Adult Study: ABT-414 Alone or ABT-414 Plus Temozolomide vs. Lomustine or Temozolomide for Recurrent Glioblastoma Pediatric Study: Evaluation of ABT-414 in Children With High Grade Gliomas
NCT ID: NCT02343406
Last Updated: 2020-05-22
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2
266 participants
INTERVENTIONAL
2015-02-17
2019-06-24
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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ABT-414/temozolomide
Depatuxizumab mafodotin (ABT-414) administered once every 2 weeks in combination with temozolomide (TMZ) to adult participants
Depatuxizumab mafodotin
Adults: intravenous administration (1.25 mg/kg or 1.0 mg/kg body weight) over 30 to 40 minutes once every 2 weeks until one of the treatment withdrawal criteria was met. The dose was 1.25 mg/kg in the original protocol (Version 1) and Version 2, Amendment 1, and was lowered to 1.0 mg/kg in protocol Version 3, Amendment 2. Pediatric participants: Intravenous administration (1.0 mg/kg body weight for those who were 6 to 17 years old at the date of first dose, or 1.3 mg/kg for those who were 0 to 5 years old) over 30 to 40 minutes or as directed by the guidelines once every 2 weeks until one of the treatment withdrawal criteria was met, for a maximum of one year. If used in combination with temozolomide, depatuxizumab mafodotin was dosed on Day 1 and Day 15 of the TMZ cycle (assuming a standard regimen of 200 mg/m\^2/day for 5 days of each 28-day cycle; for other TMZ schedules, timing of the depatuxizumab mafodotin dosing schedule were to be discussed with the medical monitor).
Temozolomide
Capsules administered orally, 150 mg/m\^2 on Days 1-5 for the first 28-day cycle, with dose escalation to 200 mg/m\^2 in subsequent cycles in case of adequate tolerance until one of the treatment withdrawal criteria was met.
ABT-414_adult
Depatuxizumab mafodotin (ABT-414) administered once every 2 weeks to adult participants
Depatuxizumab mafodotin
Adults: intravenous administration (1.25 mg/kg or 1.0 mg/kg body weight) over 30 to 40 minutes once every 2 weeks until one of the treatment withdrawal criteria was met. The dose was 1.25 mg/kg in the original protocol (Version 1) and Version 2, Amendment 1, and was lowered to 1.0 mg/kg in protocol Version 3, Amendment 2. Pediatric participants: Intravenous administration (1.0 mg/kg body weight for those who were 6 to 17 years old at the date of first dose, or 1.3 mg/kg for those who were 0 to 5 years old) over 30 to 40 minutes or as directed by the guidelines once every 2 weeks until one of the treatment withdrawal criteria was met, for a maximum of one year. If used in combination with temozolomide, depatuxizumab mafodotin was dosed on Day 1 and Day 15 of the TMZ cycle (assuming a standard regimen of 200 mg/m\^2/day for 5 days of each 28-day cycle; for other TMZ schedules, timing of the depatuxizumab mafodotin dosing schedule were to be discussed with the medical monitor).
Control_lomustine
Adult participants relapsing during temozolomide (TMZ) treatment or within the first 16 weeks after the first day of the last TMZ cycle received lomustine on Day 1 of every 42-day treatment period until one of the treatment withdrawal criteria was met, up to a maximum of 1 year.
Lomustine
Capsules administered orally, 110 mg/m\^2 on Day 1 of every 42-day treatment period. Treatment continued until one of the treatment withdrawal criteria was met, for a maximum of one year.
Control_ temozolomide
Adult participants relapsing 16 weeks or more after the first day of the last temozolomide (TMZ) cycle received TMZ on Day 1 to Day 5 for the first 28-day cycle, with dose escalation in subsequent cycles in case of adequate tolerance and treatment continuing until one of the treatment withdrawal criteria was met.
Temozolomide
Capsules administered orally, 150 mg/m\^2 on Days 1-5 for the first 28-day cycle, with dose escalation to 200 mg/m\^2 in subsequent cycles in case of adequate tolerance until one of the treatment withdrawal criteria was met.
