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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT03150862




Registration number
NCT03150862
Ethics application status
Date submitted
8/05/2017
Date registered
12/05/2017
Date last updated
31/05/2022

Titles & IDs
Public title
A Study Assessing Pamiparib With Radiation and/or Temozolomide (TMZ) in Participants With Newly Diagnosed or Recurrent Glioblastoma
Scientific title
A Phase 1b/2 Study to Assess the Safety, Tolerability and Efficacy of BGB-290 in Combination With Radiation Therapy (RT) and/or Temozolomide (TMZ) in Subjects With First-line or Recurrent/Refractory Glioblastoma
Secondary ID [1] 0 0
2017-001554-33
Secondary ID [2] 0 0
BGB-290-104
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Brain and Central Nervous System Tumors 0 0
Condition category
Condition code
Cancer 0 0 0 0
Brain
Cancer 0 0 0 0
Neuroendocrine tumour (NET)
Cancer 0 0 0 0
Children's - Brain

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Pamiparib
Treatment: Drugs - TMZ
Treatment: Other - Radiation

Experimental: Arm A (Dose Escalation) - Participants with newly diagnosed unmethylated GBM will receive Pamiparib and radiation therapy.

Experimental: Arm B (Dose Escalation) - Participants with newly diagnosed unmethylated GBM will receive Pamiparib, radiation therapy (RT) and temozolomide (TMZ).

Experimental: Arm A (Dose Expansion) - Participants with newly diagnosed unmethylated GBM will receive Pamiparib and radiation therapy.

Experimental: Arm C (Dose Escalation) - Participants with recurrent/refractory methylated or unmethylated GBM will receive Pamiparib and TMZ.

Experimental: Arm C (Dose Expansion-Cohorts C1 and C2) - Participants with recurrent/refractory methylated or unmethylated GBM will receive Pamiparib and TMZ.


