Glioblastoma Multiform (Grade IV Astrocytoma)Phase 1DESSTINI_ANCT01833273
Dose Evaluation Safety STudy IN Individuals With Astrocytoma Taking PolyMVA
A Phase 1 study testing PolyMVA in people with Glioblastoma Multiform (Grade IV Astrocytoma), run by Stony Brook University at 1 site in United States.
Trial summary
In order to test the investigators hypothesis that 8 teaspoons of POLYMVA is safe in a population of patients with grade IV brain astrocytoma (glioblastoma multiforme), the investigators will conduct an open-label, prospective, un-blinded study. Read more about this study
- Who is it for?
- Ages 18 to 79 years
- Conditions the study is for
- Glioblastoma Multiform (Grade IV Astrocytoma)
- What is being tested?
- PolyMVA
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 13 participants
- Where
- 1 siteUnited States
- Study dates
- Jul 2010to Jun 2015
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 79 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged 18 -79 years. Women of procreative potential who agree to practice abstinence or use adequate contraceptive methods during the study (i.e., two methods of contraception) may enroll. Female subjects of childbearing potential should have a negative serum pregnancy test within three days prior to treatment, and a repeat pregnancy test should be performed when the patient exits the study.
- Non-smoker (must be smoke-free at least 2 years).
- Able to sign informed consent.
- Naïve to Poly MVA
- Biopsy-proven grade IV brain astrocytoma
- Must be MRI-compatible.
- Lesion must be supra-tentorial
Who cannot join
- History of neuro-psychiatric disease other than the astrocytoma, including Stroke, Cerebral Hemorrhage, Multiple Sclerosis, Dementia, Severe Depression/Suicidal Ideation, Parkinson's disease, carotid occlusion or high-grade stenosis (>69%), occlusion of major vessel in circle of Willis, CADASIL, Schizophrenia.
- History of allergy to food supplementation/vitamin/mineral (including nickel).
- Known severe hepatic or renal failure (i.e., baseline liver function panel greater than 3 times the upper limit of normal and serum creatinine greater than 2 times the upper limit of normal).
- Congestive Heart Failure.
- Other terminal illness with life expectancy <3 years due to that disease (e.g. end-stage AIDS).
- Current substance abuse.
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- Unable to sign informed consent.
- Current participation in another clinical study.
- Chronic steroid use, other than steroids prescribed for brain swelling
- Any other condition, which, in the opinion of the investigator, places the subject into the category of poor physical health.
- Subjects with other pre-existing cancer.
- Subjects with newly diagnosed astrocytoma who have not yet undergone primary surgical resection and/or who have not yet completed their primary course of radiation therapy are not eligible. If during the course of the study the subject's oncologist decides to initiate a second course of radiation therapy, then PolyMVA must be discontinued.
- Lesions with PNET cells will be excluded.
- Karnofsky Performance Status less than 70.
- Subjects who are pregnant or currently breastfeeding may not enroll in the study.
Trial locations and contacts
1 site in 1 country.
United States1 site
Stony Brook University Medical Center
Stony Brook, New York, 11794
About this study
In order to test the investigators hypothesis that 8 teaspoons of POLYMVA is safe in a population of patients with grade IV brain astrocytoma (glioblastoma multiforme), the investigators will conduct an open-label, prospective, un-blinded study. The investigators expect that at least 70% of subjects will tolerate the supplement and complete the trial. The investigators expect no Serious Adverse Event to occur during this trial which is attributable to study compound. During this study, the investigators will also collect other qualitative data to be utilized for future double-blinded studies which will be aimed at determining whether grade IV astrocytoma patients who receive PolyMVA achieve a better quality of life during their chemo-therapeutic regimens versus grade IV astrocytoma patients who do not receive PolyMVA.
Read the detailed description
This is a Phase I Safety Study which investigates the role of PolyMVA as a supplement in grade IV astrocytoma patients. The primary endpoint of this study is safety/tolerability.
