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BPM31510 in Treating Patients With Recurrent High-Grade Glioma Previously Treated With Bevacizumab

Study Purpose

This phase I trial studies the side effects and best dose of ubidecarenone injectable nanosuspension (BPM31510) in treating patients with high-grade glioma (anaplastic astrocytoma or glioblastoma) that has come back and have been previously treated with bevacizumab. BPM31510 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

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:

  • - Be ≥ 18 years of age.
  • - Have a life expectancy ≥ 6 weeks.
  • - Have a Karnofsky Performance Score (KPS) ≥ 60.
  • - Have pathologically proven GB, gliosarcoma (WHO IV), or anaplastic astrocytoma (WHO III) in recurrence after treatment with bevacizumab.
  • - Be at least 14 days from the last administration of bevacizumab.
  • - Be at least 28 days from last administration of cytotoxic chemotherapy or other investigational agent.
  • - Have received radiation therapy with concurrent temozolomide.
Total radiation dosage can range from 5400 to 6000 cGy administered in daily fractions of 150 to 200 cGy over 6 weeks, or the equivalent in a hypofractionated protocol (for example, 4000cGy in 15 fractions or 2500cGy in 5 fractions). Patients who are MGMT negative do not need to have received temozolomide.
  • - Have adequate organ and marrow function as follows (all required): - ANC ≥ 1500 mm3.
  • - Platelets ≥ 100,000/mm3.
  • - Hemoglobin ≥ 9 g/dL.
  • - Serum creatinine ≤ 1.8 mg/dL or creatinine clearance > 50 mL/min Bilirubin ≤ 1.5 mg/dL.
  • - Alanine aminotransferase (ALT) ≤ 2.5 x upper limit of normal (ULN) - Aspartate transaminase (AST) ≤ 2.5 x ULN.
  • - Prothrombin time (PT) ≤ 1.5 x ULN.
  • - International Normalized Ratio (INR) ≤ 1.5 x ULN.
  • - Partial thromboplastin time (PTT) ≤ 1.5 x ULN.
  • - Subjects of childbearing potential must agree to use hormonal or barrier birth control with spermicidal gel to avoid pregnancy during the study.
  • - Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  • - Has a history of spontaneous or tumor related cerebral hemorrhage; or has cerebral hemorrhage as determined by the screening FDG PET CT and MRI.
This does not include stable post operative blood products seen on a gradient echo MRI sequence.
  • - Has the any of the following cardiac history: - Active heart disease including myocardial infarction within previous 3 months.
  • - Symptomatic coronary artery disease.
  • - Arrhythmias not controlled by medication.
  • - Unstable angina pectoris.
  • - Uncontrolled or symptomatic congestive heart failure (NYHA class III and IV) 3.2.
3 Uncontrolled or severe coagulopathies or a history of clinically significant bleeding within the past 6 months, including any of the following, but not limited to:
  • - Epistaxis.
  • - Hemoptysis.
  • - Hematochezia.
  • - Hematuria.
  • - Gastrointestinal bleeding.
  • - Spontaneous or tumor related intracranial hemorrhage.
  • - Known predisposition for bleeding such as von Willebrand's disease or other such condition(s) - Uncontrolled concurrent illness that would limit compliance with study requirements, including any of the following, but limited to: - Uncontrolled infection.
  • - Psychiatric illness/social situations.
  • - Prior malignancy except for non melanoma skin cancer and carcinoma in situ (of the cervix or bladder), unless diagnosed and definitively treated more than 3 years prior to 1st dose of investigational drug.
  • - Receiving any of the following medications: - Therapeutic doses of any anticoagulant, including low molecular weight heparin (LMWH).
Concomitant use of warfarin, even at prophylactic doses, is prohibited.
  • - Digoxin, digitoxin, lanatoside C, or any type of digitalis alkaloids.
  • - Colony stimulating factors (CSFs) that cannot be held during the monitoring period for dose limiting toxicities (DLT) - Has significant toxicities from prior treatment that have not resolved or stabilized.
  • - Known allergy to Coenzyme Q10.
  • - Known allergy or adverse reaction to oral, subcutaneous, or intravenous vitamin K.
  • - Is pregnant or lactating.
  • - Known to be positive for the human immunodeficiency virus (HIV).
Note: HIV testing is not required for eligibility, but if performed previously and was positive, the subject is ineligible.

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.

NCT03020602
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.

Seema Nagpal
Principal Investigator

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

Seema Nagpal
Principal Investigator Affiliation Stanford University
Agency Class

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

Other
Overall Status Completed
Countries United States
Conditions

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

Gliosarcoma, Recurrent Glioblastoma, Astrocytoma of Brain, Glioblastoma
Additional Details

Primary Objective:

  • - Assess the safety and tolerability of BPM31510 plus vitamin K in subjects with high-grade glioma(HGG), defined as anaplastic astrocytoma (AA) or glioblastoma (GB) that has recurred on a BEV containing regimen.
Secondary Objectives:
  • - To evaluate plasma pharmacokinetics (PK) when BPM31510 plus vitamin K is given to subjects with HGG recurrent on a BEV containing regimen.
Exploratory Objectives:
  • - Estimate the overall survival in subjects with HGG recurrent on a BEV containing regimen from the 1st day of infusion of BPM31510 plus vitamin K to death.
  • - To evaluate the effects of BPM31510 plus vitamin K on shifting HGG metabolism to aerobic respiration by PET imaging.
  • - To evaluate the effects of BPM1510 plus vitamin K on MRI imaging by Response Assessment in Neuro Oncology (RANO) criteria [specifically progression free survival (PFS) and response rate (RR)].
  • - To evaluate plasma pharmacodynamics (PD) when BPM31510 plus vitamin K is given to subjects with HGG recurrent on a BEV containing regimen.

Arms & Interventions

Arms

Experimental: Treatment (BPM31510)

Patients receive ubidecarenone injectable nanosuspension IV over 72 hours twice weekly. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Interventions

Other: - Laboratory Biomarker Analysis

Correlative studies

Other: - Pharmacological Study

Correlative studies

Drug: - Ubidecarenone Injectable Nanosuspension

Given IV

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.

Stanford University, School of Medicine, Palo Alto, California

Status

Address

Stanford University, School of Medicine

Palo Alto, California, 94304