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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-502156-31 | EudraCT Number | ||
| U1111-1283-6423 | Other Identifier | UTN Number (World Health Organization) |
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The primary purpose of the Phase 1 (Dose Escalation) of this study is to identify the dose-limiting toxicities (DLTs) of Debio 0123 combined with temozolomide (TMZ) (Arm A) and with TMZ and radiotherapy (RT) (Arms B and C) and to characterize the safety and tolerability of these combinations in adult participants with glioblastoma (GBM). Arm B which was previously added to the protocol, has been permanently halted per the safety monitoring committees' decision on the safety findings of this arm.
The primary purpose of Phase 1 (Dose expansion) of the study is to assess the doses studied under Phase 1 (Dose Escalation) Arm A and identify the recommended dose (RD) for further development.
The Phase 2 will start once the RD Phase 1 has been defined. The primary objective of Phase 2 is to assess the efficacy of Debio 0123 at the RD for further development in combination with TMZ, compared to the standard of care (SOC) in adult participants with GBM.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1 (Dose Escalation): Arm A - Debio 0123 + Temozolomide | Experimental | Participants will receive intermittent Debio 0123, escalating doses along with temozolomide (TMZ) in each 28-day cycle for up to 2 years. |
|
| Phase 1 (Dose Escalation): Arm B - Debio 0123 + Temozolomide + Radiotherapy | Experimental | Participants will receive intermittent Debio 0123, escalating doses along with TMZ and concomitant administration of radiotherapy (RT) for up to 6 weeks. As per Protocol _V4.0 Arm B has been permanently halted. |
|
| Phase 1 (Dose Escalation): Arm C - Debio 0123 + Temozolomide + Radiotherapy | Experimental | Participants will receive intermittent Debio 0123, escalating doses along with TMZ and concomitant administration of radiotherapy (RT) for up to 6 weeks. |
|
| Phase 1 (Dose Expansion): Debio 0123 + Temozolomide | Experimental | Participants will receive Debio 0123, escalating doses along with temozolomide (TMZ) in each 28-day cycle for up to 2 years. Participants will receive one of the 2 selected doses for further investigation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Debio 0123 | Drug | Administered as capsules. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 (Dose Escalation): Number of Participants Experiencing Dose-limiting Toxicities (DLTs) | Phase 1: Arm A: Cycle 1 (Cycle=28 days); Arms B and C: Up to approximately 1.8 months | |
| Phase 1 (Dose Escalation): Number of Participants With At Least One Treatment-emergent Adverse Event (TEAE) | Up to 30 days after the end of treatment (Arm A: Up to approximately 26 months and Arms B and C: Up to approximately 3.5 months) | |
| Phase 1 (Dose Escalation): Number of Participants With Clinically Significant Abnormalities in Laboratory, Vital Signs, Electrocardiogram (ECG), and Echocardiogram (ECHO) Parameters | Up to 30 days after the end of treatment (Arm A: Up to approximately 26 months and Arms B and C: Up to approximately 3.5 months) | |
| Phase 1 (Dose Escalation): Change From Baseline in Karnofsky Performance Status (KPS) Score | KPS is an assessment tool for functional impairment. It is a standard way of measuring the ability of participants with cancer to perform ordinary tasks. The KPS scores range from 0 (death) to 100 (no evidence of disease). A higher score means the participant is better able to carry out daily activities. | Until disease progression or end of study (approximately 66 months) |
| Phase 1 (Dose Expansion): Number of Participants With At Least One Treatment-emergent Adverse Event (TEAE) | Up to approximately 26 months | |
| Phase 1 (Dose Expansion): Change from Baseline in Tumor Size Assessed by Objective Response (OR) as per Response Assessment in Neuro-oncology (RANO) Criteria | From the start of study treatment until disease progression or end of study (up to approximately 66 months) | |
| Phase 1 (Dose Expansion): Plasma Concentration of Debio 0123 and its Metabolite |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 (Dose Expansion): OS | From the start of study treatment until death from any cause or end of study (up to approximately 66 months) | |
| Phase 1 (Dose Escalation): Plasma Concentration of Temozolomide | The PK of temozolomide will be evaluated in plasma. |
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Screening Inclusion Criteria for Phase 1 and Phase 2:
Additional specific inclusion criteria for Phase 1 and Phase 2:
• A maximum of 1 [for Phase 1 (Dose Expansion) and phase 2] or 2 (Phase 1 Arm A) prior treatment lines of which first-line must be treatment with TMZ-based chemoradiotherapy (TMZ concomitantly with RT).
