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| ID | Type | Description | Link |
|---|---|---|---|
| XL765-202 | Other Identifier | other study code |
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The purpose of this study is to measure what effect the study drug XL765 (SAR245409) or the study drug XL147 (SAR245408) has on tumor tissue in subjects with recurrent glioblastoma (GB) who are candidates for surgical resection. XL765 (SAR245409) and XL147 (SAR245408), the two investigational agents examined in this study, XL147 (SAR245408) is a potent inhibitor of PI3 Kinase (PI3K) and XL765 (SAR245409) is a dual PI3K and mTOR inhibitor. In preclinical studies, inactivation of PI3K has been shown to inhibit growth and induce apoptosis (programmed cell death) in tumor cells.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Twice-daily dosing (every 12 hours) XL765 |
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| 2 | Experimental | Once-daily dosing XL147 |
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| 3 | Experimental | Once-daily dosing XL765 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XL765 (SAR245409) | Drug | Supplied as 10-mg and/or 50-mg capsules |
| |
| Measure | Description | Time Frame |
|---|---|---|
| To explore the biological effect of XL765 and XL147 measured by modulation of PI3K/ mTOR pathway readouts in GB tumor tissue | Assessed between 10 and 28 days after initiation of study drug |
| Measure | Description | Time Frame |
|---|---|---|
| To examine the safety profile of daily oral administration of XL765 and XL147 in subjects with recurrent GB | Assessed at every visit to the study clinic for the duration of subject's treatment | |
| To determine the levels of XL765 and XL147 in plasma and GB tumor tissue |
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Inclusion Criteria:
Exclusion Criteria:
The subject has confirmed secondary GB (ie, had a pathology-confirmed lower-grade glioma that subsequently recurred as a higher grade glioma).
The subject's tumor has a predominance of WHO Grade IV oligoastrocytoma.
The subject has received radiation therapy for GB within 12 weeks (≤ 84 days) before their first dose of study drug treatment.
The subject has received specific types of anticancer therapy (should be discussed with the treating physician)
The subject has not recovered to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 Grade ≤ 1 from AEs due to surgery, radiation, antineoplastic agents, investigational drugs, or other medications that were administered before screening (except Grade 2 alopecia and Grade 2 lymphocytopenia).
The subject is receiving > 1 mg/day warfarin (or equivalent of other coumarin derivatives) and is unable to switch to low molecular weight heparin within 14 days before the first dose of study drug.
The subject is receiving enzyme-inducing anti-epileptic agents (EIAED; eg, carbamazepine, phenytoin, phenobarbital, or primidone) or valproic acid and is unable to convert to EIAED anti-seizure agents within 14 days before the first dose of study drug.
The subject has uncontrolled intercurrent illness including, but not limited to:
The subject has a baseline corrected QT interval (QTc) > 460 ms.
The subject is unable to undergo repeated magnetic resonance imaging (MRI) scans for any reason (eg, cardiac pacemaker or ferromagnetic metal implants).
The subject is known to be positive for the human immunodeficiency virus (HIV). Note: HIV testing is not required for eligibility.
The subject has impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of study treatment (eg, ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection).
The subject is pregnant or breastfeeding.
The subject has a previously identified allergy or hypersensitivity to components of the study treatment formulation.
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Sciences & Operations | Sanofi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site Number 840001 | Los Angeles | California | 90024 | United States | ||
| Investigational Site Number 840003 |
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| XL147 (SAR245408) |
| Drug |
Supplied as 100-mg, 150-mg and/or 200-mg tablets |
|
| Assessed at periodic visits between 10 and 28 days after initiation of study drug for the duration of subject's treatment |
| To assess the anti-proliferative and pro-apoptotic effects of XL765 and XL147 on tumor cells | Assessed at periodic visits to the study clinic for the duration of subject's treatment |
| To measure changes in tumor after surgery in subjects receiving XL765 and XL147 | Assessed at periodic visits following surgery 10 to 28 days after initiation of study drug for the duration of subject's treatment |
| To conduct genetic analyses of GB tumor tissue comparing, where feasible, tumor tissue removed during the on-study resection with tissue removed during the initial surgical resection | Assessed 10 to 28 days after initiation of study drug |
| To evaluate the pharmacodynamic effects of XL765 and XL147 in blood and/or blood cells for identification and characterization of surrogate biomarkers associated with the biological effects of XL765 and XL147 | Assessed at periodic visits to the study clinic |
| To explore the relationship between clinical response and genomic and proteomic biomarkers in the PI3K and EGFR pathways | Duration of the study (approximately 2 years) |
| San Francisco |
| California |
| 94143 |
| United States |
| Investigational Site Number 840004 | Boston | Massachusetts | 02115 | United States |
| Investigational Site Number 840002 | New York | New York | 10021 | United States |
| ID | Term |
|---|---|
| D005909 | Glioblastoma |
| ID | Term |
|---|---|
| D001254 | Astrocytoma |
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
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| ID | Term |
|---|---|
| C576808 | XL765 |
| C581157 | XL147 |
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