18 and older, any sex, with Glioma or Glioblastoma Multiforme. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Feasibility of Patient Treatment Compliance as Measured by Number of Participants Who Were at Least 80% Compliance With Assigned Administration TimePrimary· Through completion of treatment (median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles)
Compliance is defined as no more than one of five doses of temozolomide per cycle taken outside of the assigned administration time.
Group
Value
95% CI
Arm 1: Temozolomide Morning
17
Arm 2: Temozolomide Evening
15
Number of Patients Experiencing Grade 3 or 4 Lymphopenia, Thrombocytopenia, Neutropenia, Leukopenia, and Anemia in Each Group as Measured by Standard Blood DrawsSecondary· Through completion of treatment (median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles)
* Lymphopenia grade 3 is \<500-200/mm\^3 and grade 4 is \<200/mm\^3
* Leukopenia grade 3 is \<2000-1000/mm\^3 and grade 4 is \<1000/mm\^3
* Neutropenia grade 3 is \<1000-500/mm\^3 and grade 4 is \<500/mm\^3
* Thrombocytopenia grade 3 is \<50,000-25,000/mm\^3 and grade 4 is \<25,000/mm\^3
* Anemia grade 3 is \<8.0-6.5 g/dL and grade 4 is \<6.5 g/dL
Lymphopenia
Group
Value
95% CI
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
0
Thrombocytopenia
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
0
Neutropenia
Group
Value
95% CI
Arm 1: Temozolomide Morning
0
Arm 2: Temozolomide Evening
1
Anemia
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
0
Leukopenia
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
0
Change in Quality of Life as Measured by FACT-Br Score - Physical Well-being ScoreSecondary· Baseline, beginning of each cycle (each cycle is 28 days), and 1 month after completion of treatment (up to 13 months, median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles))
7-item questionnaire measuring over the past 7 days. Answers range from 0=not at all to 4=very much. Total score range is 0-28. A higher score indicates a lower physical well-being quality of life.
Baseline
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.23
± 4.17
Arm 2: Temozolomide Evening
4.80
± 4.27
Cycle 1
Group
Value
95% CI
Arm 1: Temozolomide Morning
5.78
± 4.96
Arm 2: Temozolomide Evening
4.00
± 2.83
Cycle 2
Group
Value
95% CI
Arm 1: Temozolomide Morning
7.66
± 6.92
Arm 2: Temozolomide Evening
8.32
± 5.65
Cycle 3
Group
Value
95% CI
Arm 1: Temozolomide Morning
7.33
± 5.67
Arm 2: Temozolomide Evening
7.69
± 5.31
Cycle 4
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.18
± 4.09
Arm 2: Temozolomide Evening
5.53
± 4.74
Cycle 5
Group
Value
95% CI
Arm 1: Temozolomide Morning
5.27
± 4.54
Arm 2: Temozolomide Evening
7.03
± 5.80
Cycle 6
Group
Value
95% CI
Arm 1: Temozolomide Morning
4.64
± 3.44
Arm 2: Temozolomide Evening
5.71
± 5.59
Cycle 7
Group
Value
95% CI
Arm 1: Temozolomide Morning
4.71
± 4.19
Arm 2: Temozolomide Evening
3.00
± 2.71
Change in Quality of Life as Measured by FACT-Br Score - Social/Family Well-being ScoreSecondary· Baseline, beginning of each cycle (each cycle is 28 days), and 1 month after completion of treatment (up to 13 months, median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles))
7-item questionnaire measuring over the past 7 days. Answers range from 0=not at all to 4=very much. Total score range 0-28. A higher score indicates a higher social/family well-being quality of life.
