RO7428731 for Glioblastoma

No longer recruiting at 14 trial locations
RS
Overseen ByReference Study ID Number: BP42573 https://forpatients.roche.com/
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new treatment, RO7428731, for glioblastoma, an aggressive brain cancer positive for the EGFRvIII protein variant. Researchers seek to determine the safety and tolerability of this treatment and its potential to manage the condition. The study includes different parts, testing RO7428731 on individuals with either newly diagnosed or recurrent forms of the disease. Suitable candidates have glioblastoma expressing EGFRvIII and have either just been diagnosed or experienced a recurrence once or twice. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I need to stop taking my current medications for the trial?

The trial protocol does not specify whether you need to stop taking your current medications. However, it mentions that participants should not have received certain prior treatments for GBM, so it's best to discuss your current medications with the study team.

Is there any evidence suggesting that RO7428731 is likely to be safe for humans?

Current research is investigating the safety and tolerability of RO7428731 for people with glioblastoma, a type of brain cancer. The studies test different doses to find the safest and most effective amount for patients. As this is an early-stage trial, the primary goal is to identify any side effects and understand how the body processes the treatment. While detailed safety information is not yet available, the trial focuses on assessing treatment tolerability. Researchers closely monitor for any negative effects as they work to determine the safest dose.12345

Why do researchers think this study treatment might be promising for glioblastoma?

Most treatments for glioblastoma, like temozolomide and radiation therapy, focus on disrupting cancer cell growth. But RO7428731 works differently, targeting specific pathways involved in tumor survival and growth, potentially offering a new approach to combat this aggressive cancer. Researchers are excited because this drug is administered intravenously, which may lead to more precise dosing and potentially fewer side effects. Additionally, it could provide an option for patients with recurrent glioblastoma, a group that often has fewer effective treatment choices.

What evidence suggests that RO7428731 might be an effective treatment for glioblastoma?

Research has shown that RO7428731 is a new treatment being tested for glioblastoma, a challenging brain cancer. The trial includes different parts where participants with either newly diagnosed or recurrent glioblastoma receive RO7428731. This drug targets a specific form of a protein called EGFRvIII, often found in glioblastoma cells. Early results suggest that focusing on this protein might help slow or stop tumor growth. Although strong evidence about its effectiveness in humans is not yet available, this method is promising because it aims to directly inhibit cancer cell growth. More research is needed to determine how well RO7428731 works for people with glioblastoma.24567

Who Is on the Research Team?

CT

Clinical Trials

Principal Investigator

Hoffmann-La Roche

Are You a Good Fit for This Trial?

This trial is for adults with a specific brain cancer called EGFRvIII-positive glioblastoma, either newly diagnosed or recurrent. They should have completed standard treatments and be expected to live at least 12 weeks. Participants need good physical function (KPS Score >=70%) and proper organ function. Those with high bleeding risks, more than two GBM recurrences, certain tumor locations, or previous extensive GBM treatments are excluded.

Inclusion Criteria

At least one measurable GBM lesion as per Response Assessment in Neuro-Oncology (RANO) criteria prior to initiation of study treatment.
Willingness to abide by contraceptive measures for the duration of the study.
My tumor's MGMT status is either unmethylated or methylated.
See 8 more

Exclusion Criteria

I do not have any conditions that cause unusual bleeding.
My GBM has recurred more than twice.
My tumor is located in a critical area of the brain.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Safety Run-in

Participants with recurrent GBM receive RO7428731, IV in a dosing schedule determined in Part I

Duration not specified

Dose Escalation

Participants with newly diagnosed GBM receive RO7428731, IV, up to one year or until disease progression, withdrawal of consent, unacceptable toxicity, or death

Up to 1 year

Dose Expansion

Participants with newly diagnosed GBM receive RO7428731, IV in maximum of two dose expansion cohorts at a dose(s) not exceeding the MTD established in Part I