Note: Only 1 prior line of systemic therapy is allowed; combination therapy with TMZ and RT with or without subsequent TMZ maintenance treatment is considered as 1 systemic line. Prior surgery, radiation, or localized delivery of therapeutic agents (i.e., carmustine-containing wafers [GLIADEL®]) for first recurrence is allowed.
Additional specific inclusion criteria for Phase 1 Arm A:
Additional specific inclusion criteria for Phase 1 Arm B and C:
Additional specific inclusion criteria for Phase 1 dose expansion and Phase 2:
• Participants must have a histopathologically proven diagnosis of GBM, IDH-wildtype Grade 4 WHO 2021
Additional specific exclusion criteria for Phase 1 Arm A • Prior treatment with more than 2 lines of therapy for GBM, IDH-wildtype, Grade 4, or for astrocytoma, IDH-mutant, Grade 3
Additional specific exclusion criteria for Phase 1 and Phase 2
Additional specific exclusion criteria for Phase 1 Arm B and C:
Additional specific exclusion criteria for Phase 1 dose expansion and Phase 2
• Prior treatment with more than 1 line of systemic therapy for GBM, IDH-wildtype, Grade 4 (based on WHO 2021). Combination therapy with TMZ and RT with or without subsequent TMZ maintenance treatment is considered as 1 systemic line.
[Note: Other inclusion/exclusion criteria mentioned in the protocol may apply.]
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Debiopharm International S.A | Contact | +41 21 321 01 11 | clinicaltrials@debiopharm.com |
| Name | Affiliation | Role |
|---|---|---|
| Study Director | Debiopharm International SA | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern Memorial Hospital | Recruiting | Chicago | Illinois | 60611 | United States | |
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Parallel assignment applies to the arm groups within Phase 1 of the study. Sequential assignment will apply to Phases 1 and 2 of the study.
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| Phase 2: Debio 0123 RD + Temozolomide |
| Experimental |
Participants will receive intermittent Debio 0123 RD along with TMZ in each 28-day cycle for up to 2 years. |
|
| Temozolomide | Drug | Administered as capsules. |
|
| Radiotherapy | Radiation | Administered in accordance with the local clinical practice and applicable Radiation Therapy Oncology Group (RTOG) or the European Organization for Research and Treatment of Cancer (EORTC) guidelines. |
|
| Predose and at multiple timepoints up to 6 hours post dose up to Day 15 of Cycle 1 (Cycle=28 days) |
| Phase 1 (Dose Expansion): Pharmacodynamic(s) PDy, Change from baseline in Phosphorylated Cell Division Cycle (pCDC2) | Predose and 4 to 6 hours post dose on Day 10 of Cycle 1 (Cycle=28 days) |
| Phase 2: Overall Survival (OS) | From the start of study treatment until death from any cause or end of study (up to approximately 66 months) |
| Phase 1: Predose and at multiple timepoints up to 7 hours post dose up to Day 5 of Cycle 1 (Arm A) and up to Day 29 (Arm B and C) |
| Phase 1 (Dose Expansion): Number of Participants With Clinically Significant Abnormalities In Laboratory, Vital Signs, ECG, and (ECHO Parameters) | Up to 30 days after the end of treatment (up to approximately 26 months) |
| Phase 1 (Dose Expansion): Number of Participants With At Least one TEAE | Up to 30 days after the end of treatment (up to approximately 26 months) |
| Phase 1 (Dose Expansion): Change From Baseline in KPS Score | KPS is an assessment tool for functional impairment. It is a standard way of measuring the ability of participants with cancer to perform ordinary tasks. The KPS scores range from 0 (death) to 100 (no evidence of disease). A higher score means the participant is better able to carry out daily activities. | Until disease progression or end of study (approximately 66 months) |