This supplement, PolyMVA, is a uniquely formulated combination of minerals, vitamins, and amino acids. The principle ingredient is the Palladium Lipoic Acid Complex (PdLA). There is no free alpha-lipoic acid or free palladium in Poly MVA; they are bound together (Garnett 1995, Krishnan and Garnett 2005). PolyMVA is both water and lipid soluble. It is uniquely arranged in a liquid crystal polymer structure, allowing it to store a great deal of energy, and thus serve as a semi-conductor. The overall function of this polymer is that it provides a unified redox reaction (accepts and donates charge), and acts as a highly effective energy-transferring molecule. It is able to rapidly and efficiently transfer electron charge to DNA, protecting non-cancerous cells from the oxidative damage of radiation and chemotherapy.
Over the past years neuroscientists from our institution have used tissue culture techniques to study the effects of PolyMVA (PdLA) on the apoptotic cell death cascade in cancer cells. The work was predicated on the Nobel Prize winning discovery by Dr. Otto Warburg that cancerous tumors are oxygen deficient and rely upon anaerobic metabolism for energy production. Malignant cells have thus adapted to function in a hypoxic environment; however, since anaerobic metabolism produces less energy per unit of fuel, tumor cells are less efficient at energy production than normal healthy cells. PolyMVA (PdLA) takes advantage of this metabolic situation. PolyMVA (PdLA), by transferring excess electrons to malignant cells (which are functioning in a limited oxygen environment), is responsible for the selective generation of free radicals within the mitochondrial membrane of malignant cells. Free radical generation in this region facilitates cytochrome c release, activation of the apoptotic cascade, and, ultimately, cancer cell death.
Furthermore, electrochemistry data and ischemia data from our institution both have elucidated that shuttled electrons do not go directly to DNA, but pass via the mitochondria. (This route was determined by competitively blocking the efficiency of PolyMVA (PdLA) with free alpha lipoic acid, which works at complex I of the mitochondria.) Therefore, electrons, en route to DNA, are shunted down the electron transport chain. The result: enhanced cellular energy in a non-malignant cell. (Clinically, this is a process which would not only benefit cancer patients who, as a result of toxic therapeutic regimens and cancerous invasion, are energy-depleted; but this would also benefit normal healthy subjects who experience fatigue, or, who are simply looking for an energy boost.)
Poly MVA not only functions as an energy-transferring molecule, but also as a free radical scavenger (it is able to quench radical species). It is the combination of these activities, which may benefit cells exposed to ischemic conditions. During an ischemic insult, Poly MVA has the ability to shuttle electrons from the plasma cell membrane to the mitochondria, and thus stabilize the vulnerable electron transfer chain. Additionally, its liquid crystal polymer activity has the ability to quench any radicals generated upon reperfusion. This non-toxic novel supplement may therefore serve as a potent anti-ischemia agent.
Hypothesis:
Eight teaspoon daily dosage of PolyMVA in grade IV astrocytoma patients is safe and well-tolerated.
- Being tested
- PolyMVA
- Medical subject headings
- Glioblastoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PolyMVADrug
Subjects will take 8 tsp/day of PolyMVA over a 26 week period while receiving standard of care from his/her neuro-oncologist. Subjects will begin taking the study compound after maximal surgical resection of the tumor and receiving an initial treatment of radiation therapy. Subjects will not take study compound on days when they receive chemotherapy.
| Study group | Role | What they receive |
|---|---|---|
| PolyMVA | Experimental | This arm will be taking 8 tsp/day of the study compound (PolyMVA) in addition to receiving normal care as determined by his/her neuro-oncologist. Receives: Drug: PolyMVA |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Number and Severity of Adverse events as a Measure of Safety and Tolerability
Adverse Events will be recorded throughout the course of the study and scaled for severity according to CTCAE v. 4.02. AE's will also be scaled for relatedness to the study compound and will be adjudicated by a DSMB. MRIs will be obtained at baseline, 26 weeks ans 34 weeks. We will look for disease progression according to MacDonald criteria. Blood work and urinalysis will also be obtained at every visit. Tolerability will be based upon subject questioning.