Treatment: Drugs: Pamiparib
Administered as specified in the treatment arm

Treatment: Drugs: TMZ
Administered as specified in the treatment arm

Treatment: Other: Radiation
Up to 60 Gy (total) over 6 - 7 weeks

Intervention code [1] 0 0
Treatment: Drugs
Intervention code [2] 0 0
Treatment: Other
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Phase 1b Escalation Phase: Number of Participants With Dose-Limiting Toxicities (DLTs) as Assessed by CTCAE
Timepoint [1] 0 0
Arm A:Day 1 Pamiparib dose until 4 weeks after the last RT; Arm B: Day 1 of Pamiparib and Temozolomide until 4 weeks after the last RT; Arm C: 1st cycle of 28 days
Primary outcome [2] 0 0
Phase 1b Escalation Phase: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) as Assessed by CTCAE
Timepoint [2] 0 0
From initiation of study treatment (for TEAE) or from the date informed consent has been signed (for SAE), until 30 days after last study treatment or initiation of new anticancer therapy, whichever occurs first (up to 3 years and 7.5 months)
Primary outcome [3] 0 0
Phase 1b Escalation Phase Arm C: Number of Participants With Clinically Relevant Changes in Vital Signs and Clinical Laboratory Measurements
Timepoint [3] 0 0
From the date of first dose up to end of study (EOS) visit (up to 3 years and 7.5 months)
Primary outcome [4] 0 0
Phase 2 Arm A: Modified Disease Control Rate (DCR) as Assessed by Response Assessment in Neuro-Oncology (RANO) Criteria
Timepoint [4] 0 0
From the date of first dose up to first documentation of disease progression while participant is alive ( up to 3 years and 7.5 months)
Primary outcome [5] 0 0
Phase 2 Arm C: Objective Response Rate (ORR) as Assessed Using RANO Criteria
Timepoint [5] 0 0
From the date of first dose up to first documentation of disease progression while participant is alive (up to 3 years and 7.5 months)
Primary outcome [6] 0 0
Phase 1b Arm C: Number of Cycles of Treatment Received by Participants
Timepoint [6] 0 0
From the date of first dose up to EOS visit ( up to 3 years and 7.5 months)
Primary outcome [7] 0 0
Phase 1b Arm C: Average Dose Intensity of Pamiparib And TMZ Received Per Participant
Timepoint [7] 0 0
From the date of first dose until EOS visit (up to 3 years and 7.5 months)
Secondary outcome [1] 0 0
Phase 1B and Phase 2: Pharmacokinetics: Ctrough of Pamiparib
Timepoint [1] 0 0
Pre-dose, 2 hours post dose on Days 1 and 15 of radiation Therapy
Secondary outcome [2] 0 0
Phase 1b Arm A and Arm B Escalation Phase: Modified Disease Control Rate as Assessed by RANO Criteria
Timepoint [2] 0 0
From the date of first dose up to first documentation of disease progression while participant is alive (approximately 3 years and 7.5 months)
Secondary outcome [3] 0 0
Phase 1b Escalation Phase Arm C: Disease Control Rate as Assessed by RANO Criteria
Timepoint [3] 0 0
From the date of first dose up to first documentation of disease progression while participant is alive (up to 3 years and 7.5 months)
Secondary outcome [4] 0 0
Phase 1b and Phase 2 Arms A and B: ORR as Assessed Using RANO Criteria
Timepoint [4] 0 0
From the date of first dose up to first documentation of disease progression while participant is alive ( up to 3 years and 7.5 months)
Secondary outcome [5] 0 0
Phase 1b and Phase 2 Arms A, B and C: Clinical Benefit Rate as Assessed Using RANO Criteria
Timepoint [5] 0 0
From the date of first dose up to first documentation of disease progression while participant is alive (up to 3 years and 7.5 months)
Secondary outcome [6] 0 0
Phase 1b and Phase 2 Arms A, B and C: Duration of Response (DOR) as Assessed Using RANO Criteria
Timepoint [6] 0 0
From first documentation of CR or PR to first documentation of disease progression or death (up to 3 years and 7.5 months)
Secondary outcome [7] 0 0
Phase 1b and Phase 2 Arms A, B and C: Progression Free Survival (PFS) as Assessed Using RANO Criteria
Timepoint [7] 0 0
From the date of first dose up to first documentation of disease progression or death (up to 3 years and 7.5 months)
Secondary outcome [8] 0 0
Phase 1b and Phase 2 Arms A, B and C: Overall Survival (OS)
Timepoint [8] 0 0
From the date of first dose up to the date of death (up to 3 years and 7.5 months)
Secondary outcome [9] 0 0
Phase 2 Arms A and C Expansion Phase: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Timepoint [9] 0 0
From initiation of study treatment (for TEAE) or from the date informed consent has been signed (for SAE), until 30 days after last study treatment or initiation of new anticancer therapy, whichever occurs first (up to 3 years and 7.5 months)
Secondary outcome [10] 0 0
Phase 2 Expansion Phase Arm A and C: Number of Participants With Clinically Relevant Changes in Vital Signs and Clinical Laboratory Measurements
Timepoint [10] 0 0
From the date of first dose up to EOS visit (up to 3 years and 7.5 months)
Secondary outcome [11] 0 0
Phase 2 Arms A and C Expansion Phase: Number of Cycles of Treatment Received by Participants
Timepoint [11] 0 0
From date of first dose up to EOS Visit (up to 3 years and 7.5 months)
Secondary outcome [12] 0 0
Phase 2 Arms A and C Expansion Phase: Average Dose Intensity of Pamiparib and TMZ Received Per Participant
Timepoint [12] 0 0
From date of first dose up to EOS Visit (up to 3 years and 7.5 months)

Eligibility
Key inclusion criteria
Key All participants

1. Age = 18 years old.

2. Confirmed diagnosis of glioblastoma (WHO Grade IV).

3. Agreement to provide archival tumor tissue for exploratory biomarker analysis

4. Ability to undergo serial MRIs.

5. Eastern Cooperative Oncology Group (ECOG) status = 1.

6. Adequate hematologic and end-organ function

7. Females of childbearing potential and non-sterile males must agree to use highly
effective methods of birth control throughout the course of study and at least up to 6
months after last dosing.

8. Ability to swallow whole capsules.

Participants in Arms A and B (not Arm C) must meet inclusion criteria # 9 - 11:

9. No previous treatment for GBM except surgery.

10. Able to start radiation therapy = 49 days after surgery but = 14 days after a biopsy
or =28 days after an open biopsy or craniotomy with adequate wound healing.

