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Progressive GlioblastomaEarly Phase 1NCT07076472

Sonodynamic Therapy With SONALA-001 or 5-ALA HCL and Magnetic Resonance Guided Focused Ultrasound for the Treatment of Progressive or Recurrent Glioblastoma

A Early Phase 1 study testing Aminolevulinic Acid Intravenous Formulation SONALA-001, Biospecimen Collection and Computed Tomography in people with Progressive Glioblastoma and Recurrent Glioblastoma, run by Mayo Clinic at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This early phase I trial tests the safety, best dose, and effectiveness of SONALA-001 or 5-ALA HCL in combination with magnetic resonance imaging-guided focused ultrasound (MRgFUS), also called sonodynamic therapy, in treating patients with glioblastoma that is growing, spreading, or getting worse (progressive) or… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Aminolevulinic Acid Intravenous Formulation SONALA-001, Biospecimen Collection and Computed Tomography
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
1 siteUnited States
Study dates
14 Aug 2025to 31 Dec 2031
Phase
Early Phase 1
Are there results?
Not yet: the study is under way

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

  • Age ≥ 18 years
  • Diagnosis of recurrent or progressive glioblastoma (as defined in 2021 World Health Organization [WHO] Classification of Tumors of the Central Nervous System; Louis, Perry, et al. 2021) for which resection is not indicated as assessed by the study physician
  • Radiographic evidence of disease which may be measurable or non-measurable
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2
  • Previous treatment with radiotherapy (RT)
  • Have a life expectancy of ≥ 12 weeks
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  • Hemoglobin ≥ 9.0 g/dL (obtained ≤ 15 days prior to registration)
  • Absolute neutrophil count (ANC) ≥ 1500/mm^3 (obtained ≤ 15 days prior to registration)
  • Platelet count ≥ 100,000/mm^3 (obtained ≤ 15 days prior to registration)
  • Total bilirubin ≤ 1.5 x upper limit of normal (ULN) (obtained ≤ 15 days prior to registration)
  • Alanine aminotransferase (ALT) and aspartate transaminase (AST) ≤ 3 x ULN (≤ 5 x ULN for patients with liver involvement) (obtained ≤ 15 days prior to registration)
  • Albumin ≥ 3 g/dL (obtained ≤ 15 days prior to registration)
  • Potassium ≥ lower limit of normal (LLN) (obtained ≤ 15 days prior to registration)
  • Serum total calcium ≥ LLN (obtained ≤ 15 days prior to registration)
  • Creatinine ≤ 1.5 x ULN OR calculated creatinine clearance ≥ 60 mL/min using the Cockcroft-Gault formula (obtained ≤ 15 days prior to registration)
  • Negative pregnancy test done ≤ 8 days prior to registration, for persons of childbearing potential only
  • Provide written informed consent
  • Willing to participate in the neuro-oncology biorepository [Institutional Review Board (IRB) 12-003458, principal investigator (PI): Jann Sarkaria, MD, PhD] for collecting and archiving biospecimens samples on neuro-oncology patients
  • Willing to return to enrolling institution for follow-up (during the active monitoring phase of the study)

Who cannot join

  • Any of the following because this study involves an investigational agent, the genotoxic, mutagenic, and teratogenic effects of which on the developing fetus and newborn are unknown:
  • Pregnant persons
  • Nursing persons
  • Persons of childbearing potential (and persons able to father a child) who are unwilling to employ adequate contraception
  • Recurrence ≤ 4 weeks after the completion of RT, defined from the imaging assessment immediately after completion of RT
  • Three or more prior systemic treatments for recurrent or progressing disease
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  • Diagnosis of porphyria, or hypersensitivity to porphyrins
  • Failure to recover to grade 1 or baseline from any adverse events (AEs) (Common Terminology Criteria for Adverse Events [CTCAE] version [v] 5.0) related to prior anticancer therapy
  • EXCEPTIONS: Alopecia, lymphopenia, peripheral neuropathy, and ototoxicity ≤ grade 3)
  • Known history of the following conditions:
  • Allergy to gadolinium contrast agents
  • Patients known to be HIV positive and currently receiving antiretroviral therapy
  • NOTE: Patients known to be HIV positive, but without clinical evidence of an immunocompromised state, are eligible for this trial
  • Inability to undergo MRI scans
  • Uncontrolled intercurrent illness including, but not limited to:
  • Ongoing or active infection
  • Patients with platelet count < 100
  • Symptomatic congestive heart failure
  • Unstable angina pectoris
  • Cardiac arrhythmia
  • Or psychiatric illness/social situations that would limit compliance with study requirements
  • History of myocardial infarction ≤ 6 months, or congestive heart failure requiring use of ongoing maintenance therapy for life-threatening ventricular arrhythmias
  • Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Clinical Trials Referral Office contact