Measured: 34 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Apr 2013 (estimated)
- Study startJul 2010
- Primary completionOct 2013
- Study completionJun 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Glioblastoma Multiform (Grade IV Astrocytoma)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 13 participants (actual)
Sponsor and investigators
- Lead sponsor
- Stony Brook University
- Sponsor type
- University, hospital or other
- Collaborators
- Garnett McKeen Laboratory Inc.
- Responsible party
- Sponsor
- Investigators
- Candice Perkins, MD, Principal investigator, Stony Brook University Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01833273
- Sponsor's protocol ID
- DESSTINI_A
- Acronym
- DESSTINI_A
- Status last verified
- Jun 2016
- First submitted
- 22 Sep 2010
- Last updated
- 3 Jun 2016
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Dose Evaluation Safety STudy IN Individuals With Astrocytoma Taking PolyMVA
- ClinicalTrials.gov ID
- NCT01833273
- Acronym / sponsor ID
- DESSTINI_A / DESSTINI_A
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13 participants (actual)
- Lead sponsor
- Stony Brook UniversityUniversity, hospital or other
- Collaborators
- Garnett McKeen Laboratory Inc.
- Study start
- Jul 2010
- Primary completion
- Oct 2013 (actual)
- Study completion
- Jun 2015 (actual)
- First posted
- 16 Apr 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In order to test the investigators hypothesis that 8 teaspoons of POLYMVA is safe in a population of patients with grade IV brain astrocytoma (glioblastoma multiforme), the investigators will conduct an open-label, prospective, un-blinded study. The investigators expect that at least 70% of subjects will tolerate the supplement and complete the trial. The investigators expect no Serious Adverse Event to occur during this trial which is attributable to study compound. During this study, the investigators will also collect other qualitative data to be utilized for future double-blinded studies which will be aimed at determining whether grade IV astrocytoma patients who receive PolyMVA achieve a better quality of life during their chemo-therapeutic regimens versus grade IV astrocytoma patients who do not receive PolyMVA.
Detailed description
This is a Phase I Safety Study which investigates the role of PolyMVA as a supplement in grade IV astrocytoma patients. The primary endpoint of this study is safety/tolerability.
This supplement, PolyMVA, is a uniquely formulated combination of minerals, vitamins, and amino acids. The principle ingredient is the Palladium Lipoic Acid Complex (PdLA). There is no free alpha-lipoic acid or free palladium in Poly MVA; they are bound together (Garnett 1995, Krishnan and Garnett 2005). PolyMVA is both water and lipid soluble. It is uniquely arranged in a liquid crystal polymer structure, allowing it to store a great deal of energy, and thus serve as a semi-conductor. The overall function of this polymer is that it provides a unified redox reaction (accepts and donates charge), and acts as a highly effective energy-transferring molecule. It is able to rapidly and efficiently transfer electron charge to DNA, protecting non-cancerous cells from the oxidative damage of radiation and chemotherapy.
Over the past years neuroscientists from our institution have used tissue culture techniques to study the effects of PolyMVA (PdLA) on the apoptotic cell death cascade in cancer cells. The work was predicated on the Nobel Prize winning discovery by Dr. Otto Warburg that cancerous tumors are oxygen deficient and rely upon anaerobic metabolism for energy production. Malignant cells have thus adapted to function in a hypoxic environment; however, since anaerobic metabolism produces less energy per unit of fuel, tumor cells are less efficient at energy production than normal healthy cells. PolyMVA (PdLA) takes advantage of this metabolic situation. PolyMVA (PdLA), by transferring excess electrons to malignant cells (which are functioning in a limited oxygen environment), is responsible for the selective generation of free radicals within the mitochondrial membrane of malignant cells. Free radical generation in this region facilitates cytochrome c release, activation of the apoptotic cascade, and, ultimately, cancer cell death.
