Phase 0/I Clinical Trial of the ATM-Inhibitor WSD0628 in Combination With Radiation Therapy for Recurrent High-Grade Glioma
The purpose of this study is to test WSD0628 in combination with radiation therapy for recurrent brain tumors.
• Age ≥ 18 years
• Histological confirmation of one of the following:
‣ Glioblastoma, IDH-wildtype
⁃ Grade 3 or 4 IDH1/2 mutant astrocytoma (2021 WHO classification)
⁃ Measurable disease as defined in Section 11.0
⁃ Disease progression after previous treatment for glioma with radiation and chemotherapy
• Minimum life expectancy of at least 3 months
• Group C only: Dose Expansion, Brain Tumor Penetration Group: plan for radiosurgery and surgical resection as part of routine clinical care
• ECOG Performance Status (PS) 0, 1 or 2 (Appendix I)
• The following laboratory values obtained ≤15 days prior to registration:
‣ Hemoglobin ≥9.0 g/dL
⁃ Leukocytes ≥3.0 x 109/L
⁃ Absolute neutrophil count (ANC) ≥1500/mm3 or 1.5 x 109/L
⁃ Platelet count ≥100,000/mm3 or 100 x 109/L
⁃ Total bilirubin ≤1.5 x ULN and \<3 mg/dL for patients with Gilbert's disease
⁃ Alanine aminotransferase (ALT) and aspartate transaminase (AST) ≤3 x ULN
⁃ PT/INR/aPTT ≤1.5 x ULN OR if patient is receiving anticoagulant therapy and INR or aPTT is within target range of therapy
• Calculated creatinine clearance ≥45 ml/min using the Cockcroft-Gault formula below:
‣ Creatinine clearance for males = (140-age)(weight in kg)(72)(serum creatinine inmgdL⁄)
⁃ Creatinine clearance for females = (140-age)(weight in kg)(0.85)(72)(serum creatinine inmgdL⁄)
• Negative pregnancy test done ≤7 days prior to registration, for persons of childbearing potential only
• Willing to take light-protective measures during the study and for two weeks after their last dose of WSD0628
• Provide written informed consent
• Willing to return to enrolling institution for follow-up (during the Active Monitoring Phase of the study)
• Willingness to provide mandatory tissue specimens for correlative research