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.