Baseline
Group
Value
95% CI
Arm 1: Temozolomide Morning
24.10
± 4.09
Arm 2: Temozolomide Evening
22.94
± 3.98
Cycle 1
Group
Value
95% CI
Arm 1: Temozolomide Morning
24.29
± 4.13
Arm 2: Temozolomide Evening
22.59
± 4.52
Cycle 2
Group
Value
95% CI
Arm 1: Temozolomide Morning
22.45
± 7.32
Arm 2: Temozolomide Evening
23.12
± 4.18
Cycle 3
Group
Value
95% CI
Arm 1: Temozolomide Morning
23.14
± 5.93
Arm 2: Temozolomide Evening
22.26
± 5.67
Cycle 4
Group
Value
95% CI
Arm 1: Temozolomide Morning
23.21
± 3.71
Arm 2: Temozolomide Evening
23.06
± 4.78
Cycle 5
Group
Value
95% CI
Arm 1: Temozolomide Morning
22.91
± 4.72
Arm 2: Temozolomide Evening
22.30
± 5.59
Cycle 6
Group
Value
95% CI
Arm 1: Temozolomide Morning
22.44
± 5.41
Arm 2: Temozolomide Evening
23.05
± 5.13
Cycle 7
Group
Value
95% CI
Arm 1: Temozolomide Morning
20.95
± 6.31
Arm 2: Temozolomide Evening
24.86
± 2.86
Change in Quality of Life as Measured by FACT-Br Score - Emotional Well-being ScoreSecondary· Baseline, beginning of each cycle (each cycle is 28 days), and 1 month after completion of treatment (up to 13 months, median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles))
6-item questionnaire measuring over the past 7 days. Answers range from 0=not at all to 4=very much. Total score range 0-24. A higher score indicates a lower emotional well-being quality of life.
Baseline
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.72
± 3.72
Arm 2: Temozolomide Evening
7.60
± 3.19
Cycle 1
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.69
± 4.69
Arm 2: Temozolomide Evening
8.11
± 2.85
Cycle 2
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.06
± 4.82
Arm 2: Temozolomide Evening
6.77
± 2.10
Cycle 3
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.63
± 3.48
Arm 2: Temozolomide Evening
6.92
± 2.14
Cycle 4
Group
Value
95% CI
Arm 1: Temozolomide Morning
7.04
± 3.25
Arm 2: Temozolomide Evening
5.47
± 2.70
Cycle 5
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.68
± 1.82
Arm 2: Temozolomide Evening
5.36
± 2.01
Cycle 6
Group
Value
95% CI
Arm 1: Temozolomide Morning
6.23
± 3.45
Arm 2: Temozolomide Evening
5.57
± 1.51
Cycle 7
Group
Value
95% CI
Arm 1: Temozolomide Morning
7.29
± 2.56
Arm 2: Temozolomide Evening
5.14
± 2.73
Change in Quality of Life as Measured by FACT-Br Score - Functional Well-being ScoreSecondary· Baseline, beginning of each cycle (each cycle is 28 days), and 1 month after completion of treatment (up to 13 months, median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles))
7-item questionnaire measuring over the past 7 days. Answers range from 0=not at all to 4=very much. Total score range 0-28. A higher score indicates a higher emotional well-being quality of life.
Baseline
Group
Value
95% CI
Arm 1: Temozolomide Morning
18.19
± 6.39
Arm 2: Temozolomide Evening
16.35
± 7.06
Cycle 1
Group
Value
95% CI
Arm 1: Temozolomide Morning
18.71
± 7.09
Arm 2: Temozolomide Evening
15.89
± 7.59
Cycle 2
Group
Value
95% CI
Arm 1: Temozolomide Morning
15.94
± 8.68
Arm 2: Temozolomide Evening
16.11
± 7.17
Cycle 3
Group
Value
95% CI
Arm 1: Temozolomide Morning
16.37
± 5.59
Arm 2: Temozolomide Evening
17.69
± 5.86
Cycle 4
Group
Value
95% CI
Arm 1: Temozolomide Morning
17.75
± 6.82
Arm 2: Temozolomide Evening
18.78
± 6.93
Cycle 5
Group
Value
95% CI
Arm 1: Temozolomide Morning
17.32
± 7.23
Arm 2: Temozolomide Evening
19.27
± 7.86
Cycle 6
Group
Value
95% CI
Arm 1: Temozolomide Morning
18.64
± 7.66
Arm 2: Temozolomide Evening
20.00
± 7.28
Cycle 7
Group
Value
95% CI
Arm 1: Temozolomide Morning
18.71
± 6.34
Arm 2: Temozolomide Evening
23.57
± 5.77
Median Progression-free Survival (PFS)Secondary· Through completion of follow-up (median length of follow-up 568.5 days, full range 1-1134 days)
PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first.
Group
Value
95% CI
Arm 1: Temozolomide Morning
11.5978
7.1952 – 29.6680
Arm 2: Temozolomide Evening
8.1809
3.1869 – NA
Median Overall SurvivalSecondary· Through completion of follow-up (median length of follow-up 568.5 days, full range 1-1134 days)
Group
Value
95% CI
Arm 1: Temozolomide Morning
26.9739
10.6121 – 44.3869
Arm 2: Temozolomide Evening
17.1831
8.3451 – NA
Comparison of Sleep Questionnaire in Participants Receiving Temozolomide in the Morning Versus Participants Receiving Temozolomide in the EveningSecondary· Baseline, beginning of each cycle (each cycle is 28 days), and 1 month after completion of treatment (up to 13 months, median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles))
Sleep Questionnaire - 1 yes/no question of "do you have problems getting to sleep or staying asleep?"
