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Glioblastoma MultiformePhase 3NCT03419403

UNITE Study: Understanding New Interventions With GBM ThErapy

A Phase 3 study testing Steroid eye drops, Vasoconstrictor eye drops and Cold compress in people with Glioblastoma Multiforme, run by AbbVie at 22 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The objective of this study was to evaluate the effect of several ophthalmologic prophylactic treatment strategies for the management of ocular side effects (OSEs) in participants with epidermal growth factor receptor (EGFR)-amplified glioblastoma (GBM) who were being treated with depatuxizumab mafodotin (ABT-414). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Glioblastoma Multiforme
What is being tested?
Steroid eye drops, Vasoconstrictor eye drops and Cold compress
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
22 sitesin 5 countries
Study dates
30 Jul 2018to 3 Mar 2020
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Newly diagnosed glioblastoma (GBM) histologically proven, World Health Organization (WHO) grade IV GBM or WHO grade IV gliosarcoma
  • Tumors must demonstrate epidermal growth factor receptor (EGFR) amplification
  • Tumors must be supratentorial in location
  • Participant must have recovered from the effects of surgery, postoperative infection, and other complications; has no significant post-operative hemorrhage
  • Participant has a Karnofsky performance status (KPS) of 70 or higher
  • Participant has adequate bone marrow, renal, and hepatic function
  • Electrocardiogram without evidence of acute cardiac ischemia ≤ 21 days prior to randomization
  • Participant has a life expectancy of ≥ 3 months

Who cannot join

  • Participant has received prior chemotherapy or radiotherapy for cancer of the head and neck region
  • Participant has received prior treatment with Gliadel wafers or any other intratumoral or intracavitary treatment
  • Participant has hypersensitivity to any component of temozolomide or dacarbazine
  • Participant has received anti-cancer therapy (including chemotherapy, immunotherapy, radiotherapy, hormonal, biologic, or any investigational therapy) within 5 years of Study Day 1
  • Participant has clinically significant uncontrolled condition(s) as described in the protocol
  • Participant has any medical condition which in the opinion of the investigator places the participant at an unacceptably high risk for toxicities
Show all 13Show fewer
  • Participant has had another active malignancy within the past 3 years except for any cancer considered cured or non-melanoma carcinoma of the skin
  • Participant has a history of herpetic keratitis
  • Participant is not suitable for receiving ocular steroids with conditions as described in the protocol
  • Participant has had laser-assisted in situ keratomileusis (LASIK) procedure within the last 1 year or cataract surgery within the last 3 months
  • Participant has a visual condition that compromises the ability to accurately measure visual acuity or assess visual activities of daily living (vADLs)
  • Participant has hepatitis B virus or hepatitis C virus infection
  • Participant not receiving treatment with highly active antiretroviral therapy (HAART) when positive for human immunodeficiency virus (HIV)

Trial locations and contacts

22 sites in 5 countries.

