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Evaluation of Eflornithine Plus Temozolomide in Patients With Newly Diagnosed Glioblastoma

Primary Purpose

Glioblastoma, IDH-wildtype, Glioblastoma, Glioblastoma Multiforme

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Eflornithine (Dose Level 1)
Eflornithine (Dose Level 2)
Eflornithine (Dose Level -1)
Temozolomide
Sponsored by
Orbus Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glioblastoma, IDH-wildtype

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Diagnosis of World Health Organization (WHO) G4 classified GBM, IDH-wildtype per WHO 2021 tumor classification. Completed external beam radiation therapy per standard of care. Must have received at least 80% of planned daily doses of TMZ during chemoradiation. Adequate hematologic, renal, hepatic, and other organ function as indicated by hematology and serum chemistry testing. Willing to abstain from intercourse or use acceptable contraceptive methods. If taking corticosteroids, must be on a stable or decreasing dose. Exclusion Criteria: Recent history of recurrent or metastatic cancer that could confound response assessments Prior systemic chemotherapy for GBM other than temozolomide during external beam radiation therapy. Prior Optune treatment. Active infection or serious intercurrent medical illness. Poorly controlled seizures. Significant cardiac disease within 6 months of enrollment. Poorly controlled diabetes. Use of another investigational agent within 30 days of enrollment.

Sites / Locations

  • Henry Ford HospitalRecruiting
  • Columbia University Medical Center - Herbert Irving PavilionRecruiting
  • The Cleveland ClinicRecruiting
  • Lifespan Cancer Institute/Rhode Island HospitalRecruiting
  • UT MD Anderson Cancer CenterRecruiting
  • University of Utah, Huntsman Cancer InstituteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Eflornithine Dose Level 1 + Temozolomide

Eflornithine Dose Level 2 + Temozolomide

Eflornithine Dose Level -1 + Temozolomide

Arm Description

Outcomes

Primary Outcome Measures

Assessment of Dose Limiting Toxicities
Protocol Defined Dose Limiting Toxicities
Incidence of TEAEs All Grades
All Grades
Incidence of TEAEs Grade 3+
Grade 3+
Incidence of TEAEs Serious
Serious
Incidence of TEAEs Leading to Discontinuation
Leading to Discontinuation
Vital Signs (Heart and Respiratory Rate)
Change from Baseline in Heart Rate and Respiratory Rate
Vital Signs (Blood Pressure)
Change from Baseline in Systolic Blood Pressure and Diastolic Blood Pressure
Incidence of Treatment-Emergent Abnormalities in Clinical Laboratory Tests
Lab abnormalities by CTCAE v5.0 Grade

Secondary Outcome Measures

Progression Free Survival
Per RANO Criteria as assessed by MRI
Overall Response Rate
Per RANO Criteria as assessed by MRI
Pharmacokinetics Cmax
observed maximum concentration
Pharmacokinetics Cmin
observed minimum concentration
Pharmacokinetics Tmax
time of observed maximum concentration
Pharmacokinetics AUCt
area under the concentration-time curve
Pharmacokinetics lambdaz
elimination rate constant
Pharmacokinetics t 1/2
elimination half life
QTcF-Concentration Relationship
Assessment of change in QTcF relative to plasma concentration of eflornithine
Assessment of QTcF
Change from baseline in QTcF

