NCT02815410

Brief Summary

Prospective, open-labeled, multicenter cohort trial for validation of the role of levetiracetam as a sensitizer of temozolomide in the treatment of newly diagnosed glioblastoma patients.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
73

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Jul 2016

Longer than P75 for phase_2

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 14, 2016

Completed
14 days until next milestone

First Posted

Study publicly available on registry

June 28, 2016

Completed
3 days until next milestone

Study Start

First participant enrolled

July 1, 2016

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2019

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2022

Completed
Last Updated

June 28, 2016

Status Verified

June 1, 2016

Enrollment Period

2.9 years

First QC Date

June 14, 2016

Last Update Submit

June 23, 2016

Conditions

Keywords

Glioblastoma MultiformeLevetiracetamTemozolomideSurvival outcome

Outcome Measures

Primary Outcomes (1)

  • 6 months Progression free survival

    from the first operation to following 6 months

Secondary Outcomes (1)

  • Overall survival

    from the first operation to following 36 months

Study Arms (1)

Levetiracetam

OTHER

Newly diagnosed histologically proven supratentorial glioblastoma patients received levetiracetam during and after their CCRT

Drug: levetiracetam

Interventions

Patients in this group are with newly diagnosed glioblastoma patients who are supposed to be treated with concurrent chemoradiotherapy (CCRT) and adjuvant chemotherapy with temozolomide (TMZ). Patients ( intervention Group) will be given levetiracetam (LEV) from the beginning of treatment till after the adjuvant chemotherapy with TMZ is over.

Also known as: keppra®
Levetiracetam

Eligibility Criteria

Age20 Years - 76 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Newly diagnosed histologically proven supratentorial glioblastoma (World Health Organization \[WHO\] Grade IV). The histological diagnosis must be obtained from a neurosurgical resection or biopsy of a tumor including an open biopsy or stereotactic biopsy.
  • Age 20 -76 years
  • Eastern Cooperative Oncology Group performance status (ECOG PS) of 0-2
  • Meets 1 of the following RPA classifications:
  • Class III (Age \<50 years and ECOG PS 0) 4-2. Class IV (meeting one of the following criteria: a) Age \<50 years and ECOG PS 1 or b) Age ≥50 years, underwent prior partial or total tumor resection, MMSE ≥27) 4-3. Class V (meeting one of the following criteria: a) Age ≥50 years and underwent prior partial or total tumor resection, MMSE \<27 or b) Age ≥50 years and underwent prior tumor biopsy only)
  • Adequate hematologic, renal, and hepatic function:
  • ANC \> 1,500/uL Platelet \> 100,000/uL Serum creatinine \<1.7mg/dL Bilirubin level \< 2.0 mg/dL AST/ALT \< 2.5 x upper limit of normal range of each institution
  • Written informed consent

You may not qualify if:

  • Prior chemotherapy within last 5 years
  • Prior radiotherapy of the head and neck area
  • Receiving concurrent investigational agents or has received an investigational agent within 30 days prior to randomization
  • Planned surgery for other diseases (e.g. dental extraction)
  • History of malignancy. Subjects with curatively treated cervical carcinoma in situ or basal cell carcinoma of the skin, or subjects who have been free of other malignancies for 5 years are eligible for this study
  • Pregnant or lactating women
  • Subject who disagree to follow acceptable methods of contraception
  • Concurrent illness including unstable heart disease despite appropriate treatment, history of myocardial infarction within 6 months, serious neurological or psychological disease, and uncontrolled infection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (4)

  • Kim YH, Kim T, Joo JD, Han JH, Kim YJ, Kim IA, Yun CH, Kim CY. Survival benefit of levetiracetam in patients treated with concomitant chemoradiotherapy and adjuvant chemotherapy with temozolomide for glioblastoma multiforme. Cancer. 2015 Sep 1;121(17):2926-32. doi: 10.1002/cncr.29439. Epub 2015 May 14.

    PMID: 25975354BACKGROUND
  • Guthrie GD, Eljamel S. Impact of particular antiepileptic drugs on the survival of patients with glioblastoma multiforme. J Neurosurg. 2013 Apr;118(4):859-65. doi: 10.3171/2012.10.JNS12169. Epub 2012 Nov 23.

    PMID: 23176328BACKGROUND
  • Kerkhof M, Dielemans JC, van Breemen MS, Zwinkels H, Walchenbach R, Taphoorn MJ, Vecht CJ. Effect of valproic acid on seizure control and on survival in patients with glioblastoma multiforme. Neuro Oncol. 2013 Jul;15(7):961-7. doi: 10.1093/neuonc/not057. Epub 2013 May 16.

    PMID: 23680820BACKGROUND
  • Hwang K, Kim J, Kang SG, Jung TY, Kim JH, Kim SH, Kang SH, Hong YK, Kim TM, Kim YJ, Choi BS, Chang JH, Kim CY. Levetiracetam as a sensitizer of concurrent chemoradiotherapy in newly diagnosed glioblastoma: An open-label phase 2 study. Cancer Med. 2022 Jan;11(2):371-379. doi: 10.1002/cam4.4454. Epub 2021 Nov 30.

MeSH Terms

Conditions

Glioblastoma

Interventions

Levetiracetam

Condition Hierarchy (Ancestors)

AstrocytomaGliomaNeoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Glandular and EpithelialNeoplasms, Nerve Tissue

Intervention Hierarchy (Ancestors)

AcetamidesAmidesOrganic ChemicalsAcetatesAcids, AcyclicCarboxylic AcidsPyrrolidinonesPyrrolidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Officials

  • Chae-Yong Kim, PhD

    Seoul National University Bundang Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Chae-Yong Kim, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

June 14, 2016

First Posted

June 28, 2016

Study Start

July 1, 2016

Primary Completion

June 1, 2019

Study Completion

June 1, 2022

Last Updated

June 28, 2016

Record last verified: 2016-06

Data Sharing

IPD Sharing
Will not share