Personalized Cancer Stem Cell High-Throughput Drug Screening for Glioblastoma

NCT ID: NCT05380349

Last Updated: 2025-05-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-19

Study Completion Date

2027-12-31

Brief Summary

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Proposed treatment of subjects with newly diagnosed glioblastoma with novel personalized drug regimens identified to be effective in vitro using cancer stem cells derived from their individual tumors, alongside standard of care radiation and TMZ.

Detailed Description

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A panel of FDA approved drugs will be tested by high throughput screening, which is CLIA certified allowing for clinical decisions based on the results, to identify a combination of up to 3 drug candidates for treating individual patients. Lead candidates will be evaluated by pharmacists and a team of physicians, to confirm that prescribed drugs do not utilize pharmacological/ metabolic pathways that are known to increase the likelihood of toxicity, prior to initiating treatment. Investigational drug therapy, targeting CSCs, will be initiated alongside standard of care chemoradiation with TMZ.

Conditions

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Newly Diagnosed Glioblastoma

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

single-center Phase 1 open-label study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Personalized Combination Drug Therapy for Cancer Stem Cells

Administer combinations of up to 3 FDA approved drugs from a panel of compounds selected based on high throughput screening

Group Type EXPERIMENTAL

combinations of up to 3 FDA approved drugs from a panel of compounds

Intervention Type DRUG

personalized drug combinations

Interventions

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combinations of up to 3 FDA approved drugs from a panel of compounds

personalized drug combinations

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological diagnosis of GBM (WHO grade 4)
* Subjects ≥18 years of age
* Patients must have a life expectancy of \>6 months
* Patients must have a surgically accessible tumor with the intent for a gross or near total resection of the tumor mass (GBM, WHO grade 4)
* Patients must have a KPS rating of ≥70
* Patients should not have received any prior systemic anti-cancer therapy
* Patients must be negative for HIV, Hepatitis B and C
* Baseline hematologic studies and chemistry and coagulation profiles must meet the following criteria:

* Hemoglobin (Hgb)\> 8 g/dL
* Absolute Neutrophil Count (ANC) \> 1,000/mm3
* Platelet count \> 100,000/mm3
* Creatinine \< 2 mg/dL
* Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) \< 3x upper limit of normal (ULN)

Exclusion Criteria

* Metastatic disease
* Diseases or conditions that obscure toxicity or dangerously alter drug metabolism
* Serious intercurrent medical illness
* Inadequately controlled hypertension
* History of myocardial infarction or unstable angina within 6 months
* History of stroke or transient ischemic attack within 6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Swedish Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charles S Cobbs

Role: PRINCIPAL_INVESTIGATOR

Ivy Center for Advanced Brain Tumor Treatment

Locations

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Swedish Medical Center

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Charles S Cobbs, M.D.

Role: CONTACT

206-320-2300

Parvinder Hothi, Ph.D.

Role: CONTACT

206-320-3145

Facility Contacts

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Nathan Hansen

Role: primary

206-320-3542

Other Identifiers

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161581

Identifier Type: -

Identifier Source: org_study_id

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