Glioblastoma Multiforme (GBM) Clinical Trial
Official title:
TAU-2014-1: Phase I Trial of Mibefradil Dihydrochloride With Hypofractionated Re-Irradiation Therapy in Treating Patients With Recurrent Glioblastoma Multiforme (GBM)
This is a dose-escalation study that will assess the safety and determine the maximum tolerated dose (MTD) of mibefradil dihydrochloride, a partially selective T-type calcium channel blocker, combined with hypofractionated radiation therapy (RT) in subjects with recurrent glioblastoma multiforme (GBM).
Patients will receive mibefradil dihydrochloride, which will be dose escalated from 150mg/day
until the maximum tolerated dose (MTD) is determined, or until a dose of 350 mg/day is
reached using a standard 3 + 3 design. Mibefradil dihydrochloride will be dosed orally in 4
divided doses per day for 17 consecutive days to the MTD. The MTD will be determined
according to dose-limiting toxicities (DLTs) graded using the Common Terminology Criteria for
Adverse Events version 4.0. Radiation therapy (RT) consists of 5 fractions of 600 centigray
(cGy) each, delivered over 2 consecutive weeks for a total dose of 3,000 cGy, using
stereotactic, intensity-modulated radiation therapy (IMRT).
The primary endpoint of the study is to determine the MTD of mibefradil dihydrochloride when
given with concurrent hypofractionated RT. Secondary and tertiary endpoints include
evaluating the efficacy of mibefradil dihydrochloride and RT in terms of progression-free
survival (PFS) and overall survival (OS), and to perform translational research on resected
tumor tissue.
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