RecruitingPhase 2Phase 3NCT03970447

A Trial to Evaluate Multiple Regimens in Newly Diagnosed and Recurrent Glioblastoma

GBM AGILE: Global Adaptive Trial Master Protocol: An International, Seamless Phase II/III Response Adaptive Randomization Platform Trial Designed To Evaluate Multiple Regimens In Newly Diagnosed and Recurrent GBM


Sponsor

Global Coalition for Adaptive Research

Enrollment

2,250 participants

Start Date

Jul 30, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

Glioblastoma (GBM) adaptive, global, innovative learning environment (GBM AGILE) is an international, seamless Phase II/III response adaptive randomization platform trial designed to evaluate multiple therapies in newly diagnosed (ND) and recurrent GBM.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests multiple different treatment combinations in people with glioblastoma (GBM), an aggressive brain cancer. It enrolls both patients newly diagnosed with GBM and those whose cancer has come back after previous treatment. **You may be eligible if...** - You are 18 or older - You have been confirmed to have Grade IV glioblastoma (including gliosarcoma) by biopsy or surgery - Your functional level is adequate (Karnofsky score of 60% or higher) - Tumor tissue is available for testing - You have had an MRI scan within the required timeframe **You may NOT be eligible if...** - You have a different type of brain tumor - Your overall health or functioning is too poor - Required tumor tissue is not available Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGTemozolomide

Dosage Form: Capsule for oral administration Strengths: 5 mg, 20 mg, 100 mg, 140 mg, 180 mg, or 250 mg

DRUGLomustine

Dosage Form: Capsule for oral administration Strength: 5 mg, 10 mg, 40 mg, and 100 mg

DRUGRegorafenib

Dosage Form: Tablet for oral administration Strength: 40 mg Standard Regimen: 160 mg orally (PO) every day (QD) for 3 weeks of every 4 week cycle (i.e., 3 weeks on, 1 week off)

RADIATIONRadiation

60 Gy

DRUGPaxalisib

Dosage Form: Tablet for oral administration Strength: 15 mg Standard Regimen: 45 mg orally (PO) every day for 28 days for the first cycle. If tolerated, increase dose to 60 mg orally (PO) every day for 28 days for all subsequent cycles

DRUGVAL-083

Dosage Form: Infusion for intravenous administration Strength: 40 mg per vial Standard Regimen: 30 mg/m2 on Day 1, 2 and 3 of 21-day cycle. The drug is available in powder form. It is reconstituted with 5 mL of 0.9% Sodium Chloride for Injection, USP. This will produce a solution of 40 mg VAL-083 in 5 mL. The required volume of reconstituted VAL-083 for the patient is then calculated at the rate of 30 mg/m2. The corresponding volume is further diluted into 250 mL of 0.9% Sodium Chloride for Injection, USP, prior to intravenous administration.

DRUGVT1021

Dosage Form: Infusion for intravenous administration Strength: 10 mg/mL Standard Regimen Newly Diagnosed: Dose as confirmed through the dose finding phase, administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). Standard Regimen Recurrent: 12 mg/kg administered twice weekly (Mon and Thurs or Tues and Fri or Mon and Fri). The drug is available as a sterile solution of the acetate salt formulated with phosphate-buffered saline, mannitol, and 2.5% polysorbate 80. The required volume stock solution for the patient is calculated. The corresponding volume is diluted in 500 mL of either 0.9% saline or D5W, prior to intravenous administration.

DRUGTroriluzole

Dosage Form: Capsule for oral administration Strength: 100 mg Standard Regimen: Dose as confirmed through the dose finding phase orally BID.

BIOLOGICALADI-PEG 20

Dosage Form: Solution for intramuscular injection Strength: 11.5 ± 1.0 mg/ml Standard Regimen: For newly diagnosed patients, 36mg/m2. For recurrent disease patients, dose as confirmed through the dose finding phase intramuscularly once a week

DRUGAZD1390

Standard Regimen Newly Diagnosed: Given once daily on days of radiation and once daily for 14 consecutive days after completion of radiation.