ABT-414_ pediatric
Depatuxizumab mafodotin (ABT-414) administered once every 2 weeks to pediatric participants. Temozolomide (TMZ) was only allowed for pediatric participants if its use was in accordance with local clinical practice, and was not considered an investigational product for the study (unless this was a local requirement).
Depatuxizumab mafodotin
Adults: intravenous administration (1.25 mg/kg or 1.0 mg/kg body weight) over 30 to 40 minutes once every 2 weeks until one of the treatment withdrawal criteria was met. The dose was 1.25 mg/kg in the original protocol (Version 1) and Version 2, Amendment 1, and was lowered to 1.0 mg/kg in protocol Version 3, Amendment 2. Pediatric participants: Intravenous administration (1.0 mg/kg body weight for those who were 6 to 17 years old at the date of first dose, or 1.3 mg/kg for those who were 0 to 5 years old) over 30 to 40 minutes or as directed by the guidelines once every 2 weeks until one of the treatment withdrawal criteria was met, for a maximum of one year. If used in combination with temozolomide, depatuxizumab mafodotin was dosed on Day 1 and Day 15 of the TMZ cycle (assuming a standard regimen of 200 mg/m\^2/day for 5 days of each 28-day cycle; for other TMZ schedules, timing of the depatuxizumab mafodotin dosing schedule were to be discussed with the medical monitor).
Interventions
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Depatuxizumab mafodotin
Adults: intravenous administration (1.25 mg/kg or 1.0 mg/kg body weight) over 30 to 40 minutes once every 2 weeks until one of the treatment withdrawal criteria was met. The dose was 1.25 mg/kg in the original protocol (Version 1) and Version 2, Amendment 1, and was lowered to 1.0 mg/kg in protocol Version 3, Amendment 2. Pediatric participants: Intravenous administration (1.0 mg/kg body weight for those who were 6 to 17 years old at the date of first dose, or 1.3 mg/kg for those who were 0 to 5 years old) over 30 to 40 minutes or as directed by the guidelines once every 2 weeks until one of the treatment withdrawal criteria was met, for a maximum of one year. If used in combination with temozolomide, depatuxizumab mafodotin was dosed on Day 1 and Day 15 of the TMZ cycle (assuming a standard regimen of 200 mg/m\^2/day for 5 days of each 28-day cycle; for other TMZ schedules, timing of the depatuxizumab mafodotin dosing schedule were to be discussed with the medical monitor).
Temozolomide
Capsules administered orally, 150 mg/m\^2 on Days 1-5 for the first 28-day cycle, with dose escalation to 200 mg/m\^2 in subsequent cycles in case of adequate tolerance until one of the treatment withdrawal criteria was met.
Lomustine
Capsules administered orally, 110 mg/m\^2 on Day 1 of every 42-day treatment period. Treatment continued until one of the treatment withdrawal criteria was met, for a maximum of one year.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Histologically confirmed de novo (primary) glioblastoma with unequivocal tumor progression or recurrence.
* In case of testing at the time of first progression: either at least 3 months after the end of radiotherapy or have tumor progression that is clearly outside the radiation field or have tumor progression unequivocally proven by surgery/biopsy
* Absence of any psychological, familial, sociological or geographical factors potentially hampering compliance with the study protocol and follow-up schedule; such conditions should be assessed with the patient before registration in the trial.
* Availability of adequate biological material (formalin-fixed paraffin embedded \[FFPE\] tumor) for central testing of Epithelial Growth Factor Receptor (EGFR) amplification
* Presence of EGFR amplification confirmed by central assessment; participants with undetermined EGFR status are excluded
* World Health Organization (WHO) Performance status 0 - 2
* No more than one line of chemotherapy (concurrent and adjuvant Temozolomide based chemotherapy including in combination with another investigational agent is considered one line of chemotherapy). Chemotherapy must have been completed at least 4 weeks prior to randomization.
* Post surgery MRI within 48 hours following surgery, however an MRI scan has to be done within 2 weeks prior to randomization.
