Actively Recruiting
An Open-Label, Phase 2 Study of NEO100 in Participants With Residual, Progressive or Recurrent High-Grade Meningioma
Led by Neonc Technologies, Inc. · Updated on 2026-03-02
30
Participants Needed
3
Research Sites
26 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating NEO100 perillyl alcohol in patients with high-grade meningioma, a type of brain tumor that can be life-threatening and often recurs after surgery or radiation. This open-label Phase 2 trial aims to study the safety, how the body processes NEO100, and its effects on patients with residual, progressive, or recurrent high-grade meningiomas. The study addresses the need for new treatment options since surgery and radiation are not always sufficient to control these tumors. NEO100 is a purified form of perillyl alcohol administered intranasally by the patients themselves four times daily in 28-day cycles. Treatment continues until the disease progresses, the patient dies, or the patient chooses to stop. The study will enroll up to 30 patients who have had prior surgery and radiation and meet certain health criteria. This method of nasal delivery aims to target tumors directly in the brain while potentially reducing systemic side effects. Participants will undergo regular MRI or CT scans to monitor tumor size and progression, blood tests to measure drug levels, and health assessments during treatment. Researchers will measure progression-free survival at six months as the main outcome, along with tumor response and overall survival. The study includes safety monitoring and requires participants to follow treatment schedules and be available for visits until disease progression or withdrawal. The trial is expected to continue through mid-2027.
CONDITIONS
Brief Title
NEO100 and High-Grade Meningioma
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Histologically confirmed WHO Grade II or III meningioma that is residual, progressive, or recurrent after surgery and radiation therapy
- Residual measurable disease at least 10mm by MRI or progressive disease with 25% size increase or recurrent disease after complete resection
- Stable or decreasing steroid dose for at least five days before consent
- Failed maximal safe resection and radiation therapy
- No chemotherapy or investigational treatments within 14 days prior to study treatment
- At least 12 years of age
- ECOG performance status 0-2 or Karnofsky performance status 60 or higher
- Expected survival of at least three months
- Willing to provide blood samples for pharmacokinetic studies
- Adequate organ and marrow function as defined by specific blood counts and liver/kidney laboratory values
- MRI or CT scan within 14 days prior to study drug start
- Agreement to use adequate contraception for females of child-bearing potential and males
- Ability and willingness to comply with study visits and treatment schedule
You will not qualify if you...
- Chemotherapy, targeted therapy, or study therapy within 14 days prior to study treatment
- Completed chemo-radiation within 84 days unless new tumor evidence outside radiation field
- Surgery within seven days before informed consent
- Cytotoxic chemotherapy within 4 weeks, nitrosoureas/alkylating agents within 6 weeks, or biologic therapies
- Prior interstitial brachytherapy within 6 months
- Current or planned participation in another investigational trial
- Tumor primarily in brainstem or spinal cord
- Unrecovered adverse events from prior therapies
- Prior treatment with perillyl alcohol
- History of allergy to perillyl alcohol
- Uncontrolled illnesses such as active infections, heart failure, unstable angina, arrhythmia, or psychiatric/social conditions limiting compliance
- Pregnancy or nursing
- New diagnosis or treatment of other cancer within five years except certain skin cancers
- Leptomeningeal tumor involvement
Research Team
C
Chris Beardmore
C
Chloe Richmond
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