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.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 66 (estimated) |
| Sponsor | Orbus Therapeutics, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 8 sites (Birmingham, Alabama and 7 other locations) |
| Status | Recruiting |
| Started | July 24, 2023 |
| Main results expected | June 30, 2026 |
| Study ends | June 30, 2026 |
| Registry record updated | June 25, 2025 |
| Trial ID | NCT05879367 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
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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
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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
- Principal investigator: Howard Colman, MD, PhD — Huntsman Cancer Institute
- Study coordinator: Monika Varga
- Email: monika.varga@orbustherapeutics.com
- Phone: 6506569424
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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-
LMP744 (an indenoisoquinolone) for people with recurrent glioblastoma
This trial will test whether the drug LMP744 can shrink tumors or slow progression in adults whose glioblastoma has returned after prior treatment.
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Neoadjuvant radiochemotherapy for glioblastoma treatment
This study is testing a new combination of radiation and chemotherapy before surgery to see if it helps people with glioblastoma feel better and live longer compared to standard treatment.
-
Comparing surgery and best treatment for recurrent glioblastoma
This study is testing whether surgery or the best available treatment helps people with recurring glioblastoma feel better and live longer.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.