UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030359
Receipt number R000034631
Scientific Title Phase II trial of eribulin in patients with recurrent glioblastoma (ENIGMA)
Date of disclosure of the study information 2017/12/19
Last modified on 2021/10/13 15:34:13

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Basic information

Public title

Phase II trial of eribulin in patients with recurrent glioblastoma (ENIGMA)

Acronym

Phase II trial of eribulin in patients with recurrent glioblastoma

Scientific Title

Phase II trial of eribulin in patients with recurrent glioblastoma (ENIGMA)

Scientific Title:Acronym

Phase II trial of eribulin in patients with recurrent glioblastoma

Region

Japan


Condition

Condition

Glioblastoma

Classification by specialty

Neurosurgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this multicenter open-label single-arm phase II study is to evaluate the safety and efficacy of eribulin mesylate in patients with recurrent glioblastoma previously treated with temozolomide, radiation therapy and bevacizumab.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

One-year survival rate

Key secondary outcomes

Overall survival (OS), Progression-free survival (PFS), Response rate, QOL, safety


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients receive eribulin mesylate (1.4 mg/m2) intravenously once a week (q1w) on day 1 and day 8, and do not receive the drug on day 15. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically proven diagnosis of glioblastoma (including giant cell glioblastoma and gliosarcoma).
2) Evidence of progression or recurrence of glioblastoma confirmed on contrast-enhanced MRI within 14 days prior to enrollment. CT with or without contrast enhancement and MRI without contrast enhancement are not allowed. Presence of a measurable lesion is not required.
3) Corticosteroid dose must be stable or decreasing for at least 7 days prior to the contrast-enhanced MRI described in 2).
4) No episode of intracranial (including intratumoral) hemorrhage for 28 days prior to enrollment.
5) No evidence of tumors in the cerebellum, brain stem, pituitary gland, optic nerve and olfactory nerve, and no evidence of meningeal dissemination.
6) Prior treatment with postoperative temozolomide concomitantly with radiotherapy and at least for two cycles (5/28d) as an adjuvant treatment at newly-diagnosed setting.
7) History of bevacizumab treatment.
8) No history of eribulin treatment.
9) More than 180 days after initiation of temozolomide concomitant with radiation therapy have past at enrollment.
10) More than 90 days after completion of radiotherapy have past at enrollment. For patients who underwent reoperation, more than 14 days have past postoperatively at enrollment.
11) More than 28 days after completion of any other chemotherapeutic treatment including bevacizumab have past at enrollment.
12) Age between 20 and 75 years at enrollment.
13) KPS >= 70 within 14 days prior to enrolment.
14) Adequate organ and bone marrow function as defined below. All screening labs should be performed within 14 days prior to enrollment and G-CSF administration is not allowed in this period:
i) absolute neutrophil count >= 1,500/mm3
ii) platelets >= 100,000/mcL
iii) hemoglobin >= 9.0 g/dL
iv) AST <= 100 U/L
v) ALT <= 100 U/L
vi) creatinine <= 1.5mg/dL
15) Written informed consent.

Key exclusion criteria

1) History of malignancy except for malignant glioma for at least 2 years prior to enrollment (those who had adequately treated carcinoma in situ, intramucosal carcinoma or equivalent malignancy can be enrolled).
2) Active infection requiring systemic therapy.
3) Body temperature >= 38 degrees Celsius at enrollment.
4) Clinical or radiographic evidence of interstitial pneumonia or pulmonary fibrosis at enrollment.
5) Positive HIV antibody, HBs antigen or HCV antibody (however, those who are positive for HCV antibody but negative for HCV-RNA detection can be enrolled).
6) Negative HBs antigen but positive HBs or HBc antibody, and positive HBV-DNA detection (those who are negative for HBV-DNA detection can be enrolled). HBV-DNA test is not necessary for those who are positive for HBs antibody only (including medical workers).
7) Women during pregnancy, possible pregnancy or breastfeeding
8) Uncontrolled diabetes mellitus.
9) Clinically significant heart dysfunction, or history of heart dysfunction.
10) Psychosis or with psychotic symptoms that disturb regular daily life and prevent trial participation.
11) Allergy or any reason to prohibit the use of contrast enhancement agent for MRI.

Target sample size

38


Research contact person

Name of lead principal investigator

1st name Yoshitaka
Middle name
Last name Narita

Organization

National Cancer Center Hospital

Division name

Department of Neurosurgery and Neuro-Oncology

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Email

ncch1507_enigma_office@ml.res.ncc.go.jp


Public contact

Name of contact person

1st name Masamichi
Middle name
Last name Takahashi

Organization

National Cancer Center Hospital

Division name

Department of Neurosurgery and Neuro-Oncology

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Homepage URL


Email

ncch1507_enigma_office@ml.res.ncc.go.jp


Sponsor or person

Institute

National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)

Eisai Co., Ltd.


IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

埼玉医科大学国際医療センター(埼玉県)、国立がん研究センター中央病院(東京都)、杏林大学医学部付属病院(東京都)、東京女子医科大学病院(東京都)、東京大学医学部附属病院(東京都)、京都大学医学部附属病院(京都府)、熊本大学病院(熊本県)


Other administrative information

Date of disclosure of the study information

2017 Year 12 Month 19 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

38

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 09 Month 29 Day

Date of IRB

2017 Year 11 Month 28 Day

Anticipated trial start date

2018 Year 01 Month 10 Day

Last follow-up date

2021 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 12 Month 12 Day

Last modified on

2021 Year 10 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034631


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name