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Safety and Efficacy of Trans Sodium Crocetinate (TSC) With Radiation and Temozolomide in Newly Diagnosed Glioblastoma

Study Purpose

This open-label study evaluated the safety and efficacy of TSC when dosed concomitantly with the standard of care (radiation therapy and temozolomide) for newly diagnosed glioblastoma in adults. All patients received TSC in the study. The objective of the study was to evaluate the effect of TSC on survival and tumor response in patients with GBM while establishing an acceptable patient risk profile.

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:

  • - Aged at least 18 years of age; male or female.
A patient who is 70 years of age or older may be considered for enrollment after review of patient clinical and laboratory data by the Protocol Medical Monitor.
  • - Histologically confirmed diagnosis of GBM.
  • - Contrast enhancing disease on MRI within 21 days prior to screening.
  • - Karnofsky score (KPS) of ≥ 60 at Screening.
  • - No prior RT, chemotherapy (including Gliadel wafer), immunotherapy or therapy with a biologic agent, or hormonal therapy.
Glucocorticoid therapy is allowed.
  • - Within 2 weeks of baseline visit, hematologic and renal functions as specified: Absolute neutrophil count ≥ 1500/mm3, platelets ≥ 100,000/mm3, Hgb ≥ 9.0g/dL, creatinine ≤ 1.7mg/dl, total bilirubin ≤ 1.5mg/dL, blood urea nitrogen (BUN) within 2 times the upper limit of normal, transaminases ≤ 4 times above the upper limits of the institutional norm.
  • - Sexually active patients must use an acceptable method of contraception while receiving doses of study medication.
  • - Females of childbearing potential must have a negative serum or urine pregnancy test at screening and have additional pregnancy tests during study.

Exclusion Criteria:

  • - Patient who cannot undergo MRI.
  • - Pregnant or lactating.
  • - Serious concurrent infection or medical illness that would jeopardize the ability of the patient to receive study treatment with reasonable safety.
  • - Patient receiving concurrent chemotherapeutics or investigational agents within 30 days of baseline assessments, including gliadel wafers or gliasite application.

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.

NCT01465347
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 1/Phase 2
Lead Sponsor

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

Diffusion Pharmaceuticals Inc
Principal Investigator

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

David R. Jones, M.D.
Principal Investigator Affiliation Diffusion Pharmaceuticals Inc
Agency Class

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

Industry
Overall Status Completed
Countries United States
Conditions

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

Glioblastoma, GBM, Glioma
Additional Details

The overall objectives of this Phase 1/2 clinical study in newly diagnosed GBM patients was to evaluate the safety and tolerability, efficacy, PK profile, PFS/time to disease progression, QoL, and overall survival in adults when TSC is added to the standard of care regimen of radiation therapy and temozolomide. All patients received TSC in this study. The primary objective of the Phase 1 portion of the study was to evaluate the safety (DLT rate) and to define the dosing regimen of TSC for the larger Phase 2 study. The primary clinical endpoint was overall survival at 24 months and patients will be followed for up to 3 years.

Arms & Interventions

Arms

Experimental: TSC 0.25 mg/kg for 9 or 18 doses

This was an open-label, sequential-cohort, dose-escalation study in two phases. Phase 1 was a safety run-in evaluating Trans Sodium Crocetinate (TSC) in 3 subjects who received 3 doses per week for 3 weeks (9 doses in total). Phase 2 engaged 56 subjects who received 3 doses per week for 6 weeks (18 doses in total). TSC was consistently dosed at 0.25mg/kg in both phases.

Interventions

Drug: - Trans Sodium Crocetinate (TSC)

TSC administered intravenously as a bolus injection prior to radiation therapy sessions during 6 weeks of radiotherapy.

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.

Phoenix, Arizona

Status

Address

St. Joseph's Medical Center Barrow Neurology Clinics

Phoenix, Arizona, 85013

Little Rock, Arkansas

Status

Address

University of Arkansas Winthrop P. Rockefeller Cancer Institute

Little Rock, Arkansas, 72205

USC/Norris Comprehensive Cancer Center, Los Angeles, California

Status

Address

USC/Norris Comprehensive Cancer Center

Los Angeles, California, 90033

Cedars-Sinai Medical Center, Los Angeles, California

Status

Address

Cedars-Sinai Medical Center

Los Angeles, California, 90048

Washington, D.C., District of Columbia

Status

Address

The George Washington University Medical Center

Washington, D.C., District of Columbia, 20037

Gainesville, Florida

Status

Address

University of Florida McKnight Brain Institute

Gainesville, Florida, 32611

Atlanta, Georgia

Status

Address

Emory University Winship Cancer Institute

Atlanta, Georgia, 30322

Chicago, Illinois

Status

Address

Northwestern University Robert H. Lurie Comprehensive Cancer Center

Chicago, Illinois, 60611

Rush University Medical Center, Chicago, Illinois

Status

Address

Rush University Medical Center

Chicago, Illinois, 60612

Lexington, Kentucky

Status

Address

University of Kentucky Markey Cancer Center

Lexington, Kentucky, 40536

North Shore University Hospital, Manhasset, New York

Status

Address

North Shore University Hospital

Manhasset, New York, 11030

Forsyth Regional Cancer Center, Winston-Salem, North Carolina

Status

Address

Forsyth Regional Cancer Center

Winston-Salem, North Carolina, 27103

Hershey, Pennsylvania

Status

Address

Penn State University Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033

Medical University of South Carolina, Charleston, South Carolina

Status

Address

Medical University of South Carolina

Charleston, South Carolina, 29425

Baylor University Medical Center, Dallas, Texas

Status

Address

Baylor University Medical Center

Dallas, Texas, 75246

Houston, Texas

Status

Address

University of Texas Health Science Center Memorial Hermann Medical Center

Houston, Texas, 77030

Charlottesville, Virginia

Status

Address

UVA Health Sciences Center Emily Couric Clinical Cancer Center

Charlottesville, Virginia, 22908

Milwaukee, Wisconsin

Status

Address

Froedtert & Medical College of Wisconsin Cancer Center

Milwaukee, Wisconsin, 53226