Full Information

First Posted
May 3, 2023
Last Updated
September 28, 2023
Sponsor
Orbus Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05879367
Brief Title
Evaluation of Eflornithine Plus Temozolomide in Patients With Newly Diagnosed Glioblastoma
Official Title
An Open-label, Phase 1b Study to Evaluate the Safety and Tolerability of Eflornithine Plus Temozolomide in Patients With Newly Diagnosed Glioblastoma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 24, 2023 (Actual)
Primary Completion Date
December 15, 2024 (Anticipated)
Study Completion Date
December 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Orbus Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to establish the recommended phase 2 dose of eflornithine in combination with temozolomide in patients whose glioblastoma is newly diagnosed, and to evaluate safety and tolerability of this combination at that dose.
Detailed Description
This open label dose escalation and expansion study will be conducted using a standard dose-escalation design with escalating doses of eflornithine plus temozolomide at the approved dose level, followed by an expansion cohort that will further evaluate safety and preliminary efficacy of the combination at the recommended phase 2 dose. Duration of participation will be up to 56 weeks in total per patient: Screening Period - A maximum screening duration of 4 weeks. Treatment Period - Up to 48 weeks. Follow-Up Visit - 4 weeks from last treatment. A total of up to 66 patients will be enrolled in a non-randomized fashion (patients may be added to any of the dose levels below the RP2D to a maximum of approximately 20 per dose level with the intent of further characterizing safety and pharmacokinetics).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glioblastoma, IDH-wildtype, Glioblastoma, Glioblastoma Multiforme, Glioblastoma IDH (Isocitrate Dehydrogenase) Wildtype, GBM