* Surgery completed at least 2 weeks before randomization and patients should have fully recovered as assessed by investigators.
* Renal function: calculated creatinine clearance ≥ 30 mL/min by the Cockcroft-Gault formula.
* Liver function: bilirubin \< 1.5× upper limit of the normal range (ULN), alkaline phosphatase and transaminases (ASAT) \< 2.5× ULN
Pediatric sub-study participants (less than 18 years old):
* Histologically proven high grade glioma (HGG: WHO grade III glioma \[e.g anaplastic astrocytoma, anaplastic oligodendroglioma, anaplastic oligoastrocytoma\], grade IV glioma \[e.g. glioblastoma, gliosarcoma\] or diffuse intrinsic pontine glioma \[DIPG\]).
* Must either have recurrent/progressive tumor or, if newly diagnosed, have completed any planned radiation therapy at least 4 weeks prior to first dose of ABT-414.
* The tumor tissue must have been determined to have EGFR amplification, (by local or other testing service).
* Availability of adequate biological material for retrospective confirmatory central testing of EGFR amplification
* Participant has sufficiently recovered from previous therapy. The investigator believes that benefit of treating the pediatric subject with ABT-414 outweighs the expected risks and that this treatment is in the best interests of the pediatric subject.
* Renal function: calculated creatinine clearance ≥ 30 mL/min by the Cockcroft-Gault formula for pediatric patients ≥12 years of age and estimated glomerular filtration rate ≥ 30 mL/min/1.73 m\^2 by modified Schwartz equation for pediatric patients \< 12 years of age.
* Liver function: Total bilirubin ≤ 1.5× upper limit of the normal range (ULN), Aspartate Aminotransferase (AST), and Alanine Aminotransferase (ALT) \<= 3× ULN. Participants with Gilbert's syndrome documented in medical history may be enrolled if total bilirubin is \< 3 times ULN. Not allowed are participants with known chronic liver disease and/or cirrhosis.
Exclusion Criteria
* Prior treatment with nitrosoureas
* Prior treatment with bevacizumab
* Previous exposure to Epithelial Growth Factor Receptor (EGFR) targeted agents, including EGFRvIII targeting agents
* Prior discontinuation of temozolomide chemotherapy for toxicity reasons
* Prior Radiation Therapy (RT) with a dose over 65 Gy to the brain, stereotactic radiosurgery or brachytherapy unless the recurrence is histologically proven
* Previous other malignancies, except for any previous malignancy which was treated with curative intent more than 5 years prior to randomization, and except for adequately controlled limited basal cell carcinoma of the skin, squamous carcinoma of the skin or carcinoma in situ of the cervix
* Women of childbearing potential must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 72 hours prior to randomization.
* No history of wheat allergies and Coeliac disease.
* No EIAED, patients who require anti-convulsant therapy must be taking non-enzyme inducing antiepileptic drugs (non-EIAED). Patients previously on EIAED must be fully switched to non-EIAED at least 2 weeks prior to randomization.
Pediatric sub-study (less than 18 years old):
* (For recurrent disease) No prior RT with a dose over 65 Gy to the brain, stereotactic radiosurgery or brachytherapy unless the recurrence is histologically proven
* No current or recent (within 4 weeks or 5 half-lives \[whichever is shorter\] before enrollment) treatment with another investigational drug
* Female participants of childbearing potential must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 72 hours prior to randomization.
99 Years
ALL
No
Sponsors
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European Organisation for Research and Treatment of Cancer - EORTC
NETWORK
AbbVie
INDUSTRY
Responsible Party
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Principal Investigators
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AbbVie Inc.