Baseline
Group
Value
95% CI
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
4
Arm 1: Temozolomide Morning
4
Arm 2: Temozolomide Evening
2
Cycle 1
Group
Value
95% CI
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
3
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
2
Cycle 2
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
2
Arm 1: Temozolomide Morning
3
Arm 2: Temozolomide Evening
3
Cycle 3
Group
Value
95% CI
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
2
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
3
Cycle 4
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
0
Arm 1: Temozolomide Morning
3
Arm 2: Temozolomide Evening
5
Cycle 5
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
1
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
4
Cycle 6
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
0
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
3
Cycle 7
Group
Value
95% CI
Arm 1: Temozolomide Morning
1
Arm 2: Temozolomide Evening
0
Arm 1: Temozolomide Morning
2
Arm 2: Temozolomide Evening
1
Comparison of Sleep Questionnaire in Participants Receiving Temozolomide in the Morning Versus Participants Receiving Temozolomide in the EveningSecondary· Baseline, beginning of each cycle (each cycle is 28 days), and 1 month after completion of treatment (up to 13 months, median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles))
\- Sleep Questionnaire:
* Difficulty falling asleep/difficulty staying asleep/problem waking up too early: Answers range from 0=none, mild=1, moderate=2, severe=3, very=4.
* How satisfied or dissatisfied are you with your current sleeping pattern question: Answers range from 0=very satisfied to 4=very dissatisfied.
* To what extent do you consider your sleep problem to interfere with your daily functioning question: Answers range from 0=not at all interfering, 1=a little, 2=somewhat, 3=much, 4=very much interfering.
* How noticeable to others do you think your sleep problem is in terms of imp
Difficulty falling asleep
Group
Value
95% CI
Arm 1: Temozolomide Morning BASELINE
3
Arm 2: Temozolomide Evening BASELINE
1
Arm 1: Temozolomide Morning CYCLE 1
2
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
3
Arm 2: Temozolomide Evening CYCLE 2
2
Arm 1: Temozolomide Morning CYCLE 3
3
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
2
Arm 2: Temozolomide Evening CYCLE 4
4
Arm 1: Temozolomide Morning CYCLE 5
2
Arm 2: Temozolomide Evening CYCLE 5
4
Arm 1: Temozolomide Morning BASELINE
1
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
1
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
0
Arm 2: Temozolomide Evening CYCLE 3
4
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
2
Arm 2: Temozolomide Evening BASELINE
1
Arm 1: Temozolomide Morning CYCLE 1
1
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
2
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
0
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
Difficulty staying asleep
Group
Value
95% CI
Arm 1: Temozolomide Morning BASELINE
4
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
2
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
3
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
3
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
3
Arm 2: Temozolomide Evening CYCLE 4
3
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
1
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
1
Arm 2: Temozolomide Evening CYCLE 2
3
Arm 1: Temozolomide Morning CYCLE 3
0
Arm 2: Temozolomide Evening CYCLE 3
4
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
2
Arm 2: Temozolomide Evening CYCLE 5
3
Arm 1: Temozolomide Morning BASELINE
2
Arm 2: Temozolomide Evening BASELINE
1
Arm 1: Temozolomide Morning CYCLE 1
2
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
1
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
Problem waking up too early
Group
Value
95% CI
Arm 1: Temozolomide Morning BASELINE
3
Arm 2: Temozolomide Evening BASELINE
1
Arm 1: Temozolomide Morning CYCLE 1
3
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
3
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
4
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
2
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
4
Arm 1: Temozolomide Morning BASELINE
1
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
3
Arm 1: Temozolomide Morning CYCLE 3
0
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
3
Arm 1: Temozolomide Morning CYCLE 5
3
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
2
Arm 2: Temozolomide Evening BASELINE
3
Arm 1: Temozolomide Morning CYCLE 1
1
Arm 2: Temozolomide Evening CYCLE 1
3
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
0
Arm 2: Temozolomide Evening CYCLE 3
2
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
0
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
How satisfied or dissatisfied are you with your current sleeping pattern?
