A Study in Recurrent Glioblastoma (GB)

NCT ID: NCT01582269

Last Updated: 2025-11-24

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-26

Study Completion Date

2024-10-10

Brief Summary

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The purpose of the study is to see whether treatment with LY2157299 on its own, LY2157299 plus lomustine therapy or lomustine plus placebo can help participants with brain cancer

Detailed Description

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Conditions

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Glioblastoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Arm A: Galunisertib

* Participants received Galunisertib 300 milligrams (mg) orally twice daily (BID) for 14 days, followed by 14 days of rest in a 28-day cycle.
* Treatment continued until disease progression, death, or discontinuation criteria were met.

Group Type EXPERIMENTAL

Galunisertib

Intervention Type DRUG

Administered orally

Arm B: Galunisertib + Lomustine

* Participants received Galunisertib 300 mg orally BID for 14 days, followed by 14 days of rest in a 28-day cycle.
* Participants received a first dose of Lomustine at 100 milligrams per square meter (mg/m²) administered orally. Thereafter, starting with the second dose, Lomustine was administered orally once every 6 weeks at 100-130 mg/m², at the discretion of the investigator.
* Treatment continued until disease progression, death, or discontinuation criteria were met.

Group Type EXPERIMENTAL

Galunisertib

Intervention Type DRUG

Administered orally

Lomustine

Intervention Type DRUG

Administered orally

Arm C: Lomustine + Placebo

* Participants received a first dose of Lomustine at 100 mg/m² administered orally. Thereafter, starting with the second dose, Lomustine was administered orally once every 6 weeks at 100-130 mg/m², at the discretion of the investigator.
* Participants received Galunisertib-matched Placebo orally BID for 14 days, followed by 14 days of rest in a 28-day cycle.
* Treatment continued until disease progression, death, or discontinuation criteria were met.

Group Type ACTIVE_COMPARATOR

Lomustine

Intervention Type DRUG

Administered orally

Placebo

Intervention Type DRUG

Administered orally

Interventions

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Galunisertib

Administered orally

Intervention Type DRUG

Lomustine

Administered orally

Intervention Type DRUG

Placebo

Administered orally

Intervention Type DRUG

Other Intervention Names

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LY2157299 monohydrate Galunisertib-matched Placebo

Eligibility Criteria

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Inclusion Criteria

* Histological confirmed diagnosis of relapsed intracranial GB
* Progressive Disease (PD) following standard chemoradiation
* Prior surgical resection allowed
* Performance status Eastern Cooperative Oncology Group (ECOG) 0 or 1
* Adequate hematologic, hepatic and renal function
* Discontinued all prior cancer treatments for cancer \& recovered from the acute effects of therapy
* Tumor specimen must be available for a central pathology review and prognostic and predictive biomarker evaluation

Exclusion Criteria

* Moderate or severe heart disease based on New York Heart Association (NYHA) criteria
* Prior nitrosurea therapy (including lomustine or Gliadel)
* Prior bevacizumab as 1st line treatment for GB (if treatment was concluded 12 months prior to enrollment, the patient may be eligible to participate in the trial)
* Current acute or chronic myelogenous leukemia
* Second primary malignancy that may affect the interpretation of results
* Serious concomitant systemic disorder
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Birmingham, Alabama, United States

Site Status

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La Jolla, California, United States

Site Status

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San Francisco, California, United States

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Cleveland, Ohio, United States

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Dallas, Texas, United States

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St Leonards, New South Wales, Australia

Site Status

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Heidelberg, Victoria, Australia

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Parkville, Victoria, Australia

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Edegem, , Belgium

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Ghent, , Belgium

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Liège, , Belgium

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

Site Status

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Bobigny, , France

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Lyon, , France

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Marseille, , France

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Nancy, , France

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Paris, , France

Site Status

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Bonn, , Germany

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Frankfurt, , Germany

Site Status

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Hamburg, , Germany

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Heidelberg, , Germany

Site Status

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Bologna, , Italy

Site Status

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Terni, , Italy

Site Status

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Udine, , Italy

Site Status

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Amsterdam, , Netherlands

Site Status

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Rotterdam, , Netherlands

Site Status

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Lodz, , Poland

Site Status

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Barcelona, , Spain

Site Status

Countries

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United States Australia Belgium Canada France Germany Italy Netherlands Poland Spain

References

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Smith CL, Thomas Z, Enas N, Thorn K, Lahn M, Benhadji K, Cleverly A. Leveraging historical data into oncology development programs: Two case studies of phase 2 Bayesian augmented control trial designs. Pharm Stat. 2020 May;19(3):276-290. doi: 10.1002/pst.1990. Epub 2020 Jan 5.

Reference Type DERIVED
PMID: 31903699 (View on PubMed)

Brandes AA, Carpentier AF, Kesari S, Sepulveda-Sanchez JM, Wheeler HR, Chinot O, Cher L, Steinbach JP, Capper D, Specenier P, Rodon J, Cleverly A, Smith C, Gueorguieva I, Miles C, Guba SC, Desaiah D, Lahn MM, Wick W. A Phase II randomized study of galunisertib monotherapy or galunisertib plus lomustine compared with lomustine monotherapy in patients with recurrent glioblastoma. Neuro Oncol. 2016 Aug;18(8):1146-56. doi: 10.1093/neuonc/now009. Epub 2016 Feb 21.

Reference Type DERIVED
PMID: 26902851 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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H9H-MC-JBAL

Identifier Type: OTHER

Identifier Source: secondary_id

2011-004418-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

13849

Identifier Type: -

Identifier Source: org_study_id

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