ClinicalTrials.gg
Active, not recruitingNCT04477200Updated May 14, 2026Results posted

Mycophenolate Mofetil Combined With Radiation Therapy in Glioblastoma

A Phase 1 interventional study of Mycophenolate Mofetil and Radiation Therapy in Recurrent Glioblastoma, Recurrent Gliosarcoma and Recurrent Astrocytoma, Grade IV, sponsored by University of Michigan Rogel Cancer Center. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-14.

Sponsored by University of Michigan Rogel Cancer Center · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
68
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a phase 0/1 dose-escalation trial to determine the maximum tolerated dose of Mycophenolate Mofetil (MMF) when administered with radiation, in patients with glioblastoma or gliosarcoma.

Read the detailed description

The goal of the Phase 0 component is to determine if MMF achieves active concentrations in brain tumors. Eight participants in Phase 0 will receive MMF for one week before undergoing an already planned biopsy or re-resection (surgical removal) of glioblastoma or gliosarcoma (GBM/GS). A small portion of the tumor, removed as part of clinical care, will be used for testing in this study. Sixty additional participants will be enrolled in the Phase 1 component of the trial (30 with recurrent GBM/GS and 30 with newly diagnosed GBM/GS). The goal of the Phase 1 component is to find the dose of MMF that works best without causing severe side effects (the maximum tolerated dose) when combined with radiation in recurrent GBM/GS and with radiation and chemotherapy in newly diagnosed GBM/GS. Participants in Phase 0 who meet the eligibility criteria for the Phase 1 component may participate in both phases.

02

Conditions studied

  • Recurrent Glioblastoma
  • Recurrent Gliosarcoma
  • Recurrent Astrocytoma, Grade IV
  • Newly Diagnosed Glioblastoma
  • Newly Diagnosed Gliosarcoma
  • Newly Diagnosed Astrocytoma, Grade IV

Keywords

  • recurrent Glioblastoma
  • recurrent Gliosarcoma
  • newly diagnosed Glioblastoma
  • newly diagnosed Gliosarcooma
  • Recurrent Astrocytoma, Grade IV
  • Newly Diagnosed Astrocytoma, Grade IV
03

In context

Glioblastoma

2,132 studies on the registry are indexed under Glioblastoma; 464 are open to participants now.

This study's enrollment of 68 is above the median of 36 across 1,753 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

University of Michigan Rogel Cancer Center is the lead sponsor of 323 studies on the registry; 47 are open to participants now.

Of its 46 completed or terminated interventional studies of FDA-regulated products, 31 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Glioblastoma or gliosarcoma (recurrent or newly diagnosed).
  • Performance Status 60 or greater.
  • Phase 0: Candidate for clinically indicated re-resection or of glioblastoma or gliosarcoma per treating physician(s).
  • Phase 1, Recurrent: Candidate for clinically indicated re-irradiation of glioblastoma or gliosarcoma per treating physician(s) (No more than one prior course of radiation for GBM).
  • Phase 1, Newly Diagnosed: Candidate for upfront standard of care chemoradiation for glioblastoma or gliosarcoma per treating physician(s), to start no earlier than 14 days post- operatively from last definitive surgery for glioblastoma or gliosarcoma (if more than one surgery done. Ex. biopsy prior to resection).
  • >=1,500 cells/mm\^3 within 14 days prior to enrollment.
  • Patient (men and childbearing age women) agrees to the use of highly effective during study participation and for at least 6 weeks for female patients and 90 days for male patients after final MMF administration.
  • Ability to understand and the willingness to sign a written .

Exclusion criteria

Exclusion Criteria:

