Safety of combination of ibrutinib and radiation at various dose levels in unmethylated o6-methylguanine-DNA-methyltransferase (MGMT) glioblastoma and study of ibrutinib, temozolomide, and radiation combination therapy in methylated MGMT glioblastoma.
There are a number of brain tumor studies including those in NCI consortium that are not including temozolomide for increased toxicity with novel agents or other drugs when added to temozolomide and radiation. However, if the combination of ibrutinib and radiation in unmethylated MGMT glioblastoma patient population is safe at every dose level we can study the safety of ibrutinib, radiation and Temozolomide in the methylated patient population. Concomitant use of radiation will lead to break down of the blood brain barrier and increase ibrutinib delivery to the brain tumor and hence the rationale to combine ibrutinib with radiation with or without temozolomide. November 2020: 420 mg of ibrutinib plus temozolomide and radiation was found to be safe - up to 36 participants can be treated at the expansion cohort in both arm 1 and arm 2.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Dose response of Ibrutinib. Level 1 starting dose is 420mg daily. Level 2 starting dose is 560mg daily. Level -1 starting dose is 280mg daily. November 2020: 420 mg of ibrutinib plus temozolomide and radiation was found to be safe - up to 36 participants can betreated at the expansion cohort in both arm 1 and arm 2.
2Gy x 30minutes for 6 weeks.
Cycle 1 150mg/m2 and cycle 2-6 will be up to 200mg/m2.
Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center
Cleveland, Ohio, United States
Maximum tolerated dose (MTD) of ibrutinib
Determination of MTD of Ibrutinib with methylated or unmethylated glioblastoma
Time frame: 6 weeks
Number of patients who experience adverse events
Safety of combination of Ibrutinib with Radiation or Ibrutinib with Temozolomide and Radiation
Time frame: 10 weeks
Number of patients with Progression Free Survival (PFS)
Number of patients that are alive without disease progression
Time frame: 10 weeks
Length of time of overall survival
Patient survival at time of last assessment
Time frame: 10 weeks
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