855-776-0015

mayocliniccancerstudies@mayo.edu

United States1 site, 1 recruiting
  • Mayo Clinic in Rochester

    Rochester, Minnesota, 55905

    Clinical Trials Referral Office, mayocliniccancerstudies@mayo.edu

    Terry Burns, MD, PhD

    Recruiting

Other trials in United States

About this study

Official title: MC240704 Pilot Dose Escalation and Expansion Study of Sonodynamic Therapy With Aminolevulinic Acid Hydrochloride (5-ALA HCl Or SONALA-001) in Combination With Exablate 4000 Type 2.0 MR-Guided Focused Ultrasound (MRgFUS) in Patients With Progressive or Recurrent Glioblastoma Multiforme (RGBM)

This early phase I trial tests the safety, best dose, and effectiveness of SONALA-001 or 5-ALA HCL in combination with magnetic resonance imaging-guided focused ultrasound (MRgFUS), also called sonodynamic therapy, in treating patients with glioblastoma that is growing, spreading, or getting worse (progressive) or that has come back after a period of improvement (recurrent). Sonodynamic therapy is a non-invasive combination therapy that uses low-intensity ultrasound, such as MRgFUS, to activate a drug, such as SONALA-001 or 5-ALA HCL, to kill tumor cells. SONALA-001 or 5-ALA HCL binds to the tumor and may help the sonodynamic therapy target the tumor. MRgFUS is an image-guided, non-invasive technique that uses high energy ultrasound from the Exablate 4000 Type 2.0 device to kill tumors without damaging surrounding healthy tissue. Giving sonodynamic therapy using SONALA-001 or 5-ALA HCL with MRgFUS may be safe, tolerable, and/or effective in treating patients with progressive or recurrent glioblastoma.

Read the detailed description

PRIMARY OBJECTIVE:

  1. To characterize the safety and toxicity after treatment with aminolevulinic acid intravenous formulation SONALA-001 (SONALA-001) or orally administered aminolevulinic acid hydrochloride (5-ALA HCL) in combination with MRgFUS in subjects with progressive or recurrent glioblastoma (rGBM).

SECONDARY OBJECTIVES:

  1. To evaluate the preliminary antitumor activity as assessed by objective response rate (ORR; proportion of patients with complete or partial response) per Response Assessment in Neuro-Oncology (RANO) 2.0 guidelines.

II. To evaluate preliminary signals of activity as measured by clinical benefit rate (CBR) (proportion of patients with complete response, partial response or stable disease), progression-free survival (PFS), PFS rate at 6 months, and overall survival (OS).

OUTLINE:

Patients receive SONALA-001 intravenously (IV) over 15 minutes or 5-ALA HCL orally (PO) and undergo transcranial MRgFUS 3-8 hours after infusion on day 1 of each cycle. Cycles repeat every 42 days in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo a computed tomography (CT) of the brain prior to treatment and blood sample collection and magnetic resonance imaging (MRI) throughout the study.

After completion of study treatment, patients are followed up at 30 days, and then every 3 to 6 months for up to 3 years after registration.

Being tested
Aminolevulinic Acid Intravenous Formulation SONALA-001, Biospecimen Collection, Computed Tomography, Electronic Health Record Review, Magnetic Resonance Imaging
Medical subject headings
Glioblastoma

What participants receive

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

  • Aminolevulinic Acid Intravenous Formulation SONALA-001Drug

    Also called ALA Intravenous Formulation SONALA-001, SONALA 001, SONALA-001, SONALA001

    Given IV

  • Biospecimen CollectionProcedure or surgery

    Also called Biological Sample Collection, Biospecimen Collected, Specimen Collection

    Undergo blood sample collection

  • Computed TomographyProcedure or surgery

    Also called CAT, CAT Scan, Computed Axial Tomography, Computerized Axial Tomography

    Undergo CT

  • Electronic Health Record ReviewOther

    Ancillary studies

  • Magnetic Resonance ImagingProcedure or surgery

    Also called Magnetic Resonance, Magnetic Resonance Imaging (MRI), Magnetic resonance imaging (procedure), Magnetic Resonance Imaging Scan

    Undergo MRI

  • MRI-Guided Focused Ultrasound AblationProcedure or surgery

    Also called Magnetic Resonance Imaging-guided High-Intensity Focused Ultrasound, Magnetic Resonance-guided Focused Ultrasound, MR-HIFU, MRgFUS

