A Study of NanO2™ Combined With Radiation and Temozolomide in Patients With Newly Diagnosed GBM
RESTORE
A Phase II Double-blind, RandomizEd, Prospective, Placebo Controlled STudy of NanO2TM Combined With Radiation and Temozolomide in Patients With Newly-diagnosed Glioblastoma multiformE: RESTORE
1 other identifier
interventional
87
1 country
12
Brief Summary
This clinical trial is testing the safety and efficacy of NanO2TM administered via intravenous infusion in combination with standard radiation and chemotherapy. NanO2TM is being developed to increase the amount of oxygen delivered to tumors which is hoped to increase the effectiveness of radiation therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Mar 2023
Typical duration for phase_2
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 1, 2019
CompletedFirst Posted
Study publicly available on registry
March 5, 2019
CompletedStudy Start
First participant enrolled
March 31, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2026
October 9, 2025
June 1, 2025
3.3 years
March 1, 2019
October 7, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Progression-Free Survival (PFS)
To determine progression free survival (PFS) in newly-diagnosed glioblastoma patients after treatment with NVX-108 in combination with radiation and temozolomide (TMZ)
22 months
Secondary Outcomes (7)
Overall Survival
22 Months
Response assessment by mRANO
22 Months
Response assessment for pseudoprogression
22 Months
To confirm that NanO2 re-oxygenation
22 Months
To estimate the effect on the duration of functional independence
22 Months
- +2 more secondary outcomes
Study Arms (2)
NanO2TM
EXPERIMENTALNanO2TM infusion in conjunction with Radiation Treatment and temozolomide
Placebo
PLACEBO COMPARATORPlacebo Saline infusion in conjunction with Radiation Treatment and temozolomide
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed, newly diagnosed primary or secondary glioblastoma multiforme.
- Treatment plan includes 60 Gy of focal radiation administered in 30 fractions, concurrently with temozolomide chemotherapy.
- Manageable risks associated with potential radiation necrosis in the radiation field, based on size of the field and proximity to eloquent brain regions (as assessed by the investigator).
- Aged 18 years and older.
- Karnofsky Performance Status ≥ 70
- Life expectancy of at least 3 months.
- Able to undergo gadolinium-enhanced MRI (Gd-MRI) scans.
- Baseline MRI performed within 7 days before starting study treatment while on a stable or decreasing glucocorticoid dose for at least 7 days before and during the imaging study.
- Adequate hematologic, renal and hepatic function, as defined by:
- Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
- Platelet count ≥ 75 x 109/L
- Hemoglobin ≥ 10.0 g/dl
- Serum creatinine \< 1.5 x ULN
- Total bilirubin within normal limits (≤ 2.5 x ULN if Gilbert's syndrome)
- Aspartate transaminase (AST) and Alanine transaminase (ALT) \< 2.5 x ULN
- +2 more criteria
You may not qualify if:
- Recurrent Glioblastoma
- Prior treatment for glioblastoma apart from surgical resection.
- Presence of multi-focal glioblastoma disease that cannot be encompassed into a radiation treatment field that would be safely treated to the prescribed radiation dose.
- Presence of leptomeningeal disease that cannot be encompassed within a feasible and safe radiation field.
- Intracranial bleeding, except for stable grade 1 hemorrhage or a post-operative bleed that is clearing.
- Has not recovered from the adverse effects of surgical resection or biopsy, except for neurological deficits.
- Subjects who have received any other investigational agent within 4 weeks before enrollment
- Stroke or transient ischemic attack requiring hospitalization within 6 months before enrollment.
- Myocardial infarction (MI) within 6 months before enrolment, unstable angina, New York Heart Association (NYHA) class II or greater congestive heart failure, or uncontrolled hypertension (systolic BP \> 160 mmHg and/or diastolic BP \> 100 mmHg).
- Known History of Congenital long QT syndrome (12-lead EKG is not required).
- Clinically significant chronic obstructive pulmonary disease or asthma.
- Active major infection requiring treatment.
- A history of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in-situ cancers or other solid tumors curatively treated with no evidence of disease for ≥ 2 years.
- Known infection with human immunodeficiency virus or hepatitis B or C virus (testing is not required).
- Current anticoagulant or antiplatelet therapy, except for prophylactic doses of low molecular weight heparins, low-dose aspirin, rivaroxaban (Xarelto®), apixaban (Eliquis®), or dabigatran (Pradaxa®).
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- NuvOx LLClead
Study Sites (12)
Center for Neurosciences
Tucson, Arizona, 85718, United States
University of Arizona
Tucson, Arizona, 85719, United States
UC Irvine Health- Chao Family Comprehensive Cancer Center
Orange, California, 92868, United States
Providence St. John's Cancer Institute
Santa Monica, California, 90404, United States
Yale Cancer Center
New Haven, Connecticut, 06520, United States
St. Francis Medical Center, OSF Healthcare
Peoria, Illinois, 61637, United States
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121, United States
Saint Luke's Cancer Institute
Kansas City, Missouri, 64111, United States
Atlantic Health System
Summit, New Jersey, 07901, United States
Duke University Medical Center
Durham, North Carolina, 27710, United States
University Hospitals Seidman Cancer Center
Cleveland, Ohio, 44106, United States
Inova Schar Cancer Institute
Fairfax, Virginia, 22031, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 1, 2019
First Posted
March 5, 2019
Study Start
March 31, 2023
Primary Completion (Estimated)
June 30, 2026
Study Completion (Estimated)
September 30, 2026
Last Updated
October 9, 2025
Record last verified: 2025-06