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Trial Title: The Effectiveness of HP and TMZ Synergism on Adult Recurrence GBM

NCT ID: NCT06218524

Condition: Glioblastoma Multiforme

Conditions: Official terms:
Glioblastoma
Recurrence
Temozolomide
Haloperidol
Haloperidol decanoate

Conditions: Keywords:
Chemoresistance
Autophagy
Ferropotosis
DRD2
Haloperidol

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: Haloperidol Tablets
Description: Haloperidol tablet 6mg, Oral, Triple/Day
Arm group label: TMZ and Haloperidol

Intervention type: Drug
Intervention name: Temozolomide
Description: Temozolomide, 150mg/kg, Oral, Once/Day, 5/28 days
Arm group label: TMZ and Haloperidol
Arm group label: TMZ single

Summary: The study of investigators indicated that TMZ can up-regulate dopamine D2 receptor (DRD2) expression, and mediates Ferroptosis inhibition and chemoresistance of GBM. The clinical data also proved that the DRD2 expression in recurrent GBM is significantly higher than that in primary GBM. Moreover, the DRD2 antagonist haloperidol can attenuate the above function of DRD2, and increase the sensitivity of GBM to the TMZ by inducing fatal autophagy and ferroptosis. In xenograft mice, the combined usage of haloperidol and Temozolomide (TMZ) can significantly inhibit tumor growth and increase overall survival. The investigators' findings have been published in Clinical cancer research. Haloperidol known as a butylbenzene antipsychotic drug, has been widely used in several kinds of mental illnesses, such as depression, schizophrenia, and Bipolar disorder. And the safe dosage of the haloperidol is clear so far. So in this study, the investigators will recruit the patients who suffered from recurrent GBM, and evaluate the effectiveness of single TMZ chemotherapy or combined with haloperidol.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Adult patients - Primary GBM underwent surgery and TMZ chemoradiotherapy, and MRI confirmed the tumor recurrence - Without severe cardiac diseases Exclusion Criteria: - Child patients (<18 years) - Recurrence tumors grow fast, which needs surgery removal - H3K27M midline glioblastoma - Suffered with severe cardiac diseases

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Start date: December 1, 2024

Completion date: July 31, 2028

Lead sponsor:
Agency: Southern Medical University, China
Agency class: Other

Source: Southern Medical University, China

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06218524
https://pubmed.ncbi.nlm.nih.gov/37249604/

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