    Undergo transcranial MRgFUS

  • Oral Aminolevulinic Acid HydrochlorideDrug

    Also called 5-ALA fluorescence, 5-Aminolevulinic Acid Hydrochloride, 5-Aminolevulinic Acid Hydrochloride, Oral, Gleolan

    Given PO

Study groups in NCT07076472
Study groupRoleWhat they receive
Treatment (SONALA-001, MRgFUS)ExperimentalPatients receive SONALA-001 IV over 15 minutes or 5-ALA HCL PO and undergo transcranial MRgFUS 3-8 hours after infusion on day 1 of each cycle. Cycles repeat every 42 days in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo a CT of the brain prior to treatment and blood sample collection and MRI throughout the study.
Receives: Drug: Aminolevulinic Acid Intravenous Formulation SONALA-001; Procedure: Biospecimen Collection; Procedure: Computed Tomography; Other: Electronic Health Record Review; Procedure: Magnetic Resonance Imaging; Procedure: MRI-Guided Focused Ultrasound Ablation; Drug: Oral Aminolevulinic Acid Hydrochloride

What is being measured

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

  1. Incidence of adverse events (AEs)

    Defined per the Common Terminology Criteria for Adverse Events (CTCAE) version (v) 5 as AEs considered to be at least possibly related to study treatment. The maximum grade for each type of AE will be recorded for each patient, and frequency tables will be reviewed to determine patterns (by dose level and overall).

    Measured: Up to 30 days after last dose of study treatment

  2. Incidence of grade 3 or higher non-hematologic AEs

    Defined per the CTCAE v5 as AEs considered to be at least possibly related to study treatment. The maximum grade for each type of AE will be recorded for each patient, and frequency tables will be reviewed to determine patterns (by dose level and overall).

    Measured: Up to 30 days after last dose of study treatment

  3. Incidence of grade 4 or higher AE

    Defined per the CTCAE v5 as AEs considered to be at least possibly related to study treatment. The maximum grade for each type of AE will be recorded for each patient, and frequency tables will be reviewed to determine patterns (by dose level and overall).

    Measured: Up to 30 days after last dose of study treatment

  4. Dose-limiting event (DLE)

    AEs will be evaluated using CTCAE v5. The target DLE rate is < 33%.

    Measured: During first 6 weeks of therapy [first cycle of treatment (cycle length = 42 days)]

  5. Maximum tolerated dose (MTD)

    Will be defined as the highest safety-tolerated dose level where at most one patient out of six experiences a DLE.

    Measured: Up to 6 weeks

Secondary outcomes (8)
  1. Overall response rate (ORR)

    Assessed by the proportion of patients with complete or partial response.

    Measured: Up to 3 years

  2. Clinical benefit rate

    Assessed by the proportion of patients with complete response, partial response or stable disease.

    Measured: Up to 3 years

  3. Progression-free survival (PFS)

    Defined as the time from registration to the earliest date of documentation of disease progression, relapse, or death due to any cause.

    Measured: Up to 3 years

  4. PFS at 6 months (PFS6)

    The PFS6 rate will be estimated as the number of patients who are progression-free and alive at 6 months.

    Measured: At 6 months

  5. Overall survival (OS)

    Defined as the time from registration to death due to any cause.

    Measured: Up to 3 years

  6. Time to response

    Defined as the time from registration to the first incidence of a response, estimated in patients who have achieved a response (PR or CR).

    Measured: Up to 3 years

  7. Duration of response

    Defined as the time from response to progression or death, whichever occurs first estimated among patients who have achieved objective response (PR or CR).

    Measured: Up to 3 years

  8. Duration of clinical benefit

    Defined as the time from response to progression or death, whichever occurs first, estimated among patients who achieved clinical benefit (stable disease, PR, or CR).

    Measured: Up to 3 years

Timeline

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

  1. First posted22 Jul 2025
  2. Study start14 Aug 2025
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Dec 2031 (estimated)

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
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
8 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07076472
Sponsor's protocol ID
MC240704
Other IDs
NCI-2025-04501, 24-013192, MC240704, R44CA275508
Status last verified
Aug 2026
First submitted
15 Jul 2025
Last updated
25 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Aminolevulinic Acid Intravenous Formulation SONALA-001, Biospecimen Collection and Computed Tomography in people with Progressive Glioblastoma and Recurrent Glioblastoma, run by Mayo Clinic 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 19 inclusion and 23 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: looking for participants now, as of the sponsor's last update on 25 Aug 2026. 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Clinical Trials Referral Office (855-776-0015, mayocliniccancerstudies@mayo.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of adverse events (AEs) (time frame: Up to 30 days after last dose of study treatment). The study lists 5 primary outcomes in all. 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 25 Aug 2026.

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