  • Lack of histopathological diagnosis of the tumor.
  • Gliomatosis cerebri pattern (tumor involving 3 or more lobes) of disease.
  • .
  • Use of bevacizumab within 8 weeks of study enrollment.
  • Known history of .
  • Active or C infection.
  • Active systemic or central nervous system (CNS) infection.
  • Grade 4 lymphopenia (if ALC \<0.5, patient must be on Pneumocystis jirovecii prophylaxis).
  • Estimated \< 25 ml/min.
  • History of organ transplantation.
  • Patients with known hypoxanthine-guanine phosphoribosyl-transferase deficiency.
  • Serious intercurrent disease.
  • History of allergic reaction or to mycophenolate mofetil or mycophenolic acid or any component of the drug product; or medical for MMF per treating physician(s).
  • Known condition from disease, immune deficiency syndrome, or chronic immunosuppressive therapy.
  • Inability to undergo MRI brain with and without contrast.
  • Pregnant or lactating women.
  • Patients with known phenylketonuria.
  • Phase 0: Patients undergoing who are deemed unlikely to have sufficient tissue to spare for research purposes (e.g., those whose tumors are in an eloquent brain location where all tissue taken must be used for diagnostic purposes).
  • Phase I: Increase in requirement within 7 days of study enrollment (stable or decreasing dose allowed).
  • Phase I, Recurrent: Radiation within 6 months prior to study enrollment.
  • Phase I, Recurrent: Surgery within 4 weeks of re-irradiation.
  • Phase I, Newly Diagnosed: History of hypersensitivity reactions to temozolomide or any other ingredients in temozolomide and dacarbazine.
  • Phase I, Newly Diagnosed: Prior chemotherapy or radiation therapy for glioblastoma or gliosarcoma.
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
68 participants (actual)

Study arms

  • Experimental
    Phase 0 - Recurrent glioblastoma (GBM) / gliosarcoma (GS)

    Mycophenolate mofetil

    Drug: Mycophenolate Mofetil · Procedure: Re-resection (as part of standard of care)

  • Experimental
    Phase 1 - Recurrent GBM / GS

    Mycophenolate mofetil; radiation therapy

    Radiation: Radiation Therapy · Drug: Mycophenolate Mofetil

  • Experimental
    Phase 1 - Newly Diagnosed GBM / GS

    Mycophenolate mofetil; radiation therapy; temozolomide

    Drug: Temozolomide · Drug: Mycophenolate Mofetil · Radiation: Radiation Therapy

Interventions

  • 500-2000mg orally twice daily, one week prior to re-resection (2 participants at each of 4 dose levels: 500mg, 1000mg, 1500mg and 2000mg)

    Also known as: MMF

  • RadiationRadiation Therapy

    40.5 Gy in 15 fractions

    Also known as: RT

  • ProcedureRe-resection (as part of standard of care)

    Re-resection or biopsy of tumor as part of standard of care

  • Temozolomide capsules are an approved oral chemotherapeutic drug for the treatment of adult patients with newly diagnosed GBM/GS concomitantly with radiotherapy and then as adjuvant treatment. The dosing and timing of temozolomide therapy will be determined as per standard-of-care for the individual patient by the treating oncologist.

    Also known as: TMZ

  • 250-2000mg orally twice daily, one week prior to and concurrent with RT.

    Also known as: MMF

  • 250-2000mg orally twice daily, one week prior to and concurrent with RT and cyclic chemotherapy with temozolomide.

    Also known as: MMF

  • RadiationRadiation Therapy

    60 Gy in 30 fractions

    Also known as: RT

06

What researchers measure

Primary outcomes

  1. Concentration of Mycophenolic Acid (MPA) in Tumor Tissue in Phase 0 Participants

    The concentration of MPA (the active metabolite of mycophenolate mofetil \[MMF\]) in tumor tissue, measured by mass spectrometry on a continuous scale after one week of MMF administration. This measure includes all phase 0 participants.

    Time frame: At 1 week

  2. Number of Recurrent Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level

    DLT will be defined based on the rate of drug related grade 3-5 adverse events experienced from the start of treatment with MMF and for up to 4 weeks after completion of MMF + radiation therapy (RT). Assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. This measure includes only phase 1 participants with recurrent GBM/GS.

    Time frame: Up to 28 days following completion of MMF + RT (up to ~9 weeks)

  3. Number of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT1 Period

    DLT will be defined based on the rate of drug related grade 3-5 adverse events experienced from the start of treatment with MMF and for up to 4 weeks after completion of MMF + RT + TMZ. Assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. This measure includes only newly diagnosed phase 1 participants.

    Time frame: Up to 28 days following completion of MMF + RT + TMZ (up to ~11 weeks)

  4. Number of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT2 Period

    DLT will be defined based on the rate of drug related grade 3-5 adverse events experienced during the first 2 cycles (8 weeks) of MMF with adjuvant TMZ. (The first cycle of MMF with adjuvant TMZ begins 28 days post-RT.) These will be assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. This measure includes only newly diagnosed phase 1 participants.

