FPS-ZM1 With or Without Dexamethasone for Controlling Post Operative Cerebral Edema in Patients With Glioblastoma

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorCity of Hope Medical Center

About this trial

This phase I trial tests the safety, side effects, best dose and how well FPS-ZM1 works for controlling post operative cerebral edema in patients with glioblastoma. FPS-ZM1 works by blocking the pathway that controls inflammation. Dexamethasone is in a class of medications called corticosteroids. It is used to reduce inflammation and lower the body's immune response to help lessen the side effects of chemotherapy drugs. Giving FPS-ZM1 with or without dexamethasone may be safe and/or effective in controlling post operative cerebral edema in patients with glioblastoma.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Documented informed consent given by the participant. Non-English speaking adults are eligible for participation if they have the capacity to understand and consent to the study procedures

Age: ≥ 18 years

Karnofsky Performance Status (KPS) ≥ 70%

Histologically confirmed glioblastoma or radiographic findings consistent with a high grade glioma

Disqualifiers

The patient is taking a medication that is a strong or moderate inducer or inhibitor of major CYP450 isoenzymes and drug transporters, and the patient is not able to stop that medication at least 14 days prior to start of study treatment

The patient has a risk factor for torsades de pointes, such as structural heart disease (history of myocardial infarction, congestive heart failure, left ventricular hypertrophy), electrolyte abnormalities (hypokalemia, hypomagnesemia), bradycardia or heart blocks, or a family history of Long QT syndrome

The patient is taking a medication that prolongs the QT/QTc interval and is not able to stop that medication at least 14 days prior to start of study treatment

The patient is unwilling to stop taking herbal medications prior to the start of study treatment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Biospecimen Collection

    Procedure/Surgery

    Undergo blood, dialysate, intracavity fluid, and urine sample collection

  • Computed Tomography

    Procedure/Surgery

    Undergo CT scan

  • Dexamethasone

    Drug

    Given IV or PO

  • Invasive Procedure

    Procedure/Surgery

    Undergo placement of a temporary peritumoral microdialysis catheter

  • Invasive Procedure

    Procedure/Surgery

    Undergo intracavity drain placement

  • Magnetic Resonance Imaging

    Procedure/Surgery

    Undergo MRI

  • RAGE Antagonist FPS-ZM1

    Drug

    Given PO

  • Resection

    Procedure/Surgery

    Undergo resection surgery

Treatment groups

24 Participants
are divided into 2 treatment groups
Group A: Arm I (FPS-ZM1 and dexamethasone)Experimental treatment 7 interventions
Group B: Arm II (FPS-ZM1)Experimental treatment 7 interventions

Trial outcomes

Primary outcomes

1

RAGE Antagonist FPS-ZM1 (FPS-ZM1) related adverse events

Assessed per Common Terminology Criteria for Adverse Events (CTCAE) version 6.0.

Time frame
Up to 30 days post surgery
2

Dose limiting toxicity rate

Assessed per CTCAE version 6.0.

Time frame
Up to 30 days post surgery

Secondary outcomes

1

Doses of dexamethasone taken post-operatively by study participants on dose Level 4

Time frame
Up to 30 days post surgery
2

FPS-ZM1 concentrations in enhancing tumor tissue

Time frame
Up to 30 days post surgery
3

FPS-ZM1 concentrations in non-enhancing tumor tissue

Time frame
Up to 30 days post surgery
4

FPS-ZM1 concentrations in cerebrospinal fluid (CSF)

Time frame
Up to 30 days post surgery

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

City of Hope Medical Center

Lead sponsor

National Cancer Institute (NCI)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: