Trial Outcomes & Findings for Hydroxychloroquine, Radiation, and Temozolomide Treating Patients With Newly Diagnosed Glioblastoma Multiforme (NCT NCT00486603)

NCT ID: NCT00486603

Last Updated: 2019-07-10

Results Overview

Number of participants who tolerated doses of HCQ without dose limiting toxicity. The highest dose at which participants did not experience dose limiting toxicity was determined as the MTD.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

92 participants

Primary outcome timeframe

10 weeks

Results posted on

2019-07-10

Participant Flow

This study was conducted by the Adult Brain Tumor Consortium (ABTC) and patients were recruited from the consortium members outpatient centers.

Participant milestones

Participant milestones
Measure
RT+TMZ+HCQ Phase 1 - 200 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 1 - 400 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 400mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 1 - 600 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 600mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 1 - 800 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 800mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 2 - MTD 600 mg
Phse 2: daily hydroxychloroquine (HCQ) (MTD 600mg) on 1st day of RT and concomitant temozolomide for 6wks during RT. After 6 wks, 4 wkd of HCQ alone daily. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Pts will continue on treatment unitl tumor progression. PKs - correlatives will be collected in Phse 2 Radiation
Overall Study
STARTED
3
7
3
3
76
Overall Study
COMPLETED
2
6
3
3
76
Overall Study
NOT COMPLETED
1
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
RT+TMZ+HCQ Phase 1 - 200 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 1 - 400 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 400mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 1 - 600 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 600mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 1 - 800 mg
Daily Hydroxchloroquine (HCQ) on 1st day of RT and TMZ for 6wks during RT. 800mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Phse 2: same schema as above but at the prescribed MTD from Phse 1. PKs - correlatives will be collected in Phse 1 and Phse 2 hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -wk3-4, wk9-10, Maintenance Cycle 1Week 4 (C1W4), C2W4, C3W4, C6W4
RT+TMZ+HCQ Phase 2 - MTD 600 mg
Phse 2: daily hydroxychloroquine (HCQ) (MTD 600mg) on 1st day of RT and concomitant temozolomide for 6wks during RT. After 6 wks, 4 wkd of HCQ alone daily. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. Pts will continue on treatment unitl tumor progression. PKs - correlatives will be collected in Phse 2 Radiation
Overall Study
Withdrawal by Subject
1
0
0
0
0
Overall Study
Physician Decision
0
1
0
0
0

Baseline Characteristics

Hydroxychloroquine, Radiation, and Temozolomide Treating Patients With Newly Diagnosed Glioblastoma Multiforme

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RT+TMZ+HCQ Phase 1
n=16 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. then every 4 weeks will be cycle of mono therapy of HCQ daily. cohorts of three pts: dose levels: 200, 400, 600, 800mg. NO dose escalation beyond 800mg. hydroxychloroquine: see arm description, the first 10 week cycle is call initiation cycle, Post the 10 week cycle of just HCQ, 4 week cycles are called Maintenance Cycles temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ TMZ days 1-5 150-20mg/m2 cycles 1-6 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation 6weeks during initiation cycle Monday - Friday
RT+TMZ+HCQ Phase 2
n=76 Participants
Daily hydroxychloroquine (HCQ) (MTD 600mg) on 1st day of RT and temozolomide for 6wks during RT. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ TMZ D1-5 150-20mg/m2 cycles 1-6 pharmacological study/Correlative study: Seven samples in total collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation 6weeks during initiation cycle Monday - Friday Pts will continue on treatment unti/tumor progression.
Total
n=92 Participants
Total of all reporting groups
Age, Continuous
55 years
n=93 Participants
59 years
n=4 Participants
58 years
n=27 Participants
Sex: Female, Male
Female
4 Participants
n=93 Participants
30 Participants
n=4 Participants
34 Participants
n=27 Participants
Sex: Female, Male
Male
12 Participants
n=93 Participants
46 Participants
n=4 Participants
58 Participants
n=27 Participants
Karnofsky Performance Status
100
5 Participants
n=93 Participants
15 Participants
n=4 Participants
20 Participants
n=27 Participants
Karnofsky Performance Status
90
7 Participants
n=93 Participants
31 Participants
n=4 Participants
38 Participants
n=27 Participants
Karnofsky Performance Status
80
3 Participants
n=93 Participants
18 Participants
n=4 Participants
21 Participants
n=27 Participants
Karnofsky Performance Status
70
1 Participants
n=93 Participants
10 Participants
n=4 Participants
11 Participants
n=27 Participants
Karnofsky Performance Status
60
0 Participants
n=93 Participants
2 Participants
n=4 Participants
2 Participants
n=27 Participants
Surgical Procedure
Biopsy
6 Participants
n=93 Participants
18 Participants
n=4 Participants
24 Participants
n=27 Participants
Surgical Procedure
Craniotomy
10 Participants
n=93 Participants
58 Participants
n=4 Participants
68 Participants
n=27 Participants

