Phase 0/I Clinical Trial of the ATM-Inhibitor WSD0628 in Combination With Radiation Therapy for Recurrent High-Grade Glioma

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The purpose of this study is to test WSD0628 in combination with radiation therapy for recurrent brain tumors.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• 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

Locations
United States
Minnesota
Mayo Clinic in Rochester
RECRUITING
Rochester
Contact Information
Primary
Clinical Trials Referral Office
mayocliniccancerstudies@mayo.edu
855-776-0015
Time Frame
Start Date: 2024-01-17
Estimated Completion Date: 2029-02
Participants
Target number of participants: 94
Treatments
Experimental: Group A (Dose Escalation)
WSD0628 treatment should be started the day before radiation therapy starts (Day 1). Radiation therapy is given for 10 consecutive business days (Day 2-15, not including weekends and holidays), and WSD0628 will only be given on those 10 consecutive business days ≥30 minutes but ≤2 hours before radiation.
Experimental: Group B (Dose Expansion)
WSD0628 treatment should be started the day before radiation therapy starts (Day 1). Radiation therapy is given for 10 consecutive business days (Day 2-15, not including weekends and holidays), and WSD0628 will only be given on those 10 consecutive business days ≥30 minutes but ≤2 hours before radiation.~The Group B (Dose Expansion) portion of the study will be opened after the Group A (Dose Escalation) is complete.
Experimental: Group C (Tumor Penetrance Treatments)
One treatment of WSD0628 will be given prior to radiation and surgical resection will be performed on the same day. The two doses given will be determined by Group A and Group B. Patients will be randomized in a 1:1 fashion.~* Dose level 1: minimally radiosensitizing concentration of WSD0628 will be achieved.~* Dose level 2: selected based on a prediction that a maximally radiosensitizing concentration of WSD0628 will be achieved.~This portion of the study will open after Group A (Dose Escalation) is complete. This portion of the study will open to patients with recurrent high-grade glioma to further evaluate the efficacy, safety, tolerability, pharmacokinetics and biological activity of WSD0628 when combined with radiation therapy in specific patient subgroups
Sponsors
Leads: Mayo Clinic

This content was sourced from clinicaltrials.gov

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