Glioblastoma
Conditions
Brief summary
The purpose of this study: Determining the Maximum Tolerated Dose (MTD), Dose-Limiting Toxicity (DLT), pharmacokinetics characteristic, and dosage regimen of phase II/III of Chlorogenic acid for injection in the advanced Glioblastoma Patients ;
Detailed description
1. Investigate the tolerance of Chlorogenic acid for injection in human body, determine the Maximum Tolerated Dose (MTD) and Dose-Limiting Toxicity (DLT) of Chlorogenic acid for injection in the advanced Glioblastoma Patients ; 2. Determine the human pharmacokinetics characteristic of Chlorogenic acid for injection; 3. Preliminary observation the effectiveness and effective dose; 4. Provide the basis for the dosage regimen of phase II/III.
Interventions
DRUGChlorogenic acid
Chlorogenic acid for injection is polyphenols, micromolecular and un-endogenous substance. It might play the role of cancer treatment via balancing tumor micro-environmental immune status according to the stability and rationality of immunodeficiency and endogenous immune material expression around the tumor. Chlorogenic acid for injection is made from chlorogenic acid (purity≥98%) which is extracted from folium cortex eucommiae.Chlorogenic acid and its preparations have not been reported as chemical drug and marketed around the world.
Sponsors
Beijing Shijitan Hospital, Capital Medical University
Sichuan J.Z. Bio-chemical Science and Technology Development Co., Ltd
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Patients with pathologic or/and FNAC confirmation of advanced glioblastoma(WHO,III-IV grade) but without effective treatment or with treatment failure; 2. Between 18 and 65 years of age, KPS≥40; 3. According to RANO(2010), the parents will be eligible if one of the following conditions apply: steroid dose increased or stable,the enhanced tumor lesion increased more than 25%; the unenhanced tumor lesion increased because of the progressive tumor,even if the lesion was unmeasurable. 4. Life expectancy of at least three (3) months at the enrollment; 5. Patients who have sufficient baseline organ function and whose laboratory data can meet the following criteria at the enrollment: 1)PLT count≥100×10\ 9/L, 2)WLB count≥4.0×10\ 9/L and ≤12×10\ 9/L, 3)Neutrophil granulocyte count≥2.0×10\ 9/L, 4)HGB count≥90g/L, 5)Total bilirubin \<=1.5 times of ULN, 6)ALT/AST ≤2.5 times of ULN, 7)SCr≤1.5 times of ULN, 8)Normal ECG with LVEF (≥50%) measured by echocardiography; 6.Female patients with negative pregnant test, and male/female patients of reproductive age without pregnancy planning in the next 12 months; 7.Volunteered for the phase 1 trial and sign the informed consent without protest;
Exclusion criteria
1. Patients who have received large area radiotherapy （\>30% marrow capacity）; 2. Without pathologic or/and FNAC confirmation of advanced glioblastoma; 3. Patients who has primary immunodeficiency diseases； 4. Patients who suffer from other serious complication, such as uncontrollable infection, myocardial infarction within the past 6 months at the enrollment , uncontrollable hypertension ,thromboembolism and etc.; 5. Patients who have received the therapy of chemotherapy or radical radiotherapy within 4 weeks before enrollment; 6. Patients who have used nitrosoureas drug or mitomycin within 6 weeks or tyrosine kinase inhibitor within 2 weeks before enrollment; 7. Patients who have received therapy of major surgery within 4 weeks or biopsy surgery within 2 weeks before enrollment; 8. Patients who experience grade 2 or more than grade 2 toxicity caused by the past therapies; 9. Patients who have history of drug abuse; 10. Uncontrollable psychopaths； 11. Uncontrollable diabetes； 12. Pregnant or breast-feeding women, or patients(male and female) who have pregnancy plan; 13. Patients who had received a therapy of another investigational drug within 12 weeks or patients who are still in another clinical trial at the enrollment; 14. Known active hepatitis B/hepatitis C, positive HIV/ syphilis antibody; 15. Patient who need long term treatment of cortical hormone or other immunosuppressive drugs such as visceral organ transplanters; 16. Allergic to the investigational drug; 17. Other patients judged ineligible for enrollment in the study by the investigator (sub-investigator). 18. Patients who have received the therapy of adrenal steroid hormones within 1 week before enrollment or will receive the therapy for a long period time，except for Corticosteroid nasal spray，Inhaled Steroid and Topical steroids .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum Tolerated Dose | Within the first 30 days after the first dose of chlorogenic acid |
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0，grade ≥3 (DLT) | Within the first 30 days after the first dose of chlorogenic acid |
| Peak Plasma Concentration (Cmax) of chlorogenic acid | Within the first 30 days after the first dose of chlorogenic acid |
| Area under the plasma concentration versus time curve (AUC) of chlorogenic acid | Within the first 30 days after the first dose of chlorogenic acid |
| Number of adverse events | Within the first 30 days after the first dose of chlorogenic acid |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in quality of life | Within 1 year after the first dose of chlorogenic acid |
| progress free survival(PFS) | Within the first 30 days after the first dose of chlorogenic acid |
| Improvement in cancer-related symptoms | Within 1 year after the first dose of chlorogenic acid |
| disease control rate(DCR) | Within the first 30 days after the first dose of chlorogenic acid |
| objective response rate (ORR) | Within the first 30 days after the first dose of chlorogenic acid |
| overall survival (OS) | Within the first 30 days after the first dose of chlorogenic acid |
Other
| Measure | Time frame |
|---|---|
| Changing in number of red blood cell | Within 1 year after the first dose of chlorogenic acid |
| Changing in lymphocyte subsets | Within 1 year after the first dose of chlorogenic acid |
| Changing in level of hemoglobin | Within 1 year after the first dose of chlorogenic acid |
| Changing in cytokines in peripheral blood | Within 1 year after the first dose of chlorogenic acid |
Countries
China
Outcome results
None listed