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Trial Title: A Study of PLB1001 Enteric Capsules in the Treatment of sGBM/IDH Mutant Glioblastoma Patients With the ZM Fusion Gene (FUGEN).

NCT ID: NCT06105619

Condition: Glioblastoma

Conditions: Official terms:
Glioblastoma
Etoposide
Temozolomide

Study type: Interventional

Study phase: Phase 2/Phase 3

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: PLB1001
Description: PLB1001 is a capsule in the form of 300mg,twice daily.
Arm group label: PLB1001

Other name: Vebreltinib

Intervention type: Drug
Intervention name: Temozolomide
Description: 100-150mg/m2/d,day 1 to 7 and day 15 to 22 of each 28-day cycle
Arm group label: Temozolomide or Cisplatin combined with etoposide

Intervention type: Drug
Intervention name: Cisplatin combined with Etoposide
Description: Cisplatin:80-100mg/m2/3 days,28 days/cycle Etoposide:100mg/m2/d,3 days,28 days/cycle
Arm group label: Temozolomide or Cisplatin combined with etoposide

Summary: The goal of this clinical trial is to evaluate the safety and efficacy of PLB1001 Enteric Capsules in the treatment of PTPRZ1-MET fusion gene positive recurrent secondary glioblastoma. The main questions it aims to answer are: 1. To evaluate overall survival (OS) in the treatment of secondary glioblasts with positive recurrence of PTPRZ1-MET (ZM) fusion gene by PLB1001 Enteric Capsules. 2. To evaluate if it is safety and tolerant in the treatment of secondary glioblasts with positive recurrence of PTPRZ1-MET (ZM) fusion gene by PLB1001 Enteric Capsules. Participants will 1. Be given PLB1001 300mg BID,oral who were randomly assigned in test group. 2. Be given Temozolomide capsules ,oral, who were randomly assigned in control group. 3. Be given EP, ivgtt, who were randomly assigned in control group.

Detailed description: 84 sGBM or IDH mutant glioblastoma patients with the ZM fusion gene will be randomly divided into group A (receive vebreltinib) or group B ( receive investigator choose), and the randomize ratio will be 1:1, patients in group A will receive PLB1001 300mg Bid, 28days/cycle. Patients in group B will receive temozolomide (100-150mg/m2/d, 7 days 1 to7 and days 15 to 22 of each 28-day cycle ) or cisplatin+etoposide(cisplatin:80-100mg/m2/3 days, 28days/cycle; etoposide:100mg/m2/d, 3days, 28 days/cycle).

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. histologically confirmed secondary glioblastoma,or glioblastoma with IDH mutantation 2. Must have evidence of PRPRZ1-MET fusion gene positivity from the result of molecular pre-screening evaluations 3. Prior treatment with temozolomide and radiotherapy 4. Stable or decreasing dose of corticosteroids within 5 days prior to the first dose 5. Platelet count≥75×109/L,Neutrophilic granulocyte count≥1.5×109/L, Hemoglobin>90g/L,AST or ALT < 3 times the lab's upper normal limit,Serum creatinine < 1.5 times the lab's upper normal limit,INR≤2.0 6. Karnofsky performance score ≥ 60% 7. Pregnant or nursing women 8. Written consent Exclusion Criteria: 1. Previous or current treatment with a c-Met inhibitor or HGF-targeting therapy 2. Received antibody anti-tumor drug within 30 days before enrollment 3. Previous treatment with Camustine sustained release implant 4. The subject is unable to undergo MRI scan 5. Patients with active bleeding were found by brain CT or MRI scan before enrollment 6. Uncontrolled hypertension defined by a Systolic Blood Pressure (SBP) 150 mm Hg and/or Diastolic Blood Pressure (DBP) ≥100 mm Hg 7. Major surgery within 4 weeks prior to first dose of PLB1001 8. Pregnant or nursing women 9. Involved in other clinical trials <30 days prior to first dose

Gender: All

Minimum age: 18 Years

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: Beijing Tiantan Hospital,Capital Medical University

Address:
City: Beijing
Zip: 100070
Country: China

Start date: October 8, 2018

Completion date: December 31, 2024

Lead sponsor:
Agency: Beijing Pearl Biotechnology Limited Liability Company
Agency class: Industry

Source: Beijing Pearl Biotechnology Limited Liability Company

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06105619

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