11. Documented unmethylated MGMT promoter status.

Participants in Arm C Escalation (Phase 1b) must meet inclusion criteria # 12 - 15:

12. Documentation of MGMT promoter status

13. No prior systemic chemotherapy other than TMZ for GBM.

14. Histologically confirmed secondary glioblastoma

15. Disease that is evaluable or measurable as defined by Response Assessment in
Neuro-Oncology (RANO) criteria

Participants in Arm C Expansion (Phase 2), must meet criteria # 16 - 18:

16. Histologically confirmed de novo (primary) glioblastoma with unequivocal first
progressive disease (PD) after RT with concurrent/adjuvant TMZ chemotherapy

17. Disease that is measurable as defined by RANO criteria

18. Documentation of MGMT promoter status

Key
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
All participants

1. Prior chemotherapy, biologic therapy, immunotherapy or investigational agents =21 days
prior to start of study treatment.

2. Toxicity of = Grade 2 from prior therapy.

3. Major surgery or significant other injury = 4 weeks prior to start of study treatment.

4. History of other active malignancies within 2 years with exception of (i) adequately
treated in situ cancer of the cervix, (ii) non-melanoma skin cancer, or (iii)
localized adequately treated cancer with curative intent or malignancy diagnosed > 2
years ago with no evidence of disease and no treatment = 2 years prior to study
treatment.

5. Active infection requiring systemic treatment.

6. Known human immunodeficiency virus (HIV) or active viral hepatitis.

7. Active, clinically significant cardiac disease or any Class 3 or 4 cardiac disease,
ventricular arrhythmia or Cerebrovascular Accident (CVA) = 6 months prior to start of
treatment.

8. Active clinically significant gastrointestinal disease.

9. Active bleeding disorder = 6 months prior to start of treatment.

10. Need for therapeutic anti-coagulation with heparin, warfarin or other anticoagulants.

11. Use of any medications or food known to be strong or moderate cytochrome P450, family
3, subfamily A (CYP3A) inhibitors or strong inducers.

12. Pregnant or nursing females.

13. Significant intercurrent illness that may result in participant's death prior to death
from glioblastoma.

Arms B and C Only:

14. Known hypersensitivity to any component of TMZ or decarbazine (DTIC).

15. Have hereditary problems of galactose intolerance

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 1/Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arizona
Country [2] 0 0
United States of America
State/province [2] 0 0
California
Country [3] 0 0
United States of America
State/province [3] 0 0
Colorado
Country [4] 0 0
United States of America
State/province [4] 0 0
Massachusetts
Country [5] 0 0
United States of America
State/province [5] 0 0
Michigan
Country [6] 0 0
United States of America
State/province [6] 0 0
Missouri
Country [7] 0 0
United States of America
State/province [7] 0 0
New York
Country [8] 0 0
United States of America
State/province [8] 0 0
Ohio
Country [9] 0 0
United States of America
State/province [9] 0 0
Oklahoma
Country [10] 0 0
United States of America
State/province [10] 0 0
Pennsylvania
Country [11] 0 0
United States of America
State/province [11] 0 0
Tennessee
Country [12] 0 0
United States of America
State/province [12] 0 0
Utah
Country [13] 0 0
United States of America
State/province [13] 0 0
Virginia
Country [14] 0 0
Netherlands
State/province [14] 0 0
Rotterdam
Country [15] 0 0
Switzerland
State/province [15] 0 0
Zurich

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
BeiGene USA, Inc.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The primary objective of this study is to evaluate the safety, efficacy and clinical activity
of Pamiparib in combination with radiation therapy (RT) and/or temozolomide (TMZ) in
participants with newly diagnosed or recurrent/refractory glioblastoma.
Trial website
https://clinicaltrials.gov/ct2/show/NCT03150862
Trial related presentations / publications
Public notes
This record is viewable in the ANZCTR as it had previously listed Australia and/or New Zealand as a recruitment site, however these sites have since been removed

Contacts
Principal investigator
Name 0 0
Study Director
Address 0 0
BeiGene
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT03150862