Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma.
Roger Stupp, Warren P Mason, Martin J van den Bent...
https://pubmed.ncbi.nlm.nih.gov/15758009/Actively Recruiting
Led by Myosin Therapeutics Inc. · Updated on 2026-04-14
36
Participants Needed
3
Research Sites
274 weeks
Total Duration
Researchers are evaluating the safety, tolerability, and dosing of a new investigational drug called MT-125 in adults newly diagnosed with glioblastoma, a primary brain tumor. MT-125 targets specific proteins involved in tumor cell growth and is being studied in combination with standard radiotherapy. The study focuses on patients with a particular tumor type IDH wild type, MGMT unmethylated who typically do not respond well to current therapies, addressing an urgent need for new treatment options. Participants will receive MT-125 alongside their radiotherapy. The study begins with a dose escalation phase where small groups receive increasing doses of MT-125 for 5 days a week with 2 days off over 6 weeks, to find the highest dose that can be safely tolerated. After establishing this dose, additional participants will be randomly assigned to receive either the highest dose or one dose level lower, also combined with radiotherapy, to further assess safety and preliminary responses. During the study, participants will be monitored closely for any side effects and dose-limiting toxicities over the 6-week treatment period. Researchers will measure drug levels in the blood at several time points and assess overall safety, tolerability, and preliminary efficacy. Participants will complete questionnaires and have regular laboratory tests, heart function assessments, and pregnancy tests as applicable. The total participation time includes the 6 weeks of treatment with follow-up monitoring to ensure safety and collect data on response and survival outcomes.
CONDITIONS
A Phase 1/2 Study of the Safety and Tolerability of MT-125 in GBM Patients
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Myosin Therapeutics Inc.
Lead Sponsor
Mayo Clinic
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | MT-125 (Dose-Escalation Study) | Current Standard: Radiotherapy + Temozolomide |
|---|---|---|
| What it is | An investigational drug regimen (MT-125) administered to adults with newly diagnosed IDH wild type and MGMT unmethylated glioblastoma in a sequential dose-escalation format to determine the safety, tolerability, and optimal dose. | The established current-care regimen for this diagnosis is radiotherapy combined with concomitant and adjuvant temozolomide, which is widely used and supported by strong evidence for adults with IDH wild type and MGMT unmethylated glioblastoma. |
| Role in the study / clinical care | MT-125 is being tested to assess safety (dose-limiting toxicity), tolerability, pharmacokinetics, and determine the highest tolerable dose. Its effect on clinical outcomes is exploratory. | Radiotherapy plus temozolomide serves as the therapeutic backbone for newly diagnosed adult glioblastoma and is considered routine clinical practice. No investigational procedure is involved in current standard care. |
| Primary use | Exploratory evaluation of MT-125 as a possible therapeutic agent for newly diagnosed IDH wild type, MGMT unmethylated glioblastoma to find the maximum tolerated dose and observe initial safety profile. | Curative-intent, evidence-based standard treatment that combines radiotherapy with temozolomide to prolong survival in adult glioblastoma. |
| How it is given or performed | MT-125 is given in different dose groups, starting from 25 mg and escalating up to 100 mg, with an expansion cohort at maximum tolerated dose and one dose lower, as defined by the study protocol. | Current standard treatment involves external beam radiation therapy with daily oral temozolomide during radiotherapy, followed by adjuvant cycles of temozolomide after radiotherapy completion. |
| Level of evidence/supporting data | Evidence is limited to ongoing early-phase clinical investigation. No patient outcome or survival data from this regimen is yet available. | Longstanding, high-quality evidence from randomized clinical trials and pooled analyses demonstrates a survival benefit for radiotherapy plus temozolomide in newly diagnosed glioblastoma, even though patients with MGMT unmethylated tumors have a smaller benefit than those with MGMT methylated tumors. |
| Important limitations | Safety and tolerability at all tested doses and any clinical benefit remain unknown. This is an early-stage trial with small sample sizes and no control group. Long-term efficacy, impact on survival, and comparison to established therapies are not yet established. | Patients with MGMT unmethylated GBM have only a modest benefit from temozolomide, and overall prognosis remains poor. Most patients ultimately progress despite current standard care. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 weeks
Participants receive MT-125 monotherapy combined with radiation therapy for their newly diagnosed glioblastoma. MT-125 is administered 5 consecutive days per week with 2 days off for a total of 6 weeks of outpatient treatment.
Weekly visits for up to 6 weeks
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
5
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https://pubmed.ncbi.nlm.nih.gov/27407096/Myosin Therapeutics Inc.
Lead Sponsor
Mayo Clinic
Collaborating Sponsor