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About
VEGF inhibition by BEV may induce a change in tumor invasiveness and treatment failure is often associated with remote metastases. BEV may stop the growth of tumor cells by blocking blood flow to the tumor. Cediranib, a pan-VEGF inhibitor has shown promising results in recurrent GBM.
VEGF-blocking with small molecules may overcome the mechanism of resistance, and response to BIBF-1120 in such circumstances may open a new treatment option in GBM. In additional, recurrent glioblastomas have an extremely poor prognosis, so innovative therapies are needed.
Enrollment
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Volunteers
Inclusion and exclusion criteria
Inclusion criteria
Written informed consent
Histological verification of primary GBM and failure after radiotherapy and TMZ
More than 4 weeks since any of the following prior treatments
More than 6 months since prior major surgery or open biopsy and recovered (only 6 weeks required if operation is for recurrent BGM)
● ECOG performance status 0-1
Age > 18 years
Creatinine normal OR creatinine clearance ≥ 60 mL/min
Fertile females must use anticonception (p- pills, IUD, depot injection of gestagen, subdermal
implantation, hormonal vaginal ring or transdermal depot plaster, throughout the study and 3
months after discontinuation of study drugs. Fertile men must use dobbelt barrier method
(preservative with sperm inhibiting creme) or female partner uses the above mentioned
contraception.
Fertile males must use preservatives.
Exclusions criteria
Prior treatment with BIBF 1120 or any other VEGFR inhibitor, except bevacizumab in Group 2
Chemo-, hormono-, radio-(except for brain and extremities) or immunotherapy or therapy with monoclonal antibodies or small tyrosine kinase inhibitors within the past 4 weeks prior to treatment with the trial drug.
Persistence of clinically relevant therapy related toxicity from previous chemo and/or radiotherapy
Treatment with other investigational drugs or treatment in another clinical trial within the past 4 weeks before start of therapy or concomitantly with the trial
Therapeutic anticoagulation( except low-dose heparin and/or heparin flush as needed for maintenance of an in-dwelling intravenous devise) or anti-platelet therapy (except for low-dose therapy with acetylsalicylic acid<325mg per day
Major injuries within the past 10 days prior to start of study treatment with incomplete wound healing and/or planned surgery during the on-treatment study period
History of clinically significant haemorrhagic or thromboembolic event in the past 6 months
Known inherited predisposition to bleeding or thrombosis
Significant cardiovascular diseases ( i.e. uncontrolled hypertension, unstable angina, history of infarction within the past 12 months prior to start of study treatment, congestive heart failure > NYHA II, serious cardiac arrhythmia, pericardial effusion)
Proteinuria CTCAE grade 2 or greater
Hepatic function: total bilirubin outside of normal limits; ALT or AST > 1.5 ULN
Coagulation parameters: International normalised ratio ( INR) > 2, prothrombin time
Absolute neutrophil count ( ANC) < 1500/ml, platelets < 100000/ml, Haemoglobin < 9.0 g/dl
Other malignancies within the past 5 years other then basal cell skin cancer or carcinoma in situ of the cervix
Active serious infections in particular if requiring systemic antibiotic or antimicrobial therapy
Active or chronic hepatitis C and/or B infection
Gastrointestinal disorders or abnormalities that would interfere with absorption of the study drug
Serious illness or concomitant non-oncological disease such as neurologic, psychiatric, infectious disease or active ulcers (gastro-intestinal tract, skin) or laboratory abnormality that may increase the risk associated with study participation or study drug administration and in the judgment of the investigator would make the patient inappropriate for entry into the study.
Pregnancy or breast feeding
Psychological, familial, sociological or geographical factors potentially hampering compliance with the study protocol and follow-up schedule
active alcohol or drug abuse
Primary purpose
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Interventional model
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Data sourced from clinicaltrials.gov
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