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| Name | Class |
|---|---|
| Barrow Neurological Institute | OTHER |
| Ivy Brain Tumor Center | OTHER |
| BeiGene | INDUSTRY |
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This is an open-label, single-center Phase 0/2 study that will enroll up to 30 participants with newly diagnosed (N=12) and recurrent glioblastoma (N=18). The trial will be composed of a Phase 0 component (subdivided into Arm A, Arm B, and Arm C), and an Exploratory Phase 2 component. Participants with tumors demonstrating a PK response in the Phase 0 component of the study will graduate to an exploratory Phase 2 component that combines therapeutic dosing of pamiparib plus fractionated radiotherapy (for unmethylated MGMT promoter newly-diagnosed cases), pamiparib plus fractionated radiotherapy (for recurrent cases) or Olaparib plus fractionated radiotherapy (recurrent cases).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A Newly-diagnosed Glioblastoma Participant treated with Pamiparib | Experimental | Participants undergoing resection for a presumed newly diagnosed glioblastoma (nGBM) will be treated with pamiparib for 4 days prior to surgical resection. Patients who proceed to Phase 2 will receive pamiparib administered orally BID continuously in combination with 6-7 weeks of radiation therapy and pamiparib in combination with TMZ in the maintenance phase. |
|
| Arm B Recurrent Glioblastoma Participant treated with Pamiparib | Experimental | Recurrent glioblastoma (rGBM) patients who are scheduled for surgery and expected to receive postoperative fractionated radiotherapy (RT) will be treated with pamiparib for 4 days prior to surgical resection. Patients who proceed to Phase 2 will receive pamiparib administered orally BID continuously in combination with 6-7 weeks of radiation therapy and pamiparib in combination with TMZ in the maintenance phase. |
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| Arm C Recurrent Glioblastoma Participant treated with Olaparib | Experimental | Arm C will be an exploratory arm in recurrent glioblastoma patients (rGBM) treated with Olaparib for 4 days prior to surgical resection. Patients who proceed to Phase 2 will receive olaparib administered orally BID continuously in combination with 6-7 weeks of radiation therapy and pamiparib in combination with TMZ in the maintenance phase. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pamiparib | Drug | 60mg administered orally BID for 4 days prior to surgical resection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Systemic plasma PK profile parameters | Total and unbound pamiparib concentration in enhancing and non-enhancing tumor tissue. | Day 4 Intra-operative sample |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-free survival in participants with demonstrated PK effects | 6-month progression-free survival (PFS6) rate measured from time of surgery to date of recurrence | 6 months |
| Overall survival |
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Inclusion Criteria:
Exclusion Criteria:
Current use of coumarin-derived anticoagulant for treatment, prophylaxis or otherwise, that cannot be discontinued prior to surgery. Therapy with heparin, low molecular weight heparin (LMWH) or fondaparinux is allowed.
Pregnancy or lactation.
Known allergic reactions to components of the pamiparib capsule/olaparib.
Active infection or fever >38.5°C requiring systemic antibiotic, antifungal or antiviral therapy within 4 weeks of Day 1.
Known to have active (acute or chronic) or uncontrolled severe infection, liver disease such as cirrhosis, decompensated liver disease, and active and chronic hepatitis.
Known active systemic bacterial infection (requiring intravenous [IV] antibiotics at time of initiating study treatment), fungal infection, or detectable viral infection (such as known human immunodeficiency virus positivity or with known active hepatitis B or C [for example, hepatitis B surface antigen positive]. Screening is not required for enrollment.
Any of the following cardiovascular criteria:
Participant has myelodysplastic syndrome/acute myeloid leukemia or with features suggestive of MDS/AML
Participant has serious and/or uncontrolled preexisting medical condition(s) that, in the judgment of the investigator, would preclude participation in this study (for example, interstitial lung disease, severe dyspnea at rest or requiring oxygen therapy, severe renal impairment], history of major surgical resection involving the stomach or small bowel, or preexisting Crohn's disease or ulcerative colitis or a preexisting chronic condition resulting in baseline Grade 2 or higher diarrhea).
Prior therapy with PARP inhibitors.
Treatment with another investigational drug or other intervention within 30 days prior to enrollment or within 5 half-lives of the investigational product, whichever is longer.
For Olaparib participants: Use or anticipated need for food and drugs known to be strong or moderate CYP3A inducers or inhibitors ≤10 days (or ≤5 half-lives, whichever is the shorter) prior to day 1.
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| Name | Affiliation | Role |
|---|---|---|
| Nader Sanai, MD | Director, Ivy Brain Tumor Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Joseph's Hospital and Medical Center | Phoenix | Arizona | 85013 | United States |
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| ID | Term |
|---|---|
| D005909 | Glioblastoma |
| ID | Term |
|---|---|
| D001254 | Astrocytoma |
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
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| ID | Term |
|---|---|
| C000707927 | pamiparib |
| C531550 | olaparib |
| D011878 | Radiotherapy |
| D000077204 | Temozolomide |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D003606 | Dacarbazine |
| D014226 | Triazenes |
| D009930 | Organic Chemicals |
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| Olaparib | Drug | 200mg administered orally BID for 4 days prior to surgical resection |
|
| Radiation therapy | Radiation | Patients in Phase 2 will receive 6-7 weeks of radiation therapy per standard of care |
|
| Temozolomide | Drug | Arm A and Arm B participants after RT is completed, will receive pamiparib in combination with TMZ (newly diagnosed participants). Arm C participants will receive olaparib with TMZ. |
|
Median overall survival
| 24 months |
| Drug-related toxicity | Incidence of drug-related toxicity | 24 months |
| Adverse events | Number of Adverse Events through study completion, assessed up to 24 months | 24 months |
| Treatment-emergent adverse events | Number of treatment-emergent adverse events | 24 months |
| Deaths | Number and incidence of deaths | 24 months |
| Pharmacodynamics (PD) of pamiparib | Quantification of PAR concentration in tumor homogenates | Day 4 Intra-operative sample |
| D009373 |
| Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
| D007093 |
| Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |