Actively Recruiting
Window of Opportunity Study of DSP-0390 in Gliomas
Led by Washington University School of Medicine · Updated on 2026-05-06
20
Participants Needed
1
Research Sites
110 weeks
Total Duration
On this page
Sponsors
W
Washington University School of Medicine
Lead Sponsor
S
Sumitomo Pharma America, Inc.
Collaborating Sponsor
AI-Summary
What this Trial Is About
This study focuses on determining the pharmacokinetic and pharmacodynamic effect of DSP-0390 in brain and blood from patients with IDH-mutant glioma undergoing tumor resection. Tissue will be collected during surgical resection. Blood will be drawn at various time points throughout the 2 weeks of treatment. The hypothesis is that DSP-0390 will accumulate in brain tumor tissue at pharmacologically relevant concentrations, and that alterations in cholesterol metabolism driven by mutant IDH will increase susceptibility to DSP-0390 and lead to tumor cell death.
CONDITIONS
Official Title
Window of Opportunity Study of DSP-0390 in Gliomas
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients must have newly diagnosed suspected glioma or radiographic recurrence of histologically confirmed IDH-mutant glioma with grade II (ARM A) or grade III/IV (ARM B)
- Candidate for surgical tumor resection
- At least 18 years old
- Karnofsky performance status of 70% or higher
- Adequate bone marrow and organ function: neutrophils ≥ 1.5 K/cumm without growth factor support, platelets ≥ 100 K/cumm, hemoglobin ≥ 9 g/dL without transfusion or erythropoietin
- Total bilirubin ≤ 1.5 x upper limit of normal (or ≤ 3 x for Gilbert's syndrome)
- AST/ALT ≤ 3.0 x upper limit of normal
- Coagulation labs (INR, PT, PTT, aPTT) ≤ 1.5 x upper limit; stable anticoagulant use allowed
- Creatinine clearance ≥ 40 mL/min
- Stable antiepileptic medication dose without seizures for 14 days prior to Day 1
- Stable or decreasing corticosteroid dose for at least 5 days prior to Day 1
- Agreement to use adequate contraception during study and for 6 months after last dose
- Ability to understand and sign informed consent
You will not qualify if you...
- Prior therapy with bevacizumab or anti-VEGF treatments within 3 months prior to Day 1
- Multifocal disease, leptomeningeal or extracranial metastasis
- Significant abnormal ECG including QT prolongation or history of Torsade de Pointes
- Conditions limiting oral drug absorption (dysphagia, short-gut syndrome, gastroparesis)
- Active Crohn's disease or other inflammatory bowel disease
- History of other malignancy unless disease-free for at least 2 years (exceptions apply)
- Active treatment for other malignancy or investigational agents
- History of allergic reactions to compounds similar to DSP-0390
- Use of prohibited medications (certain CYP3A4 and CYP2D6 inhibitors/inducers) within 1 week or 5 half-lives prior to Day 1
- Active retinal abnormalities
- Significant cardiovascular disease (NYHA Class III/IV heart failure, recent MI, unstable angina, serious arrhythmias, recent stroke)
- Uncontrolled illnesses affecting compliance or immunocompromised state
- Pregnant or breastfeeding; women of childbearing potential must have negative pregnancy test
- HIV patients with CD4+ < 350 cells/mcL or recent AIDS-defining infection
- Detectable hepatitis C viral load or hepatitis B surface antigen
- Recent major surgery within 4 weeks or anticipated major surgery during study
- Minor surgery or biopsies within 7 days prior to Day 1
- Recent chemotherapy or investigational anticancer therapy within 4 weeks (exceptions for certain agents)
- Radiotherapy within 12 weeks prior to Day 1 unless relapse biopsy confirmed
AI-Screening
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Trial Site Locations
Total: 1 location
1
Washington University School of Medicine
St Louis, Missouri, United States, 63110
Actively Recruiting
Research Team
O
Omar H Butt, M.D., Ph.D.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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