Duration not specified

Follow-up

Participants are monitored for safety and effectiveness after treatment

4-8 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • RO7428731
Trial Overview The study tests RO7428731's safety and effectiveness as a solo treatment in those with EGFRvIII-positive glioblastoma. It's an open-label trial meaning everyone knows what treatment they're getting. The drug’s effects on the body (pharmacokinetics), immune response (immunogenicity), how it works against cancer cells (pharmacodynamics), and its initial success in shrinking tumors will be studied.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Part IV A: Dose-Expansions CohortExperimental Treatment1 Intervention
Group II: Part III: Safety Run-inExperimental Treatment1 Intervention
Group III: Part II: Dose-Expansion(s)Experimental Treatment1 Intervention
Group IV: Part I: Dose EscalationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hoffmann-La Roche

Lead Sponsor

Trials
2,482
Recruited
1,107,000+
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Avastin, Herceptin, Rituxan, Accu-Chek
Dr. Levi Garraway profile image

Dr. Levi Garraway

Hoffmann-La Roche

Chief Medical Officer since 2019

MD from the University of Basel

Dr. Thomas Schinecker profile image

Dr. Thomas Schinecker

Hoffmann-La Roche

Chief Executive Officer since 2023

PhD in Molecular Biology from New York University

Published Research Related to This Trial

Intracerebral administration of ipilimumab (IPI) and nivolumab (NIVO) after maximal safe resection of recurrent glioblastoma (rGB) was found to be feasible and safe, with mild immune-related adverse events and no significant central nervous system toxicity observed.
The treatment resulted in a median overall survival of 38 weeks, which is favorable compared to historical data, suggesting that this approach may improve outcomes for patients with rGB.
Intracerebral administration of CTLA-4 and PD-1 immune checkpoint blocking monoclonal antibodies in patients with recurrent glioblastoma: a phase I clinical trial.Duerinck, J., Schwarze, JK., Awada, G., et al.[2022]
Glioblastomas, particularly the IDH-wildtype type, are challenging to treat, with standard care involving surgery, radiotherapy, and temozolomide chemotherapy since 2005, but no pharmacological treatments have significantly improved overall survival.
Targeting specific genetic vulnerabilities in rare glioblastoma subsets and focusing on the tumor microenvironment may offer new avenues for treatment, highlighting the need for improved clinical trial designs to test these strategies.
Molecular targeted therapy of glioblastoma.Le Rhun, E., Preusser, M., Roth, P., et al.[2019]
Adding nitrosourea-based chemotherapy to radiotherapy has been shown to increase progression-free survival in patients with grade II and III gliomas, although it does not improve overall survival.
Upcoming phase III trials will investigate whether adding temozolomide to radiotherapy can enhance overall survival in grade II/III gliomas, while also assessing cognitive function and quality of life for better patient outcomes.
Temozolomide and radiation in low-grade and anaplastic gliomas: temoradiation.Schiff, D.[2018]

Citations

NCT05187624 | A Study Evaluating the Safety ...Participants with newly diagnosed GBM will receive RO7428731, IV, in maximum of two dose expansion cohorts at a dose(s) not exceeding the maximum tolerated dose ...
A clinical trial to look at how safe RO7428731 is at different ...However, the outlook for people is poor and new treatments are needed to improve health outcomes and quality of life for people with glioblastoma. RO7428731.
RO7428731 for Glioblastoma · Info for ParticipantsThe research suggests that combining chemotherapy with radiation, like temozolomide with radiotherapy, improves survival rates in glioblastoma patients, ...
Targeted Glioma Therapy—Clinical Trials and Future DirectionsThe clinical application of PDT in glioblastoma patients showed promising results as an intraoperative strategy, with a median PFS of 17.1 months and median OS ...
Clinical Trial – Glioblastoma – Safety, Tolerability, Pha...RO7428731 is an experimental drug, which means health authorities have not approved it for treating glioblastoma. This clinical trial aims to find out whether ...
Clinical Trial – Glioblastoma – Safety, Tolerability, Pha...A clinical trial to look at how safe RO7428731 is at different doses, how the body processes it, and what effects RO7428731 has on the body in people with ...
A Study Evaluating the Safety, Pharmacokinetic and Anti ...A Study Evaluating the Safety, Pharmacokinetic and Anti-tumor Activity of RO7428731 in Participants With Glioblastoma. Trial Status: complete. Open all sections
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