DRUGTinostamustine

Dosage form: Reconstituted powder for intravenous administration Strength: 2mg/mL Standard Regimen: Dose as confirmed through the dose finding phase, on Day 1 of 21-day cycle for up to 12 cycles in the maintenance phase.


Locations(63)

University of Alabama at Birmingham

Birmingham, Alabama, United States

University of California, San Diego

La Jolla, California, United States

Cedars Sinai - Samuel Oschin Comprehensive Cancer Institute

Los Angeles, California, United States

University of California, Los Angeles

Los Angeles, California, United States

St. Joseph Hospital

Orange, California, United States

University of California, San Francisco

San Francisco, California, United States

Stanford Cancer Center

Stanford, California, United States

University of Colorado Denver

Aurora, Colorado, United States

Yale Cancer Center / Smilow Cancer Hospital

New Haven, Connecticut, United States

Mayo Clinic Cancer Center

Jacksonville, Florida, United States

Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Moffitt Cancer Center

Tampa, Florida, United States

Piedmont Atlanta Hospital

Atlanta, Georgia, United States

Winship Cancer Institute of Emory University

Atlanta, Georgia, United States

LSU Health Sciences Center - New Orleans

New Orleans, Louisiana, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Henry Ford Health System

Detroit, Michigan, United States

Allina Health Systems/Abbott Northwestern Hospital

Minneapolis, Minnesota, United States

Mayo Clinic Cancer Center - Rochester

Rochester, Minnesota, United States

University of Mississippi Medical Center

Jackson, Mississippi, United States

Washington University School of Medicine - Siteman Cancer Center

St Louis, Missouri, United States

Perlmutter Cancer Center, NYU Langone Health

New York, New York, United States

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Columbia University Medical Center

New York, New York, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Duke University Medical Center

Durham, North Carolina, United States

Comprehensive Cancer Center of Wake Forest

Winston-Salem, North Carolina, United States

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Cleveland Clinic

Cleveland, Ohio, United States

Ohio State University Cancer Center

Columbus, Ohio, United States

University of Pennsylvania - Perelman Center for Advanced Medicine

Philadelphia, Pennsylvania, United States

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

University of Pittsburgh Medical Center - Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina - Hollings Cancer Center

Charleston, South Carolina, United States

Texas Oncology - Austin

Austin, Texas, United States

University of Texas Southwestern Medical Center

Dallas, Texas, United States

University of Texas - MD Anderson Cancer Center

Houston, Texas, United States

University of Utah - Huntsman Cancer Institute

Salt Lake City, Utah, United States

University of Virginia Health

Charlottesville, Virginia, United States

University of Washington Medical Center

Seattle, Washington, United States

Froedtert Hospital/Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Northern Sydney Cancer Centre/Royal North Shore Hospital

St Leonards, New South Wales, Australia

Calvary Mater Newcastle

Waratah, New South Wales, Australia

Royal Brisbane and Women's Hospital

Herston, Queensland, Australia

Flinders Medical Centre

Bedford Park, South Australia, Australia

Austin Health

Heidelberg, Victoria, Australia

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Montreal Neurological Institute and Hospital, McGill University

Montreal, Quebec, Canada

Université de Sherbrooke

Sherbrooke, Quebec, Canada

Centre Hospitalier Lyon Sud / Hôpital Neurologique P. Wertheimer

Bron, France

Hopital de la Timone

Marseille, France

Hopital Piti-Salpetriere

Paris, France

Uniklinik Koeln - Zentrum fuer Neurologie und Psychiatrie

Cologne, Germany

Dr. Senckenbergisches Institut für Neuroonkologie

Frankfurt, Germany

Universitätsklinik Heidelberg

Heidelberg, Germany

Universitaetsklinikum Heidelberg - Neurologische Klinik

Mannheim, Germany

Universitätsklinikum Regensburg

Regensburg, Germany

Universitätsklinikum Tübingen

Tübingen, Germany

Centre Hospitalier Universitaire Vaudois Lausanne

Lausanne, Canton of Vaud, Switzerland

University Hospital Zurich

Zurich, Switzerland

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NCT03970447


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