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Veliparib + Radiation + Temozolomide for Brain Cancer

Phase 2
Waitlist Available
Led By Matthias A Karajannis
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Creatinine clearance or radioisotope glomerular filtration rate (GFR) >= 70 mL/min/1.73 m^2
Total bilirubin =< 1.5 x upper limit of normal (ULN) for age
Must not have
Patients with gliomatosis cerebri type 1 or 2
Female patients who are pregnant
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5.5 years
Awards & highlights
No Placebo-Only Group

Summary

This trial is studying a combination of drugs as a potential treatment for newly diagnosed malignant glioma. The drugs being studied are veliparib, radiation therapy, and temozolomide.

Who is the study for?
This trial is for patients with newly diagnosed malignant glioma without certain mutations (H3 K27M or BRAFV600). Eligible participants are between 3-25 years old, have not received prior tumor-directed therapy, and can start treatment within 31 days after surgery. They must have proper organ function and controlled seizures if present.
What is being tested?
The study tests the effectiveness of veliparib combined with radiation therapy and temozolomide in treating malignant glioma. Veliparib is a PARP inhibitor that may prevent tumor cells from repairing DNA damage, potentially enhancing the effects of chemotherapy and radiation.
What are the potential side effects?
Potential side effects include nausea, fatigue, low blood counts leading to increased infection risk or bleeding problems, liver issues indicated by altered blood tests, kidney function changes requiring monitoring through blood tests, and possible allergic reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My kidney function, measured by creatinine clearance or GFR, is normal or above.
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My bilirubin levels are within the normal range for my age.
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I am between 3 and 21 years old.
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I can take care of myself but may not be able to do heavy physical work.
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My hemoglobin level is at least 8.0 gm/dL, transfusions are okay.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have been diagnosed with gliomatosis cerebri type 1 or 2.
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I am currently pregnant.
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I have been diagnosed with oligodendroglioma.
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I have been diagnosed with pleomorphic xanthoastrocytoma.
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My primary cancer is in the brainstem or spinal cord.
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I have AML or MDS possibly caused by previous treatments.
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I have received treatment specifically for my tumor.
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I cannot undergo the specific radiation therapy outlined in the study.
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My cancer has spread to my nervous system.
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I have a genetic condition known as CMMR-D or bMMRD.
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I have had a bone marrow or double cord blood transplant.
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I have been diagnosed with a grade 2 diffuse astrocytoma.
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I am a woman who could become pregnant.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5.5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5.5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Event Free Survival (EFS)
Secondary study objectives
Objective Response
Overall Survival (OS)
Other study objectives
Biomarker Analysis

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (radiation therapy, veliparib, temozolomide)Experimental Treatment3 Interventions
CHEMORADIOTHERAPY PHASE: Patients receive veliparib PO BID and undergo 30 daily fractions of radiation therapy 5 days per week for 6-7 weeks in the absence of disease progression or unacceptable toxicity. MAINTENANCE CHEMOTHERAPY: Beginning 4 weeks after chemoradiotherapy phase, patients receive veliparib PO BID and temozolomide PO QD on days 1-5. Treatment repeats every 28 days for up to 10 cycles in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Veliparib
2012
Completed Phase 3
~4780
Temozolomide
2010
Completed Phase 3
~1880
Radiation Therapy
2017
Completed Phase 3
~7250

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,907 Previous Clinical Trials
41,012,106 Total Patients Enrolled
Matthias A KarajannisPrincipal InvestigatorChildren's Oncology Group

Media Library

Radiation Therapy Clinical Trial Eligibility Overview. Trial Name: NCT03581292 — Phase 2
Brain Tumor Research Study Groups: Treatment (radiation therapy, veliparib, temozolomide)
Brain Tumor Clinical Trial 2023: Radiation Therapy Highlights & Side Effects. Trial Name: NCT03581292 — Phase 2
Radiation Therapy 2023 Treatment Timeline for Medical Study. Trial Name: NCT03581292 — Phase 2
Brain Tumor Patient Testimony for trial: Trial Name: NCT03581292 — Phase 2
~5 spots leftby Nov 2025