cropped color_logo_with_background.png

Study to Evaluate Safety and Activity of Crizotinib With Temozolomide and Radiotherapy in Newly Diagnosed Glioblastoma

Study Purpose

This multicenter, open-label, phase Ib trial aims to assess the safety and activity and safety of crizotinib (in combination with radiotherapy and temozolomide) in adult patients with newly diagnosed glioblastoma.

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 - 70 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Ability to understand and the willingness to sign a written informed consent document. 2. Male or Female ≥18 years old and ≤ 70 years old. 3. Newly diagnosed glioblastoma (GB) confirmed by biopsy or resection 4-7 weeks before registration. 4. Patients must have at least 15 unstained slides or 1 tissue block (frozen or paraffin embedded) available from a prior biopsy or surgery (archival tumor material). 5. Patients must have sufficient time for recovery from prior surgery (at least 4 weeks). 6. Karnofsky Performance Score (KPS) ≥ 60%. 7. Adequate hematologic function: Hemoglobin ≥ 10 g/dL, Leukocytes > 3,000/mcL, absolute neutrophil count (UNL) ≥ 1,500 cells/ul, platelets ≥ 100,000 cells/ul. 8. Adequate liver function: Bilirubin ≤ 2 X upper limit of normal (ULN); aspartate aminotrasferase (AST) (SGOT) ≤ 2.5 X ULN. 9. Creatinine within normal institutional limits or creatinine clearance > 60 mL/min/1.73 m2l for subjects with creatinine levels above institutional normal. 10. The effects of crizotinib on the developing human fetus are unknown. For this reason, women of child-bearing potential and men must agree to use adequate contraception (hormonal or harrier method of birth control; abstinence; surgical sterilization) prior to study entry and for the duration of study participation and for at least 3 months thereafter. The definition of effective contraception will be based on the judgment of the principal investigator or a designated associate. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately. All female patients with reproductive potential must have a negative pregnancy test (serum/urine) within 2 weeks prior to starting treatment.

Exclusion Criteria:

1. Presence of extra-cranial metastatic disease. 2. Any prior radiotherapy (RT) or chemotheraphy (QT) treatment. 3. Patients must not have received prior Gliadel wafers. 4. The use of enzyme-inducing antiepileptic drugs will not be allowed. Those patients taking enzyme-inducing antiepileptic drugs required a 7-day washout period before registration. 5. Any surgery (not including minor diagnostic procedures such as lymph node biopsy) within 2 weeks of baseline disease assessments; or not fully recovered from any side effects of previous procedures. 6. Any clinically significant gastrointestinal abnormalities, which may impair intake, transit or absorption of the study drug, such as the inability to take oral medication in tablet form. 7. Any psychiatric or cognitive disorder that would limit the understanding or rendering of informed consent and/or compromise compliance with the requirements of this protocol. 8. Uncontrolled or significant cardiovascular disease, including:
  • - A myocardial infarction within 12 months; - Uncontrolled angina within 6 months; - Congestive heart failure within 6 months; - Diagnosed or suspected congenital long QT syndrome; - Any history of clinically significant ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation, or Torsades de pointes); - Prolonged corrected QT (QTc) interval on pre-entry electrocardiogram (>470 msec); - Any history of second or third degree heart block (may be eligible if currently have a pacemaker); - Heart rate <50/minute on pre-entry electrocardiogram; - Uncontrolled hypertension.
9. Any patient with a history of significant cardiovascular disease, even if currently controlled, or who has signs or symptoms suggesting impaired left ventricular function in the judgment of the investigator must have a screening left ventricular ejection fraction (LVEF) evaluation by ECHO or angyography (MUGA). Patients with LVEF measurements below local institutional lower limit of normal or less than 50% will not be eligible. 10. Individuals with a history of a different malignancy are ineligible except for the following circumstances: Individuals with a history of other malignancies are eligible if they have been disease-free for at least 3 years and are deemed by the investigator to be at low risk for recurrence of that malignancy. Individuals with the following cancers are eligible if diagnosed and treated within the past 3 years: cervical cancer in situ, and basal cell or squamous cell carcinoma of the skin. Patients will not be eligible if they have evidence of other malignancy requiring therapy other than surgery within the last 3 years.

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.

NCT02270034
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
Lead Sponsor

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

Grupo Español de Investigación en Neurooncología
Principal Investigator

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

Juan Manuel Sepúlveda, MDMaría Martínez, MD
Principal Investigator Affiliation Hospital 12 de OctubreHospital del Mar
Agency Class

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

Other, Industry
Overall Status Completed
Countries Spain
Conditions

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

Glioblastoma Multiforme (Grade IV) of Cerebellum
Arms & Interventions

Arms

Experimental: Cohort crizotinib

Combination of crizotinib with temozolomide and radiotherapy following Stupp regime

Interventions

Drug: - Crizotinib

Crizotinib is added to Stupp method

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.

International Sites

L'Hospitalet de Llobregat, Barcelona, Spain

Status

Address

Institut Català D'Oncologia L'Hospitalet (Ico)

L'Hospitalet de Llobregat, Barcelona, 08908

Hospital Del Mar, Barcelona, Spain

Status

Address

Hospital Del Mar

Barcelona, , 08003

Hospital Clínic de Barcelona, Barcelona, Spain

Status

Address

Hospital Clínic de Barcelona

Barcelona, , 08036

Hospital Universitario 12 de Octubre, Madrid, Spain

Status

Address

Hospital Universitario 12 de Octubre

Madrid, , 28041