Title
NG101m Adjuvant Therapy in Glioblastoma Patients
A Multi-Center Pilot/Phase I and Phase II Clinical Trial of NG101m Adjuvant Therapy in Newly Diagnosed Glioblastoma Patients
Phase
Phase 1/Phase 2Lead Sponsor
NeuGATE TheranosticsStudy Type
InterventionalStatus
Not yet recruitingIndication/Condition
Glioblastoma MultiformeIntervention/Treatment
Temozolomide NG101m ...Study Participants
52The purpose of this clinical trial is to evaluate the addition of NG101m adjuvant therapy to standard of care treatment of glioblastoma multiforme. All subjects will receive NG101m capsules along with the standard treatment of temozolomide and radiation.
Glioblastoma multiforme (GBM) is the most lethal form of malignant brain cancer, with about 12,000 new cases diagnosed each in the the United States. The current standard treatment consists of maximal, safe resection, followed by radiation therapy of 60 Gray (Gy) with concomitant oral temozolomide (TMZ) for 6 weeks, then continue with six cycles of high-dose temozolomide. The median survival rate for newly diagnosed GBM patients is 14.6 months with a 2-year overall survival (OS) rate of 27.2%. This clinical trial evaluates the 2-year OS of oral NG101m as an adjuvant therapy to chemoradiotherapy in newly diagnosed GBM subjects.
Intensity-modulated radiation therapy (IMRT) in daily fractions of 2.67 Gy given 5 days per week for 3 weeks, for a total of 40.05 Gy.
Oral temozolomide (75 mg/m2), given 5 days per week, for 3 weeks during radiotherapy. 1 month after the discontinuation of radiotherapy, oral temozolomide is restarted at 150 to 200 mg/m2 for 5 days during each 28-day cycle for 12 cycles.
Concomittant therapy: Radiation therapy, oral temozolomide, and oral NG101m Adjuvant therapy: Oral temozolomide and oral NG101m
Inclusion Criteria: Male or female subjects ≥ 18 years of age Must be newly diagnosed with GBM Primary treatment must consist of a chemoradiation therapy (CRT) regimen Hemoglobin > 9 g/dL White blood count 3,600 - 11,000/mm3 Absolute neutrophil count (ANC) ≥ 1,500/mm3 Absolute lymphocyte count (ALC) ≥ 1,000/mm3 Platelet count 100,000/mm3 BUN ≤ 1.5 times upper limit of normal Creatinine clearance rate > 40 mL/min ALT ≤ 3 times upper limit of normal AST ≤ 3 times upper limit of normal Alkaline phosphatase ≤ 3 times upper limit of normal Total bilirubin ≤ 2.0 mg/dL Karnofsky Performance Status ≥ 70 Must not be on any other alternative therapies Not pregnant Exclusion Criteria: Known hypersensitivity to meloxicam, famotidine, and/or caffeine or any of their derivatives or components Known allergy to vitamin A, vitamin D3, and/or L-citrulline Pregnant women Breastfeeding women Corticosteroid therapy that cannot be tapered down to a dose of 1 - 2 mg/day of dexamethasone or its equivalent History of immunodeficiency diseases or autoimmune diseases History of peptic ulcer disease or gastrointestinal perforation