Role: STUDY_DIRECTOR
AbbVie
Locations
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Lucile Packard Children's Hosp /ID# 153678
Palo Alto, California, United States
Children's Hospital Colorado /ID# 153677
Aurora, Colorado, United States
Univ of Colorado Cancer Center /ID# 134882
Aurora, Colorado, United States
Sarah Cannon Research Institute at HealthONE - Denver /ID# 141798
Denver, Colorado, United States
Rush University Medical Center /ID# 137542
Chicago, Illinois, United States
Dana-Farber Cancer Institute /ID# 154210
Boston, Massachusetts, United States
Long Island Brain Tumor Center /ID# 134496
Lake Success, New York, United States
Weill Cornell Medicine /ID# 152656
New York, New York, United States
Cleveland Clinic Main Campus /ID# 137540
Cleveland, Ohio, United States
University of Pittsburgh MC /ID# 134491
Pittsburgh, Pennsylvania, United States
Tennessee Oncology, PLLC /ID# 134492
Nashville, Tennessee, United States
UT Southwestern Medical Center /ID# 136718
Dallas, Texas, United States
Swedish Medical Center /ID# 136719
Seattle, Washington, United States
Port Macquarie Base Hospital /ID# 134569
Port Macquarie, New South Wales, Australia
Sydney Children's Hospital /ID# 153533
Randwick, New South Wales, Australia
Royal North Shore Hospital /ID# 147092
Saint Leonards, New South Wales, Australia
Calvary Mater Newcastle /ID# 134570
Waratah, New South Wales, Australia
Southern Medical Day Care Ctr /ID# 134495
Wollongong, New South Wales, Australia
Royal Brisbane and Women's Hospital /ID# 147091
Herston, Queensland, Australia
Royal Adelaide Hospital /ID# 135208
Adelaide, South Australia, Australia
Royal Hobart Hospital /ID# 135209
Hobart, Tasmania, Australia
Barwon Health University Hospital Geelong /ID# 134493
Geelong, Victoria, Australia
Royal Children's Hospital /ID# 157624
Melbourne, Victoria, Australia
University Hospital St. Polten /ID# 139070
Sankt Pölten, Lower Austria, Austria
LKH-Univ. Klinikum Graz /ID# 139071
Graz, , Austria
Kepler Universitätsklinikum GmbH - Neuromed Campus /ID# 139068
Linz, , Austria
Cliniques Universitaires Saint Luc /ID# 139391
Woluwe-Saint-Lambert, Brussels Capital, Belgium
Grand Hôpital de Charleroi /ID# 139342
Charleroi, Hainaut, Belgium
UZ Gent /ID# 152944
Ghent, Oost-Vlaanderen, Belgium
AZ St-Jan Brugge-Oostende AV /ID# 137927
Bruges, West-Vlaanderen, Belgium
ZNA Middelheim /ID# 137926
Antwerp, , Belgium
UZ Leuven /ID# 137925
Leuven, , Belgium
Montreal Neurological Institut /ID# 136309
Montreal, Quebec, Canada
Fakultni Nemocnice v Motole /ID# 139509
Prague, Praha 5, Czechia
Masarykuv onkologikcy ustav /ID# 139508
Brno, , Czechia
FN Hradec Kralove /ID# 139510
Hradec Králové, , Czechia
Univ Hosp Ostrava-Poruba /ID# 139507
Ostrava, , Czechia
Helsinki Univ Central Hospital /ID# 140078
Helsinki, , Finland
Helsinki Univ Central Hospital /ID# 153069
Helsinki, , Finland
Turku University Hospital /ID# 140861
Turku, , Finland
Centre Oscar Lambret /ID# 169619
Lille, Hauts-de-France, France
CHRU Lille - Hôpital Claude Huriez /ID# 137916
Lille, Hauts-de-France, France
Institut de Cancer de l'Ouest /ID# 137914
Saint-Herblain, Loire-Atlantique, France
Hopital de la Timone /ID# 137911
Marseille, Provence-Alpes-Côte d'Azur Region, France
CHU de Nice /ID# 137917
Nice, Provence-Alpes-Côte d'Azur Region, France
Centre Leon Berard /ID# 137918