    Time frame: During the first 2 cycles (8 weeks) of MMF with adjuvant TMZ (up to ~19 weeks)

Secondary outcomes

  1. Concentrations of Guanosine Triphosphate (GTP) in Tumor Tissue in Phase 0 Participants

    The concentrations of GTP in tumor tissue, measured by mass spectrometry on a continuous scale. This measure includes all phase 0 participants.

    Time frame: After one week of MMF administration

  2. Adverse Events Associated With Treatment in All Phase 1 Participants

    Toxicities at each dose level will be tabulated, categorized by grade and attribution. This measure includes all phase 1 participants.

    Time frame: Up to 28 days following completion of MMF + RT (up to ~9 weeks)

  3. Adverse Events Associated With Treatment in Newly Diagnosed Phase 1 Participants

    Toxicities at each dose level will be tabulated, categorized by grade and attribution. This measure includes only newly diagnosed phase 1 participants.

    Time frame: Up to 28 days following completion of MMF with adjuvant temozolomide (up to ~15 months)

  4. Overall Response Rate in Phase 1 Participants With Recurrent GBM/GS

    Determined by modified Response Assessment for Neuro-Oncology (mRANO) criteria. The number and proportion of patients with progressive disease, stable disease, partial and complete response will be calculated for each dose level and overall. This measure includes only phase 1 participants with recurrent GBM/GS.

    Time frame: Until study stops or death; up to approximately 3 years.

  5. Median Progression Free Survival (PFS) in Phase 1 Participants With Recurrent GBM/GS

    PFS defined as time from date of registration to the date of documented progressive disease, other disease related therapy or death. Determined by mRANO criteria. This measure includes only phase 1 participants with recurrent GBM/GS.

    Time frame: Until study stops or death; up to approximately 3 years.

  6. Median Freedom From Local Progression (FFLP) in Phase 1 Participants With Recurrent GBM/GS

    FFLP defined as time from date of registration to the date of documented local progressive disease. Determined by mRANO criteria. This measure includes only phase 1 participants with recurrent GBM/GS.

    Time frame: Until study stops or death; up to approximately 3 years.

  7. Median Overall Survival (OS) in Phase 1 Participants With Recurrent GBM/GS

    OS defined as time from date of registration to date of death or last follow up. Determined by Kaplan Meier method. This measure includes only phase 1 participants with recurrent GBM/GS.

    Time frame: Until study stops or death; up to approximately 3 years.

07

Results

Posted May 14, 2026

Participant flow

Participant flow — Overall Study
MilestonePhase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5
Started2222341941116
Completed222234173611
Not completed0000002155
Withdrew: Physician decision0000001010
Withdrew: Withdrawal by subject0000001034
Withdrew: Noncompliance0000000100
Withdrew: Adverse event0000000010
Withdrew: Death0000000001

Outcome measures

PrimaryConcentration of Mycophenolic Acid (MPA) in Tumor Tissue in Phase 0 Participants

The concentration of MPA (the active metabolite of mycophenolate mofetil \[MMF\]) in tumor tissue, measured by mass spectrometry on a continuous scale after one week of MMF administration. This measure includes all phase 0 participants.

Time frame:
At 1 week
Reported as:
Median · nmol/g
Concentration of Mycophenolic Acid (MPA) in Tumor Tissue in Phase 0 Participants
nmol/gPhase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5
Enhancing Tumor1.87 (1.55 to 2.19)2.65 (2.15 to 3.15)2.65 (1.74 to 3.56)1.8 (1.5 to 2.11)——————
Non- Enhancing Tumor1.11 (0.76 to 1.45)0.81 (0.81 to 0.81)1.53 (1.01 to 2.05)1.25 (0.72 to 1.79)——————
Normal Brain—2.55 (2.55 to 2.55)2.59 (1.66 to 3.51)0.64 (0.4 to 0.88)——————
PrimaryNumber of Recurrent Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level

DLT will be defined based on the rate of drug related grade 3-5 adverse events experienced from the start of treatment with MMF and for up to 4 weeks after completion of MMF + radiation therapy (RT). Assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. This measure includes only phase 1 participants with recurrent GBM/GS.

