RecruitingPhase 1Phase 2NCT06047379

Safety and Efficacy of NEO212 in Patients With Astrocytoma IDH-mutant, Glioblastoma IDH-wildtype or Brain Metastasis

An Open-label Phase 1/2 Dose Finding, Safety and Efficacy Study of Oral NEO212 in Patients With Astrocytoma IDH-mutant, Glioblastoma IDH-wildtype or Uncontrolled Brain Metastasis in Patients With Select Solid Tumors.


Sponsor

Neonc Technologies, Inc.

Enrollment

134 participants

Start Date

Nov 1, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This multi-site, Phase 1/2 clinical trial is an open-label study to identify the safety, pharmacokinetics, and efficacy of a repeated dose regimen of NEO212 alone for the treatment of patients with radiographically-confirmed progression of Astrocytoma IDH- mutant, Glioblastoma IDH-wildtype, and the safety, pharmacokinetics and efficacy of a repeated dose regimen of NEO212 when given with select SOC for the treatment of solid tumor patients with radiographically confirmed uncontrolled metastases to the brain. The study will have three phases, Phase 1, Phase 2a and Phase 2b.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests NEO212, a new experimental drug, for patients with brain tumors — specifically astrocytomas with an IDH mutation, glioblastomas without an IDH mutation, or brain metastases from other cancers. It assesses both safety and whether the drug slows or stops tumor growth. **You may be eligible if...** - You are 18 or older - You have astrocytoma (IDH-mutant), glioblastoma (IDH-wildtype), or a solid tumor with brain metastases - Your brain tumor has come back or progressed after standard treatment - Your Karnofsky score is ≥60 (brain tumor patients) or ECOG 0-2 (metastasis patients) - Any side effects from prior treatment have resolved to mild or better **You may NOT be eligible if...** - Your tumor is progressing within the radiation field without biopsy confirmation (within 90 days of radiation) - You have serious uncontrolled health conditions - You are pregnant or breastfeeding 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

DRUGNEO212 Oral Capsule

NEO212 is a novel chemical entity that was generated by covalent conjugation of temozolomide (TMZ) with perillyl alcohol (POH).

DRUGIpilimumab

Ipilimumab, sold under the brand name Yervoy, is a monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. Cytotoxic T lymphocytes can recognize and destroy cancer cells.

DRUGPembrolizumab

Pembrolizumab, sold under the brand name Keytruda, is a humanized antibody used in cancer immunotherapy that treats melanoma, lung cancer, head and neck cancer, Hodgkin lymphoma, stomach cancer, cervical cancer, and certain types of breast cancer. It is given by slow injection into a vein.

DRUGNivolumab

Nivolumab, sold under the brand name Opdivo, is a medication used to treat a number of types of cancer.

DRUGRegorafenib

Regorafenib, sold under the brand name Stivarga among others, is an oral multi-kinase inhibitor developed by Bayer which targets angiogenic, stromal and oncogenic receptor tyrosine kinase. Regorafenib shows anti-angiogenic activity due to its dual targeted VEGFR2-TIE2 tyrosine kinase inhibition

DRUGCarboplatin

Carboplatin, sold under the trade name Paraplatin among others, is a chemotherapy medication used to treat a number of forms of cancer. This includes ovarian cancer, lung cancer, head and neck cancer, brain cancer, and neuroblastoma. It is used by injection into a vein.

DRUGPaclitaxel

Paclitaxel, sold under the brand name Taxol among others, is a chemotherapy medication used to treat ovarian cancer, esophageal cancer, breast cancer, lung cancer, Kaposi's sarcoma, cervical cancer, and pancreatic cancer. It is administered by intravenous injection

DRUGFOLFIRI Protocol

FOLFIRI is a chemotherapy regimen for treatment of colorectal cancer. It is made up of the following drugs: FOL - folinic acid (leucovorin), a vitamin B derivative with multiple applications, which in this context increases the cytotoxicity of 5-fluorouracil; F - fluorouracil (5-FU), a pyrimidine analog and antimetabolite which incorporates into the DNA molecule and stops synthesis; and IRI - irinotecan (Camptosar), a topoisomerase inhibitor, which prevents DNA from uncoiling and duplicating.

DRUGBevacizumab

Bevacizumab, sold under the brand name Avastin among others, is a medication used to treat a number of types of cancers and a specific eye disease. For cancer, it is given by slow injection into a vein and used for colon cancer, lung cancer, glioblastoma, and renal-cell carcinoma


Locations(6)

Precision NextGen Oncology

Beverly Hills, California, United States

OPN Healthcare, Inc

Glendale, California, United States

University of Southern California

Los Angeles, California, United States

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Baylor, Scott and White Research Institute

Dallas, Texas, United States

Northwest Medical Specialties

Tacoma, Washington, United States

View Full Details on ClinicalTrials.gov

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NCT06047379


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