TPI 287 in Patients With Recurrent Glioblastoma Multiforme

NCT01113463 | Terminated Phase 2 Results

• 2 other identifiers: 2009-0759NCI-2011-01303
• Study Type: interventional
• Target: 17
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical research study is to learn if TPI 287 can help to control glioblastoma. The safety of this drug will also be studied.

Conditions

Brain Cancer

Keywords

Brain Tumor; Central Nervous System; CNS; Glioblastoma Multiforme; GBM; TPI 287; Radiation Therapy; Temozolomide; Chemotherapy; taxanes

Outcome Measures

Primary Outcomes (1)

• Progression-Free Survival (PFS) at 6 Months

  PFS defined as number of participants alive without documented evidence of disease progression ("progression free") at 6 months. Progression-free survival calculated from the date of Day 1 Cycle 1 to the date that criteria for progression of disease is first seen. Progression is defined as 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).

  6 months (following nine 21-day cycles)

Secondary Outcomes (1)

• Number of Participants by Response Criteria

  Response obtained between days 15 and 21 of every even cycle and/or when clinically indicated, up to 6 months (approximately 9 completed cycles)

Study Arms (1)

TPI 287

EXPERIMENTAL

TPI 287 Starting dose 160 mg/m\^2 intravenous (IV) every 3 weeks

Drug: TPI 287

Interventions

TPI 287 DRUG

Starting dose of 160 mg/m\^2 as a 60-minute (± 10 minutes) IV infusion once every 3 weeks, (i.e., 1 cycle = 21 days).

TPI 287

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients must have histological or cytological documentation of GBM. Patients will be eligible if the original histology was lower grade glioma and a subsequent diagnosis of glioblastoma or gliosarcoma is made.
• Patients must have supratentorial GBM that has radiographic recurrence or progression following prior radiation therapy and temozolomide for GBM or lower grade glioma, or the appearance of new lesions on scan, or clinical or neurologic worsening despite stable disease on the last 2 scans.
• Patients must have measurable disease on radiologic scan.
• Patients must be \>/= 18 years of age.
• Patients must have a Karnofsky performance status \>/= 60%.
• Patients must have adequate bone marrow as evidenced by an absolute neutrophil count \>/=1,500/uL and a platelet count \>/=100,000/uL.
• Patients must have adequate renal function as evidenced by serum creatinine \<= the upper limit of normal (ULN)
• Patients must have adequate hepatic function as evidenced by serum total bilirubin \</= 2.0 mg/dL and aspartate aminotransferase (AST or SGOT)/alanine aminotransferase (ALT or SGPT) \</= 3 times the ULN.
• Patients must have recovered from the effects of any prior surgery, radiotherapy or other chemotherapy with any therapy related adverse events revolved to \</= grade 1, and at least 12 weeks must have elapsed from the completion of radiotherapy, and 3 weeks from the last dose of Temozolomide.
• Women of child-bearing potential (includes women who are menopausal for less than 1 year and not surgically sterilized) must have a negative urine or serum pregnancy test at screening.
• Sexually active patients must agree to use adequate contraception (two barrier methods) for the duration of the study.
• Patients or their legal representative must be able to read, understand and sign an informed consent form (ICF).

You may not qualify if:

• Patients who have received more than one course of radiation therapy or more than a total dose of 65 grey (Gy). Patients may have received radiosurgery as part of the initial therapy (i.e., in addition to one course of radiation therapy); however, the dose used for the radiosurgery counts against the total dose limit listed above.
• Patients who have had a second surgery for recurrent disease who have no radiologically apparent residual disease (contrast-enhanced MRI imaging must have been performed within 24-48 hours post-operatively).
• Patient who have received any cytotoxic chemotherapy for treatment of GBM other than temozolomide (Gliadel trademarked as part of the initial therapy is permitted). However, patients who have received prior biologic therapy will be eligible.
• Patients who are receiving concurrent enzyme-inducing anti-epileptic drugs (EIAEDs) (e.g., carbamazepine, oxcarbazepine, phenytoin, fosphenytoin, phenobarbital and primidone) or who received EIAEDs within 2 weeks prior to the first dose of study drug.
• Patients who are not on a stable or decreasing steroid dose for the previous week prior to the study enrollment.
• Patients with an active infection or with a fever \>/= 38.5°C within 3 days prior to the study enrollment.
• Patients who have history of prior malignancy within the past 5 years except for curatively treated non-melanoma skin cancer or cervical intra-epithelial neoplasia for which the patient has been disease-free for at least 3 years.
• Patients with Grade 2 or higher peripheral neuropathy.
• Patients with New York Heart Association(NYHA) Class 3 or 4 congestive heart failure.
• Patients with known HIV or Hepatitis B or C.
• Patients who are pregnant or lactating.
• Patients with any other medical condition, including mental illness or substance abuse, deemed by the Investigator to be likely to interfere with the patient's ability to sign the ICF or his/her ability to cooperate and participate in the study, or to interfere with the interpretation of the results.
• Patients who have received prior bevacizumab therapy.

Sponsors & Collaborators

• M.D. Anderson Cancer Center: lead
• Cortice Biosciences, Inc.: collaborator

Study Sites (1)

UT MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

• University of Texas MD Anderson Cancer Center Official Website

MeSH Terms

Conditions

Brain Neoplasms; Glioblastoma

Interventions

TPI-287

Condition Hierarchy (Ancestors)

Central Nervous System Neoplasms; Nervous System Neoplasms; Neoplasms by Site; Neoplasms; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Astrocytoma; Glioma; Neoplasms, Neuroepithelial; Neuroectodermal Tumors; Neoplasms, Germ Cell and Embryonal; Neoplasms by Histologic Type; Neoplasms, Glandular and Epithelial; Neoplasms, Nerve Tissue

Limitations and Caveats

Not enough subjects were enrolled to perform any meaningful statistical analysis.

Results Point of Contact

• Title: Charles A. Conrad, MD / Professor, Neuro Oncology
• Organization: University of Texas MD Anderson Cancer Center

CR_Study_Registration@mdanderson.org

713-792-2883

Study Officials

• Charles A. Conrad, MD

  UT MD Anderson Cancer Center

  STUDY CHAIR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 27, 2010
• First Posted: April 30, 2010
• Study Start: April 1, 2010
• Primary Completion: June 1, 2011
• Study Completion: December 1, 2012
• Last Updated: October 31, 2016
• Results First Posted: October 31, 2016

Record last verified: 2016-09

Locations

US (1)