22 sites in 5 countries

United States9 sites
  • Levine Cancer Ins, Carolina Me /ID# 171271

    Charlotte, North Carolina, 28204

  • Rush University Medical Center /ID# 171003

    Chicago, Illinois, 60612

  • Northshore University Health System-Evanston /ID# 164221

    Evanston, Illinois, 60201

  • UT Health Science Ctr-Houston /ID# 164223

    Houston, Texas, 77030

  • Usc /Id# 164235

    Los Angeles, California, 90033

  • Columbia University Medical Center /ID# 164220

    New York, New York, 10032-3729

  • Moffitt Cancer Center /ID# 164234

    Tampa, Florida, 33612-9416

  • Baylor Scott & White Medical Center- Temple /ID# 170792

    Temple, Texas, 76508-0001

  • CDH-Delnor Health System /ID# 169909

    Warrenville, Illinois, 60555

Other trials in United States

Australia4 sites
  • Austin Hospital /ID# 169671

    Heidelberg, Victoria, 3084

  • Royal Brisbane and Women's Hospital /ID# 169674

    Herston, Queensland, 4029

  • Royal North Shore Hospital /ID# 169673

    Saint Leonards, New South Wales, 2065

  • Calvary Mater Newcastle /ID# 169672

    Waratah, New South Wales, 2298

Other trials in Australia

Germany4 sites
  • Universitaetsklinik Heidelberg /ID# 169970

    Heidelberg, Baden-Wurttemberg, 69120

  • Universitaetsklinikum Leipzig /ID# 169969

    Leipzig, Saxony, 04103

  • Klinikum Univ. Regensburg /ID# 169963

    Regensburg, 93042

  • Universitatsklinikum Tubingen /ID# 169965

    Tübingen, 72076

Other trials in Germany

United Kingdom3 sites
  • Queen Elizabeth Hospital - BIRMINGHAM /ID# 200657

    Birmingham, B15 2TH

  • Castle Hill Hospital /ID# 200662

    Cottingham, HU16 5JQ

  • Guy's and St Thomas' NHS Found /ID# 207752

    London, London, City of, SE1 9RT

Other trials in United Kingdom

Netherlands2 sites
  • Vrije Universiteit Medisch Centrum /ID# 170152

    Amsterdam, 1081 HV

  • Universitair Medisch Centrum Utrecht /ID# 170149

    Utrecht, 3584 CX

Other trials in Netherlands

About this study

Official title: Phase 3b Study for Management of Ocular Side Effects in Subjects With EGFR-amplified Glioblastoma Receiving Depatuxizumab Mafodotin (ABT-414)

The objective of this study was to evaluate the effect of several ophthalmologic prophylactic treatment strategies for the management of ocular side effects (OSEs) in participants with epidermal growth factor receptor (EGFR)-amplified glioblastoma (GBM) who were being treated with depatuxizumab mafodotin (ABT-414).

Read the detailed description

This Phase 3b open-label, randomized, exploratory study included 2 phases during the treatment period: chemoradiation therapy (radiation plus temozolomide [RT/TMZ]) and adjuvant therapy (TMZ). All participants received depatuxizumab mafodotin during both phases of the treatment period plus 1 of 3 prophylactic ophthalmologic treatments (standard steroids; standard steroids with vasoconstrictors and cold compress; and enhanced steroids with vasoconstrictors and cold compress. The study comprised a screening period of up to 7 weeks after surgery, a 6-week concomitant Chemoradiation Phase, an Adjuvant Phase beginning approximately 4 weeks after completion of chemoradiation, and a Follow-Up Phase.

Being tested
Steroid eye drops, Vasoconstrictor eye drops, Cold compress, Ophthalmic steroid ointment, Depatuxizumab mafodotin
Keywords
Glioblastoma Multiforme (GBM), Cancer, Chemoradiation therapy, Epidermal growth factor receptor-amplified glioblastoma, Radiation, Temozolomide
Medical subject headings
Glioblastoma, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Steroid eye dropsDrug

    Solution, eye drop

  • Vasoconstrictor eye dropsDrug

    Solution, eye drop

  • Cold compressOther

    Cold compress

  • Ophthalmic steroid ointmentDrug

    Ointment

  • Depatuxizumab mafodotinDrug

    Also called ABT-414

    During the Chemoradiation Phase, participants were to receive depatuxizumab mafodotin at 2.0 mg/kg IV infusion over 30 - 40 minutes once every 2 weeks (Day 1 of Weeks 1, 3, and 5 of the 6-week regimen). During the Adjuvant Therapy Phase, participants were to receive depatuxizumab mafodotin at 1.25 mg/kg on Day 1 (± 2 days) and Day 15 (± 2 days) of each 28-day cycle as a 30 - 40 minute infusion for 12 cycles.

  • TemozolomideDrug

    Temozolomide was to be administered according to the local standard of care. Duration of treatment was to be 6 - 12 cycles in the adjuvant phase and at the discretion of the investigator as supported by local standard of care.

  • RadiationRadiation

    Radiation therapy treatment planning and administration was to be performed as per local institutional guidelines.

