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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02052648
Other study ID # NLG2102
Secondary ID
Status Completed
Phase Phase 1/Phase 2
First received
Last updated
Start date March 2014
Est. completion date June 20, 2019

Study information

Verified date February 2024
Source Lumos Pharma
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

In this study, investigators will conduct a phase I/II trial in recurrent (temozolomide resistant) glioma patients. The overall goal of this study is to provide a foundation for future studies with indoximod tested in newly diagnosed glioblastoma patients with radiation and temozolomide, or in combination with vaccine therapies.


Description:

The aim of this study is to identify the safety profile and the recommended dose for phase 2 study of the combination of indoximod (portion 1, phase 1b study). Investigators will then evaluate the tolerability and the preliminary activity in patients with recurrent GBM in three different situations: - Combination of indoximod and temozolomide (bevacizumab-naive patients) - Combination of indoximod and temozolomide in patients currently receiving or having received and failed bevacizumab. - Combination of indoximod and temozolomide with stereotactic radiation. Ancillary studies will be conducted to assess the correlation between intra-tumoral IDO expression or serum biomarkers (immune monitoring) and treatment efficacy. If the current study shows an acceptable safety profile and suggests preliminary evidence of activity, this will provide the justification for subsequent randomized phase 2 studies in refractory glioblastoma multiforme (GBM).


Recruitment information / eligibility

Status Completed
Enrollment 160
Est. completion date June 20, 2019
Est. primary completion date April 18, 2018
Accepts healthy volunteers No
Gender All
Age group 16 Years and older
Eligibility Inclusion Criteria: - Histologically proven intracranial glioblastoma multiforme (WHO grade IV glioma) or gliosarcoma. In addition, the Phase 1b cohort will include patients with progressive WHO grade III glioma. - Patients will be eligible if the original histology was lower grade glioma and a subsequent diagnosis of glioblastoma or gliosarcoma is made. - Unequivocal radiographic evidence for tumor progression by MRI. It is understood that some patients may be resected prior to enrolling onto protocol - Patients must have completed a course of radiation therapy and at least 2 adjuvant cycles of temozolomide for the phase 2 component. - Patients enrolling onto Cohort 2b who have been taken off bevacizumab must have had at least a 28 day washout from any previous administration of bevacizumab. It is preferred that patients who fail bevacizumab prior to trial entry remain on bevacizumab in the trial. - Prior temozolomide is not required for the phase 1 component; prior radiation is required for the phase 1 arm. - Patients must be on a steroid dose less than or equal to 2 mg of dexamethasone daily (or equivalent), and this dose must not have increased for at least 14 days prior to obtaining the enrollment. - ECOG performance status =1 or Karnofsky =70%. - Age between 16 - Must be 28 days from the administration of any investigational agent or prior cytotoxic therapy with the following exceptions: - Must be 14 days from administration of non-cytotoxic agents (e.g., bevacizumab (except COHORT 2b), interferon, tamoxifen, thalidomide, cis-retinoic acid, tyrosine kinase inhibitor, etc.). Exclusion Criteria: - Prior invasive malignancy that is not low-grade glioma, high-grade glioma, glioblastoma, or gliosarcoma (except non-melanomatous skin cancer or carcinoma in situ of the cervix) unless the patient has been disease free and off therapy for that disease for a minimum of 3 years. - Patients on the phase 2 portion of the study may not have more than 2 prior regimens for recurrent disease for glioblastoma/gliosarcoma. Patients on the phase 1 portion of the study may not have had more than 3 prior regimens. - Systemic corticosteroid therapy > 2 mg of dexamethasone daily (or equivalent) at study enrollment. - Active or history of autoimmune disease

Study Design


Intervention

Drug:
Indoximod

Temozolomide

Bevacizumab

Radiation:
Stereotactic Radiation


Locations

Country Name City State
United States University of New Mexico Comprehensive Cancer Center Albuquerque New Mexico
United States University Cancer and Blood Center Athens Georgia
United States Children's Healthcare of Atlanta Atlanta Georgia
United States Augusta University Augusta Georgia
United States Texas Oncology Austin Texas
United States Eden Medical Center Castro Valley California
United States University of Chicago Chicago Illinois
United States Virginia Cancer Specialists Fairfax Virginia
United States Penn State Hershey Medical Center Hershey Pennsylvania
United States University of Iowa Hospitals and Clinics Iowa City Iowa
United States University of Kentucy Lexington Kentucky
United States Cedars-Sinai Medical Center Los Angeles California
United States John Nasseff Neuroscience Institute Minneapolis Minnesota
United States UC Irvine Chao Family Comprehensive Cancer Center Orange California
United States Huntsman Cancer Center Salt Lake City Utah
United States Moffitt Cancer Center Tampa Florida
United States Wake Forest Baptist Health Comprehensive Cancer Center Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
NewLink Genetics Corporation

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Frequency of Regimen-Limiting Toxicities (RLTs) in Phase 1 Subjects Number of RLTs observed in each dose level. 3 months
Primary Phase 2: Number of Phase 1 Participants With Efficacy Outcomes Six-month progression-free survival. 6 months
Secondary Overall Response Rate for Phase 2 Participants Subjects with a complete response or partial response by RANO assessment. Overall Response Rate was only assessed in phase 2 subjects on this trial. 18 months
Secondary Number of Participants With Adverse Events as a Measure of Safety and Tolerability Number of subjects with at least 1 treatment emergent adverse event. 18 Months
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