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A Phase 2 Study of PLX3397 in Patients With Recurrent Glioblastoma

Study Purpose

The objective of this study is to evaluate the response of subjects with recurrent glioblastoma to continuous therapy of PLX3397.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Male or female patients ≥18 years old with a life expectancy of at least 8 weeks.
  • - Radiographically proven recurrent (≥ first relapse), intracranial Glioblastoma (GBM) - For all patients, availability of at least 10 unstained slides (or archival tumor block sufficient to generate at least 10 unstained slides) from any previous GBM surgery.
  • - Previous treatment with external beam radiation and temozolomide chemotherapy.
  • - Before the first dose of PLX3397,adequate recovery from toxicity of prior therapy as follows: >28 days for cytotoxic therapy >42 days for nitrosoureas >28 days for bevacizumab >7 days for non cytotoxic therapy such as interferon, tamoxifen, thalidomide, cis-retinoic acid, or erlotinib.
  • - Women of child-bearing potential must have a negative pregnancy test within 7 days of initiation of dosing and must agree to use an acceptable method of birth control while on study drug and for 3 months after the last dose.
Women of non-childbearing potential may be included if they are either surgically sterile or have been postmenopausal for ≥1 year. Men of child-bearing potential must also agree to use an acceptable method of birth control while on study drug.
  • - Karnofsky performance status of ≥60.
  • - Adequate hematologic, hepatic, and renal function (absolute neutrophil count ≥1.0 x 109/L, Hgb >9 g/dL, platelet count ≥50 x 109/L, Aspartate aminotransferase/Alanine aminotransferase (AST/ALT) ≤2.5x Upper Limit of Normal (ULN), creatinine ≤1.5x ULN) - Willing and able to provide written informed consent prior to any study related procedures and to comply with all study requirements.

Exclusion Criteria:

  • - Investigational drug use within 28 days of the first dose of PLX3397.
  • - GBM progression within 3 months of previous radiation by Response Assessment in Neuro-Oncology (RANO) criteria.
  • - History of Grade 2 Common Toxicity Criteria for Adverse Events (CTCAE v4) or greater acute intracranial hemorrhage.
  • - Previous failure of bevacizumab or other vascular endothelial growth factor (VEGF) therapy except in a first line setting.
  • - History of malignant glioma with co-deletion of 1p/19q.
  • - A concurrent active cancer that requires non-surgical therapy (e.g. chemotherapy, radiation, adjuvant therapy).
Prior history of other cancer is allowed, as long as there was no active disease within the prior 3 years.
  • - Refractory nausea and vomiting, malabsorption, biliary shunt, or significant bowel resection that would preclude adequate absorption.
  • - Patients with serious illnesses, uncontrolled infection, medical conditions, or other medical history including abnormal laboratory results, which in the investigator's opinion would be likely to interfere with a patient's participation in the study, or with the interpretation of the results.
  • - Women of child-bearing potential who are pregnant or breast feeding.
- corrected QT interval (QTc) ≥450 msec at Screening

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT01349036
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Daiichi Sankyo
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Terminated
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Recurrent Glioblastoma
Arms & Interventions

Arms

Experimental: PLX3397-Cohort 1

10 patients with recurrent glioblastoma who require reoperation will be treated with PLX3397 for 7 days prior to surgery and their tumor tissue will be evaluated for pharmacokinetic levels and pharmacodynamic effects.

Experimental: PLX3397-Cohort 2

30 patients will be orally dosed with PLX3397 continuously on 28 day cycles.

Interventions

Drug: - PLX3397

Capsules administered once or twice daily, continuous dosing

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

University California, Los Angeles, Los Angeles, California

Status

Address

University California, Los Angeles

Los Angeles, California, 90095

University California, San Francisco, San Francisco, California

Status

Address

University California, San Francisco

San Francisco, California, 94143

Dana Faber Cancer Institute, Boston, Massachusetts

Status

Address

Dana Faber Cancer Institute

Boston, Massachusetts, 02115

Memorial Sloan Kettering Cancer Center, New York, New York

Status

Address

Memorial Sloan Kettering Cancer Center

New York, New York, 10065

Houston, Texas

Status

Address

University of Texas, MD Anderson Cancer Center

Houston, Texas, 77030

Salt Lake City, Utah

Status

Address

Huntsman Cancer Institute University of Utah

Salt Lake City, Utah, 84132