| Phase 2: Change From Baseline in KPS Score | KPS is an assessment tool for functional impairment. It is a standard way of measuring the ability of participants with cancer to perform ordinary tasks. The KPS scores range from 0 (death) to 100 (no evidence of disease). A higher score means the participant is better able to carry out daily activities. | Until disease progression or end of study (approximately 66 months) |
| Phase 2: Number of Participants With Clinically Significant Abnormalities in Laboratory, Vital Signs, and ECG Parameters | Up to 30 days after the end of treatment (up to approximately 26 months) |
| Phase 2: Number of Participants With At Least One TEAE | Up to 30 days after the end of treatment (up to approximately 26 months) |
| Phases 1 and 2: Plasma Concentration of Debio 0123 and its Metabolite | The pharmacokinetics (PK) of Debio-0123 and its metabolite will be evaluated in plasma. | Phase1(Dose Escalation):Predose, multiple timepoints upto 8hours postdose upto Day 15 of Cycle 1(Arm A) and upto Day 29(Arms B and C);Phase1(Dose expansion)andPhase2: Predose, multiple timepoints upto 4hours postdose upto Day 15 of Cycle1(Cycle=28 days) |
| Phases 1 and 2: Percentage of Participants With Best Overall Response (BOR) Assessed As Per Response Assessment in Neuro-oncology (RANO) Criteria | From the start of study treatment until disease progression or end of study (up to approximately 66 months) |
| Phases 1 and 2: Percentage of Participants with Objective Response (OR) Assessed As Per RANO Criteria | Up to end of study (approximately 66 months) |
| Phases 1 and 2: Percentage of Participants With Disease Control (DC) Assessed As Per RANO Criteria | From the start of study treatment until disease progression or end of study (up to approximately 66 months) |
| Phases 1 and 2: Duration of Response (DOR) Assessed As Per RANO Criteria | Up to disease progression or end of study (up to approximately 66 months) |
| Phases 1 and 2: Progression Free Survival (PFS) Assessed As Per RANO Criteria | From the start of study treatment until disease progression or death or end of study (up to approximately 66 months) |
| New York University Langone Medical Center |
| Recruiting |
| New York |
| New York |
| 10016 |
| United States |
| David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center | Recruiting | New York | New York | 10021 | United States |
| Baylor Scott & White Research Institute | Recruiting | Dallas | Texas | 75246 | United States |
| The University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| South Texas Accelerated Research Therapeutics (START) | Recruiting | San Antonio | Texas | 78229 | United States |
| Huntsman Cancer Institute | Recruiting | Salt Lake City | Utah | 84112 | United States |
| Fred Hutchinson Cancer Research Center | Recruiting | Seattle | Washington | 98109 | United States |
| Hospital Universitario Vall d'Hebron | Recruiting | Barcelona | 08035 | Spain |
| Hospital Universitario Donostia | Recruiting | Donostia / San Sebastian | 20014 | Spain |
| Clinica Universidad de Navarra (CUN) | Recruiting | Madrid | 28027 | Spain |
| South Texas Accelerated Research Therapeutics (START) | Recruiting | Madrid | 28040 | Spain |
| Hospital Universitario 12 de Octubre | Recruiting | Madrid | 28041 | Spain |
| Clinica Universidad de Navarra (CUN) | Recruiting | Pamplona | 31008 | Spain |
| Hospital Clinico Universitario de Valencia | Recruiting | Valencia | 46010 | Spain |
| Universitaetsspital Zuerich | Recruiting | Zurich | CH-8091 | Switzerland |
| ID | Term |
|---|---|
| D001254 | Astrocytoma |
| D005909 | Glioblastoma |
| D008224 | Lymphoma, Follicular |
| ID | Term |
|---|---|
| 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 |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000077204 | Temozolomide |
| D011878 | Radiotherapy |
| ID | Term |
|---|---|
| D003606 | Dacarbazine |
| D014226 | Triazenes |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D013812 | Therapeutics |
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