Study groups in NCT03419403
Study groupRoleWhat they receive
Standard SteroidsExperimentalSteroid eye drops: 1 drop each eye, 3 times/day, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days
Receives: Drug: Steroid eye drops; Drug: Depatuxizumab mafodotin; Drug: Temozolomide; Radiation: Radiation
Standard Steroids + Vasoconstrictor + Cold CompressExperimentalSteroid eye drops: 1 drop each eye, 3 times/day, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days; Vasoconstrictor Eye Drops: 1 drop each eye 4 - 6 times on day of infusion in total (5 - 10 minutes before infusion; at end of infusion; and 2 - 4 times during the remainder of the infusion day). Continuing 4 - 6 times/day on Day 1 and Day 2 after each depatuxizumab mafodotin infusion; Cold Compress: Starting 5 minutes prior to start of infusion and continuing for 30 minutes past end of infusion, and then use at least 2 hours total/day on Days 1 - 3 with each depatuxizumab mafodotin infusion. The cold compress was to be applied in increments no longer than 30 min (could be shorter if the participant was uncomfortable).
Receives: Drug: Steroid eye drops; Drug: Vasoconstrictor eye drops; Other: Cold compress; Drug: Depatuxizumab mafodotin; Drug: Temozolomide; Radiation: Radiation
Enhanced Steroids + Vasoconstrictor + Cold CompressExperimentalEnhanced steroid eye drops: 1 drop each eye, 6 times/day, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days; Ophthalmic Steroid Ointment; applied to each eye once daily before sleep, starting 2 days prior to depatuxizumab mafodotin infusion and continuing until 4 days after infusion, for a total of 7 days; Vasoconstrictor Eye Drops: 1 drop each eye 4 - 6 times on day of infusion in total (5 - 10 minutes before infusion; at end of infusion; and 2 - 4 times during the remainder of the infusion day). Continuing 4 - 6 times/day on Day 1 and Day 2 after each depatuxizumab mafodotin infusion; Cold Compress: Starting 5 minutes prior to start of infusion and continuing for 30 minutes past end of infusion, and then use at least 2 hours total/day on Days 1 - 3 with each depatuxizumab mafodotin infusion. Cold compress was to be applied in increments no longer than 30 min (could be shorter if the patient is uncomfortable).
Receives: Drug: Steroid eye drops; Drug: Vasoconstrictor eye drops; Other: Cold compress; Drug: Ophthalmic steroid ointment; Drug: Depatuxizumab mafodotin; Drug: Temozolomide; Radiation: Radiation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Who Required a Change in Ocular Side Effect (OSE) Management

    Inadequate control of ocular side effects (OSE) was defined as either a ≥ 3-line decline from baseline (≥ +0.3 on LogMAR scale) in visual acuity (with baseline correction determined at the screening ophthalmology visit)) or ≥ Grade 3 OSE severity on the Corneal Epithelial Adverse Event (CEAE) scale.

    Measured: Within 8 weeks after the initial dose of depatuxizumab mafodotin

Secondary outcomes (12)
  1. Maximum Change From Baseline on the Logarithm of the Minimum Angle of Resolution (LogMAR) Scale

    The LogMAR scale measures visual acuity on a continuous scale, with a LogMAR value of 0 equivalent to 20/20 visual acuity. Normal vision is considered to be from -0.2 - 0.1; higher values indicate visual impairment. The baseline observation is defined as the last non-missing measurement collected prior to the first dose of depatuxizumab mafodotin.

    Measured: Within 8 weeks after the initial dose of depatuxizumab mafodotin

  2. Time to Bandage Contact Lens (BCL) Intervention

    The time to initiation of bandage contact lenses for those participants who required intervention due to inadequate control of ocular side effects (OSE) was calculated.

    Measured: Up to 9 months after the first dose of depatuxizumab mafodotin

  3. Number of Participants With Depatuxizumab Mafodotin Dose Modifications Due to Ocular Side Effects (OSE)

    Dose modifications included depatuxizumab mafodotin withdrawal, interruption, and reductions in dose initiated due to OSEs.

    Measured: From the first dose of study drug until 49 days after last depatuxizumab mafodotin administration, up to 47 weeks

  4. Cumulative Dose of Depatuxizumab Mafodotin Received During Chemoradiation and During Adjuvant Treatment

    The cumulative dose of depatuxizumab mafodotin administered was tabulated.

    Measured: Up to 9 months

  5. Treatment-Emergent Corneal Epithelial Adverse Event (CEAE) Grade at Each Visit

    The corneal epithelial adverse event (CEAE) rating scale is designed to record symptoms associated with corneal epitheliopathy caused by antibody-drug conjugates and to grade the severity of findings. The overall CEAE grade is measured on a scale of 0 to 5, with higher values being more severe, reflecting the impact of corneal abnormalities on visual activities of daily living (ADLs). Additional detailed information is collected for specific domains that are commonly affected, with the following ranges (each in order of increasing severity): ocular discomfort (0 - 4), photophobia (0 - 3), and reading (1 - 3).

