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Telaglenastat + Radiation Therapy + Temozolomide for Astrocytoma

Phase 1
Waitlist Available
Led By Sani H Kizilbash
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients must have histopathologic or molecular confirmation of either IDH-mutant DA or IDH-mutant AA. Acceptable IDH mutations for study eligibility include any IDH1 mutation at codon 132 or any IDH2 mutation at codon 172.
If there is history of hepatitis C virus (HCV) infection, patients must have been treated and HCV viral load must be undetectable.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

Study Summary

This trial is testing a combination of telaglenastat, radiation therapy, and chemotherapy in treating patients with brain tumors.

Who is the study for?
This trial is for patients with IDH-mutated diffuse or anaplastic astrocytoma. They must have certain blood levels, organ function, and no evidence of tumor in the lower brain or spine. Participants need to be over 16 years old, not pregnant, willing to use contraception, and able to give consent. Those with severe illnesses or a second active cancer are excluded.Check my eligibility
What is being tested?
The trial tests telaglenastat combined with radiation therapy and temozolomide chemotherapy on patients with specific types of brain tumors (astrocytomas). It aims to find the best dose of telaglenastat that's effective when used alongside standard treatments like surgery and radiation.See study design
What are the potential side effects?
Potential side effects include reactions related to enzyme inhibition by telaglenastat which could affect cell growth, typical chemotherapy-related issues such as nausea and hair loss from temozolomide, and risks associated with radiation therapy like skin irritation or fatigue.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My cancer has a specific IDH mutation.
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I had hepatitis C but have been treated and now have no detectable virus.
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I have chronic hepatitis B but it's under control or undetectable.
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I am mostly self-sufficient and can carry out daily activities.
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My kidney function, measured by creatinine levels or clearance, is within the normal range.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D)
Secondary outcome measures
Assessment of neurocognitive impact
Assessment of pharmacokinetic (PK) parameters
Assessment of plasma oncometabolites
+7 more

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (telaglenastat, temozolomide, RT)Experimental Treatment4 Interventions
Patients receive telaglenastat PO BID 7 days a week, temozolomide PO QD 7 days a week, and undergo RT 5 days a week for up to 5.5 weeks (diffuse astrocytoma) or 6.5 weeks (anaplastic astrocytoma) in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Radiation Therapy
2017
Completed Phase 3
~7250
Temozolomide
2010
Completed Phase 3
~1930

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,654 Previous Clinical Trials
40,933,113 Total Patients Enrolled
140 Trials studying Astrocytoma
13,562 Patients Enrolled for Astrocytoma
Sani H KizilbashPrincipal InvestigatorMayo Clinic Cancer Center LAO
1 Previous Clinical Trials
51 Total Patients Enrolled
1 Trials studying Astrocytoma
51 Patients Enrolled for Astrocytoma

Media Library

Radiation Therapy Clinical Trial Eligibility Overview. Trial Name: NCT03528642 — Phase 1
Astrocytoma Research Study Groups: Treatment (telaglenastat, temozolomide, RT)
Astrocytoma Clinical Trial 2023: Radiation Therapy Highlights & Side Effects. Trial Name: NCT03528642 — Phase 1
Radiation Therapy 2023 Treatment Timeline for Medical Study. Trial Name: NCT03528642 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many of the research sites for this study are located in Canada?

"At the moment, there are 7 sites participating in this clinical trial. These locations include Oklahoma City, Baltimore and Salt Lake City along with other cities around them. It is recommended that participants select a clinic close to their residence so as to minimize travelling costs should they choose to enroll."

Answered by AI

Has the FDA sanctioned Radiation Therapy for therapeutic purposes?

"As this is an experimental trial with only limited data regarding its safety and efficacy, Radiation Therapy received a score of 1."

Answered by AI

What other investigations have been conducted concerning the application of Radiation Therapy?

"At this time, 212 Radiation Therapy trials are in progress with 23 of those being Phase 3. While these studies primarily exist within Seoul and Songpa, there is a total of 4802 sites that specialize in researching radiation therapy treatments."

Answered by AI

Is this trial an unprecedented endeavor in the field of medicine?

"The exploration of Radiation Therapy began in 2002 with a Schering-Plough sponsored clinical trial. Following the successful completion of that 60 patient study, Phase 2 drug approval was granted and prompted 212 active trials to be conducted across 940 cities located in 36 countries."

Answered by AI

How many participants are actively engaging in this research project?

"This research study is no longer accepting participants, as the last update was on October 19th 2022. There are plenty of alternative trials to consider if you have astrocytoma: 82 studies that need volunteers and 212 for those interested in Radiation Therapy."

Answered by AI

What maladies typically require radiation treatments?

"Radiation Therapy is predominantly utilised to treat nitrosourea treatment, yet can also be used in the management of advance directives, refractory mycosis fungoides, and difficult cases of neuroblastoma."

Answered by AI

Is recruitment for this research still in progress?

"As stated on clinicaltrials.gov, this trial is no longer actively recruiting patients since it was last updated in October of 2022. Despite that, there are 294 other trials at the present time looking for participants to join their studies."

Answered by AI
~4 spots leftby Dec 2024