Multicenter, double-blind, placebo-controlled, randomized trial. Patients affected by STAT3 positive newly diagnosed glioblastoma will be eligible. Patients are randomized using a stratified block randomization method with a 1:1 ratio in two arms: • Experimental/Control arm: Concomitant radiotherapy (60 gy in 30 fractions) + temozolomide 75mg/mq + silibinin/placebo 2 sachets/day dissolved in water throughout concomitant treatment followed by temozolomide cp, 150 mg/m2-200mg/m2, g1-5 q28d + silibinin/placebo 2 sachets/day dissolved in water, day 1-28, q28d for 6-12 cycles. Silibinin/Placebo may be continued until disease progression at the discretion of the physician. Patients will be stratified based on: * Type of surgery (complete Vs partial) * MGMT methylation status (methylated Vs non-methylated) * ECOG PS (0-1 Vs 2)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
110
Sillbrain will be available as granulate in sachets of 3.7g and it will be administered twice a day during chemo-radiotherapy and day 1-28 in maintenance phase every cycle. Each 3.7 g sachet of Sillbrain contains 500 mg silibinin. Every patient will assume 2 sachets/day for a total of 1 g/day of silibinin.
Placebo will be available as granulate in sachets of 3.7g and it will be administered twice a day during chemo-radiotherapy and day 1-28 in maintenance phase every cycle. Every patient will assume 2 sachets/day for a total of 1 g/day of placebo.
IRCCS Istituto delle Scienze Neurologiche di Bologna
Bologna, BO, Italy
NOT_YET_RECRUITINGIRST Dino Amadori
Meldola, FC, Italy
NOT_YET_RECRUITINGAzienda Ospedaliero Universitaria Policlinico "G. Rodolico - San Marco "
Catania, Italia/Catania, Italy
NOT_YET_RECRUITINGAzienda Ospedaliera Universitaria - Careggi
Florence, Italia/FI, Italy
NOT_YET_RECRUITINGARNAS G.Brotzu P.O Armando Businco
Cagliari, Italy/Cagliari, Italy
NOT_YET_RECRUITINGUSL Nord Ovest Toscana - Livorno
Livorno, Italy/Livorno, Italy
NOT_YET_RECRUITINGOspedale del Mare, ASL Napoli1 Centro
Napoli, italy/Napoli, Italy
NOT_YET_RECRUITINGIstituto Oncologico Veneto
Padua, Italy/Padova, Italy
RECRUITINGIstituto Neurologico Nazionale a Carattere Scientifico IRCCS - Fondazione Mondino
Pavia, Italy/Pavia, Italy
NOT_YET_RECRUITINGAzienda Ospedaliera Universitaria G.Martino
Messina, ME, Italy
NOT_YET_RECRUITING...and 6 more locations
Progression Free Survival (PFS)
Evaluation of Progression Free Survival (PFS) in patients with newly diagnosed IDH wild-type and STAT3-positive glioblastoma using silibinin 2 sachets per day (1g/day), during chemoradiotherapy and maintenance treatment with temozolomide, compared with placebo. The progression free survival (PFS) will be determined as the time from the date of randomization to the date of disease progression determined using RANO 2.0 criteria or to the date of death, whichever occurs first. Patients without a PFS event at the time of analysis will be censored at the date of last assessment.
Time frame: Through study completion, an average of 2 years
Liver Toxicity
Evaluation of liver toxicity. Assessment of liver toxicity will be derived from the assay of alanine aminotransferase (ALT) weekly during concomitant radio-chemotherapy treatment and monthly during maintenance temozolomide treatment, using the CTCAE v5.0 system to determine the degree of toxicity
Time frame: Through study completion, an average of 2 years
Liver Toxicity
Evaluation of liver toxicity. Assessment of liver toxicity will be derived from the assay of total and direct blood bilirubin weekly during concomitant radio-chemotherapy treatment and monthly during maintenance temozolomide treatment, using the CTCAE v5.0 system to determine the degree of toxicity
Time frame: Through study completion, an average of 2 years
Liver Toxicity
Evaluation of liver toxicity. Assessment of liver toxicity will be derived from the assay of aspartate aminotransferase (AST) weekly during concomitant radio-chemotherapy treatment and monthly during maintenance temozolomide treatment, using the CTCAE v5.0 system to determine the degree of toxicity
Time frame: Through study completion, an average of 2 years
6/9-months Progression Free Survival (6/9m-PFS)
Evaluation of 6/9-months Progression Free Survival (6/9m-PFS). The progression free survival at 6/9 months (6/9m-PFS) will be determined as the percentage of patient with progression of disease at 6 and 9 months
Time frame: Through study completion, an average of 2 years
Objective Response Rate (ORR)
Evaluation of Objective Response Rate (ORR). The objective response rate (ORR) will be defined as the percentage of patients with complete response (CR) and partial response (PR) determined using modified RANO criteria
Time frame: Through study completion, an average of 2 years
EORTC QLQ-C30_Quality of Life
Evaluation of Quality of Life assessed by EORTC QLQ-C30. EORTC QLQ-C30 has robust psychometric properties resulting from their use in several international cancer clinical trials. The EORTC QLQ-C30 (Aaronson et al, 1988) is a core measure designed to be supplemented with the disease specific module.
Time frame: Through study completion, an average of 2 years
QLQ-BN20_Quality of Life
Evaluation of Quality of Life assessed by QLQ-BN20. QLQBN20 has robust psychometric properties resulting from their use in several international cancer clinical trials.
Time frame: Through study completion, an average of 2 years
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