    Measured: Up to 47 weeks

  6. Change From Baseline In Logarithm of the Minimum Angle of Resolution (LogMAR) Scale After Bandage Contact Lens (BCL) Intervention

    The change on the LogMAR Scale from last assessment prior to BCL intervention to 2 weeks after BCL intervention was calculated. The LogMAR scale measures visual acuity on a continuous scale, with a LogMAR value of 0 equivalent to 20/20 visual acuity. Normal vision is considered to be from -0.2 - 0.1; higher values indicate visual impairment.

    Measured: From the last assessment prior to BCL intervention to 2 weeks after BCL intervention

  7. Percentage of Participants That Recovered to <3-line Decline From Baseline (≤ +0.3 LogMAR) in Visual Acuity After Bandage Contact Lens (BCL) Intervention

    Recovery was defined as return to <3-line decline from baseline (≤ +0.3 LogMAR) in visual acuity after BCL intervention.

    Measured: From the last assessment prior to BCL intervention to the end of BCL intervention

  8. Number of Participants With Depatuxizumab Mafodotin Dose Modifications to Ocular Side Effects After Bandage Contact Lens (BCL) Intervention

    Dose modifications included depatuxizumab mafodotin withdrawal, interruption, and reductions in dose initiated due to OSEs after BCL intervention.

    Measured: From the last assessment prior to BCL intervention to the end of BCL intervention, up to 38 weeks

  9. Time to Restart Depatuxizumab Mafodotin if Interrupted Due to Ocular Side Effects After Bandage Contact Lens (BCL) Intervention

    The time to restart depatuxizumab mafodotin treatment if it was interrupted due to ocular side effects after BCL Intervention was tabulated.

    Measured: From the last assessment prior to BCL intervention to the end of BCL intervention

  10. Treatment Emergent Corneal Epithelial Adverse Event (CEAE) Grade at Each Visit After Bandage Contact Lens (BCL) Intervention

    The corneal epithelial adverse event (CEAE) rating scale is designed to record symptoms associated with corneal epitheliopathy caused by antibody-drug conjugates and to grade the severity of findings. The overall CEAE grade is measured on a scale of 0 to 5, with higher values being more severe, reflecting the impact of corneal abnormalities on visual activities of daily living (ADLs). Additional detailed information is collected for specific domains that are commonly affected, with the following ranges (each in order of increasing severity): ocular discomfort (0 - 4), photophobia (0 - 3), and reading (1 - 3).

    Measured: From the last assessment prior to BCL intervention to the end of BCL intervention, up to 38 weeks

  11. Time to Ocular Side Effect (OSE) Symptom Resolution After Drug Discontinuation (Reversibility)

    The time from discontinuation of depatuxizumab mafodotin to OSE symptom resolution (reversibility) was to be recorded.

    Measured: From the first dose of study drug until 49 days after last depatuxizumab mafodotin administration, up to 47 weeks

  12. Time to Re-initiation of Depatuxizumab Mafodotin After Dose Interruption

    The time from dose interruption until re-initiation or permanent discontinuation of depatuxizumab mafodotin was to be recorded.

    Measured: Up to 9 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2018
  2. Study start30 Jul 2018
  3. Primary completion5 Sep 2019
  4. Study completion3 Mar 2020

Why it stopped: The study was terminated because clinical development of depatuxizumab mafodotin in glioblastoma was stopped due to lack of survival benefit.

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03419403
Sponsor's protocol ID
M16-534
Other IDs
2017-003171-64, 2017
Status last verified
Mar 2021
First submitted
26 Jan 2018
Last updated
14 Apr 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Steroid eye drops, Vasoconstrictor eye drops and Cold compress in people with Glioblastoma Multiforme, run by AbbVie at 22 sites in 5 countries.

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 8 inclusion and 13 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: stopped early, as of the sponsor's last update on 14 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Australia, Germany, United Kingdom, Netherlands. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 14 Apr 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Participants Who Required a Change in Ocular Side Effect (OSE) Management (time frame: Within 8 weeks after the initial dose of depatuxizumab mafodotin). 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 14 Apr 2021.

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