UNITE Study: Understanding New Interventions With GBM ThErapy
Glioblastoma Multiforme
About this trial
This is an interventional treatment trial for Glioblastoma Multiforme focused on measuring Glioblastoma Multiforme (GBM), Cancer, Chemoradiation therapy, Epidermal growth factor receptor-amplified glioblastoma, Radiation, Temozolomide
Eligibility Criteria
Inclusion Criteria:
- Newly diagnosed glioblastoma (GBM) histologically proven, World Health Organization (WHO) grade IV GBM or WHO grade IV gliosarcoma
- Tumors must demonstrate epidermal growth factor receptor (EGFR) amplification
- Tumors must be supratentorial in location
- Participant must have recovered from the effects of surgery, postoperative infection, and other complications; has no significant post-operative hemorrhage
- Participant has a Karnofsky performance status (KPS) of 70 or higher
- Participant has adequate bone marrow, renal, and hepatic function
- Electrocardiogram without evidence of acute cardiac ischemia ≤ 21 days prior to randomization
- Participant has a life expectancy of ≥ 3 months
Exclusion Criteria:
- Participant has received prior chemotherapy or radiotherapy for cancer of the head and neck region
- Participant has received prior treatment with Gliadel wafers or any other intratumoral or intracavitary treatment
- Participant has hypersensitivity to any component of temozolomide or dacarbazine
- Participant has received anti-cancer therapy (including chemotherapy, immunotherapy, radiotherapy, hormonal, biologic, or any investigational therapy) within 5 years of Study Day 1
- Participant has clinically significant uncontrolled condition(s) as described in the protocol
- Participant has any medical condition which in the opinion of the investigator places the participant at an unacceptably high risk for toxicities
- Participant has had another active malignancy within the past 3 years except for any cancer considered cured or non-melanoma carcinoma of the skin
- Participant has a history of herpetic keratitis
- Participant is not suitable for receiving ocular steroids with conditions as described in the protocol
- Participant has had laser-assisted in situ keratomileusis (LASIK) procedure within the last 1 year or cataract surgery within the last 3 months
- Participant has a visual condition that compromises the ability to accurately measure visual acuity or assess visual activities of daily living (vADLs)
- Participant has hepatitis B virus or hepatitis C virus infection
- Participant not receiving treatment with highly active antiretroviral therapy (HAART) when positive for human immunodeficiency virus (HIV)
Sites / Locations
- Usc /Id# 164235
- Moffitt Cancer Center /ID# 164234
- Rush University Medical Center /ID# 171003
- Northshore University Health System-Evanston /ID# 164221
- CDH-Delnor Health System /ID# 169909
- Columbia University Medical Center /ID# 164220
- Levine Cancer Ins, Carolina Me /ID# 171271
- UT Health Science Ctr-Houston /ID# 164223
- Baylor Scott & White Medical Center- Temple /ID# 170792
- Royal North Shore Hospital /ID# 169673
- Calvary Mater Newcastle /ID# 169672
- Royal Brisbane and Women's Hospital /ID# 169674
- Austin Hospital /ID# 169671
- Universitaetsklinik Heidelberg /ID# 169970
- Universitaetsklinikum Leipzig /ID# 169969
- Klinikum Univ. Regensburg /ID# 169963
- Universitatsklinikum Tubingen /ID# 169965
- Vrije Universiteit Medisch Centrum /ID# 170152
- Universitair Medisch Centrum Utrecht /ID# 170149
- Guy's and St Thomas' NHS Found /ID# 207752
- Queen Elizabeth Hospital - BIRMINGHAM /ID# 200657
- Castle Hill Hospital /ID# 200662
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Standard Steroids
Standard Steroids + Vasoconstrictor + Cold Compress
Enhanced Steroids + Vasoconstrictor + Cold Compress
Steroid eye drops: 1 drop each eye, 3 times/day, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days
Steroid eye drops: 1 drop each eye, 3 times/day, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days; Vasoconstrictor Eye Drops: 1 drop each eye 4 - 6 times on day of infusion in total (5 - 10 minutes before infusion; at end of infusion; and 2 - 4 times during the remainder of the infusion day). Continuing 4 - 6 times/day on Day 1 and Day 2 after each depatuxizumab mafodotin infusion; Cold Compress: Starting 5 minutes prior to start of infusion and continuing for 30 minutes past end of infusion, and then use at least 2 hours total/day on Days 1 - 3 with each depatuxizumab mafodotin infusion. The cold compress was to be applied in increments no longer than 30 min (could be shorter if the participant was uncomfortable).
Enhanced steroid eye drops: 1 drop each eye, 6 times/day, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days; Ophthalmic Steroid Ointment; applied to each eye once daily before sleep, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days; Vasoconstrictor Eye Drops: 1 drop each eye 4 - 6 times on day of infusion in total (5 - 10 minutes before infusion; at end of infusion; and 2 - 4 times during the remainder of the infusion day). Continuing 4 - 6 times/day on Day 1 and Day 2 after each depatuxizumab mafodotin infusion; Cold Compress: Starting 5 minutes prior to start of infusion and continuing for 30 minutes past end of infusion, and then use at least 2 hours total/day on Days 1 - 3 with each depatuxizumab mafodotin infusion. Cold compress was to be applied in increments no longer than 30 min (could be shorter if the patient is uncomfortable).