A phase II open label, randomised study of ipilimumab with temozolomide versus temozolomide alone after surgery and chemoradiotherapy in patients with recently diagnosed glioblastoma: the Ipi-Glio trial protocol.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
12 Mar 2020
Historique:
received: 19 11 2019
accepted: 11 02 2020
entrez: 14 3 2020
pubmed: 14 3 2020
medline: 13 11 2020
Statut: epublish

Résumé

Median survival for patients with glioblastoma is less than a year. Standard treatment consists of surgical debulking if feasible followed by temozolomide chemo-radiotherapy. The immune checkpoint inhibitor ipilimumab targets cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and has shown clinical efficacy in preclinical models of glioblastoma. The aim of this study is to explore the addition of ipilimumab to standard therapy in patients with glioblastoma. Ipi-Glio is a phase II, open label, randomised study of ipilimumab with temozolomide (Arm A) versus temozolomide alone (Arm B) after surgery and chemoradiotherapy in patients with recently diagnosed glioblastoma. Planned accrual is 120 patients (Arm A: 80, Arm B: 40). Endpoints include overall survival, 18-month survival, 5-year survival, and adverse events. The trial is currently recruiting in seven centres in the United Kingdom. ISRCTN84434175. Registered 12 November 2018.

Sections du résumé

BACKGROUND BACKGROUND
Median survival for patients with glioblastoma is less than a year. Standard treatment consists of surgical debulking if feasible followed by temozolomide chemo-radiotherapy. The immune checkpoint inhibitor ipilimumab targets cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and has shown clinical efficacy in preclinical models of glioblastoma. The aim of this study is to explore the addition of ipilimumab to standard therapy in patients with glioblastoma.
METHODS/DESIGN METHODS
Ipi-Glio is a phase II, open label, randomised study of ipilimumab with temozolomide (Arm A) versus temozolomide alone (Arm B) after surgery and chemoradiotherapy in patients with recently diagnosed glioblastoma. Planned accrual is 120 patients (Arm A: 80, Arm B: 40). Endpoints include overall survival, 18-month survival, 5-year survival, and adverse events. The trial is currently recruiting in seven centres in the United Kingdom.
TRIAL REGISTRATION BACKGROUND
ISRCTN84434175. Registered 12 November 2018.

Identifiants

pubmed: 32164579
doi: 10.1186/s12885-020-6624-y
pii: 10.1186/s12885-020-6624-y
pmc: PMC7068928
doi:

Substances chimiques

Ipilimumab 0
Temozolomide YF1K15M17Y

Types de publication

Clinical Trial, Phase II Comparative Study Journal Article Multicenter Study Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

