About this trial
The purpose of the study is to determine the recommended dose and further understand the safety of MT-125 in participants who have been diagnosed with glioblastoma, a primary brain tumor, when administered in combination with your standard of care treatment.
Initially, participants with newly diagnosed glioblastoma will be given different doses of MT-125 in combination with radiotherapy (RT) with the goal of identifying the highest tolerated dose.
Up to 36 people with glioblastoma who are at least18 years old are being invited to join this study. MT-125 is a type of study treatment which acts on cancer cells in the brain to destroy them. It will be administered on the same day as your standard of care radiotherapy because it is also designed to help radiotherapy work better. However, this is the first time MT-125 will be studied in humans. Therefore, the use is considered investigational. If you would like more details about MT-125 in glioblastoma participants, please ask the Study Doctor.
You will be among the first participants with glioblastoma to receive this study treatment. Its safety and effectiveness have not yet been established in humans. Thus, we do not know whether it will work for you. Your condition may improve, may get worse, or there may be no change.
The selected participant population-individuals newly diagnosed with histologically and/or molecularly confirmed IDH wild-type, MGMT-unmethylated glioblastoma-represents those least likely to experience safety concerns or adverse events related to the study treatment, and most likely to derive therapeutic benefit.
There are certain tests/questions you must complete to find out if you meet the requirements to be in the study. If you do not meet these requirements, you cannot take part in the study. If this happens, you can talk to your Study Doctor about other options.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years at the time of signing the informed consent form (ICF).
New Diagnosed with histologically or molecularly confirmed IDH wild type and MGMT unmethylated GBM.
Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0, 1 or 2.
Hemoglobin ≥9.0 g/dL
Disqualifiers
Pregnant persons
Nursing persons
Persons of childbearing potential and persons able to father a child who are unwilling to employ adequate contraception.
Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the participant inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens.
Trial design
Sequential
Treatments tested in this trial
MT-125
DrugThis is an investigational new drug under IND 170975.
Treatment groups
Trial outcomes
Primary outcomes
Dose Limiting Toxicity Measurement
The dose escalation portion of this study will follow a BOIN design with cohorts containing a min of 3 DLT evaluable participants. If the observed DLT rate at the current dose is ≤0.236, then the decision will be to escalate the dose to the next higher dose level; if the observed DLT rate at the current dose is \>0.359, then the decision will be to deescalate the dose to the next lower dose level; otherwise, the decision will be to stay at the current dose level.
Incidence and Severity of AEs
Incidence and Severity, attribution, grade and type of AE will be assessed based on the NCI CTCAE v5.
Secondary outcomes
Maximum Tolerated Dose
To determine the maximum tolerated dose (MTD) of MT-125
PK Parameters- Cmax
Cmax is the maximum or peak serum concentration at identified timepoints
PK Parameters - Tmax
The time it takes for a drug to reach a maximum concentration after administration
PK Parameters-AUC 0-24hr
Area under the plasma concentration-time curve over the last 24 hour dosing interval
Other outcomes
To obtain preliminary data on clinical efficacy measurements such as ORR
Overall Response Rate in those with Measurable disease
Exploratory Analysis to obtain preliminary data on clinical efficacy
6 month Progression Free survival (PFS6) based on MRI imaging
To obtain preliminary data on clinical efficacy
Overall Survival (OS)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Myosin Therapeutics Inc.
Lead sponsor
Mayo Clinic
Collaborator
National Cancer Institute (NCI)
Collaborator