Trial of AEO in New Glioblastoma (GBM)
Parole chiave
Astratto
Descrizione
Currently, the multidisciplinary Standard of Care treatment for Glioblastoma multiforme includes maximal surgical resection of the tumor followed by radiotherapy plus concomitant and maintenance temozolomide chemotherapy.This study will treat newly diagnosed GBM patients by adding Anhydrous Enol-Oxaloacetate treatment to their current Standard of Care.
In the body, Anhydrous Enol-Oxaloacetate (AEO) converts into "Oxaloacetate", a metabolite important for many biochemical reactions in the body. On a cellular level, oxaloacetate treatment has been found to modify cancer metabolism in GBM cells, reversing the "Warburg Effect", reducing glycolysis and reducing lactate production. In animals, oxaloacetate treatment has increased survival and reduced tumor growth of implanted GBM tumors.
In other animal studies, oxaloacetate has also shown to have neuo-protective effects including positive effects on seizure development.
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Date
Ultimo verificato: | 05/31/2020 |
Primo inviato: | 06/22/2020 |
Iscrizione stimata inviata: | 06/24/2020 |
Primo pubblicato: | 06/28/2020 |
Ultimo aggiornamento inviato: | 06/24/2020 |
Ultimo aggiornamento pubblicato: | 06/28/2020 |
Data di inizio effettiva dello studio: | 11/30/2020 |
Data di completamento primaria stimata: | 06/30/2022 |
Data stimata di completamento dello studio: | 08/31/2022 |
Condizione o malattia
Intervento / trattamento
Drug: AEO with Standard of Care
Other: Standard of Care
Fase
Gruppi di braccia
Braccio | Intervento / trattamento |
---|---|
Placebo Comparator: Standard of Care Current GBM Treatment of surgery, radiation and chemotherapy with temozolomide. | |
Experimental: AEO with Standard of Care Anhydrous Enol-Oxaloacetate added to the Standard of Care (surgery, radiation and chemotherapy with temozolomide). | Drug: AEO with Standard of Care Oral supplementation with AEO along with the Standard of Care (Temozolomide) |
Criteri di idoneità
Età idonea per lo studio | 18 Years Per 18 Years |
Sessi idonei allo studio | All |
Accetta volontari sani | sì |
Criteri | Inclusion Criteria: - • Histopathologic diagnosis of glioblastoma multiforme - Standard of care maximal feasible surgical resection of the glioma - Post-operative pre-enrollment MRI-Note: measurable disease is not required - Concomitant anti-epileptic drugs - Hemoglobin >9 g/dL - Platelets >100,000/microliter (mcL) - <3.0 Upper Limit of Normal Range (ULN) for Alanine aminotransferase (ALT), Aspartate aminotransferase (AST) and/or Alkaline Phosphatase - <2.0 Upper Limit of Normal Range (ULN) for serum creatinine - Karnofsky performance status >70 - Mentally competent to follow study procedures - Male and female patients of childbearing potential must agree to use a dual method of contraception (a highly effective method of contraception in conjunction with barrier contraception) consistently and correctly from the first dose of study drug until 90 days after the last dose of study drug - Able to answer questions on the Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire - Subject is willing and able to give informed consent and to follow instructions as per the protocol Exclusion Criteria: - • Concomitant treatment with carmustine wafers or tumor-treating electric fields (TTFields) - QT Interval corrected with the fridericia formula (QTcF) >480ms - Significant concurrent illness / disease - Predicted life expectancy < 6 months from date of randomization - Pregnancy - Enrollment in another clinical trial during the course of the study |
Risultato
Misure di esito primarie
1. Overall Survival [6 months]
2. Progression Free Survival-6 [6 months]
Misure di esito secondarie
1. Seizures [6 months]
2. Chalfont-National Hospital Seizure Severity [6 months]
3. PROMIS-Cancer - Fatigue [6 months]