory University
Sponsor:
Information provided by (Responsible Party):
Jeffrey James Olson, Emory University
ClinicalTrials.gov Identifier:
NCT01435395
First received: September 14, 2011
Last updated: June 18, 2014
Last verified: June 2014

September 14, 2011
June 18, 2014
December 2011
December 2014   (final data collection date for primary outcome measure)
Determination of progressive disease,Complete or partial responses [ Time Frame: 6 weeks ] [ Designated as safety issue: Yes ]
Complete or partial responses will be based upon major changes in tumor size on the Gd-MRI scan compared to the baseline scan. Determination of progressive disease is based upon comparison to the previous scan with the smallest measurements.
Safety [ Time Frame: Average time to measurable safety assessment is expected to be 16 weeks ] [ Designated as safety issue: Yes ]
Determination of the number of patients with maximum tolerated dose of Temozolomide with bevacizumab combined with bortezomib as measured by development dose limiting toxicities of CTCAE v4.0 grade 3 or greater hematologic or nonhematologic toxicity.
Complete list of historical versions of study NCT01435395 on ClinicalTrials.gov Archive Site
Assess the time to progression [ Time Frame: 6 months ] [ Designated as safety issue: No ]
six month progression free survival and overall survival of patients completing one cycle of the investigational therapy
Efficacy [ Time Frame: Average time to measurable efficacy assessment is expected to be 16 weeks ] [ Designated as safety issue: No ]
Determination of the number patients with different levels of responses to therapy based on tumor size on magnetic resonance imaging
Not Provided
Not Provided
 
Trial of Temozolomide, Bevacizumab Plus Bortezomib for Recurrent Glioblastoma Multiforme
WCI1837-10: Phase I Trial of Temozolomide, Bevacizumab Plus Bortezomib for Patients With Recurrent Glioblastoma Multiforme

This is a single-center (Emory University), open-label, single arm, phase I study to assess safety and toxicity of bortezomib in combination with bevacizumab and escalating doses of temozolomide for patients with recurrent glioblastoma multiforme. Patients requiring anti-epileptic medications will have to be at least 10 days off EIAEDs. Only non-EIAEDs are accepted.

Not Provided
Interventional
Phase 1
Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Glioblastoma Multiforme
Drug: Temozolomide, bevacizumab and bortezomib
Escalating temozolomide with standard dose bevacizumab and bortezomib
Experimental: Therapy
Therapy with temozolomide, bevacizumab and bortezamib
Intervention: Drug: Temozolomide, bevacizumab and bortezomib
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
18
December 2015
December 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Each patient must meet all of the following inclusion criteria to be enrolled in the study:

    1. Age 18 years or more.
    2. Patients must have histologically confirmed diagnosis of a recurrent/progressive WHO grade IV malignant gliomas (glioblastoma multiforme and gliosarcoma).
    3. Patients must have measurable progressive or recurrent disease by MRI within 2 weeks of starting treatment.
    4. No prior bortezomib is allowed.
    5. An interval of at least 6 weeks between prior surgical resection, 4 weeks from the end of prior radiotherapy.
    6. Patients must be at least 10 days off any Enzyme inducing Anti-Epileptic Drugs (EIAEDs) of the CYP-450 such as phenytoin, carbamazepine, phenobarbital.
    7. Karnofsky performance status score of 60 or mre, and a MMSE > 15.
    8. Patients must have recovered from toxicity of prior therapy.
    9. Hematocrit > 29%, ANC > 1,500 cells/microliter, platelets > 125,000 cells/microliter for 14 days prior to enrollment.
    10. Serum creatinine < 1.5 mg/dl, serum SGOT and bilirubin < 1.5 times upper limit of normal.
    11. An interval of at least 3 months from the completion of most recent radiation therapy. At least 4 weeks from a non-nitrosourea chemotherapy regimen and at least 6 weeks from a nitrosourea containing regimen.
    12. For patients on corticosteroids, they must have been on a stable dose for 1 week prior to entry if clinically recommended.
    13. May have up to three biological therapies
    14. Voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care.
    15. Female subject is either post-menopausal or surgically sterilized or willing to use an acceptable method of birth control (i.e., a hormonal contraceptive, intra-uterine device, diaphragm with spermicide, condom with spermicide, or abstinence) for the duration of the study.
    16. Male subject agrees to use an acceptable method for contraception for the duration of the study.

Exclusion Criteria:

  • Patients meeting any of the following exclusion criteria are not to be enrolled in the study:

    1. Co-medication that may interfere with study results; e.g. immuno-suppressive agents other than corticosteroids.
    2. Greater than three prior recurrences.
    3. Enzyme inducing Anti-Epileptic Drugs (EIAEDs) of the CYP-450 such as phenytoin, carbamazepine, phenobarbital.
    4. Patients receiving concurrent investigational drugs.
    5. Evidence of CNS hemorrhage on baseline MRI or CT scan (except for grade 1 hemorrhage that has been stable for at least 3 months).
    6. History of stroke within six months.
    7. Requires therapeutic anti-coagulation.
    8. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection requiring IV antibiotics and psychiatric illness/social situations that would limit compliance with study requirements, or disorders associated with significant immunocompromised state.
    9. Patient has a calculated or measured creatinine clearance of <20 mL/minute within 14 days before enrollment.
    10. Patient has greater or equal to Grade 2 peripheral neuropathy within 14 days before enrollment.
    11. Myocardial infarction within 6 months prior to enrollment or has New York Heart Association (NYHA) Class III or IV heart failure (Appendix), uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities. Prior to study entry, any ECG abnormality at Screening has to be documented by the investigator as not medically relevant.
    12. Patient has hypersensitivity to bortezomib, boron or mannitol.
    13. Female subject is pregnant or breast-feeding. Confirmation that the subject is not pregnant must be established by a negative serum beta-human chorionic gonadotropin (beta-hCG) pregnancy test result obtained during screening. Pregnancy testing is not required for post-menopausal or surgically sterilized women.
    14. Patient has received other investigational drugs with 14 days before enrollment
    15. Serious medical or psychiatric illness likely to interfere with participation in this clinical study.
    16. Diagnosed or treated for another malignancy within 3 years of enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy. Patients with prior malignancies must be disease free for at least 5 years.
    17. Serious, non-healing wound, active ulcer, or untreated bone fracture. Bone fractures must be healed.
Both
18 Years to 65 Years
No
Contact: Katarzyna Kopcewicz 404-778-2981 kkopcew@emory.edu
United States
 
NCT01435395
IRB00014595, WCII1837-10
Yes
Jeffrey James Olson, Emory University
Emory University
Not Provided
Principal Investigator: Jeffrey J Olson, MD Emory University
Emory University
June 2014

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