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Study of LY2228820 With Radiotherapy Plus Concomitant TMZ in the Treatment of Newly Diagnosed Glioblastoma

Study Purpose

Glioblastomas are extremely resistant to treatment, including radiotherapy and/or chemotherapy. Mitogen-activated protein kinase (MAPK) cascades are key signaling pathways involved in the regulation of normal cell proliferation, survival and differentiation. Activation of p38 MAPK has been associated with a poor prognosis among patients with glioblastoma during the temozolomide (TMZ) era and represents a compensatory response by tumor cell to environmental stress such as radiation or chemotherapy. LY2228820 is a potent and selective inhibitor of p38 MAPK, and reduces phosphorylation of its cellular target, MAPK-activated protein kinase 2 (MAPKAPK-2) . LY2228820 is a good candidate to target malignant glioma resistance to the gold standard treatment combining radiation and TMZ by acting on both tumor and stromal cells. The primary objectives of this study were to determine the recommended dose of LY2228820 in combination with TMZ and radiotherapy during chemoradiotherapy period (phase I) and to estimate the 6-month progression free survival (PFS) rate of patients treated with LY2228820 when administered at the recommended dose in combination with radiotherapy and concomitant TMZ (phase II)

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 - 75 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Newly diagnosed and histologically confirmed glioblastoma.
  • - Recursive partitioning analysis (RPA) class III or IV.
  • - Age > or = 18 years and < 75 years of age.
  • - Life expectancy > or = 6 months.
  • - Patient must have at least 1 formalin fixed paraffin embedded tumor tissue block representative of glioblastoma available for pathology central review and biomarker exploration.
  • - Adequate hematologic (absolute neutrophil count (ANC) > or = 1.5 x 109/L, platelet count > or = 100 x 109/L, hemoglobin > or = 10 g/dL ), renal (creatinine > or = 1.25 x ULN ), and hepatic function (total bilirubin < or = 1.5 x ULN, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < or = 2.5 x ULN) - Patients who were receiving corticosteroids had to receive a stable or decreasing dose for at least 14 days before enrollment.
  • - Patients must be able to swallow and retain oral medication.
  • - Women must have a negative serum pregnancy test less than 7 days prior to the first dose of study drug.
  • - Both men and women of reproductive potential agree to use approved contraception during the study and for 6 months after discontinuation of study treatment.
  • - Willing and able to comply with the protocol as judged by the investigator.
  • - Patients must provide written consent.

Exclusion Criteria:

  • - Any prior chemotherapy (including carmustine-containing wafers) or immunotherapy (including vaccine therapy ) - Any prior radiotherapy to the brain.
  • - Any contraindication to temozolomide listed in the local label.
  • - Have had, in the judgment of the investigator, a major bowel resection that would alter oral drug absorption.
  • - Have a diagnosis of inflammatory bowel disease (Crohn's disease or ulcerative colitis) - Have previously completed or withdrawn from this study or any other study investigating LY2228820.
  • - Are receiving, in the judgment of the investigator, concurrent administration of immunosuppressive therapy.
  • - Diarrhea of any cause CTCAE > or = grade 2.
  • - Current or recent (within 30 days of enrollment) treatment with another investigational drug or participation in another investigational study.
  • - History of other malignancy within 5 years prior enrollment except for basal cell carcinoma of the skin or carcinoma in situ of the cervix.
  • - Pregnant or nursing (lactating) woman, or fertile women unwilling or unable to use effective means of contraception.
- Psychiatric illness / social situations that would compromise patient safety or limit compliance with study requirements including maintenance of a compliance / pill diary

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.

NCT02364206
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.

Centre Jean Perrin
Principal Investigator

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

Xavier DURANDO, Pr
Principal Investigator Affiliation Centre Jean Perrin
Agency Class

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

Other
Overall Status Completed
Countries France
Conditions

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

Adult Glioblastoma
Arms & Interventions

Arms

Experimental: LY2228820 + TMZ + Radiotherapy

addition of LY2228820 to standard radiotherapy and concomitant treatment by temozolomide (TMZ). LY2228820 will be administered orally for two 28 day cycles, from one week before the beginning of radiotherapy, and during standard chemoradiotherapy. Three dose levels of LY2228820 will be tested. After a 4 week break after concomitant treatment, patient were then received up to 6 cycles of adjuvant TMZ according to the standard 5-day schedule every 28 days .

Interventions

Drug: - LY2228820

Drug: - Temozolomide

Radiation: - 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.

International Sites

CHU Amiens Sud-Salouel, Amiens, France

Status

Address

CHU Amiens Sud-Salouel

Amiens, ,

Institut Bergonié, Bordeaux, France

Status

Address

Institut Bergonié

Bordeaux, ,

Centre François Baclesse, Caen, France

Status

Address

Centre François Baclesse

Caen, ,

Centre Jean Perrin, Clermont-Ferrand, France

Status

Address

Centre Jean Perrin

Clermont-Ferrand, ,

Centre Georges François Leclerc, Dijon, France

Status

Address

Centre Georges François Leclerc

Dijon, ,

Centre Paul Strauss, Strasbourg, France

Status

Address

Centre Paul Strauss

Strasbourg, ,