Group
Value
95% CI
Arm 1: Temozolomide Morning BASELINE
3
Arm 2: Temozolomide Evening BASELINE
0
Arm 1: Temozolomide Morning CYCLE 1
2
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
2
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
0
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
3
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
2
Arm 2: Temozolomide Evening CYCLE 4
2
Arm 1: Temozolomide Morning CYCLE 5
2
Arm 2: Temozolomide Evening CYCLE 5
2
Arm 1: Temozolomide Morning BASELINE
3
Arm 2: Temozolomide Evening BASELINE
3
Arm 1: Temozolomide Morning CYCLE 1
2
Arm 2: Temozolomide Evening CYCLE 1
3
Arm 1: Temozolomide Morning CYCLE 2
1
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
2
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
2
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
2
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
1
To what extent do you consider your sleep problem to interfere with your daily functioning?
Group
Value
95% CI
Arm 1: Temozolomide Morning BASELINE
3
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
1
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
3
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
2
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
2
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
1
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
4
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
2
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
3
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
2
Arm 1: Temozolomide Morning BASELINE
2
Arm 2: Temozolomide Evening BASELINE
1
Arm 1: Temozolomide Morning CYCLE 1
3
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
0
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
0
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
2
Arm 2: Temozolomide Evening CYCLE 3
2
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
How noticeable to others is your sleep problem is in terms of impairing the quality of your life
Group
Value
95% CI
Arm 1: Temozolomide Morning BASELINE
3
Arm 2: Temozolomide Evening BASELINE
0
Arm 1: Temozolomide Morning CYCLE 1
1
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
2
Arm 1: Temozolomide Morning CYCLE 3
2
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
2
Arm 2: Temozolomide Evening CYCLE 4
2
Arm 1: Temozolomide Morning CYCLE 5
2
Arm 2: Temozolomide Evening CYCLE 5
2
Arm 1: Temozolomide Morning BASELINE
1
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
2
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
3
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
2
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
3
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
3
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
0
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
2
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
2
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
How worried or distressed are you about your current sleep problem?
Group
Value
95% CI
Arm 1: Temozolomide Morning BASELINE
3
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
2
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
2
Arm 1: Temozolomide Morning CYCLE 3
2
Arm 2: Temozolomide Evening CYCLE 3
1
Arm 1: Temozolomide Morning CYCLE 4
3
Arm 2: Temozolomide Evening CYCLE 4
3
Arm 1: Temozolomide Morning CYCLE 5
2
Arm 2: Temozolomide Evening CYCLE 5
3
Arm 1: Temozolomide Morning BASELINE
2
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
1
Arm 2: Temozolomide Evening CYCLE 1
2
Arm 1: Temozolomide Morning CYCLE 2
2
Arm 2: Temozolomide Evening CYCLE 2
2
Arm 1: Temozolomide Morning CYCLE 3
2
Arm 2: Temozolomide Evening CYCLE 3
2
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
1
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
1
Arm 1: Temozolomide Morning BASELINE
1
Arm 2: Temozolomide Evening BASELINE
2
Arm 1: Temozolomide Morning CYCLE 1
1
Arm 2: Temozolomide Evening CYCLE 1
1
Arm 1: Temozolomide Morning CYCLE 2
1
Arm 2: Temozolomide Evening CYCLE 2
1
Arm 1: Temozolomide Morning CYCLE 3
0
Arm 2: Temozolomide Evening CYCLE 3
2
Arm 1: Temozolomide Morning CYCLE 4
1
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
1
Arm 2: Temozolomide Evening CYCLE 5
0
Arm 1: Temozolomide Morning BASELINE
0
Arm 2: Temozolomide Evening BASELINE
0
Arm 1: Temozolomide Morning CYCLE 1
0
Arm 2: Temozolomide Evening CYCLE 1
0
Arm 1: Temozolomide Morning CYCLE 2
0
Arm 2: Temozolomide Evening CYCLE 2
0
Arm 1: Temozolomide Morning CYCLE 3
1
Arm 2: Temozolomide Evening CYCLE 3
0
Arm 1: Temozolomide Morning CYCLE 4
0
Arm 2: Temozolomide Evening CYCLE 4
0
Arm 1: Temozolomide Morning CYCLE 5
0
Arm 2: Temozolomide Evening CYCLE 5
0
Mean Circadian AmplitudeSecondary· From start of treatment through 2 months after end of treatment (median length 100 days, full range 78-240 days)
* The ActTrust Condor Instrument watches are wrist actimetry/accelerometers. Patients will wear an accelerometer on their wrist to measure activity level during the day and at night until two months after the end of treatment.