PRIMARY outcome

Timeframe: 10 weeks

Population: Cohort 200mg - 3 subjects ; cohort 400mg - 7 subjects; 600mg - 3 subjects; 800mg - 3 subjects

Number of participants who tolerated doses of HCQ without dose limiting toxicity. The highest dose at which participants did not experience dose limiting toxicity was determined as the MTD.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=16 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
(Phase I) Maximum Tolerated Dose (MTD) of Hydroxychloroquine (HCQ)
400mg
7 Participants
(Phase I) Maximum Tolerated Dose (MTD) of Hydroxychloroquine (HCQ)
200mg
3 Participants
(Phase I) Maximum Tolerated Dose (MTD) of Hydroxychloroquine (HCQ)
600mg
3 Participants
(Phase I) Maximum Tolerated Dose (MTD) of Hydroxychloroquine (HCQ)
800mg
0 Participants

PRIMARY outcome

Timeframe: 10 weeks

Population: 1/7 subjects from the 400mg cohort only received 70% of expected dose, therefore this subject was not used for toxicity analysis

Dose limiting toxicity defined as: Any DLT must be a toxicity considered at least possibly related to HCQ. DLTs will include any possibly, probably, or definitely HCQ-related Grade 3 or 4 toxicity. Known or reasonably suspected TMZ hematological toxicities will not be considered dose limiting unless the treating physician considers the toxicity to be exacerbated by HCQ. Nonhematological toxicities: Any Grades 3-4 severity (except nausea and vomiting without sufficient antiemetic prophylaxis)

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=3 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
n=6 Participants
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
n=3 Participants
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
n=3 Participants
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
(Phase I) Number of Participants Who Experienced Dose Limiting Toxicity (DLT)
0 Participants
0 Participants
0 Participants
3 Participants

PRIMARY outcome

Timeframe: 2 years

Population: Only Phase 2 participants were assessed for this outcome measure.

Number of months alive after end of study participation

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=76 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
(Phase II) Overall Survival
15.6 months
Interval 13.0 to 17.0

SECONDARY outcome

Timeframe: up to 2 years

Population: Only participants from Phase II were assessed for this outcome measure.

Number of participants experiencing Grade 3 and 4 toxicity, as defined by CTCAE v3.0, with a possible, probable or definite relationship to HCQ, TMZ or both

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=76 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
(Phase II) Number of Participants With Grade 3 and 4 Toxicity
22 Participants

SECONDARY outcome

Timeframe: up to 9 weeks

Population: Only 40 participants had at least 2 PBMC samples that were amenable to EM, which was required to assess this outcome measure.

Number of participants with at least 2 peripheral blood mononuclear cell (PBMC) samples that were amenable to electronmicroscopy (EM) who showed an increase of autophagic vacuoles in cells.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=40 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Pharmocodynamics as Determined by Number of Participants With Autophagy Inhibition
AV increase
22 Participants
Pharmocodynamics as Determined by Number of Participants With Autophagy Inhibition
No AV increase
18 Participants

SECONDARY outcome

Timeframe: up to 9 weeks

Population: Only participants who had at least 2 PBMC samples that were amenable to EM were assessed for this outcome measure

Autophagy inhibition is represented by an increase in autophagic vacuoles (AV) in participants with at least 2 peripheral blood mononuclear cell samples that were amenable to EM.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=22 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
n=18 Participants
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Pharmocodynamics as Determined by Number of Participants With Autophagy Inhibition in Relation to Maximal Concentration (Cmax) of HCQ
AV Increase
10 Participants
12 Participants
Pharmocodynamics as Determined by Number of Participants With Autophagy Inhibition in Relation to Maximal Concentration (Cmax) of HCQ
No AV Increase
12 Participants
6 Participants

SECONDARY outcome

Timeframe: up to 276 days

Population: Only participants from Phase II were assessed for this outcome measure. Data was not collected from 4/76 participants.

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=72 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Pharmacokinetics (PK) of Hydroxychloroquine as Measured by Lag Time (Tlag)
1.06 hour
Interval 0.97 to 1.25

SECONDARY outcome

Timeframe: up to 276 days

Population: Only participants from Phase II were assessed for this outcome measure. Data was not collected from 4/76 participants.