Lyon, Rhone, France
Institut de Cancer de l'Ouest /ID# 137909
Angers, , France
Hospices Civils de Lyon /ID# 137913
Bron, , France
Hopital Pitie Salpetriere /ID# 145887
Paris, , France
CHU-Hopital Avicenne /ID# 137910
Bobigny, Île-de-France Region, France
Gustave Roussy /ID# 137912
Villejuif, Île-de-France Region, France
Universitaetsklinik Heidelberg /ID# 137924
Heidelberg, Baden-Wurttemberg, Germany
Universitatsklinik Regensburg /ID# 137920
Regensburg, Bavaria, Germany
Univ Klinik Eppendorf Hamburg /ID# 137921
Hamburg, , Germany
LMU Klinikum der Universität München /ID# 137922
Munich, , Germany
Universitatsklinikum Tubingen /ID# 137923
Tübingen, , Germany
Pecsi Tudomanyegyetem /ID# 136111
Pécs, Pecs, Hungary
Semmelweis Egyetem /ID# 152578
Budapest, , Hungary
National Institute of Oncology /ID# 135970
Budapest, , Hungary
Orszagos Klinikai Idegtudomany /ID# 135971
Budapest, , Hungary
Debreceni Egyetem Klinikai Központ /ID# 135969
Debrecen, , Hungary
Cork University Hospital /ID# 136828
Cork, , Ireland
Beaumont Hospital /ID# 136829
Dublin, , Ireland
Ospedale Bellaria.Azienda USL IRCCS.Istituto delle Scienze Neurologiche di Bolog /ID# 138335
Bologna, , Italy
Ospedale Generale di Bolzano /ID# 138338
Bolzano, , Italy
Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 140395
Milan, , Italy
Istituto Oncologico Veneto /ID# 138336
Padua, , Italy
Azienda Ospedaliera Sant' Andrea /ID# 138337
Rome, , Italy
Hospital Zambrano Hellion /ID# 138076
San Pedro Garza García, , Mexico
Vrije Universiteit Medisch Centrum /ID# 137221
Amsterdam, , Netherlands
Universitair Medisch Centrum Groningen /ID# 138266
Groningen, , Netherlands
Erasmus Medisch Centrum /ID# 136981
Rotterdam, , Netherlands
Haaglanden Medisch Centrum /ID# 137222
The Hague, , Netherlands
Universitair Medisch Centrum Utrecht /ID# 137219
Utrecht, , Netherlands
Prinses Maxima Centrum /ID# 204409
Utrecht, , Netherlands
Uniwersyteckie Centrum Kliniczne /ID# 137919
Gdansk, Masovian Voivodeship, Poland
Wojewodzkie Wielospecjalistycz /ID# 137654
Lodz, , Poland
National University Hospital /ID# 135951
Singapore, , Singapore
National Cancer Ctr Singapore /ID# 135952
Singapore, , Singapore
KK Women's & Children Hospital /ID# 153676
Singapore, , Singapore
Seoul National Univ Bundang ho /ID# 136841
Seongnam, Gyeonggido, South Korea
Samsung Medical Center /ID# 136842
Seoul, Seoul Teugbyeolsi, South Korea
Seoul National University Hospital /ID# 136840
Seoul, , South Korea
Instituto Catalán de Oncología (ICO) Badalona /ID# 140976
Badalona, Barcelona, Spain
Clinica Universitar de Navarra - Pamplona /ID# 140047
Pamplona, Navarra, Comunidad, Spain
Instituto Catalan de Oncologia (ICO) & Hosp. de Bellvitge /ID# 137688
Barcelona, , Spain
Hospital Universitario Nino /ID# 153800
Madrid, , Spain
Hosp Univ 12 de Octubre /ID# 137908
Madrid, , Spain
Centre Hospitalier Univ Vaudoi /ID# 137929
Lausanne, , Switzerland
University Hospital Zurich /ID# 137930
Zurich, , Switzerland
China Medical University Hosp /ID# 136976
Taichung, Taichung, Taiwan
National Taiwan Univ Hosp /ID# 136975
Taipei City, Taipei, Taiwan
Taichung Veterans General Hosp /ID# 136977
Taichung, , Taiwan
Taipei Veterans General Hosp /ID# 136974
Taipei, , Taiwan
Linkou Chang Gung Memorial Ho /ID# 136944
Taoyuan, , Taiwan
Guy's and St Thomas' NHS Found /ID# 140312
