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. Author manuscript; available in PMC: 2015 Aug 3.
Published in final edited form as: Expert Opin Pharmacother. 2014 Aug 19;15(14):2047–2061. doi: 10.1517/14656566.2014.947266

Table 1. Recent clinical trials employing antiangiogenic therapy for newly diagnosed and recurrent GBM.

Clinical trial identifier Eligibility criteria Study end point(s) Treatment groups
Primary
Bevacizumab NCT00943826 (AVAglio) [41] Newly diagnosed, histologically confirmed GBM
Stable or decreasing steroid dose within 5 days prior to randomization
Primary:
PFS and OS
Secondary:
1- and 2-year survival rate, quality of life, adverse events
Arm I: Bevacizumab 10 mg/kg + RT + TMZ 75 mg/m2
Arm II: RT + TMZ 75 mg/m2
NCT00884741 (RTOG 0825) [40] Newly diagnosed, histologically confirmed GBM with supratentorial component (partial or complete resection)
No recurrent or multifocal malignant glioma No prior TMZ or bevacizumab
Primary:
PFS and OS (from randomization)
Secondary:
Treatment-related toxicity, molecular profile
Arm I: RT + TMZ
Arm II: RT + TMZ + bevacizumab
NCT00967330 (GLARIUS) [42] Histologically confirmed GBM
No previous chemotherapy or RT for GBM
Non-methylated MGMT promoter
Primary:
6-month PFS
Secondary:
OS, response rate, time to treatment failure, adverse events, quality of life
Arm I: Bevacizumab 10 mg/kg every 2 wks + irinotecan 125 mg/m2 every 2 wks + TMZ 75 mg/m2
Arm II: TMZ 75 mg/m2
Cediranib NCT00662506 [26] Histologically confirmed newly diagnosed GBM
Scheduled to receive standard post-surgical RT + TMZ
Primary:
Safety profile and optimal dosing of cediranib during TMZ (Phase I) PFS (Phase II)
Secondary:
MRI parameters, blood biomarkers, tumor biomarkers
Arm I: Cediranib + TMZ (dose-limiting toxicity 15 mg, 20 mg, 30 mg)
NCT01062425 Histologically confirmed newly diagnosed GBM with supratentorial component
No recurrent or multifocal malignant glioma
Primary:
6-month PFS
Secondary:
PFS and OS (from randomization), treatment-related toxicity
Arm I: Cediranib + RT + TMZ
Arm II: RT + TMZ
Cilengitide NCT00689221 (CENTRIC) [48] Newly diagnosed, histologically confirmed supratentorial GBM
Methylated MGMT promoter
Primary:
OS (from time of randomization)
Secondary:
PFS, pharmacokinetics, quality-of-life assessment and safety and tolerability
Arm I: Cilengitide + RT + TMZ
ARM II: RT + TMZ
2004-004849-18 (EMD121974-010) [47] Newly diagnosed, histologically confirmed supratentorial GBM
Stable or decreasing dose of steroids for ≥ 8 days
Primary:
6-month PFS
Secondary:
Response rate, OS, 1-year survival rate, median time to progression, pharmacokinetics of cilengitide + TMZ, safety and tolerability
Arm I: Cilengitide + RT + TMZ
Arm II: RT + TMZ
NCT00813943 (CORE) [49] Newly diagnosed, histologically confirmed supratentorial GBM
Non-methylated MGMT promoter
Primary:
OS (from time of randomization)
Secondary:
PFS (from randomization), pharmacokinetics, adverse events
Arm I: Cilengitide (twice weekly) + TMZ + RT
Arm II: Cilengitide (five times weekly) + TMZ + RT
Arm III: TMZ + RT
Recurrent
Bevacizumab NTR1929 (BELOB) [33] Histologically confirmed GBM
First relapse after prior treatment with standard RT/TMZ
No prior treatment with nitrosoureas or VEGF-R signaling inhibitors
Primary:
9-month OS
Secondary:
Response rate, median PFS and OS, 6- and 12-month PFS, quality of life
Arm I: Bevacizumab 10 mg/kg every 2 wks
Arm II: Bevacizumab 10 mg/kg every 2 weeks + 110 mg/m2 lomustine every 6 wks
Arm III: Lomustine 110 mg/m2 every 6 wks
ACTRN12610000915055 (CABARET) [34] Histologically confirmed GBM
Prior treatment with standard RT/TMZ
Recurrent/progressive disease confirmed by surgical resection or MRI
Primary:
PFS
Secondary:
OS, Response rate, MMSE cognitive function, quality of life, corticosteroid dose, toxicity, time to treatment failure
Arm I: Bevacizumab every 2 wks until disease progression
Arm II: Bevacizumab every 2 wks + carboplatin every 4 wks until disease progression
Cediranib NCT00305656 [36] Histologically confirmed GBM
Contrast-enhancing tumor ≥ 1 cm in longest diameter
Primary:
Rate of 6-month PFS
Secondary:
Response rate, OS, toxicity profile
Arm I: Cediranib once daily on days 1 – 28
NCT00777153 (REGAL) [37] Histologically confirmed recurrent GBM
Receive one prior chemotherapy with TMZ
Primary:
PFS
Secondary:
OS (from randomization), response rate, progression-free rate at 6 months, steroid-free days
Arm I: Cediranib 30 mg
Arm II: Cediranib 20 mg + lomustine
Arm III: Lomustine alone
NCT01310855 (DORIC) Histologically or cytologically confirmed GBM
No other prior treatment for GBM except Gliadel or steroids
Recurrent or progressive disease after standard therapy
Primary:
PFS (from randomization)
Secondary:
OS (from randomization), response rate, progression-free rate at 6 months, steroid use
Arm I: Cediranib 30 mg + gefitinib 500 mg
Arm II: Cediranib alone
Cilengitide NCT00093964 (EMD 121974-009) [93] Recurrent or progressive GBM following surgery or biopsy
RT and one previous regimen of systemic chemotherapy
Solid contrast-enhancing lesion ∼ 1 cm in any dimension within 2 weeks prior to the first dose of cilengitide
Primary:
Rate of 6-month PFS
Secondary:
Response rate, time to disease progression, survival time, safety, tolerability and pharmacokinetics
Arm I: Cilengitide 500 mg twice weekly
Arm II: Cilengitide 2,000 mg twice weekly

GBM: Glioblastoma; kg: Kilograms; m2: Meters squared; mg: Milligrams; MGMT: O(6)-methylguanine-DNA methyltransferase; OS: Overall survival; PFS: Progression-free survival; RT: Radiation therapy; RTOG: Radiation therapy oncology group; TMZ: Temozolomide; wks = Weeks.