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=72 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
PK of Hydroxychloroquine as Measured by Oral Clearance (Liters/Hour) From Central Compartment (CL/F)
11.85 L/hr
Interval 6.41 to 28.18

SECONDARY outcome

Timeframe: up to 276 days

Population: Only participants from Phase II were assessed for this outcome measure. Data was not collected from 4/76 participants.

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=72 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
PK of Hydroxychloroquine as Measured by Volume of Distribution of Central Compartment (V/F)
483.96 Liters
Interval 26.0 to 5483.0

SECONDARY outcome

Timeframe: up to 276 days

Population: Only participants from Phase II were assessed for this outcome measure. Data was not collected from 4/76 participants.

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=72 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
PK of Hydroxychloroquine as Measured by Distribution Volume of Peripheral Compartment (V2/F)
963 Liters
Interval 558.0 to 2208.0

SECONDARY outcome

Timeframe: up to 276 days

Population: Only participants from Phase II were assessed for this outcome measure. Data was not collected from 4/76 participants.

The population model PK parameters do not specifically represent steady-state values, as they were determined from multiple repeated single doses taken from multiple repeated doses taken by the individual patient during their period on the study. To obtain steady state PK parameters, individual estimates were simulated from the population model.

Outcome measures

Outcome measures
Measure
Phase 1 - Dose Finding
n=72 Participants
Phse I: daily Hydroxychloroquine (HCQ) on 1st day of RT and concomitant TMZ for 6wks during RT. Starting dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. Complete 10 week cycle -Initiation Phase Maintenance cycles 1-6 HCQ daily TMZ D 1-5 150-200mg/m2 every 28 days. Cycles 7+ mono therapy of HCQ daily, every 28 days. cohorts of three pts: dose levels: 200, 400, 600mg 800mg. NO dose escalation beyond 800mg. temozolomide: TMZ daily 75mg/m2 for 6weeks with RT+HCQ TMZ Maintenance cycle 1-6 150-200mg/m2 pharmacological study/Correlative study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4 (C2W4), Cycle3 Week4 (C3W4), Cycle6 Week4 (C6W4) Radiation 6weeks during initation cycle Monday - Friday
Phase 1: RT+TMZ+HCQ - 400mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
PK of Hydroxychloroquine as Measured by First-order Absorption Rate Constant (Ka)
0.51 hours
Interval 0.42 to 0.82

Adverse Events

Phase 1: RT+TMZ+HCQ - 200mg

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase 1: RT+TMZ+HCQ - 400mg

Serious events: 7 serious events
Other events: 7 other events
Deaths: 0 deaths

Phase 1: RT+TMZ+HCQ - 600mg

Serious events: 3 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase 1: RT+TMZ+HCQ - 800mg

Serious events: 3 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase 2: RT+TMZ+HCQ - MTD 600mg

Serious events: 53 serious events
Other events: 76 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Phase 1: RT+TMZ+HCQ - 200mg
n=3 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 400mg
n=7 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
n=3 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
n=3 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 2: RT+TMZ+HCQ - MTD 600mg
n=76 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg MTD. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Gastrointestinal disorders
abdominal pain
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
alanine aminotransferase increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
alkaline phosphatase increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
7.9%
6/76 • Number of events 6 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Blood and lymphatic system disorders
anemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
100.0%
3/3 • Number of events 4 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
3.9%
3/76 • Number of events 3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
anorexia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
blood bilirubin increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
constipation
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Eye disorders
decreased depth perception
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
General disorders
fatigue
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Blood and lymphatic system disorders
febrile neutropenia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Musculoskeletal and connective tissue disorders
generalized muscle weakness
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Blood and lymphatic system disorders
hemolysis
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hyperkalemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hyperuricemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Infections and infestations
other
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
lymphocyte count decreased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
nausea
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
neutrophil count decreased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
10.5%
8/76 • Number of events 10 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
rash maculo-papular
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
11.8%
9/76 • Number of events 9 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
white blood cell count decreased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
10.5%
8/76 • Number of events 8 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
platelet count decreased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
100.0%
3/3 • Number of events 4 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
11.8%
9/76 • Number of events 11 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity

Other adverse events

Other adverse events
Measure
Phase 1: RT+TMZ+HCQ - 200mg
n=3 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 200mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 400mg
n=7 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 400mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 600mg
n=3 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 1: RT+TMZ+HCQ - 800mg
n=3 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 800mg. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Phase 2: RT+TMZ+HCQ - MTD 600mg
n=76 participants at risk
Daily hydroxychloroquine (HCQ) on 1st day of RT and concomitant temozolomide for 6wks during RT. Dose of HCQ is 600mg MTD. After 6 wks, 4 wkd of HCQ alone daily. this will complete 10 week cycle. -Initiation Phase temozolomide: TMZ daily 75mg/m2 for 6wks with RT+HCQ (TMZ is given only during Initiation cycle) pharmacological study: Seven samples in total will be collected baseline, initiation cycle -week3-4, week9-10, Maintenance Cycle 1 Week 4 (C1W4), Cycle2 Week4, Cycle3 Week4, Cycle6 Week4 Radiation: Radiation during the first six weeks of treatment Monday-Friday
Gastrointestinal disorders
abdominal distension
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Psychiatric disorders
mood alteration
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
alanine aminotransferase increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
18.4%
14/76 • Number of events 14 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
alkaline phosphatase increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
7.9%
6/76 • Number of events 6 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
alopecia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Blood and lymphatic system disorders
anemia
100.0%
3/3 • Number of events 3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
42.9%
3/7 • Number of events 4 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
100.0%
3/3 • Number of events 4 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
48.7%
37/76 • Number of events 38 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
anorexia
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
19.7%
15/76 • Number of events 15 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Psychiatric disorders
anxiety
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
aspartate aminotransferase increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.5%
11/76 • Number of events 11 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Nervous system disorders
ataxia
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
bloating
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
blood bilirubin increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
5.3%
4/76 • Number of events 4 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Injury, poisoning and procedural complications
bruising
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Eye disorders
blurred vision
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
General disorders
chills
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
constipation
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
15.8%
12/76 • Number of events 12 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
creatinine increased
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Psychiatric disorders
depression
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
diarrhea
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
18.4%
14/76 • Number of events 14 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
dry skin
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Nervous system disorders
dysarthria
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Nervous system disorders
dizziness
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Nervous system disorders
dysgeusia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
6.6%
5/76 • Number of events 5 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
dyspepsia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
6.6%
5/76 • Number of events 5 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Respiratory, thoracic and mediastinal disorders
dyspnea
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
General disorders
edema limbs
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Respiratory, thoracic and mediastinal disorders
epistaxis
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
erythema multiforme
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
esophageal pain
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Eye disorders
other
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
General disorders
fatigue
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
71.4%
5/7 • Number of events 6 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
57.9%
44/76 • Number of events 47 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
General disorders
feber
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
gastric hemorrhage
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
gastroesophageal reflux disease
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Musculoskeletal and connective tissue disorders
generalized muscle weakness
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Nervous system disorders
headache
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hyperkalemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hyperuricemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hypocalcemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
3.9%
3/76 • Number of events 3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hypokalemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hypomagnesemia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
hyponatremia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
3.9%
3/76 • Number of events 3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Vascular disorders
hypotension
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
other
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Infections and infestations
other
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Psychiatric disorders
insomnia
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Psychiatric disorders
irritability
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
lipase increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
lymphocyte count decreased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
General disorders
malaise
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Nervous system disorders
memory impairment
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
mucositis oral
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Musculoskeletal and connective tissue disorders
muscle weakness lower limb
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
nausea
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
71.4%
5/7 • Number of events 6 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
46.1%
35/76 • Number of events 38 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
neutrophil count decreased
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
13.2%
10/76 • Number of events 10 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
General disorders
pain
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Musculoskeletal and connective tissue disorders
pain in extremity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Nervous system disorders
peripheral sensory neuropathy
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
photosensitivity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
Pruritus
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
9.2%
7/76 • Number of events 7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
purpura
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/76 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
rash acneiform
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
platelet count decreased
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
42.9%
3/7 • Number of events 3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
39.5%
30/76 • Number of events 32 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Skin and subcutaneous tissue disorders
rash maculo-papular
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
14.3%
1/7 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
11.8%
9/76 • Number of events 10 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Investigations
serum amylase increased
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
1.3%
1/76 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
stomach pain
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Gastrointestinal disorders
vomiting
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
17.1%
13/76 • Number of events 13 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
weight loss
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/7 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
0.00%
0/3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
2.6%
2/76 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
Metabolism and nutrition disorders
white blood cell count decreased
33.3%
1/3 • Number of events 1 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
28.6%
2/7 • Number of events 4 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 2 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
66.7%
2/3 • Number of events 3 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity
35.5%
27/76 • Number of events 27 • 3 years
Adverse events not serious are defined as having Grade 1 and Grade 2 severity

Additional Information

Director of ABTC

Adult Brain Tumor Consortium

Phone: 410-955-3657

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60