Actively Recruiting
The Efficacy and Safety of Low-dose Radiotherapy Combined With Sintilimab and Temozolomide in Recurrent Glioblastoma
Led by Fifth Affiliated Hospital, Sun Yat-Sen University · Updated on 2024-01-24
20
Participants Needed
1
Research Sites
209 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This is an open-label, single-arm, phase II clinical trial to explore the efficacy and safety of low-dose radiotherapy combined with programmed death 1 (PD-1) inhibitor (sintilimab) and temozolomide in recurrent glioblastoma. The eligible patients are scheduled to administered sintilimab 200mg D1 Q3W temozolomide 50mg/m2 QD and radiotherapy 1Gy/1F D1/D2/D8/D15 Q3W for 4-6 cycles, then sintilimab for maintenance. The overall primary study hypothesis is that the combination regimen of low-dose radiotherapy, sintilimab and temozolomide is safe and feasible in the treatment of recurrent glioblastoma.
CONDITIONS
Official Title
The Efficacy and Safety of Low-dose Radiotherapy Combined With Sintilimab and Temozolomide in Recurrent Glioblastoma
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Histologically confirmed glioblastoma with radiographic or pathological diagnosis of recurrence.
- Age 18 years or older.
- At least 12 weeks after completing postoperative radiotherapy.
- Karnofsky performance status of 60 or higher.
- Expected survival longer than 3 months.
- Adequate organ function including hemoglobin ≥ 90 g/L, neutrophil count ≥ 1.5 x 10^9/L, platelet count ≥ 100 x 10^9/L, serum albumin ≥ 28 g/L, total bilirubin ≤ 1.5 times upper limit of normal (ULN), ALT and AST ≤ 2.5 times ULN, serum creatinine ≤ 1.5 times ULN, clotting times within acceptable ranges, and normal thyroid function or normal T3 and T4 if thyroid stimulating hormone is abnormal.
- Voluntary informed consent with good compliance.
You will not qualify if you...
- Requirement for prednisone doses greater than 10 mg per day or equivalent corticosteroids.
- Presence of uncontrolled central nervous system diseases unrelated to cancer.
- History of other malignant tumors within the last 5 years or at enrollment, except for cured skin basal cell carcinoma, cervical in situ cancer, or thyroid papilloma.
- Uncontrolled cardiac symptoms or diseases such as NYHA class II or higher heart failure, unstable angina, recent myocardial infarction within 1 year, or significant arrhythmias needing intervention.
- Serious infections like severe pneumonia or bacteremia requiring hospitalization within 4 weeks.
- Active autoimmune diseases including interstitial pneumonia, colitis, hepatitis, hypophysitis, vasculitis, nephritis, hyperthyroidism, or hypothyroidism, excluding resolved vitiligo or childhood asthma/allergies.
- History of immunodeficiency including HIV infection, organ or bone marrow transplantation.
- Active tuberculosis infection currently or within 1 year prior to enrollment without formal treatment.
- Active hepatitis B or C infections based on viral load or antibody tests.
- Known history of psychotropic drug abuse, alcoholism, or drug use.
- Any condition judged unsuitable for inclusion by the investigator.
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Yingpeng Peng
Zhuhai, Guangdong, China, 519000
Actively Recruiting
Research Team
Y
Yingpeng Peng, Dr.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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