London, London, City of, United Kingdom
Univ Hospitals Birmingham NHS Foundation trust /ID# 136978
Birmingham, , United Kingdom
Gartnavel General Hospital /ID# 136979
Glasgow, , United Kingdom
Hull and East Yorkshire NHS /ID# 136917
Hull, , United Kingdom
University College Hospitals /ID# 136879
London, , United Kingdom
Great Ormond St Hospital NHS /ID# 153421
London, , United Kingdom
Christie NHS Foundation Trust /ID# 140313
Manchester, , United Kingdom
Countries
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References
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Clement PMJ, Dirven L, Eoli M, Sepulveda-Sanchez JM, Walenkamp AME, Frenel JS, Franceschi E, Weller M, Chinot O, De Vos FYFL, Whenham N, Sanghera P, Looman J, Kundu MG, Peter de Geus J, Nuyens S, Spruyt M, Gorlia T, Coens C, Golfinopoulos V, Reijneveld JC, van den Bent MJ. Impact of depatuxizumab mafodotin on health-related quality of life and neurological functioning in the phase II EORTC 1410/INTELLANCE 2 trial for EGFR-amplified recurrent glioblastoma. Eur J Cancer. 2021 Apr;147:1-12. doi: 10.1016/j.ejca.2021.01.010. Epub 2021 Feb 15.
Van Den Bent M, Eoli M, Sepulveda JM, Smits M, Walenkamp A, Frenel JS, Franceschi E, Clement PM, Chinot O, De Vos F, Whenham N, Sanghera P, Weller M, Dubbink HJ, French P, Looman J, Dey J, Krause S, Ansell P, Nuyens S, Spruyt M, Brilhante J, Coens C, Gorlia T, Golfinopoulos V. INTELLANCE 2/EORTC 1410 randomized phase II study of Depatux-M alone and with temozolomide vs temozolomide or lomustine in recurrent EGFR amplified glioblastoma. Neuro Oncol. 2020 May 15;22(5):684-693. doi: 10.1093/neuonc/noz222.
Lassman AB, van den Bent MJ, Gan HK, Reardon DA, Kumthekar P, Butowski N, Lwin Z, Mikkelsen T, Nabors LB, Papadopoulos KP, Penas-Prado M, Simes J, Wheeler H, Walbert T, Scott AM, Gomez E, Lee HJ, Roberts-Rapp L, Xiong H, Ansell PJ, Bain E, Holen KD, Maag D, Merrell R. Safety and efficacy of depatuxizumab mafodotin + temozolomide in patients with EGFR-amplified, recurrent glioblastoma: results from an international phase I multicenter trial. Neuro Oncol. 2019 Jan 1;21(1):106-114. doi: 10.1093/neuonc/noy091.
Gan HK, Reardon DA, Lassman AB, Merrell R, van den Bent M, Butowski N, Lwin Z, Wheeler H, Fichtel L, Scott AM, Gomez EJ, Fischer J, Mandich H, Xiong H, Lee HJ, Munasinghe WP, Roberts-Rapp LA, Ansell PJ, Holen KD, Kumthekar P. Safety, pharmacokinetics, and antitumor response of depatuxizumab mafodotin as monotherapy or in combination with temozolomide in patients with glioblastoma. Neuro Oncol. 2018 May 18;20(6):838-847. doi: 10.1093/neuonc/nox202.
Reardon DA, Lassman AB, van den Bent M, Kumthekar P, Merrell R, Scott AM, Fichtel L, Sulman EP, Gomez E, Fischer J, Lee HJ, Munasinghe W, Xiong H, Mandich H, Roberts-Rapp L, Ansell P, Holen KD, Gan HK. Efficacy and safety results of ABT-414 in combination with radiation and temozolomide in newly diagnosed glioblastoma. Neuro Oncol. 2017 Jul 1;19(7):965-975. doi: 10.1093/neuonc/now257.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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2014-004438-24
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
EORTC 1410-BTG
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
M14-483
Identifier Type: -
Identifier Source: org_study_id
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