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Safety and Efficacy of Transient Opening of the Blood-brain Barrier (BBB) With the SonoCloud-9

Study Purpose

Recurrent glioblastoma (GBM) is a disease with high unmet clinical need. The standard of care for patients with GBM includes surgery, radiotherapy and chemotherapy. Despite this aggressive treatment, the overall median survival of patients with GBM remains at 15-20 months. In more than 95% of cases, tumor recurrence is observed within 2 cm to 3 cm of the resection cavity within 4-7 months after initial treatments. One of the main causes of recurrence is the inability of chemotherapies to enter the brain from the systemic circulation due to the blood-brain barrier (BBB). The BBB is unique to cerebral blood vessels and blocks most drugs from entering the brain in sufficient concentrations. The SonoCloud-9 (SC9) System delivers ultrasound to locally and transiently increase the permeability of the BBB to allow the passage of drugs into the cerebral parenchyma. The SC9 is dimensioned to cover the resection area and surrounding tissues in patients with recurrent GBM. The large sonicated volume covered by the SC9 device allows for broad BBB disruption and should allow for carboplatin chemotherapy to penetrate the surrounding tumor infiltrative area. By enhancing drug concentrations, it is hypothesized that further disease progression will be prevented.

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

Key

Inclusion Criteria:

1. Age ≥ 18 years, able and willing to give signed and informed consent. 2. Patient with histologically proven recurrent de novo GBM: 1. After at least a first-line standard of care (maximal safe resection, if feasible, radiation with temozolomide [TMZ], then TMZ); 2. Any recurrence; 3. Bevacizumab-naïve.* 3. Patient eligible for carboplatin-based chemotherapy. 4. Patient eligible for a surgical resection. 5. Maximal tumor diameter at inclusion (pre surgery) ≤ 70 mm in T1wMRI. 6. Patients should be stable, without evidence of a midline shift, significant peritumoral edema, or rapid progression of clinical symptoms. 7. Karnofsky performance status ≥ 70. 8. Patient receiving prednisone dose ≤ 40 mg (dexamethasone ≤ 6 mg) for at least 7 days. Key

Exclusion Criteria:

1. Multifocal tumor (unless all localized in a 70 mm diameter area). 2. Patients at risk of surgery site infection (2 or more previous craniotomies, neurosurgery within the last 3 months, poor skin condition, and/or previously infected surgical field). 3. Posterior fossa tumor. 4. Uncontrolled epilepsy. 5. Patients with evidence of uncontrolled intracranial pressure. 6. Patients with known intracranial aneurism or having presented intra-tumor spontaneous hemorrhage. 7. Patients with coils, clips, shunts, intravascular stents, and/or unremovable wafer, non resorbable dura substitute, or reservoirs. 8. Patients with medical need to continue antiplatelet therapy. 9. Patients with known or suspected active or chronic infections.

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.

NCT03744026
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.

CarThera
Principal Investigator

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

Ahmed IDBAIH, MD
Principal Investigator Affiliation APHP
Agency Class

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

Industry
Overall Status Completed
Countries France, United States
Conditions

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

Glioblastoma, Adult
Study Website: View Trial Website
Additional Details

This will be an open-label, Phase 1/2a, multicenter, single-arm, interventional trial that will first evaluate the dose limiting toxicity (DLT) of escalating numbers of ultrasound beams at constant acoustic pressure using a standard escalation (Phase 1) and then confirm the safety and efficacy of BBB opening (Phase 2a expansion).

Arms & Interventions

Arms

Experimental: SonoCloud-9 Ultrasound + Carboplatin

SonoCloud-9 Carboplatin: 6 cycles (every 4 weeks)

Interventions

Device: - SonoCloud-9

Escalating numbers of ultrasound beams at constant acoustic pressure

Drug: - Carboplatin

Dose of carboplatin infusion is AUC4-6

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.

Northwestern University, Chicago, Illinois

Status

Address

Northwestern University

Chicago, Illinois, 60611

MD Anderson Cancer Center, Houston, Texas

Status

Address

MD Anderson Cancer Center

Houston, Texas, 77030

International Sites

CHU, Angers, France

Status

Address

CHU

Angers, ,

Hôpital Neurologique Pierre Wertheimer, Bron, France

Status

Address

Hôpital Neurologique Pierre Wertheimer

Bron, ,

Hôpital de La Timone, Marseille, France

Status

Address

Hôpital de La Timone

Marseille, ,

Hôpital de la Pitié-Salpêtrière, Paris, France

Status

Address

Hôpital de la Pitié-Salpêtrière

Paris, ,