Furthermore, electrochemistry data and ischemia data from our institution both have elucidated that shuttled electrons do not go directly to DNA, but pass via the mitochondria. (This route was determined by competitively blocking the efficiency of PolyMVA (PdLA) with free alpha lipoic acid, which works at complex I of the mitochondria.) Therefore, electrons, en route to DNA, are shunted down the electron transport chain. The result: enhanced cellular energy in a non-malignant cell. (Clinically, this is a process which would not only benefit cancer patients who, as a result of toxic therapeutic regimens and cancerous invasion, are energy-depleted; but this would also benefit normal healthy subjects who experience fatigue, or, who are simply looking for an energy boost.)
Poly MVA not only functions as an energy-transferring molecule, but also as a free radical scavenger (it is able to quench radical species). It is the combination of these activities, which may benefit cells exposed to ischemic conditions. During an ischemic insult, Poly MVA has the ability to shuttle electrons from the plasma cell membrane to the mitochondria, and thus stabilize the vulnerable electron transfer chain. Additionally, its liquid crystal polymer activity has the ability to quench any radicals generated upon reperfusion. This non-toxic novel supplement may therefore serve as a potent anti-ischemia agent.
Hypothesis:
Eight teaspoon daily dosage of PolyMVA in grade IV astrocytoma patients is safe and well-tolerated.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| PolyMVA | Experimental | Drug: PolyMVAThis arm will be taking 8 tsp/day of the study compound (PolyMVA) in addition to receiving normal care as determined by his/her neuro-oncologist. |
Who may qualify
- Ages
- 18 to 79 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Aged 18 -79 years. Women of procreative potential who agree to practice abstinence or use adequate contraceptive methods during the study (i.e., two methods of contraception) may enroll. Female subjects of childbearing potential should have a negative serum pregnancy test within three days prior to treatment, and a repeat pregnancy test should be performed when the patient exits the study.
- Non-smoker (must be smoke-free at least 2 years).
- Able to sign informed consent.
- Naïve to Poly MVA
- Biopsy-proven grade IV brain astrocytoma
Key exclusion criteria (15 listed)
- History of neuro-psychiatric disease other than the astrocytoma, including Stroke, Cerebral Hemorrhage, Multiple Sclerosis, Dementia, Severe Depression/Suicidal Ideation, Parkinson's disease, carotid occlusion or high-grade stenosis (>69%), occlusion of major vessel in circle of Willis, CADASIL, Schizophrenia.
- History of allergy to food supplementation/vitamin/mineral (including nickel).
- Known severe hepatic or renal failure (i.e., baseline liver function panel greater than 3 times the upper limit of normal and serum creatinine greater than 2 times the upper limit of normal).
- Congestive Heart Failure.
- Other terminal illness with life expectancy <3 years due to that disease (e.g. end-stage AIDS).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PolyMVASubjects will take 8 tsp/day of PolyMVA over a 26 week period while receiving standard of care from his/her neuro-oncologist. Subjects will begin taking the study compound after maximal surgical resection of the tumor and receiving an initial treatment of radiation therapy. Subjects will not take study compound on days when they receive chemotherapy. | Drug | PolyMVA |
Primary outcome
The Number and Severity of Adverse events as a Measure of Safety and Tolerability
Time frame: 34 Weeks
Adverse Events will be recorded throughout the course of the study and scaled for severity according to CTCAE v. 4.02. AE's will also be scaled for relatedness to the study compound and will be adjudicated by a DSMB. MRIs will be obtained at baseline, 26 weeks ans 34 weeks. We will look for disease progression according to MacDonald criteria. Blood work and urinalysis will also be obtained at every visit. Tolerability will be based upon subject questioning.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2016.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Candice Perkins, MD principal investigator
Stony Brook University Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing PolyMVA in people with Glioblastoma Multiform (Grade IV Astrocytoma), run by Stony Brook University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Number and Severity of Adverse events as a Measure of Safety and Tolerability (time frame: 34 Weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2016.