MBM-02 (Tempol) for the Treatment of Glioblastoma Multiforme (GBM)
Glioblastoma, Glioblastoma Multiforme
About this trial
This is an interventional treatment trial for Glioblastoma
Eligibility Criteria
Inclusion Criteria:
- Be > 35 and ≤ 75 years of age;
- Be newly diagnosed with glioblastoma multiforme within 4 weeks of open biopsy/resection;
- Be histologically confirmed to have definitive GBM by partial or complete surgical resection (i.e. not by biopsy only) within 4 weeks prior to MBM-02 administration;
- Have recovered from the effects of surgery, post-operative infection, and other complications before study registration;
- Have a diagnostic contrast-enhanced MRI or CT scan of the brain performed preoperatively and postoperatively prior to the initiation of radiotherapy, within 28 days prior to MBM-02 administration;
- If female and of child bearing potential, must be using an effective birth-control method as described in section 3.5;
- If a male with a female partner of child bearing potential, adequate methods of contraception must be employed as described in section 3.5.
- If male, no sperm donation for 90 days until after the conclusion of the study;
- Be properly informed of the nature and risks of the clinical investigation, comply with all clinical investigation-related procedures, and sign an Informed Consent Form prior to entering the clinical investigation;
- Be able to participate for the full term of the clinical investigation;
- Have a Karnofsky performance status of >70;
- Have a life expectancy ≥ 6 months; and
- Have adequate baseline organ function (hematologic, liver, renal, nutritional and metabolic):
Hematology:
Absolute neutrophil count (ANC) ≥1.5 Hemoglobin ≥ 10 g/dL Platelets ≥ 100,000 per microliter of blood
Hepatic:
Total bilirubin ≤ 2 x ULN Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) ≤2 x ULN
Renal:
creatinine clearance (CrCl) ≥ 60 ml/min within 2 weeks prior to registration determined by 24-hour collection or estimated by Cockcroft-Gault formula: CrCl male = [(140 - age) x (wt in kg)] [(Serum Cr mg/dl) x (72)] CrCl female = 0.85 x (CrCl male)
Exclusion Criteria:
- Evidence of recurrent GBM or metastases detected outside of the cranial vault;
- Patients with histone H3 K27M mutation or gliosarcoma;
- Patients using the Optune device during study drug administration;
- Prior cancer diagnosis other than skin basal cell or squamous cell carcinoma (non-metastatic);
- Patients unable to undergo MRI because of non-compatible devices;
- Oxygen dependent chronic obstructive pulmonary disease (COPD);
- Unstable coronary artery disease (CAD);
- Diagnosis of midline diffuse glioma (glioblastoma);
- Insufficient biopsy tissue for full molecular profiling of the tumor;
- Prior radiation or chemotherapy for glioblastoma or glioma;
- Prior radiation for cancer of the head and neck that would result in an overlap of radiation fields;
- Evidence of a significant medical illness, or a psychiatric illness/social situation that would, in the investigator's judgment, make the patient inappropriate for this study;
- Refractory nausea and vomiting, malabsorption, biliary shunt, or significant bowel resection that would preclude adequate absorption of the study drug;
- Have had a recent, serious, non-malignant medical complication that, in the opinion of the investigator, makes the individual unsuitable for study participation;
- Have used an investigational drug within 28 days of the initiation of study treatment;
- Have a history of a positive blood test for HIV;
- At the time of screening, have a significant active medical illness which, in the opinion of the investigator, would preclude completion of the study; and
- Body weight less than 35 kg (77 lbs.)
Sites / Locations
- Georgetown
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Cohort 1
Cohort 2
Cohort 3
Cohort 4
Cohort 1 will receive standard of care concomitantly with1000 mg/day of MBM-02. Patients will receive standard of care treatment for newly diagnosed Glioblastoma multiforme consisting of four sequential periods: 1 week run-in with MBM-02 prior to radiotherapy; 6 weeks of radiotherapy and concomitant temozolomide; 4 weeks of rest post-radiotherapy and concomitant temozolomide; and Adjuvant temozolomide treatment post 4-week rest period. Patients will be administered daily MBM-02 during all four sequential periods.
Cohort 2 will receive standard of care concomitantly with1200 mg/day of MBM-02. Patients will receive standard of care treatment for newly diagnosed Glioblastoma multiforme consisting of four sequential periods: 1 week run-in with MBM-02 prior to radiotherapy; 6 weeks of radiotherapy and concomitant temozolomide; 4 weeks of rest post-radiotherapy and concomitant temozolomide; and Adjuvant temozolomide treatment post 4-week rest period. Patients will be administered daily MBM-02 during all four sequential periods.
Cohort 2 will receive standard of care concomitantly with1400 mg/day of MBM-02. Patients will receive standard of care treatment for newly diagnosed Glioblastoma multiforme consisting of four sequential periods: 1 week run-in with MBM-02 prior to radiotherapy; 6 weeks of radiotherapy and concomitant temozolomide; 4 weeks of rest post-radiotherapy and concomitant temozolomide; and Adjuvant temozolomide treatment post 4-week rest period. Patients will be administered daily MBM-02 during all four sequential periods.
Cohort 2 will receive standard of care concomitantly with1400 mg/day of MBM-02. Patients will receive standard of care treatment for newly diagnosed Glioblastoma multiforme consisting of four sequential periods: 1 week run-in with MBM-02 prior to radiotherapy; 6 weeks of radiotherapy and concomitant temozolomide; 4 weeks of rest post-radiotherapy and concomitant temozolomide; and Adjuvant temozolomide treatment post 4-week rest period. Patients will be administered daily MBM-02 during all four sequential periods.