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
66 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Eflornithine Dose Level 1 + Temozolomide
Arm Type
Experimental
Arm Title
Eflornithine Dose Level 2 + Temozolomide
Arm Type
Experimental
Arm Title
Eflornithine Dose Level -1 + Temozolomide
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Eflornithine (Dose Level 1)
Other Intervention Name(s)
DFMO
Intervention Description
Eflornithine 2.3 g/m2 administered orally every 8 hours on a 2 weeks on, 2 weeks off schedule
Intervention Type
Drug
Intervention Name(s)
Eflornithine (Dose Level 2)
Other Intervention Name(s)
DFMO
Intervention Description
Eflornithine 2.8 g/m2 administered orally every 8 hours on a 2 weeks on, 2 weeks off schedule
Intervention Type
Drug
Intervention Name(s)
Eflornithine (Dose Level -1)
Other Intervention Name(s)
DFMO
Intervention Description
Eflornithine 1.75 g/m2 administered orally every 8 hours on a 2 weeks on, 2 weeks off schedule
Intervention Type
Drug
Intervention Name(s)
Temozolomide
Other Intervention Name(s)
Temodar, TMZ
Intervention Description
Temozolomide 150 mg/m2 (with option to escalate per USPI maintenance phase instructions) administered orally once daily on a 5 days on, 23 days off schedule
Primary Outcome Measure Information:
Title
Assessment of Dose Limiting Toxicities
Description
Protocol Defined Dose Limiting Toxicities
Time Frame
8 weeks
Title
Incidence of TEAEs All Grades
Description
All Grades
Time Frame
52 weeks
Title
Incidence of TEAEs Grade 3+
Description
Grade 3+
Time Frame
52 weeks
Title
Incidence of TEAEs Serious
Description
Serious
Time Frame
52 weeks
Title
Incidence of TEAEs Leading to Discontinuation
Description
Leading to Discontinuation
Time Frame
48 weeks
Title
Vital Signs (Heart and Respiratory Rate)
Description
Change from Baseline in Heart Rate and Respiratory Rate
Time Frame
52 weeks
Title
Vital Signs (Blood Pressure)
Description
Change from Baseline in Systolic Blood Pressure and Diastolic Blood Pressure
Time Frame
52 weeks
Title
Incidence of Treatment-Emergent Abnormalities in Clinical Laboratory Tests
Description
Lab abnormalities by CTCAE v5.0 Grade
Time Frame
52 weeks
Secondary Outcome Measure Information:
Title
Progression Free Survival
Description
Per RANO Criteria as assessed by MRI
Time Frame
52 weeks
Title
Overall Response Rate
Description
Per RANO Criteria as assessed by MRI
Time Frame
52 weeks
Title
Pharmacokinetics Cmax
Description
observed maximum concentration
Time Frame
Baseline to Steady State (2 weeks)
Title
Pharmacokinetics Cmin
Description
observed minimum concentration
Time Frame
Baseline to Steady State (2 weeks)
Title
Pharmacokinetics Tmax
Description
time of observed maximum concentration
Time Frame
Baseline to Steady State (2 weeks)
Title
Pharmacokinetics AUCt
Description
area under the concentration-time curve
Time Frame
Baseline to Steady State (2 weeks)
Title
Pharmacokinetics lambdaz
Description
elimination rate constant
Time Frame
Baseline to Steady State (2 weeks)
Title
Pharmacokinetics t 1/2
Description
elimination half life
Time Frame
Baseline to Steady State (2 weeks)
Title
QTcF-Concentration Relationship
Description
Assessment of change in QTcF relative to plasma concentration of eflornithine
Time Frame
Baseline to Steady State (2 weeks)
Title
Assessment of QTcF
Description
Change from baseline in QTcF
Time Frame
Baseline to Steady State (2 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of World Health Organization (WHO) G4 classified GBM, IDH-wildtype per WHO 2021 tumor classification. Completed external beam radiation therapy per standard of care. Must have received at least 80% of planned daily doses of TMZ during chemoradiation. Adequate hematologic, renal, hepatic, and other organ function as indicated by hematology and serum chemistry testing. Willing to abstain from intercourse or use acceptable contraceptive methods. If taking corticosteroids, must be on a stable or decreasing dose. Exclusion Criteria: Recent history of recurrent or metastatic cancer that could confound response assessments Prior systemic chemotherapy for GBM other than temozolomide during external beam radiation therapy. Prior Optune treatment. Active infection or serious intercurrent medical illness. Poorly controlled seizures. Significant cardiac disease within 6 months of enrollment. Poorly controlled diabetes. Use of another investigational agent within 30 days of enrollment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Monika Varga
Phone
6506569424
Email
monika.varga@orbustherapeutics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Howard Colman, MD, PhD
Organizational Affiliation
Huntsman Cancer Institute/ University of Utah
Official's Role
Principal Investigator
Facility Information:
Facility Name
Henry Ford Hospital
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Raid Faddah
Phone
313-556-8767
Email
rfaddah1@hfhs.org
First Name & Middle Initial & Last Name & Degree
Tobias Walbert, MD, PhD, MPH
Phone
313-916-2723
Email
twalber1@hfhs.org
First Name & Middle Initial & Last Name & Degree
Tobias Walbert, MD, PhD, MPH
Facility Name
Columbia University Medical Center - Herbert Irving Pavilion
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria Diaz, MD
Phone
212-342-0571
Email
md4157@cumc.columbia.edu
First Name & Middle Initial & Last Name & Degree
Alicia Bargo
Phone
212-342-4435
Email
ab5172@cumc.columbia.edu
First Name & Middle Initial & Last Name & Degree
Maria Diaz, MD
Facility Name
The Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David Peereboom, MD
Phone
216-445-6068
Email
peerebd@ccf.org
First Name & Middle Initial & Last Name & Degree
Rachel Hufsey, RN
Email
hufseyr@ccf.org
First Name & Middle Initial & Last Name & Degree
David Peereboom, MD
Facility Name
Lifespan Cancer Institute/Rhode Island Hospital
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02903
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nuno Rodrigues, RN
Phone
401-444-3059
Email
908306@Lifespan.org
First Name & Middle Initial & Last Name & Degree
William Siwik
Email
WSiwik@Lifespan.org
First Name & Middle Initial & Last Name & Degree
Eric Wong, MD
Facility Name
UT MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Carlos Kamiya Matsuoka, MD
Phone
713-408-3538
Email
CKamiya@mdanderson.org
First Name & Middle Initial & Last Name & Degree
Evguenia Gachimova, RN
Phone
832-266-3519
Email
Egachimova@mdanderson.org
First Name & Middle Initial & Last Name & Degree
Carlos Kamiya Matsuoka, MD
Facility Name
University of Utah, Huntsman Cancer Institute
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rachel Kingsford
Phone
801-585-0115
Email
rachel.kingsford@hci.utah.edu
First Name & Middle Initial & Last Name & Degree
Yuri Kida
Phone
801-646-4397
Email
yuri.kida@hci.utah.edu
First Name & Middle Initial & Last Name & Degree
Howard Colman, MD, PhD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of Eflornithine Plus Temozolomide in Patients With Newly Diagnosed Glioblastoma

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