Phase I/Comparative Randomized Phase II Trial of TRC105 Plus Bevacizumab Versus Bevacizumab in Bevacizumab-Naive Patients With Recurrent Glioblastoma Multiforme
PRIMARY OBJECTIVES:
I. To establish a maximum tolerated dose (MTD) of TRC105 combined with bevacizumab in this
patient population. (Phase I) II. To assess the safety and adverse events of TRC105 in
combination with bevacizumab in this patient population. (Phase II) III. To determine the
efficacy of TRC105 in combination with bevacizumab in recurrent glioblastoma as measured by
progression-free survival and compare it with the efficacy of bevacizumab alone in this
patient population. (Phase II)
SECONDARY OBJECTIVES:
I. To assess the proportion of patients who are progression free at 6 months, treated with
TRC105 in combination with bevacizumab as compared to bevacizumab alone. (Phase II) II. To
assess the overall survival of patients treated with TRC105 in combination with bevacizumab
compared to bevacizumab alone. (Phase II) III. To compare the impact of the treatment on the
patients quality of life (QOL) using the EORTC Quality of Life QLQ-C15-PAL and QLQ-BN20
Patient Questionnaires. (Phase II) IV. To estimate patient recommendations for study
participation to others using the Was It Worth It (WIWI) Questionnaire. (Phase II)
TERTIARY OBJECTIVES:
I. To evaluate the pharmacokinetics of TRC105. (Phase I) II. To evaluate the immunogenicity
of TRC105. (Phase I) III. To determine the relationship between tumor biomarkers,
circulating biomarkers of vascular response and vascular endothelial growth factor
(VEGF)/VEGFR single-nucleotide polymorphism (SNPs) in predicting efficacy and/or toxicity of
treatment. (Phase II) IV. To assess the utility of magnetic resonance imaging (MRI) imaging
including apparent diffusion coefficient (ADC) as a predictor of response and survival.
(Phase II) V. To assess the utility of dynamic contrast enhanced (DCE) MRI as a predictor of
response to bevacizumab with or without TRC105. (Phase II)
OUTLINE: This is a multicenter, dose-escalation, phase I study of TRC105 followed by a
randomized phase II study.
Phase I: Patients receive bevacizumab intravenously (IV) over 30-90 minutes on day 1 and
TRC105 IV over 1-4 hours on days 8 and 11 of course 1 and days 1 and 8 of course 2 and all
subsequent courses. Courses repeat every 14 days in the absence of disease progression or
unacceptable toxicity.
Phase II: Patients are stratified according to age (> 70 vs =< 70) and resection at
recurrence (yes vs no). Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive bevacizumab IV over 30-90 minutes on day 1 and TRC105 IV over 1-4
hours on days 8 and 11 of course 1 and days 1 and 8 of course 2 and all subsequent courses.
Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity.
ARM II: Patients receive bevacizumab as in arm I. Courses repeat every 14 days in the
absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
MTD of TRC105 combined with bevacizumab based on the incidence of dose-limiting toxicity (DLT) (Phase I)
28 days
Yes
Evanthia Galanis
Principal Investigator
North Central Cancer Treatment Group
United States: Food and Drug Administration
NCI-2012-01989
NCT01648348
November 2012
Name | Location |
---|---|
Memorial Sloan Kettering Cancer Center | New York, New York 10021 |
Mayo Clinic | Rochester, Minnesota 55905 |
Dana-Farber Cancer Institute | Boston, Massachusetts 02115 |
University of Virginia | Charlottesville, Virginia 22908 |
North Central Cancer Treatment Group | Rochester, Minnesota 55905 |
UCSF-Mount Zion | San Francisco, California 94115 |