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A Randomized, Placebo Controlled Phase 3 Study of ABT-414 With Concurrent Chemoradiation and Adjuvant Temozolomide in Subjects With Newly Diagnosed Glioblastoma (GBM) With Epidermal Growth Factor Receptor (EGFR) Amplification (Intellance1)
Primary Objective:
Phase 2b: To determine whether the addition of ABT-414 to concomitant radiotherapy and
TMZ plus adjuvant TMZ prolongs Progression Free Survival (PFS) among subjects with newly
diagnosed GBM harboring EGFR amplification.
Phase 3: To determine whether the addition of ABT-414 to concomitant radiotherapy and TMZ
plus adjuvant TMZ prolongs Overall Survival (OS) among subjects with newly diagnosed GBM
harboring EGFR amplification.
Secondary Objectives:
To determine whether the addition of ABT-414 to concomitant radiotherapy and TMZ plus
adjuvant TMZ improves outcomes among subjects with newly diagnosed GBM harboring EGFR
amplification for the following endpoints:
PFS (secondary endpoint for Phase 3)
OS (secondary endpoint for Phase 2b)
OS for the EGFRvIII-mutated tumor subgroup
PFS for EGFRvIII-mutated tumor subgroup
Time to deterioration in symptom severity score M.D. Anderson Symptom Inventory
Brain Tumor Module (MDASI-BT)
Time to deterioration in symptom interference score (MDASI-BT)
Time to deterioration in neurocognitive functioning on the Hopkins Verbal Learning
Test Revised (HVLT-R)
Safety:
Assessment of comparative safety
Exploratory Objectives:
To determine whether the addition of ABT-414 to concomitant radiotherapy and TMZ plus
adjuvant TMZ improves outcomes among subjects with newly diagnosed GBM harboring EGFR
amplification for the following endpoints:
OS at 1 year
OS at 2 years
PFS at 1 year
PFS at 2 years
OS for non-EGFRvIII subjects (comparison between arms)
PFS for non-EGFRvIII subjects (comparison between arms)
OS and PFS for Total EGFR expressions levels
EGFRvIII status (as a prognostic factor independent of treatment assignment) overall
and among molecular subgroups
Time to deterioration in HRQoL European Organization for Research and Treatment of
Cancer Quality of Life questionnaire (EORTC QLQ-C30/BN20 scale scores)
Change from baseline in HRQoL (EORTC QLQ-C30/BN20 scale scores)
Change from baseline in symptom severity factor groupings (MDASI-BT neurologic,
cognitive, and treatment)
Time to deterioration in performance status Karnofsky Performance Status (KPS)
Change from baseline in performance status (KPS)
Median time KPS score was maintained at 70 or higher
Time to deterioration in neurocognitive functioning on Controlled Oral Word
Association (COWA-FAS)
Change from baseline in neurocognitive functioning (HVLT-R and COWA-FAS)
Change from baseline in Vision item on the MDASI-BT and EORTC BN20
Change from baseline in health status (EQ-5D-5L and EQ-5D-VAS)
Changes in EGFR molecular profile during therapy among subjects who undergo
additional surgery as part of routine care
Pharmacokinetics of ABT-414, total ABT-806, and unconjugated cys-mcMMAF
To determine the relationship of neurocognitive function (HVLT-R, COWA-FAS) and
patient reported outcomes (PRO) (EORTC QLQ-C30/BN 20, MDASI-BT) with
progression-free and overall survival
To determine the association between tumor molecular profile and neurocognitive
function (HVLT-R, COWA-FAS) and PROs (EORTC QLQ-C30/BN 20, MDASI-BT)
Change from maximum corticosteroid dosing
Primary Objective:
Phase 2b: To determine whether the addition of ABT-414 to concomitant radiotherapy and
TMZ plus adjuvant TMZ prolongs Progression Free Survival (PFS) among subjects with newly
diagnosed GBM harboring EGFR amplification.
Phase 3: To determine whether the addition of ABT-414 to concomitant radiotherapy and TMZ
plus adjuvant TMZ prolongs Overall Survival (OS) among subjects with newly diagnosed GBM
harboring EGFR amplification.
Secondary Objectives:
To determine whether the addition of ABT-414 to concomitant radiotherapy and TMZ plus
adjuvant TMZ improves outcomes among subjects with newly diagnosed GBM harboring EGFR
amplification for the following endpoints:
PFS (secondary endpoint for Phase 3)
OS (secondary endpoint for Phase 2b)
OS for the EGFRvIII-mutated tumor subgroup
PFS for EGFRvIII-mutated tumor subgroup
Time to deterioration in symptom severity score M.D. Anderson Symptom Inventory
Brain Tumor Module (MDASI-BT)
Time to deterioration in symptom interference score (MDASI-BT)
Time to deterioration in neurocognitive functioning on the Hopkins Verbal Learning
Test Revised (HVLT-R)
Safety:
Assessment of comparative safety
Exploratory Objectives:
To determine whether the addition of ABT-414 to concomitant radiotherapy and TMZ plus
adjuvant TMZ improves outcomes among subjects with newly diagnosed GBM harboring EGFR
amplification for the following endpoints:
OS at 1 year
OS at 2 years
PFS at 1 year
PFS at 2 years
OS for non-EGFRvIII subjects (comparison between arms)
PFS for non-EGFRvIII subjects (comparison between arms)
OS and PFS for Total EGFR expressions levels
EGFRvIII status (as a prognostic factor independent of treatment assignment) overall
and among molecular subgroups
Time to deterioration in HRQoL European Organization for Research and Treatment of
Cancer Quality of Life questionnaire (EORTC QLQ-C30/BN20 scale scores)
Change from baseline in HRQoL (EORTC QLQ-C30/BN20 scale scores)
Change from baseline in symptom severity factor groupings (MDASI-BT neurologic,
cognitive, and treatment)
Time to deterioration in performance status Karnofsky Performance Status (KPS)
Change from baseline in performance status (KPS)
Median time KPS score was maintained at 70 or higher
Time to deterioration in neurocognitive functioning on Controlled Oral Word
Association (COWA-FAS)
Change from baseline in neurocognitive functioning (HVLT-R and COWA-FAS)
Change from baseline in Vision item on the MDASI-BT and EORTC BN20
Change from baseline in health status (EQ-5D-5L and EQ-5D-VAS)
Changes in EGFR molecular profile during therapy among subjects who undergo
additional surgery as part of routine care
Pharmacokinetics of ABT-414, total ABT-806, and unconjugated cys-mcMMAF
To determine the relationship of neurocognitive function (HVLT-R, COWA-FAS) and
patient reported outcomes (PRO) (EORTC QLQ-C30/BN 20, MDASI-BT) with
progression-free and overall survival
To determine the association between tumor molecular profile and neurocognitive
function (HVLT-R, COWA-FAS) and PROs (EORTC QLQ-C30/BN 20, MDASI-BT)
Change from maximum corticosteroid dosing
Recruitment Status
Past Studies