198

Subventions

Organisme : The National Brain Appeal
ID : NBA/IpiGlio

Références

J Immunol. 1997 Nov 1;159(9):4415-25
pubmed: 9379040
Cell. 2018 Apr 19;173(3):624-633.e8
pubmed: 29656892
Ann Oncol. 2019 Dec 1;30(12):2012
pubmed: 31408090
Cancer Res. 2006 Mar 15;66(6):3294-302
pubmed: 16540683
JAMA Oncol. 2019 Sep 12;:
pubmed: 31513236
J Clin Oncol. 2015 Jun 10;33(17):1974-82
pubmed: 25605845
Clin Cancer Res. 2014 Oct 15;20(20):5290-301
pubmed: 24691018
J Neurooncol. 2012 Apr;107(2):359-64
pubmed: 22045118
Eur J Cancer. 2015 Mar;51(4):533-42
pubmed: 25661102
Lancet Oncol. 2017 Jun;18(6):e315-e329
pubmed: 28483413
J Exp Med. 1995 Aug 1;182(2):459-65
pubmed: 7543139
Clin Cancer Res. 2012 Nov 15;18(22):6086-8
pubmed: 23052252
Neuro Oncol. 2015 Jun;17(6):868-81
pubmed: 25556920
Br J Cancer. 2018 Nov;119(10):1171-1181
pubmed: 30393372
Clin Neurol Neurosurg. 2014 Apr;119:125-32
pubmed: 24582432
Science. 2018 Feb 2;359(6375):582-587
pubmed: 29217585
J Transl Med. 2018 Apr 11;16(1):94
pubmed: 29642948
Science. 2017 Jan 20;355(6322):
pubmed: 28104840
Clin Exp Immunol. 1980 Feb;39(2):395-402
pubmed: 6966992
Lancet Oncol. 2009 May;10(5):459-66
pubmed: 19269895
Cancer Immunol Res. 2016 Feb;4(2):124-35
pubmed: 26546453
J Neurooncol. 2014 May;118(1):109-16
pubmed: 24532241
Lancet Oncol. 2012 May;13(5):459-65
pubmed: 22456429
Nat Rev Neurol. 2016 Apr;12(4):190
pubmed: 27020557
Clin Cancer Res. 2007 Apr 1;13(7):2158-67
pubmed: 17404100
Neurosurgery. 2008 Apr;62(4):753-64; discussion 264-6
pubmed: 18496181
Neuro Oncol. 2018 Jan 10;20(1):113-122
pubmed: 29016865
N Engl J Med. 2014 Feb 20;370(8):699-708
pubmed: 24552317
Ann Oncol. 2014 Sep;25 Suppl 3:iii93-101
pubmed: 24782454
JAMA. 2015 Dec 15;314(23):2535-43
pubmed: 26670971
Nature. 1987 Jul 16-22;328(6127):267-70
pubmed: 3496540
J Neurooncol. 1999 May;42(3):227-31
pubmed: 10433106
Oncoimmunology. 2018 Sep 5;7(12):e1501137
pubmed: 30524896
Immunity. 1996 Jun;4(6):535-43
pubmed: 8673700
Neuro Oncol. 2015 Oct;17 Suppl 4:iv1-iv62
pubmed: 26511214
Acta Neuropathol. 2016 Jun;131(6):803-20
pubmed: 27157931
Acta Derm Venereol. 2014 Jan;94(1):45-9
pubmed: 23824275
J Exp Med. 2000 Jul 17;192(2):303-10
pubmed: 10899917
Nat Rev Cancer. 2019 Mar;19(3):133-150
pubmed: 30755690
N Engl J Med. 2005 Mar 10;352(10):987-96
pubmed: 15758009
Science. 1996 Mar 22;271(5256):1734-6
pubmed: 8596936
N Engl J Med. 2014 Feb 20;370(8):709-22
pubmed: 24552318
JAMA Oncol. 2016 Nov 1;2(11):1460-1469
pubmed: 27310651

Auteurs

Nicholas F Brown (NF)

Department of Oncology, University College London Hospitals, 250 Euston Road, London, NW1 2PQ, UK.

Stasya M Ng (SM)

Oncology Clinical Trials Office (OCTO), Department of Oncology, The University of Oxford, Old Road Campus Research Building, Oxford, OX3 7DQ, UK.

Claire Brooks (C)

Oncology Clinical Trials Office (OCTO), Department of Oncology, The University of Oxford, Old Road Campus Research Building, Oxford, OX3 7DQ, UK.

Tim Coutts (T)

Oncology Clinical Trials Office (OCTO), Department of Oncology, The University of Oxford, Old Road Campus Research Building, Oxford, OX3 7DQ, UK.

Jane Holmes (J)

Centre for Statistics in Medicine (CSM), University of Oxford, Botnar Research Centre, Windmill Road, Oxford, OX3 7LD, UK.

Corran Roberts (C)

Centre for Statistics in Medicine (CSM), University of Oxford, Botnar Research Centre, Windmill Road, Oxford, OX3 7LD, UK.

Leena Elhussein (L)

Centre for Statistics in Medicine (CSM), University of Oxford, Botnar Research Centre, Windmill Road, Oxford, OX3 7LD, UK.

Peter Hoskin (P)

Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK.

Tim Maughan (T)

Oxford Institute for Radiation Oncology, University of Oxford, Old Road Campus Research Building, Roosevelt Drive, Oxford, OX3 7DQ, UK.

Sarah Blagden (S)

Department of Oncology, University of Oxford, Old Road Campus Research Building, Oxford, OX3 7DQ, UK.

Paul Mulholland (P)

Department of Oncology, University College London Hospitals, 250 Euston Road, London, NW1 2PQ, UK. paul.mulholland@nhs.net.
Mount Vernon Cancer Centre, Rickmansworth Road, Northwood, HA6 2RN, UK. paul.mulholland@nhs.net.
UCL Cancer Institute, 72 Huntley St, London, WC1E 6AG, UK. paul.mulholland@nhs.net.

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Classifications MeSH