Clinical trial Recruiting at 7 sites Phase 1 Interventional Ages 18 and up

Combining eflornithine and temozolomide for newly diagnosed glioblastoma

Official title: An Open-label, Phase 1b Study to Evaluate the Safety and Tolerability of Eflornithine Plus Temozolomide in Patients With Newly Diagnosed Glioblastoma or Astrocytoma

Run by Orbus Therapeutics, Inc. · NCT05879367 · Data updated 2026-11-12

This study is testing a new combination of two medications, eflornithine and temozolomide, to find the best dose for people with newly diagnosed glioblastoma.

More Glioblastoma trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment66 (estimated)
SponsorOrbus Therapeutics, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations8 sites (Birmingham, Alabama and 7 other locations)
StatusRecruiting
StartedJuly 24, 2023
Main results expectedJune 30, 2026
Study endsJune 30, 2026
Registry record updatedJune 25, 2025
Trial IDNCT05879367 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients with newly diagnosed, IDH-wildtype glioblastoma who have completed standard radiation therapy and received adequate doses of temozolomide.

Probably not a fit

Patients with recurrent or metastatic cancer, prior systemic chemotherapy for glioblastoma, or significant uncontrolled medical conditions may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional phase 1 trial aims to determine the recommended phase 2 dose of eflornithine when used in combination with temozolomide for patients with newly diagnosed glioblastoma. The study employs a dose escalation design, where patients will receive escalating doses of eflornithine alongside a standard dose of temozolomide. Following the dose escalation, an expansion cohort will further assess the safety and preliminary efficacy of the combination at the recommended dose. Participants will be monitored over a total duration of up to 56 weeks, including treatment and follow-up periods.

Why it matters

Potential benefit: If successful, this combination therapy could improve treatment outcomes for patients with glioblastoma.

How similar studies have gone: While this approach is novel in combining eflornithine with temozolomide, similar studies have shown promise in glioblastoma treatment with other combinations.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of World Health Organization (WHO) G4 classified GBM, IDH-wildtype (patients with GBM) or G3 astrocytoma (IDH1 or 2 mutant; CDKN2A/B intact) per WHO 2021 tumor classification.
* Completed external beam radiation therapy per standard of care.
* Patients with GBM: Must have received at least 80% of planned daily doses of TMZ during chemoradiation. Patients with astrocytoma: Must have tolerated adjuvant TMZ treatment through at least 2 and not more than 4 cycles.
* Adequate hematologic, renal, hepatic, and other organ function as indicated by hematology and serum chemistry testing.
* Willing to abstain from intercourse or use acceptable contraceptive methods.
* If taking corticosteroids, must be on a stable or decreasing dose.

Exclusion Criteria:

* Recent history of recurrent or metastatic cancer that could confound response assessments
* Prior systemic chemotherapy other than temozolomide during external beam radiation therapy (for patients with GBM) or adjuvant temozolomide through up to 4 pre-study cycles (for patients with astrocytoma).
* Prior Optune treatment.
* Active infection or serious intercurrent medical illness.
* Poorly controlled seizures.
* Significant cardiac disease within 6 months of enrollment.
* Poorly controlled diabetes.
* Use of another investigational agent within 30 days of enrollment.

Where it's running

  • Henry Ford Hospital
    Detroit, Michigan, United States
    Recruiting
  • Columbia University Medical Center - Herbert Irving Pavilion
    New York, New York, United States
    Recruiting
  • Duke University
    Durham, North Carolina, United States
    Recruiting
  • The Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting
  • Brown University Health/Rhode Island Hospital
    Providence, Rhode Island, United States
    Recruiting
  • UT MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
Show 2 more locations
  • University of Utah, Huntsman Cancer Institute
    Salt Lake City, Utah, United States
    Recruiting
  • University of Alabama at Birmingham
    Birmingham, Alabama, United States
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.