The primary purpose of the Phase 1 (Dose Escalation) of this study is to identify the dose-limiting toxicities (DLTs) of Debio 0123 combined with temozolomide (TMZ) (Arm A) and with TMZ and radiotherapy (RT) (Arms B and C) and to characterize the safety and tolerability of these combinations in adult participants with glioblastoma (GBM). Arm B which was previously added to the protocol, has been permanently halted per the safety monitoring committees' decision on the safety findings of this arm. The primary purpose of Phase 1 (Dose expansion) of the study is to assess the doses studied under Phase 1 (Dose Escalation) Arm A and identify the recommended dose (RD) for further development. The Phase 2 will start once the RD Phase 1 has been defined. The primary objective of Phase 2 is to assess the efficacy of Debio 0123 at the RD for further development in combination with TMZ, compared to the standard of care (SOC) in adult participants with GBM.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
116
Administered as capsules.
Administered as capsules.
Administered in accordance with the local clinical practice and applicable Radiation Therapy Oncology Group (RTOG) or the European Organization for Research and Treatment of Cancer (EORTC) guidelines.
Northwestern Memorial Hospital
Chicago, Illinois, United States
RECRUITINGNew York University Langone Medical Center
New York, New York, United States
RECRUITINGDavid H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
New York, New York, United States
RECRUITINGBaylor Scott & White Research Institute
Dallas, Texas, United States
RECRUITINGThe University of Texas MD Anderson Cancer Center
Houston, Texas, United States
RECRUITINGSouth Texas Accelerated Research Therapeutics (START)
San Antonio, Texas, United States
RECRUITINGHuntsman Cancer Institute
Salt Lake City, Utah, United States
RECRUITINGFred Hutchinson Cancer Research Center
Seattle, Washington, United States
RECRUITINGHospital Universitario Vall d'Hebron
Barcelona, Spain
RECRUITINGHospital Universitario Donostia
Donostia / San Sebastian, Spain
RECRUITING...and 7 more locations
Phase 1 (Dose Escalation): Number of Participants Experiencing Dose-limiting Toxicities (DLTs)
Time frame: Phase 1: Arm A: Cycle 1 (Cycle=28 days); Arms B and C: Up to approximately 1.8 months
Phase 1 (Dose Escalation): Number of Participants With At Least One Treatment-emergent Adverse Event (TEAE)
Time frame: Up to 30 days after the end of treatment (Arm A: Up to approximately 26 months and Arms B and C: Up to approximately 3.5 months)
Phase 1 (Dose Escalation): Number of Participants With Clinically Significant Abnormalities in Laboratory, Vital Signs, Electrocardiogram (ECG), and Echocardiogram (ECHO) Parameters
Time frame: Up to 30 days after the end of treatment (Arm A: Up to approximately 26 months and Arms B and C: Up to approximately 3.5 months)
Phase 1 (Dose Escalation): Change From Baseline in Karnofsky Performance Status (KPS) Score
KPS is an assessment tool for functional impairment. It is a standard way of measuring the ability of participants with cancer to perform ordinary tasks. The KPS scores range from 0 (death) to 100 (no evidence of disease). A higher score means the participant is better able to carry out daily activities.
Time frame: Until disease progression or end of study (approximately 66 months)
Phase 1 (Dose Expansion): Number of Participants With At Least One Treatment-emergent Adverse Event (TEAE)
Time frame: Up to approximately 26 months
Phase 1 (Dose Expansion): Change from Baseline in Tumor Size Assessed by Objective Response (OR) as per Response Assessment in Neuro-oncology (RANO) Criteria
Time frame: From the start of study treatment until disease progression or end of study (up to approximately 66 months)
Phase 1 (Dose Expansion): Plasma Concentration of Debio 0123 and its Metabolite
Time frame: Predose and at multiple timepoints up to 6 hours post dose up to Day 15 of Cycle 1 (Cycle=28 days)
Phase 1 (Dose Expansion): Pharmacodynamic(s) PDy, Change from baseline in Phosphorylated Cell Division Cycle (pCDC2)
Time frame: Predose and 4 to 6 hours post dose on Day 10 of Cycle 1 (Cycle=28 days)
Phase 2: Overall Survival (OS)
Time frame: From the start of study treatment until death from any cause or end of study (up to approximately 66 months)
Phase 1 (Dose Expansion): OS
Time frame: From the start of study treatment until death from any cause or end of study (up to approximately 66 months)
Phase 1 (Dose Escalation): Plasma Concentration of Temozolomide
The PK of temozolomide will be evaluated in plasma.
Time frame: Phase 1: Predose and at multiple timepoints up to 7 hours post dose up to Day 5 of Cycle 1 (Arm A) and up to Day 29 (Arm B and C)
Phase 1 (Dose Expansion): Number of Participants With Clinically Significant Abnormalities In Laboratory, Vital Signs, ECG, and (ECHO Parameters)
Time frame: Up to 30 days after the end of treatment (up to approximately 26 months)
Phase 1 (Dose Expansion): Number of Participants With At Least one TEAE
Time frame: Up to 30 days after the end of treatment (up to approximately 26 months)
Phase 1 (Dose Expansion): Change From Baseline in KPS Score
KPS is an assessment tool for functional impairment. It is a standard way of measuring the ability of participants with cancer to perform ordinary tasks. The KPS scores range from 0 (death) to 100 (no evidence of disease). A higher score means the participant is better able to carry out daily activities.
Time frame: Until disease progression or end of study (approximately 66 months)
Phase 2: Change From Baseline in KPS Score
KPS is an assessment tool for functional impairment. It is a standard way of measuring the ability of participants with cancer to perform ordinary tasks. The KPS scores range from 0 (death) to 100 (no evidence of disease). A higher score means the participant is better able to carry out daily activities.
Time frame: Until disease progression or end of study (approximately 66 months)
Phase 2: Number of Participants With Clinically Significant Abnormalities in Laboratory, Vital Signs, and ECG Parameters
Time frame: Up to 30 days after the end of treatment (up to approximately 26 months)
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Phase 2: Number of Participants With At Least One TEAE
Time frame: Up to 30 days after the end of treatment (up to approximately 26 months)
Phases 1 and 2: Plasma Concentration of Debio 0123 and its Metabolite
The pharmacokinetics (PK) of Debio-0123 and its metabolite will be evaluated in plasma.
Time frame: Phase1(Dose Escalation):Predose, multiple timepoints upto 8hours postdose upto Day 15 of Cycle 1(Arm A) and upto Day 29(Arms B and C);Phase1(Dose expansion)andPhase2: Predose, multiple timepoints upto 4hours postdose upto Day 15 of Cycle1(Cycle=28 days)
Phases 1 and 2: Percentage of Participants With Best Overall Response (BOR) Assessed As Per Response Assessment in Neuro-oncology (RANO) Criteria
Time frame: From the start of study treatment until disease progression or end of study (up to approximately 66 months)
Phases 1 and 2: Percentage of Participants with Objective Response (OR) Assessed As Per RANO Criteria
Time frame: Up to end of study (approximately 66 months)
Phases 1 and 2: Percentage of Participants With Disease Control (DC) Assessed As Per RANO Criteria
Time frame: From the start of study treatment until disease progression or end of study (up to approximately 66 months)
Phases 1 and 2: Duration of Response (DOR) Assessed As Per RANO Criteria
Time frame: Up to disease progression or end of study (up to approximately 66 months)
Phases 1 and 2: Progression Free Survival (PFS) Assessed As Per RANO Criteria
Time frame: From the start of study treatment until disease progression or death or end of study (up to approximately 66 months)