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MBM-02 (Tempol) for the Treatment of Glioblastoma Multiforme (GBM)

Primary Purpose

Glioblastoma, Glioblastoma Multiforme

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MBM-02
Sponsored by
Matrix Biomed, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glioblastoma

Eligibility Criteria

35 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Be > 35 and ≤ 75 years of age;
  2. Be newly diagnosed with glioblastoma multiforme within 4 weeks of open biopsy/resection;
  3. 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;
  4. Have recovered from the effects of surgery, post-operative infection, and other complications before study registration;
  5. 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;
  6. If female and of child bearing potential, must be using an effective birth-control method as described in section 3.5;
  7. If a male with a female partner of child bearing potential, adequate methods of contraception must be employed as described in section 3.5.
  8. If male, no sperm donation for 90 days until after the conclusion of the study;
  9. 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;
  10. Be able to participate for the full term of the clinical investigation;
  11. Have a Karnofsky performance status of >70;
  12. Have a life expectancy ≥ 6 months; and
  13. 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:

  1. Evidence of recurrent GBM or metastases detected outside of the cranial vault;
  2. Patients with histone H3 K27M mutation or gliosarcoma;
  3. Patients using the Optune device during study drug administration;
  4. Prior cancer diagnosis other than skin basal cell or squamous cell carcinoma (non-metastatic);
  5. Patients unable to undergo MRI because of non-compatible devices;
  6. Oxygen dependent chronic obstructive pulmonary disease (COPD);
  7. Unstable coronary artery disease (CAD);
  8. Diagnosis of midline diffuse glioma (glioblastoma);
  9. Insufficient biopsy tissue for full molecular profiling of the tumor;
  10. Prior radiation or chemotherapy for glioblastoma or glioma;
  11. Prior radiation for cancer of the head and neck that would result in an overlap of radiation fields;
  12. 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;
  13. Refractory nausea and vomiting, malabsorption, biliary shunt, or significant bowel resection that would preclude adequate absorption of the study drug;
  14. Have had a recent, serious, non-malignant medical complication that, in the opinion of the investigator, makes the individual unsuitable for study participation;
  15. Have used an investigational drug within 28 days of the initiation of study treatment;
  16. Have a history of a positive blood test for HIV;
  17. 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
  18. Body weight less than 35 kg (77 lbs.)

Sites / Locations

  • Georgetown

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Arm Description

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.

Outcomes

Primary Outcome Measures

Progression Free Survival
Clinical efficacy as measured by progression-free survival rate at six months (PFS-6). Progression-free survival will be defined as the number of days from the date of first dose to the date of earliest disease progression based on RANO criteria.

Secondary Outcome Measures

Overall Survival
Clinical efficacy as measured by the Overall Survival (OS) rate at 12 months, 18 months, and 24 months.
Thrombocytopenia
Reduction in thrombocytopenia as measured by platelet count.
Neutropenia
Reduction in neutropenia as measured by absolute neutrophil count

Full Information

First Posted
May 3, 2021
Last Updated
May 3, 2021
Sponsor
Matrix Biomed, Inc.
Collaborators
MedStar Georgetown
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1. Study Identification

Unique Protocol Identification Number
NCT04874506
Brief Title
MBM-02 (Tempol) for the Treatment of Glioblastoma Multiforme (GBM)
Official Title
An Open Label Study to Assess the Safety and Clinical Efficacy of MBM-02 to Increase Survival in Patients With Newly Diagnosed Glioblastoma Multiforme (GBM)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Unknown status
Study Start Date
June 1, 2021 (Anticipated)
Primary Completion Date
January 2023 (Anticipated)
Study Completion Date
August 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Matrix Biomed, Inc.
Collaborators
MedStar Georgetown

4. Oversight

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

5. Study Description

Brief Summary
MBM-02 (Tempol) is an HIF-1 and HIF-2 inhibitor that is being tested as an addition to standard of care treatment that includes radiotherapy and TMZ. MBM-02's ability to increase progression free survival and decrease side effects of TMZ and radiotherapy treatment will be assessed.
Detailed Description
MBM-02 is an HIF-1 and HIF-2 inhibitor that has shown in animal models to turn back on the apoptosis process (cell death) in cancer. Hypoxia is well documented in most solid tumors (Vaupel et al., 1991). Acute, intermittent, and cycling hypoxia are associated with inadequate blood flow, whereas chronic hypoxia is the consequence of increased oxygen diffusion distance resulting from tumor expansion (Dewhirst et al., 2008). A study by Chen and colleagues (2015) showed that cycling hypoxia and chronic hypoxia are important tumor microenvironment phenomena that limit tumor response to chemotherapy in GBM. In hypoxic conditions observed in solid state tumors, the hypoxia inducible factors, HIF-1α and HIF-2α, are upregulated and transcribe a panel of genes associated with cancer survival and progression, such as vascular endothelial growth factor receptor (VEGFR), platelet derived growth factor (PDGF), and glucose transporter 1 (GLUT1). These factors are essential for tumor survival, thereby increasing tumor progression and decreasing apoptosis. Without the functions of the HIF family of genes, solid-state tumors could not progress and would not survive. In both Chen et al. (2015) and Sourbier et al. (2012), researchers established that the active compound in MBM-02 is an inhibitor of both HIF-1α and HIF-2α. This is an open label multisite trial that will assess MBM-02's ability to increase progress free survival in patients receiving standard of care for glioblastoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glioblastoma, Glioblastoma Multiforme

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Three dosing regimens will be explored and represented by Cohort 1, Cohort 2, and Cohort 3. The first 6 patients (Cohort 1) will begin with a total daily dose (TDD) of 1000 mg of MBM-02.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
55 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
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.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
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.
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
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.
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
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.
Intervention Type
Drug
Intervention Name(s)
MBM-02
Other Intervention Name(s)
Tempol; 4-hydroxy-tempo; 4-hydroxy-2,2,6,6-tetramethylpiperidine-1-oxyl
Intervention Description
Study drug will be administered orally using the capsule formulation (200 mg). The study drug will be administered 7 days a week for the entire treatment period.
Primary Outcome Measure Information:
Title
Progression Free Survival
Description
Clinical efficacy as measured by progression-free survival rate at six months (PFS-6). Progression-free survival will be defined as the number of days from the date of first dose to the date of earliest disease progression based on RANO criteria.
Time Frame
baseline to 6 months
Secondary Outcome Measure Information:
Title
Overall Survival
Description
Clinical efficacy as measured by the Overall Survival (OS) rate at 12 months, 18 months, and 24 months.
Time Frame
baseline to 24 months
Title
Thrombocytopenia
Description
Reduction in thrombocytopenia as measured by platelet count.
Time Frame
baseline to 12 months
Title
Neutropenia
Description
Reduction in neutropenia as measured by absolute neutrophil count
Time Frame
baseline to 12 months
Other Pre-specified Outcome Measures:
Title
Radiation Necrosis
Description
Reduction in radiation necrosis as measured by steroid dosage on the last day of RT, 1 month post-RT, and 3 months post-RT
Time Frame
baseline to 3 months post-RT

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
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.)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Benji Crane
Phone
6264376506
Email
bjcrane@matrixbiomed.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joseph Watson, M.D.
Organizational Affiliation
Georgetown University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Georgetown
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Joseph Watson
First Name & Middle Initial & Last Name & Degree
Joseph Watson, MD

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Links:
URL
http://matrixbiomed.com
Description
Related Info

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MBM-02 (Tempol) for the Treatment of Glioblastoma Multiforme (GBM)

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