WP1066 and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorNorthwestern University

About this trial

This phase II trial tests how well the combination of WP1066 and radiation therapy works in treating newly diagnosed glioblastoma. Glioblastoma is difficult to treat effectively because the cells within the tumor vary widely and are controlled by factors within and around the tumor, requiring multiple approaches to treat the tumor. The study drug WP1066 targets a specific pathway, known as STAT3, which is responsible for promoting tumor growth and causing the body's immune system to avoid attacking the tumor. Radiation therapy prevents glioblastoma from growing. Giving WP1066 with radiation therapy may prevent glioblastoma from growing and prolong survival.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Newly diagnosed, histologically confirmed World Health Organization (WHO) glioblastoma multiforme (GBM), IDH wild-type

External pathology reports are permitted for confirmation of histological diagnosis

Documentation of isocitrate dehydrogenase (IDH) wild-type status will be by IDH1 R123H immunohistochemistry, except for patients =< age 54 for whom IDH sequencing will be required to detect noncanonical IDH mutations

Documentation of O6-methylguanine-DNA methyltransferase (MGMT) unmethylated status per testing at any Clinical Laboratory Improvement Amendment (CLIA) certified laboratory

Disqualifiers

Receipt of investigational agents within =< 2 weeks prior to registration

Prior receipt of gene therapy, at any time

Prior receipt of bevacizumab, at any time

Prior receipt of Gliadel, at any time

Trial design

Design model

Parallel

Treatments tested in this trial

  • Biospecimen Collection

    Procedure/Surgery

    Undergo collection of blood

  • Magnetic Resonance Imaging

    Procedure/Surgery

    Undergo MRI

  • Radiation Therapy

    Radiation

    Undergo routine radiation therapy

  • STAT3 Inhibitor WP1066

    Drug

    Given PO

  • Surgical Procedure

    Procedure/Surgery

    Undergo removal or biopsy of tumor

Treatment groups

39 Participants
are divided into 2 treatment groups
Group A: Cohort I (WP1066, radiation)Experimental treatment 4 interventions
Group B: Cohort II (WP1066, radiation, surgery)Experimental treatment 5 interventions

Trial outcomes

Primary outcomes

1

Progression-Free Survival (PFS) (Cohort 1)

For PFS analysis, disease progression is defined as progressive disease (PD) per Response Assessment in Neuro-Oncology (RANO) criteria Will be summarized using the Kaplan-Meier method.

Time frame
From subject registration to the earlier of the day of first documented disease progression or death from any cause, assessed up to 36 months post-registration
2

Tumor microenvironment activation and cluster interactions (Cohort 2)

Time frame
Up to 36 months post-registration

Secondary outcomes

1

Overall Survival (OS)

Will be analyzed using similar methods to PFS.

Time frame
From the date of initial diagnosis until death from any cause, assessed up to 36 months
2

Overall Response Rate (ORR)

Defined as the proportion of treated subjects who experience a complete response (CR) or partial response (PR) per RANO criteria.

Time frame
Up to 36 months post-registration
3

Duration of response (DOR)

All eligible, registered subjects who have measurable disease at baseline, who have received at least 1 dose of trial therapy, and who experience a CR, PR, or SD per RANO criteria will be evaluable.

Time frame
Up to 36 months post-registration
4

Frequency of adverse events

According to the National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

Time frame
Up to 36 months post-registration

Other outcomes

Sponsors and contacts

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

Northwestern University

Lead sponsor

Moleculin Biotech, Inc.

Collaborator

National Cancer Institute (NCI)

Collaborator