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Tolerance and Pharmacokinetic Study of Chlorogenic Acid to Advanced Glioblastoma

Primary Purpose

Glioblastoma

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Chlorogenic acid
Sponsored by
Sichuan J.Z. Bio-chemical Science and Technology Development Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glioblastoma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients with pathologic or/and FNAC confirmation of advanced glioblastoma(WHO,III-IV grade) but without effective treatment or with treatment failure;
  2. Between 18 and 65 years of age, KPS≥40;
  3. According to RANO(2010), the parents will be eligible if one of the following conditions apply: steroid dose increased or stable,the enhanced tumor lesion increased more than 25%; the unenhanced tumor lesion increased because of the progressive tumor,even if the lesion was unmeasurable.
  4. Life expectancy of at least three (3) months at the enrollment;
  5. Patients who have sufficient baseline organ function and whose laboratory data can meet the following criteria at the enrollment:

1)PLT count≥100×10~9/L, 2)WLB count≥4.0×10~9/L and ≤12×10~9/L, 3)Neutrophil granulocyte count≥2.0×10~9/L, 4)HGB count≥90g/L, 5)Total bilirubin <=1.5 times of ULN, 6)ALT/AST ≤2.5 times of ULN, 7)SCr≤1.5 times of ULN, 8)Normal ECG with LVEF (≥50%) measured by echocardiography; 6.Female patients with negative pregnant test, and male/female patients of reproductive age without pregnancy planning in the next 12 months; 7.Volunteered for the phase 1 trial and sign the informed consent without protest;

Exclusion Criteria:

  1. Patients who have received large area radiotherapy (>30% marrow capacity);
  2. Without pathologic or/and FNAC confirmation of advanced glioblastoma;
  3. Patients who has primary immunodeficiency diseases;
  4. Patients who suffer from other serious complication, such as uncontrollable infection, myocardial infarction within the past 6 months at the enrollment , uncontrollable hypertension ,thromboembolism and etc.;
  5. Patients who have received the therapy of chemotherapy or radical radiotherapy within 4 weeks before enrollment;
  6. Patients who have used nitrosoureas drug or mitomycin within 6 weeks or tyrosine kinase inhibitor within 2 weeks before enrollment;
  7. Patients who have received therapy of major surgery within 4 weeks or biopsy surgery within 2 weeks before enrollment;
  8. Patients who experience grade 2 or more than grade 2 toxicity caused by the past therapies;
  9. Patients who have history of drug abuse;
  10. Uncontrollable psychopaths;
  11. Uncontrollable diabetes;
  12. Pregnant or breast-feeding women, or patients(male and female) who have pregnancy plan;
  13. Patients who had received a therapy of another investigational drug within 12 weeks or patients who are still in another clinical trial at the enrollment;
  14. Known active hepatitis B/hepatitis C, positive HIV/ syphilis antibody;
  15. Patient who need long term treatment of cortical hormone or other immunosuppressive drugs such as visceral organ transplanters;
  16. Allergic to the investigational drug;
  17. Other patients judged ineligible for enrollment in the study by the investigator (sub-investigator).
  18. Patients who have received the therapy of adrenal steroid hormones within 1 week before enrollment or will receive the therapy for a long period time,except for Corticosteroid nasal spray,Inhaled Steroid and Topical steroids .

Sites / Locations

  • Beijing Shijitan Hospital,Capital Medical University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Chlorgenic acid, Treatment, powder

Arm Description

Chlorogenic acid for injection(30mg/bottle) is white or off-white freeze-dried lump or powder,it can be easily dissolved in water, which solubility is 20%.

Outcomes

Primary Outcome Measures

Number of adverse events
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0,grade ≥3 (DLT)
Maximum Tolerated Dose
Area under the plasma concentration versus time curve (AUC) of chlorogenic acid
Peak Plasma Concentration (Cmax) of chlorogenic acid

Secondary Outcome Measures

Improvement in cancer-related symptoms
disease control rate(DCR)
objective response rate (ORR)
progress free survival(PFS)
overall survival (OS)
Improvement in quality of life

Full Information

First Posted
March 28, 2016
Last Updated
October 30, 2018
Sponsor
Sichuan J.Z. Bio-chemical Science and Technology Development Co., Ltd
Collaborators
Beijing Shijitan Hospital, Capital Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT02728349
Brief Title
Tolerance and Pharmacokinetic Study of Chlorogenic Acid to Advanced Glioblastoma
Official Title
Phase 1 Trial of Tolerance and Pharmacokinetic of Chlorogenic Acid for Injection in the Advanced Glioblastoma Patients
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
April 12, 2016 (Actual)
Primary Completion Date
August 23, 2017 (Actual)
Study Completion Date
September 13, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sichuan J.Z. Bio-chemical Science and Technology Development Co., Ltd
Collaborators
Beijing Shijitan Hospital, Capital Medical University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study: Determining the Maximum Tolerated Dose (MTD), Dose-Limiting Toxicity (DLT), pharmacokinetics characteristic, and dosage regimen of phase II/III of Chlorogenic acid for injection in the advanced Glioblastoma Patients ;
Detailed Description
Investigate the tolerance of Chlorogenic acid for injection in human body, determine the Maximum Tolerated Dose (MTD) and Dose-Limiting Toxicity (DLT) of Chlorogenic acid for injection in the advanced Glioblastoma Patients ; Determine the human pharmacokinetics characteristic of Chlorogenic acid for injection; Preliminary observation the effectiveness and effective dose; Provide the basis for the dosage regimen of phase II/III.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Chlorgenic acid, Treatment, powder
Arm Type
Experimental
Arm Description
Chlorogenic acid for injection(30mg/bottle) is white or off-white freeze-dried lump or powder,it can be easily dissolved in water, which solubility is 20%.
Intervention Type
Drug
Intervention Name(s)
Chlorogenic acid
Intervention Description
Chlorogenic acid for injection is polyphenols, micromolecular and un-endogenous substance. It might play the role of cancer treatment via balancing tumor micro-environmental immune status according to the stability and rationality of immunodeficiency and endogenous immune material expression around the tumor. Chlorogenic acid for injection is made from chlorogenic acid (purity≥98%) which is extracted from folium cortex eucommiae.Chlorogenic acid and its preparations have not been reported as chemical drug and marketed around the world.
Primary Outcome Measure Information:
Title
Number of adverse events
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0,grade ≥3 (DLT)
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
Maximum Tolerated Dose
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
Area under the plasma concentration versus time curve (AUC) of chlorogenic acid
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
Peak Plasma Concentration (Cmax) of chlorogenic acid
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Secondary Outcome Measure Information:
Title
Improvement in cancer-related symptoms
Time Frame
Within 1 year after the first dose of chlorogenic acid
Title
disease control rate(DCR)
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
objective response rate (ORR)
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
progress free survival(PFS)
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
overall survival (OS)
Time Frame
Within the first 30 days after the first dose of chlorogenic acid
Title
Improvement in quality of life
Time Frame
Within 1 year after the first dose of chlorogenic acid
Other Pre-specified Outcome Measures:
Title
Changing in number of red blood cell
Time Frame
Within 1 year after the first dose of chlorogenic acid
Title
Changing in cytokines in peripheral blood
Time Frame
Within 1 year after the first dose of chlorogenic acid
Title
Changing in level of hemoglobin
Time Frame
Within 1 year after the first dose of chlorogenic acid
Title
Changing in lymphocyte subsets
Time Frame
Within 1 year after the first dose of chlorogenic acid

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with pathologic or/and FNAC confirmation of advanced glioblastoma(WHO,III-IV grade) but without effective treatment or with treatment failure; Between 18 and 65 years of age, KPS≥40; According to RANO(2010), the parents will be eligible if one of the following conditions apply: steroid dose increased or stable,the enhanced tumor lesion increased more than 25%; the unenhanced tumor lesion increased because of the progressive tumor,even if the lesion was unmeasurable. Life expectancy of at least three (3) months at the enrollment; Patients who have sufficient baseline organ function and whose laboratory data can meet the following criteria at the enrollment: 1)PLT count≥100×10~9/L, 2)WLB count≥4.0×10~9/L and ≤12×10~9/L, 3)Neutrophil granulocyte count≥2.0×10~9/L, 4)HGB count≥90g/L, 5)Total bilirubin <=1.5 times of ULN, 6)ALT/AST ≤2.5 times of ULN, 7)SCr≤1.5 times of ULN, 8)Normal ECG with LVEF (≥50%) measured by echocardiography; 6.Female patients with negative pregnant test, and male/female patients of reproductive age without pregnancy planning in the next 12 months; 7.Volunteered for the phase 1 trial and sign the informed consent without protest; Exclusion Criteria: Patients who have received large area radiotherapy (>30% marrow capacity); Without pathologic or/and FNAC confirmation of advanced glioblastoma; Patients who has primary immunodeficiency diseases; Patients who suffer from other serious complication, such as uncontrollable infection, myocardial infarction within the past 6 months at the enrollment , uncontrollable hypertension ,thromboembolism and etc.; Patients who have received the therapy of chemotherapy or radical radiotherapy within 4 weeks before enrollment; Patients who have used nitrosoureas drug or mitomycin within 6 weeks or tyrosine kinase inhibitor within 2 weeks before enrollment; Patients who have received therapy of major surgery within 4 weeks or biopsy surgery within 2 weeks before enrollment; Patients who experience grade 2 or more than grade 2 toxicity caused by the past therapies; Patients who have history of drug abuse; Uncontrollable psychopaths; Uncontrollable diabetes; Pregnant or breast-feeding women, or patients(male and female) who have pregnancy plan; Patients who had received a therapy of another investigational drug within 12 weeks or patients who are still in another clinical trial at the enrollment; Known active hepatitis B/hepatitis C, positive HIV/ syphilis antibody; Patient who need long term treatment of cortical hormone or other immunosuppressive drugs such as visceral organ transplanters; Allergic to the investigational drug; Other patients judged ineligible for enrollment in the study by the investigator (sub-investigator). Patients who have received the therapy of adrenal steroid hormones within 1 week before enrollment or will receive the therapy for a long period time,except for Corticosteroid nasal spray,Inhaled Steroid and Topical steroids .
Facility Information:
Facility Name
Beijing Shijitan Hospital,Capital Medical University
City
Beijing
ZIP/Postal Code
100038
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Tolerance and Pharmacokinetic Study of Chlorogenic Acid to Advanced Glioblastoma

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