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| ID | Type | Description | Link |
|---|---|---|---|
| 2025-520563-41-00 | EU Trial (CTIS) Number | ||
| 2025-A00107-42 | Other Identifier | ANSM |
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The primary objective of this clinical trial is to determine the safety and tolerability of two doses of light in intraoperative PDT added to standard of care; temozolomide-based chemotherapy in male and female patients aged 18 to 75 with newly diagnosed glioblastoma.
This treatment will be carried out in addition to the maximal surgical resection. Data collected during this trial will be used to design the upcoming pivotal study .
The study will utilize an independent Data and Safety Monitoring Board (iDSMB) that will review safety data to allow dose escalation.
This study is a non randomized, open label, multicentercenter , phase 1/2 trial with a sequential enrollment in a 3+3 dose escalation design to establish the maximal tolerated dose of light (MTD).
The dose of light will be escalated in successive cohorts of patients until at least 1 patient experiences a dose-limiting toxicity (DLT).
A DLT is defined as any grade ≥ 3 Adverse Event (AE), or any relevant grade 2 AE of Central Nervous System or any Serious Adverse Events (SAEs) possibly, probably or definitively related to the intraoperative PDT (i.e., 5-aminolevulinic acid hydrochloride (5-ALA HCl) administration + brain cavity illumination), for which the onset date is within 28 days after the procedure, and where conservative therapy fails and surgical is required, according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
After dose escalation patient will be followed in the standard of care until visit at 6 months to evaluate the progression free survival.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 200 J/cm^2 | Experimental | Patient will undergo intraoperative Photodynamic therapy at 200 J/cm^2 |
|
| 400 J/cm^2 | Experimental | Patient will undergo intraoperative Photodynamic therapy at 400 J/cm^2 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 5-ALA HCl intraoperative Photodynamic Therapy (PDT) at 200 J/cm^2 | Combination Product | 5-ALA HCl, 20 mg/kg, is orally administered 4-6 hours before the surgery. Then after resection of tumor tissue is judged maximal, the intraoperative PDT procedure is initiated at 200 J/cm^2. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal Tolerated Dose (MDT) of light for Photodynamic Therapy | Evaluation of Dose Limiting Toxicities (DLT) to define MDT | 4 weeks after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment response / Progression-free survival (PFS) | MRI imaging and RANO criteria | Up to 6 months after intervention |
| Number of Adverse Events and Serious Adverse Events (Safety and Tolerability) |
| Measure | Description | Time Frame |
|---|---|---|
| Usability of the Heliance® Solution in the operating room | Score of usability calculated from usefulness, ease of use, ease of learning and satisfaction/intention of use measures | During Procedure |
Inclusion criteria I01. Males or females must be between 18, or legal age of consent, and 75 years of age (both included) at the time of signing informed consent.
I02. Signed informed consent which includes compliance with requirements and restrictions listed in the informed consent.
I03. Newly diagnosed GBM, presumed on the basis of clinical and MRI criteria (intra-axial brain tumor with peripheral rim contrast enhancement).
I04. Karnofsky Performance Score ≥70 I05. Eligible for surgery. I06. Amenable to maximal tumor resection based on MRI. I07. Planned to receive SOC (i.e., Stupp Protocol) treatment after surgery. I08. Ability to take oral medications. I09. Tumor eligible to PDT procedure as validated by both investigator and sponsor based on pre-operative MRI data
Exclusion criteria
1.Medical conditions E01.
E11. Febrile illness
Contraindication
E12. Contraindication to 5-ALA HCl administration, including:
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| Name | Affiliation | Role |
|---|---|---|
| Jan Drappatz, MD | UPMC Presbyterian Shadyside Hospital, Pittsburgh, PA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UPMC Hillman Cancer center | Pittsburgh | Pennsylvania | 15213 | United States | ||
| CHU De Lille, Hôpital Roger Salengro |
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3+3 model.The dose of light will be escalated in successive cohorts of patients. The starting dose is at 200 J/cm2. Enroll 3 patients at the first dose level and proceed to the next higher dose level with a cohort of 3 patients until at least 1 patient experiences a dose-limiting toxicity (DLT).
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| 5-ALA HCl intraoperative Photodynamic Therapy (PDT) at 400 J/cm^2 | Combination Product | 5-ALA HCl, 20 mg/kg, is orally administered 4-6 hours before the surgery. Then after resection of tumor tissue is judged maximal, the intraoperative PDT procedure is initiated at 400 J/cm^2. |
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Global clinical safety data of 5-ALA HCl Intraoperative PDT
| 6 months |
| Lille |
| 59037 |
| France |
| ID | Term |
|---|---|
| D005910 | Glioma |
| D005909 | Glioblastoma |
| ID | Term |
|---|---|
| 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 |
| D001254 | Astrocytoma |
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| ID | Term |
|---|---|
| C008848 | 1-phenyl-3,3-dimethyltriazene |
| D000622 | Aminolevulinic Acid |
| ID | Term |
|---|---|
| D007982 | Levulinic Acids |
| D007651 | Keto Acids |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
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