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Study of Prognostic Biomarkers of Survival at 6 Months for Patients Treated With Bevacizumab Glioblastomas in First Relapse After Failure of Radiochemotherapy

Study Purpose

No predictive factors are known for the response to the bevacizumab anti-angiogenic molecule (Avastin) given in the event of relapse of glioblastoma (GBM) following radiochemotherapy. Classical MRI with gadolinium injection and perfusion is not sufficient to predict survival and response or duration. We propose to evaluate the prognostic interest for 6-month survival of spectroscopic biomarkers of proliferation, glial reaction, infiltration and glutaminergic metabolism or glycolytic metabolism recorded at 7 and 28 days of application of the treatment. These biomarkers are based on the increase of an index combining choline / Creatine (Cho / Cr), Glx / Cr (Glutamine and glutamate / Creatine), NAA / Cr (N acetyl aspartate / Creatine) and lactate / Cr ratios. The long-term objective is to predict the survival of these relapsed GBM patients at an early stage and to identify responder patients who would benefit from this expensive molecule and avoid using it in non-responding patients

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:

  • - Patients, between 18 and 88 years, with glioblastoma (histologically proven) in first relapse after conventional treatment by surgery and temozolomide and radiotherapy.
  • - Biological Criteria.
  • - Polymorphonuclear neutrophils> 1500 / mm3.
  • - Plates> 100,000 / mm3.
  • - SGOT-SGPT <5 at the upper limit of normal (ULN) - Bilirubin <1.5 x ULN.
  • - Creatinine <1.5 LSN and creatinine clearance.
  • - Proteinuria <1 g / 24 hours.
  • - Patient with health insurance.
  • - Consent signed by the patient if he is lucid, or failing that by the person of trust.

Exclusion Criteria:

  • - Patients who can not benefit from bevacizumab for the following reasons: - Symptomatic cerebral or tumor hemorrhage.
  • - Karnofsky Index less than 50% or.
  • - Patients already treated with an antiangiogenic molecule or Gliadel (diagnosis and recurrence).
  • - Coagulation disorders in case of injectable treatment (especially for avastin), - Contraindications known to the MRI: Pace Makers, foreign bodies intraocular, electrodes .
..
  • - Uncontrolled severe concomitant pathology, including another evolving cancer (with the exception of operative cutaneous tumors, in situ cancer of the cervix or breast treated).
  • - Uncontrolled Infection.
  • - Uncontrolled hypertension (PAS> 160 mm Hg) despite optimized treatment.
  • - Coronary artery disease or unstable arterial disease.
Evolutionary aneurysm.
  • - Myocardial infarction dating from less than 6 months.
  • - Peripheral arterial or cerebrovascular accident occurring less than 6 months.
  • - Heart Failure> grade II NYHA.
  • - Hemorrhagic Disease (Hemophilia, Willebrandt .
..)
  • - Nephrotic syndrome with proteinuria> 2 g / 24 h.
  • - History of haemoptysis dating less than 1 month.
  • - Pulmonary embolism dating less than 1 month.
  • - Surgical intervention (other than craniotomy or stereotactic biopsy) dating less than one month or essential and predictable surgery.
  • - History of digestive fistula or intestinal perforation with resolution less than 6 months.
  • - Hypersensitivity to bevacizumab or to any of the excipients mentioned in Composition.
  • - Hypersensitivity to Chinese hamster ovary (CHO) cells or to other human or humanized recombinant antibodies.
  • - Severe Myelosuppression.
  • - Pregnant or nursing.
Contraception should be prescribed if necessary during treatment.
  • - Persons deprived of liberty or placed under safeguard of justice (guardianship or curatorship), - Subject involved in another search including an exclusion period still in progress at pre-inclusion.
- Patient refusing to participate in the study

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.

NCT03144167
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.

N/A
Lead Sponsor

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

Centre Hospitalier Universitaire, Amiens
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.

Other
Overall Status Not yet recruiting
Countries France
Conditions

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

Glioblastoma, Radiotherapy, Chemotherapy
Arms & Interventions

Arms

Other: Patients, aged 18-88, with glioblastoma

Interventions

Other: - Analysis of spectroscopic biomarkers of proliferation for six-month survival

Analysis of spectroscopic biomarkers of proliferation, glial reaction, infiltration and glutaminergic metabolism or glycolytic metabolism for six-month survival

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 Picardie, Amiens, Picardie, France

Status

Address

CHU Amiens Picardie

Amiens, Picardie, 80054

Site Contact

Jean-Marc CONSTANS, PhD

constans.jean-marc@chu-amiens.fr

+33322087511