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NCT03250299

Microtubule-Targeted Agent BAL101553 and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma

Terminated Phase 1 Results posted Last updated 24 June 2024
What this trial tests

Phase 1 trial testing Microtubule-Targeted Agent BAL101553 in Glioblastoma in 26 participants. Terminated before completion.

Timeline
15 December 2017
Primary endpoint
3 June 2022
24 August 2022

Quick facts

Lead sponsorBasilea Pharmaceutica
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposetreatment
Enrollment26
Start date15 December 2017
Primary completion3 June 2022
Estimated completion24 August 2022
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Basilea Pharmaceutica — full company profile →

Who can join

18 and older, any sex, with Glioblastoma or MGMT-Unmethylated Glioblastoma. 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.

Number of Patients With Dose-Limiting Toxicities (DLTs) for Each Maximal Tolerated Dose (MTD)-Determining Dose Cohort Primary · Up to 10 weeks

A DLT was defined as a clinically-significant adverse event (AE) or abnormal laboratory value assessed as unrelated to disease progression, intercurrent illness, or concomitant medications. Any DLT had to be a toxicity considered at least possibly related to BAL101553 or the combination of BAL101553 and radiation.

GroupValue95% CI
BAL101553 4 mg MTD-determining Cohort0
BAL101553 6 mg MTD-determining Cohort0
BAL101553 8 mg MTD-determining Cohort1
BAL101553 12 mg MTD-determining Cohort1
BAL101553 15 mg MTD-determining Cohort0
Number of Patients With Grade 3 to Grade 5 Adverse Events (AEs) Secondary · up to 10 weeks

Common Terminology Criteria for Adverse Events (CTCAE) displayed by increasing severity grades 3 to 5 (CTCAE grade 3/4/5 )

GroupValue95% CI
BAL101553 4 mg Cohort1
BAL101553 6 mg Cohort2
BAL101553 8 mg Cohort1
BAL101553 12 mg Cohort2
BAL101553 15 mg Cohort1
BAL101553 4 mg Cohort1
BAL101553 6 mg Cohort1
BAL101553 8 mg Cohort1
BAL101553 12 mg Cohort1
BAL101553 15 mg Cohort0
BAL101553 4 mg Cohort3
BAL101553 6 mg Cohort2
BAL101553 8 mg Cohort5
BAL101553 12 mg Cohort2
BAL101553 15 mg Cohort3
Overall Survival (OS) Time Secondary · Day 1 to date of death - up to 1679 days (4.6 years)

OS was defined as the time from Day 1 dosing to the date of death. Patients who have not died at study closure were censored at the time of last known alive.

GroupValue95% CI
All BAL101553 Treated Patients383.0273.0 – 552.0
Progression Free Survival (PFS) Time Secondary · Day 1 to date of disease progression - 1092 days (3.0 years)

PFS was the interval between Day 1 dosing and the earliest date of progression. Progression was defined as: an increase in tumor size of more than 25% or the appearance of new lesions on MRI scans, significant clinical deterioration not attributable to causes other than the tumor, or death from any cause. Patients who have not progressed or died at study closure were censored at the time of their last assessment without progression.

GroupValue95% CI
All BAL101553 Treated Patients247.0128.0 – 366.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events (AEs) were collected for 10 weeks from start of treatment, All-cause Mortality monitored up to 1679 days (4.6 years). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BAL101553 4 mg Cohort
Serious: 2/5 (40%)
Deaths: 5/5
BAL101553 6 mg Cohort
Serious: 3/5 (60%)
Deaths: 5/5
BAL101553 8 mg Cohort
Serious: 2/7 (29%)
Deaths: 4/7
BAL101553 12 mg Cohort
Serious: 2/5 (40%)
Deaths: 4/5
BAL101553 15 mg Cohort
Serious: 1/4 (25%)
Deaths: 0/4

Serious adverse events (23 terms)

ReactionSystemBAL101553 4 mg CohortBAL101553 6 mg CohortBAL101553 8 mg CohortBAL101553 12 mg CohortBAL101553 15 mg Cohort
AphasiaNervous system disorders
Brain oedemaNervous system disorders
Cognitive disorderNervous system disorders
DysarthriaNervous system disorders
Facial paresisNervous system disorders
HeadacheNervous system disorders
HydrocephalusNervous system disorders
LethargyNervous system disorders
SeizureNervous system disorders
ConstipationGastrointestinal disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
DehydrationMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
BacteraemiaInfections and infestations
EncephalitisInfections and infestations
PeritonitisInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
EmbolismVascular disorders
Gait disturbanceGeneral disorders
PyrexiaGeneral disorders
Confusional statePsychiatric disorders
Other adverse events (154 terms — click to expand)

