A Surgical Window of Opportunity Clinical Trial of Troriluzole in Recurrent IDH Wild-Type Glioblastoma

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Early Phase 1
SUMMARY

This research study is studying troriluzole as a possible treatment for recurrent glioblastoma. The name of the study drug involved in this research study is: -Troriluzole (a tripeptide prodrug of riluzole)

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

• Age ≥18 years

• Histopathologically confirmed IDH-wildtype glioblastoma, WHO Grade 4, and variants including gliosarcoma as per WHO 2021 criteria (38).

• Prior treatment with radiotherapy with or without chemotherapy.

• Recurrent or progressive disease with no more than 2 prior relapses.

• Confirmed measurable disease per RANO 2.0 for GBM.

• Tumor is documented as IDH1/2 wildtype by direct DNA sequencing, provided that it is performed in a CLIA/CAP-certified laboratory.

• Availability of archival formalin fixed paraffin-embedded (FFPE) tumor tissue block or 20 unstained FFPE slides (5 μm thick) from any prior surgery for mutation testing and additional sequencing.

• Karnofsky Performance Status of ≥ 60.

• Candidate for surgical resection.

• Tumor tissue extending to cortical gray matter based on MRI.

• Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial.

• Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, participants should be class 2B or better.

• Women of child-bearing potential (WOCBP), defined as any individual assigned female at birth physiologically capable of becoming pregnant, must use highly effective contraception during study treatment and for 1 month after study discontinuation. Highly effective contraception is defined as either:

‣ True Abstinence: When this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, postovulation methods) and withdrawal are not acceptable methods of contraception.

⁃ Sterilization: Surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.

⁃ Male Partner Sterilization (with the appropriate post-vasectomy documentation of the absence of sperm in the ejaculate). For female subjects on the study, the vasectomised male partner should be the sole partner for that participant.

⁃ A barrier method defined as condom or Occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/vaginal suppository along with a second contraceptive method as described below:

• Placement of an intrauterine device (IUD) or intrauterine system (IUS)

∙ Appropriate hormonal contraceptives (including any registered and marketed contraceptive agent that contains an estrogen and/or a progestational agent - including oral, subcutaneous, intrauterine

• Male subjects should agree to use a highly effective method of contraception starting with the first dose of study therapy through 3 months after the last dose of therapy. Male subjects must not donate semen for 3 months after the last dose of study treatment.

• Ability to understand and the willingness to sign a written informed consent document. (Providing consents in as many languages as possible is encouraged)

Locations
United States
Massachusetts
Brigham and Women's Hospital
RECRUITING
Boston
Dana-Farber Cancer Institute
RECRUITING
Boston
Massachusetts General Hospital Cancer Center
RECRUITING
Boston
Contact Information
Primary
Ugonma Chukwueke, MD
Ugonma_Chukwueke@DFCI.HARVARD.EDU
617-632-2166
Time Frame
Start Date: 2025-02-19
Estimated Completion Date: 2027-08-01
Participants
Target number of participants: 27
Treatments
Experimental: Group A: Presurgical Troriluzole
18 participants will be randomly assigned to this group and with complete:~* Baseline visit with assessments and MRI.~* Cycle 0:~ * Day -6 through Day 0: Predetermined dose of Troriluzole 2x daily.~ * Day 0: pre-op MRI~ * Day 0: standard of care surgical resection of tumor~ * Day 0: post-op MRI~* Cycle 1 through Cycle 3:~ --Days 1 through 28 of 28 day cycle: Predetermined dose of Troriluzole 2x daily.~* Cycle 3 through End of Treatment:~ --Days 1 through 28 of 28 day cycle: Predetermined dose of Troriluzole 2x daily.~* MRIs every 8 weeks while on treatment.~* End of study visit with MRI~* Follow up every 3 months for 1 year, and then every 6 months for the next 3 years.
Experimental: Group B: Surgery + Troriluzole
9 participants will be randomly assigned to this group and with complete:~* Baseline visit with assessments and MRI~* Day 0: pre-op MRI~* Day 0: standard of care surgical resection of tumor~* Day 0: post-op MRI~* Cycle 1 through Cycle 3:~ --Days 1 through 28 of 28 day cycle: Predetermined dose of Troriluzole 2x daily.~* Cycle 3 through End of Treatment:~ --Days 1 through 28 of 28 day cycle: Predetermined dose of Troriluzole 2x daily.~* MRIs every 8 weeks while on treatment.~* End of study visit with MRI~* Follow up every 3 months for 1 year, and then every 6 months for the next 3 years.
Sponsors
Collaborators: National Institutes of Health (NIH), Biohaven Pharmaceuticals, Inc.
Leads: Ugonma Chukwueke

This content was sourced from clinicaltrials.gov