DB107-RRV, DB107-FC, and Radiation Therapy With or Without Temozolomide (TMZ) for High Grade Glioma (NCT06504381) | Clinical Trial Compass
RecruitingPhase 1/2
DB107-RRV, DB107-FC, and Radiation Therapy With or Without Temozolomide (TMZ) for High Grade Glioma
United States70 participantsStarted 2025-01-08
Plain-language summary
This is a multicenter, open-label study of DB107-RRV (formerly Toca 511) and DB107-FC (formerly Toca FC) when administered following surgical resection in newly diagnosed High Grade Glioma (HGG) patients. The study is designed to evaluate whether treatment with DB107-RRV in combination with DB107-FC when added to standard of care provides clinical benefit to newly diagnosed HGG when compared to historical performance previously determined in well controlled clinical trials published in the peer reviewed literature. This study is going to be conducted in newly diagnosed HGG patients receiving with maximum surgical resection treatment followed by radiation and temozolomide treatment using the established Stupp Protocol for O6-methylguanine-DNA methyl-transferase (MGMT) methylated patients or radiation therapy for MGMT unmethylated patients.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
✓. Participant has provided written informed consent.
✓. Participant is between 18 years of age and 75 years of age, inclusive.
✓. Participant must have a Karnofsky Performance Scale (KPS) of \>= 70.
✓. Participant must have newly diagnosed adult-type diffuse gliomas (World Health Organization Classification 2021) that has not been previously treated with surgery, radiation or chemotherapy (specifically astrocytoma, Isocitrate dehydrogenase (IDH)-mutant or glioblastoma, IDH-wildtype).
✓. Based on the pre-operative evaluation by neurosurgeon, participant is a candidate for \>= 80% resection of the enhancing region.
✓. The primary tumor must be made available for central testing for IDH1 mutation, O6-methylguanine-DNA methyl-transferase (MGMT) methylation status.
✓. Willing to provide a blood sample to determine Denovo Genomic Marker 7 (DGM7) status.
✓. Laboratory values adequate for patient to undergo surgery, including:
Exclusion criteria
What they're measuring
1
Proportion of participants with dose limiting toxicities (Phase I)
Timeframe: Up to 1 year
2
Proportion of participants with treatment-emergent adverse events (Phase I)
Timeframe: Up to 3 years
3
Median Progression free survival (PFS) by biomarker status (Phase IIa)
✕. History of other malignancy unless the participant has been disease-free for at least 5 years. Adequately treated basal cell carcinoma or squamous cell skin cancer is not exclusionary regardless of time, as well as localized prostate carcinoma or cervical carcinoma in situ after curative treatment.
✕. Histological confirmed oligodendroglioma (IDH-mutant and 1p.19q-codeleted) or mixed glioma.
✕. A contrast-enhancing brain tumor that is any of the following:
✕. Multi-focal (defined as 2 separate areas of presumed tumor whether contrast enhancing or not, measuring at least 1cm in 2 planes that are not contiguous
✕. Associated with either diffuse subependymal or leptomeningeal dissemination or
✕. \> 5cm in any dimension.
✕. Participant has or had an active infection requiring antibiotic, antifungal or antiviral therapy in the 4 weeks preceding study Cycle 1: Day 1.