ReactionSystemBAL101553 4 mg CohortBAL101553 6 mg CohortBAL101553 8 mg CohortBAL101553 12 mg CohortBAL101553 15 mg Cohort
FatigueGeneral disorders
Alanine aminotransferase increasedInvestigations
HyponatraemiaMetabolism and nutrition disorders
Aspartate aminotransferase increasedInvestigations
AnaemiaBlood and lymphatic system disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
HyperglycaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
Urinary tract infectionInfections and infestations
HypertensionVascular disorders
PainGeneral disorders
AnxietyPsychiatric disorders
Confusional statePsychiatric disorders
Lymphocyte count decreasedInvestigations
Platelet count decreasedInvestigations
Troponin I increasedInvestigations
White blood cell count decreasedInvestigations
Cognitive disorderNervous system disorders
HemiparesisNervous system disorders
Memory impairmentNervous system disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
Micturition urgencyRenal and urinary disorders
Urinary incontinenceRenal and urinary disorders
Back painMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Decreased appetiteMetabolism and nutrition disorders
HypercalcaemiaMetabolism and nutrition disorders
HypoalbuminaemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
Radiation skin injuryInjury, poisoning and procedural complications
DepilationSurgical and medical procedures
ChillsGeneral disorders
PyrexiaGeneral disorders
AgitationPsychiatric disorders
IrritabilityPsychiatric disorders

Most-reported serious reactions: Aphasia, Brain oedema, Cognitive disorder, Dysarthria, Facial paresis, Headache, Hydrocephalus, Lethargy.

Data from ClinicalTrials.gov NCT03250299 adverse events section.

Sponsor's own description

This Phase I study investigated the side-effects and best dose of microtubule-targeted agent BAL101553 when given together with radiation therapy in treating patients with newly-diagnosed O6-methylguanine-DNA methyltransferase (MGMT) promoter unmethylated glioblastoma (GBM). Drugs used in chemotherapy, such as microtubule-targeted agent BAL101553, work in different ways to stop the growth of tumor cells, either by killing the cells, stopping them from dividing, or stopping them from spreading. Radiation therapy uses high-energy x-rays to kill tumor cells and shrink tumors. Giving microtubule-targeted agent BAL101553 and radiation therapy may work better in treating patients with GBM.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Glioblastoma in adults: a Society for Neuro-Oncology (SNO) and European Society of Neuro-Oncology (EANO) consensus review on current management and future directions.
    Wen PY, Weller M, Lee EQ, Alexander BM, et al · · 2020 · cited 908× · PMID 32328653 · DOI 10.1093/neuonc/noaa106
  2. Current Challenges and Opportunities in Treating Glioblastoma.
    Shergalis A, Bankhead A, Luesakul U, Muangsin N, et al · · 2018 · cited 612× · PMID 29669750 · DOI 10.1124/pr.117.014944
  3. Updates in IDH-Wildtype Glioblastoma.
    Melhem JM, Detsky J, Lim-Fat MJ, Perry JR. · · 2022 · cited 55× · PMID 35641844 · DOI 10.1007/s13311-022-01251-6
  4. Glioma‑neuronal interactions in tumor progression: Mechanism, therapeutic strategies and perspectives (Review).
    Hua T, Shi H, Zhu M, Chen C, et al · · 2022 · cited 28× · PMID 35856439 · DOI 10.3892/ijo.2022.5394
  5. Treating ICB-resistant glioma with anti-CD40 and mitotic spindle checkpoint controller BAL101553 (lisavanbulin).
    Genoud V, Espinoza FI, Marinari E, Rochemont V, et al · · 2021 · cited 15× · PMID 34403371 · DOI 10.1172/jci.insight.142980
  6. Preclinical modeling in glioblastoma patient-derived xenograft (GBM PDX) xenografts to guide clinical development of lisavanbulin-a novel tumor checkpoint controller targeting microtubules.
    Burgenske DM, Talele S, Pokorny JL, Mladek AC, et al · · 2022 · cited 13× · PMID 34232318 · DOI 10.1093/neuonc/noab162
  7. A Phase 1 study of BAL101553, a novel tumor checkpoint controller targeting microtubules, administered as 48-h infusion in adult patients with advanced solid tumors.
    Joerger M, Stathis A, Metaxas Y, Hess D, et al · · 2020 · cited 9× · PMID 31471863 · DOI 10.1007/s10637-019-00850-z
  8. Phase 1/2a trial of intravenous BAL101553, a novel controller of the spindle assembly checkpoint, in advanced solid tumours.
    Kristeleit R, Evans J, Molife LR, Tunariu N, et al · · 2020 · cited 8× · PMID 32741975 · DOI 10.1038/s41416-020-1010-8

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