Combination Therapy + Radiation for Glioblastoma
Recruiting in Palo Alto (17 mi)
+3 other locations
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 2
Waitlist Available
Sponsor: Washington University School of Medicine
No Placebo Group
Prior Safety Data
Breakthrough Therapy
Trial Summary
What is the purpose of this trial?
This trial is testing a combination of treatments including a new drug, radiation therapy, and other medications for patients with aggressive brain cancer that has returned. The goal is to boost the body's immune system to better fight the cancer, shrink tumors, and help patients live longer.
Eligibility Criteria
This trial is for adults with recurrent grade 4 glioblastoma or gliosarcoma who have measurable disease, normal organ and bone marrow function, and a Karnofsky performance status β₯ 60%. Patients must not be on high doses of steroids or have active infections, uncontrolled HIV/hepatitis B/C, certain heart conditions, autoimmune diseases requiring systemic treatment in the past 2 years (except under specific conditions), or a history of allergic reactions to similar drugs.Inclusion Criteria
My brain tumor is a high-grade glioblastoma or gliosarcoma.
I have used bevacizumab temporarily for brain swelling or tissue damage.
Prior use of the Optune device is allowed without a washout period
See 9 more
Exclusion Criteria
I am receiving treatment for an autoimmune disease.
Any history of serotonin syndrome after receiving serotonergic drugs
I do not have uncontrolled HIV or active hepatitis B or C.
See 13 more
Treatment Details
Interventions
- Bevacizumab (Angiogenesis Inhibitor)
- Epacadostat (IDO1 Inhibitor)
- Radiation therapy (Radiation)
- Retifanlimab (Immune Checkpoint Inhibitor)
Trial OverviewThe study tests combining retifanlimab with radiation therapy and bevacizumab with/without epacadostat in treating recurrent brain tumors. It aims to enhance anti-tumor immune response and improve survival by leveraging the synergy between radiation therapy and immune modulators.
Participant Groups
2Treatment groups
Experimental Treatment
Group I: Regimen B: Retifanlimab+RT+bevacizumab+epacadostatExperimental Treatment5 Interventions
* Retifanlimab will be given intravenously over the course of 30 to 60 minutes at a dose of 500 mg on Day 1 of each 28-day cycle.
* Bevacizumab will be given intravenously at a dose of 10 mg/kg on Days 1 and 15 of each 28-day cycle.
* Ten fractions of radiation therapy will be given at a dose of 3.5 Gy per fraction
* Retifanlimab and bevacizumab will be started approximately two weeks before the first day of radiation therapy
* Epacadostat will be administered orally at 400 mg BID.
* Treatment may continue for up to two years.
Group II: Regimen A: Retifanlimab+RT+bevacizumabExperimental Treatment4 Interventions
* Retifanlimab will be given intravenously over the course of 30 to 60 minutes at a dose of 500 mg on Day 1 of each 28-day cycle.
* Bevacizumab will be given intravenously at a dose of 10 mg/kg on Days 1 and 15 of each 28-day cycle.
* Ten fractions of radiation therapy will be given at a dose of 3.5 Gy per fraction
* Retifanlimab and bevacizumab will be started approximately two weeks before the first day of radiation therapy
* Treatment may continue for up to two years.
Bevacizumab is already approved in European Union, United States, Japan, Canada for the following indications:
πͺπΊ Approved in European Union as Avastin for:
- Colorectal cancer
- Breast cancer
- Non-small cell lung cancer
- Renal cell carcinoma
- Ovarian cancer
πΊπΈ Approved in United States as Avastin for:
- Colorectal cancer
- Non-small cell lung cancer
- Glioblastoma
- Renal cell carcinoma
- Cervical cancer
- Ovarian cancer
π―π΅ Approved in Japan as Avastin for:
- Colorectal cancer
- Non-small cell lung cancer
- Breast cancer
- Renal cell carcinoma
- Ovarian cancer
π¨π¦ Approved in Canada as Avastin for:
- Colorectal cancer
- Non-small cell lung cancer
- Breast cancer
- Renal cell carcinoma
- Ovarian cancer
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Mayo ClinicRochester, MN
Washington University School of MedicineSaint Louis, MO
Wake Forest Baptist Medical CenterWinston-Salem, NC
Mayo ClinicPhoenix, AZ
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Who Is Running the Clinical Trial?
Washington University School of MedicineLead Sponsor
Incyte CorporationIndustry Sponsor