* Circadian amplitude, refers to the difference between the highest and lowest points of a circadian rhythm over a 24-hour cycle, is typically measured in the units of the rhythm being quantified.
* The circadian mean amplitude was calculated per day for each patient with the mean and standard deviation reported across all days for each individual patient.
AM Patient #1
Group
Value
95% CI
Arm 1: Temozolomide Morning
0.78
± 0.02
AM Patient #2
Group
Value
95% CI
Arm 1: Temozolomide Morning
0.78
± 0.01
PM Patient #1
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.81
± 0.01
PM Patient #2
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.78
± 0.01
PM Patient #3
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.77
± 0.02
PM Patient #4
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.81
± 0.01
Mean Sleep Regularity Index (SRI)Secondary· From start of treatment through 2 months after end of treatment (median length 100 days, full range 78-240 days)
* The ActTrust Condor Instrument watches are wrist actimetry/accelerometers. Patients will wear an accelerometer on their wrist to measure activity level during the day and at night until two months after the end of treatment.
* Sleep regularity index (SRI) is the probability of being at rest, calculated per day for each patient. An SRI closer to 0 indicates irregular sleep patterns (i.e., more variable day to day), while values closer to 1 indicate regular sleep patterns. The SRI index scale is 0\~1.
* The SRI was calculated per day for each patient with the mean and standard deviation report
AM Patient #1
Group
Value
95% CI
Arm 1: Temozolomide Morning
0.70
± 0.09
AM Patient #2
Group
Value
95% CI
Arm 1: Temozolomide Morning
0.79
± 0.8
PM Patient #1
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.82
± 0.09
PM Patient #2
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.69
± 0.10
PM Patient #3
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.68
± 0.08
PM Patient #4
Group
Value
95% CI
Arm 2: Temozolomide Evening
0.82
± 0.11
Adverse events — posted to ClinicalTrials.gov
Time frame: All-cause mortality was collected from start of treatment through completion of follow-up (median length of follow-up 568.5 days, full range 1-1134 days) Adverse events were collected from start of treatment through end of treatment visit (median length of treatment 6 cycles - each cycle is 28 days (full range 2-12 cycles)..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Arm 1: Temozolomide Morning
Serious: 6/22 (27%)
Deaths: 7/22
Arm 2: Temozolomide Evening
Serious: 5/20 (25%)
Deaths: 6/20
Serious adverse events (12 terms)
Reaction
System
Arm 1: Temozolomide Morning
Arm 2: Temozolomide Evening
Death due to disease progression
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Temozolomide (TMZ) is the chemotherapy drug approved by the FDA to increase survival in glioblastoma (GBM) patients beyond surgical resection and radiation therapy alone. Give its activity in astrocytomas, TMZ is commonly used in grade III anaplastic astrocytoma (AA) as well. Both grade III AA and grade IV GBM are high grade gliomas (HGG). The short half-life of this drug and known oscillations in DNA damage repair make it an ideal candidate for chronotherapy.
Chronotherapy is the improvement of treatment outcomes by minimizing treatment toxicity and maximizing efficacy through delivery of a medication according to the timing of biological rhythms within a patient. Chronotherapy has improved outcomes through the reduction of side effects and increase in anti-tumor activity for a variety of cancers, but has never been applied to the treatment of gliomas.
Based on the preliminary preclinical data for chronotherapeutic TMZ treatment of intracranial glioma xenografts and the success of chronotherapy in the treatment of other cancers, the investigators hypothesize that the timing of TMZ treatment will alter its efficacy and toxicity.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT04373785 — NG101m Adjuvant Therapy in Glioblastoma Patients
· Phase 1, PHASE2
· not yet recruiting
NCT06448286 — PH Weighted Chemical Exchange Saturation Transfer MRI-Based Surgical Resection to Improve Survival in Patients With Glio
· Phase 3
· not yet recruiting
NCT07492680 — A Study of BMS-986504 Monotherapy and in Combination With Other Agents in Participants With Advanced and/or Metastatic S
· Phase 2
· not yet recruiting
NCT07452458 — Temporally-Modulated Pulsed Radiation Therapy Versus Standard Radiation Therapy for the Treatment of Newly Diagnosed, ID
· Phase 3
· not yet recruiting
NCT06639607 — PEP-CMV + Nivolumab for Newly Diagnosed Diffuse Midline Glioma/High-grade Glioma and Recurrent Diffuse Midline Glioma/Hi
· Phase 1, PHASE2
· not yet recruiting
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Washington University School of Medicine
Last refreshed: 27 June 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02781792.