A Phase 1b/2, Multicenter Study of Vorasidenib in Combination With Temozolomide (TMZ) in Participants With IDH1- or IDH2-mutant Glioma

Status: Recruiting
Location: See all (32) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The objective of this study is to determine the safety and tolerability of vorasidenib in combination with temozolomide (TMZ) and to establish the recommended combination dose (RCD) of vorasidenib. The study will begin as a Phase Ib study to determine the RCD and then will transition to a Phase II study to assess the clinical efficacy of vorasidenib at the RCD in combination with TMZ. During the treatment period participants will have study visits on day 1 and 22 of each cycle, with additional visits occurring during the first cycle of the Phase 1b study. Approximately 30 days after treatment has ended, a safety follow-up visit will occur and then participants will be followed for survival every 3 months. Study visits may include questionnaires, blood tests, ECG, vital signs, and a physical examination.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 12
Healthy Volunteers: f
View:

• Be ≥12 years of age with a weight at screening ≥40 kg.

• Have documented IDH1 or IDH2 mutation based on local testing of tumor tissue by an accredited laboratory

• Have adequate renal function, defined as a creatinine clearance ≥40 mL/min based on the Cockcroft-Gault glomerular filtration rate estimation: (140 - Age) × (Weight in kg) × (0.85 if female) / 72 × serum creatinine (mg/dL).

• Have adequate bone marrow function as evidenced by:

‣ Absolute neutrophil count ≥1,500/mm3 or 1.5×109/L

⁃ Hemoglobin ≥9 g/dL or 90 g/L

⁃ Platelets ≥100,000/mm3 or 100×109/L

• Have expected survival of ≥3 months.

• KPS or LPPS ≥70 at the start of study treatment.

• Participants on corticosteroids for reasons related to glioma must be on a stable or decreasing dose (≤4mg/day dexamethasone or equivalent) for ≥5 days before the start of study treatment.

• Female participants of reproductive potential must have a negative serum pregnancy test before starting study treatment.

∙ Phase 1b ONLY:

• Have histologically confirmed Grade 2, 3 or 4 IDHm (as per WHO 2021) glioma (astrocytoma or oligodendroglioma).

‣ For oligodendroglioma: Have local testing at an accredited laboratory demonstrating presence of 1p19q co deletion

⁃ For astrocytoma: Have local testing by an accredited laboratory demonstrating lack of 1p19q co-deletion and/or documented loss of nuclear ATRX expression or ATRX mutation

• Are appropriate to receive TMZ as post-radiotherapy (RT) adjuvant therapy or as treatment for first disease recurrence after prior RT and/or chemotherapy, per Investigator judgement. For those receiving TMZ in the post-RT adjuvant setting, study treatment must begin no more than 6 weeks after completion of RT.

• Have adequate hepatic function as evidenced by:

‣ Serum total bilirubin ≤1.5×upper limit of normal (ULN); if ≥1.5×ULN and due to Gilbert syndrome, total bilirubin ≤3×ULN with direct bilirubin ≤ULN,

⁃ AST and ALT ≤ULN, and

⁃ Alkaline phosphatase ≤2.5×ULN.

∙ Phase 2 ONLY:

• Have histologically confirmed Grade 4 astrocytoma, IDHm (per 2021 WHO criteria). Those who meet the Grade 4 designation via homozygous deletion of CDKN2A/B are eligible.

• Have absence of 1p19q co-deletion (i.e., non-co-deleted, or intact) and/or documented loss of nuclear ATRX expression or ATRX mutation by local testing.

• Have received SOC RT with concurrent TMZ (RT-TMZ) before enrollment. Study treatment must begin no more than 6 weeks after completion of RT-TMZ.

• Have adequate hepatic function as evidenced by:

‣ Serum total bilirubin ≤1.5×ULN; if ≥1.5×ULN and due to Gilbert syndrome, total bilirubin ≤3×ULN with direct bilirubin ≤ULN,

⁃ AST and ALT at or below the upper limit of normal. An elevation ≤1.5×ULN and considered not clinically significant by the Investigator may be allowed after Medical Monitor (Sponsor) approval, and

⁃ Alkaline phosphatase ≤2.5×ULN.

Locations
United States
California
University of California Los Angeles
RECRUITING
Los Angeles
University of California, San Francisco (UCSF) School of Medicine
WITHDRAWN
San Francisco
Florida
University of Miami
RECRUITING
Miami
Massachusetts
Dana Farber Cancer Institute
RECRUITING
Boston
Massachusetts General Hospital
WITHDRAWN
Boston
North Carolina
Duke University Medical Center
RECRUITING
Durham
New York
Memorial Sloan Kettering Cancer Center
RECRUITING
New York
Texas
MD Anderson Cancer Center
RECRUITING
Houston
Other Locations
Austria
Medical University of Vienna - AKH
RECRUITING
Vienna
China
Beijing Tiantan Hospital, Capital Medical University
RECRUITING
Beijing
West China Hospital of Sichuan University
WITHDRAWN
Chengdu
Huashan Hospital, Fudan University
RECRUITING
Shanghai
France
Hôpital Pierre Wertheimer
RECRUITING
Lyon
Hôpital Pitié-Salpêtrière
RECRUITING
Paris
IUCT-Oncopole Institut Universitaire du Cancer
RECRUITING
Toulouse
Germany
Universitätsklinikum Heidelberg
RECRUITING
Heidelberg
Medizinische Fakultät Mannheim, Universität Heidelberg
RECRUITING
Mannheim
Universitätsklinikum Regensburg
RECRUITING
Regensburg
Israel
Rabin Medical Center - Davidoff Cancer Center
NOT_YET_RECRUITING
Petah Tikva
The Tel Aviv Sourasky Medical Center (TASMC) (Ichilov Hospital)
NOT_YET_RECRUITING
Tel Aviv
Italy
IOV - Ospedale Busonera
RECRUITING
Padua
Instituto Clinico Humanitas IRCCS
RECRUITING
Rozzano
Ospedale Molinette - Centro Oncologico Ematologico
RECRUITING
Turin
Japan
Kumamoto University Hospital
RECRUITING
Kumamoto
Kyoto University Hospital
RECRUITING
Kyoto
Nagoya University Hospital
RECRUITING
Nagoya
National Cancer Center Hospital
RECRUITING
Tokyo
Netherlands
Erasmus MC
RECRUITING
Rotterdam
Spain
H. Valle de Hebron
RECRUITING
Barcelona
Hospital 12 de Octubre
RECRUITING
Madrid
United Kingdom
Christie Hospital
RECRUITING
Manchester
The Royal Marsden in Sutton
RECRUITING
Sutton
Contact Information
Primary
Institut de Recherches Internationales Servier (I.R.I.S.) Clinical Studies Department
scientificinformation@servier.com
+33 1 55 72 60 00
Time Frame
Start Date: 2025-01-22
Estimated Completion Date: 2028-06
Participants
Target number of participants: 42
Treatments
Experimental: Phase 1b: Vorasidenib and Temozolomide (TMZ)
Experimental: Phase 2: Vorasidenib recommended combination dose (RCD) and Temozolomide (TMZ)
Related Therapeutic Areas
Sponsors
Leads: Institut de Recherches Internationales Servier

This content was sourced from clinicaltrials.gov

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