Time frame:
Up to 28 days following completion of MMF + RT (up to ~9 weeks)
Reported as:
Number · number of patients reporting a DLT
Number of Recurrent Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level
number of patients reporting a DLTPhase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5
Number of Recurrent Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level————000———
PrimaryNumber of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT1 Period

DLT will be defined based on the rate of drug related grade 3-5 adverse events experienced from the start of treatment with MMF and for up to 4 weeks after completion of MMF + RT + TMZ. Assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. This measure includes only newly diagnosed phase 1 participants.

Time frame:
Up to 28 days following completion of MMF + RT + TMZ (up to ~11 weeks)
Reported as:
Number · number of patients reporting a DLT
Number of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT1 Period
number of patients reporting a DLTPhase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5
Number of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT1 Period———————005
PrimaryNumber of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT2 Period

DLT will be defined based on the rate of drug related grade 3-5 adverse events experienced during the first 2 cycles (8 weeks) of MMF with adjuvant TMZ. (The first cycle of MMF with adjuvant TMZ begins 28 days post-RT.) These will be assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. This measure includes only newly diagnosed phase 1 participants.

Time frame:
During the first 2 cycles (8 weeks) of MMF with adjuvant TMZ (up to ~19 weeks)
Reported as:
Number · number of patients reporting a DLT
Number of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT2 Period
number of patients reporting a DLTPhase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5
Number of Newly Diagnosed Phase 1 Participants Who Experience Dose-limiting Toxicities (DLTs) at Each Dose Level -- DLT2 Period———————010
SecondaryConcentrations of Guanosine Triphosphate (GTP) in Tumor Tissue in Phase 0 Participants

The concentrations of GTP in tumor tissue, measured by mass spectrometry on a continuous scale. This measure includes all phase 0 participants.

Time frame:
After one week of MMF administration

Results for this outcome have not been posted.

SecondaryAdverse Events Associated With Treatment in All Phase 1 Participants

Toxicities at each dose level will be tabulated, categorized by grade and attribution. This measure includes all phase 1 participants.

Time frame:
Up to 28 days following completion of MMF + RT (up to ~9 weeks)

Results for this outcome have not been posted.

SecondaryAdverse Events Associated With Treatment in Newly Diagnosed Phase 1 Participants

Toxicities at each dose level will be tabulated, categorized by grade and attribution. This measure includes only newly diagnosed phase 1 participants.

Time frame:
Up to 28 days following completion of MMF with adjuvant temozolomide (up to ~15 months)

Results for this outcome have not been posted.

SecondaryOverall Response Rate in Phase 1 Participants With Recurrent GBM/GS

Determined by modified Response Assessment for Neuro-Oncology (mRANO) criteria. The number and proportion of patients with progressive disease, stable disease, partial and complete response will be calculated for each dose level and overall. This measure includes only phase 1 participants with recurrent GBM/GS.

Time frame:
Until study stops or death; up to approximately 3 years.

Results for this outcome have not been posted.

SecondaryMedian Progression Free Survival (PFS) in Phase 1 Participants With Recurrent GBM/GS

PFS defined as time from date of registration to the date of documented progressive disease, other disease related therapy or death. Determined by mRANO criteria. This measure includes only phase 1 participants with recurrent GBM/GS.

Time frame:
Until study stops or death; up to approximately 3 years.

Results for this outcome have not been posted.

SecondaryMedian Freedom From Local Progression (FFLP) in Phase 1 Participants With Recurrent GBM/GS

FFLP defined as time from date of registration to the date of documented local progressive disease. Determined by mRANO criteria. This measure includes only phase 1 participants with recurrent GBM/GS.

Time frame:
Until study stops or death; up to approximately 3 years.

Results for this outcome have not been posted.

SecondaryMedian Overall Survival (OS) in Phase 1 Participants With Recurrent GBM/GS

OS defined as time from date of registration to date of death or last follow up. Determined by Kaplan Meier method. This measure includes only phase 1 participants with recurrent GBM/GS.

Time frame:
Until study stops or death; up to approximately 3 years.

Results for this outcome have not been posted.

Adverse events

Collected over Adverse Events are collected from the time of initial study enrollment through 30 days after the last dose of MMF, approximately 6 months. Data is currently being collected. All Data collected through the primary completion date has been reported. Data broken down by dose is not yet available as data is still ongoing.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 21/2 (50%)1/2 (50%)2/2 (100%)
Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 31/2 (50%)0/2 (0%)0/2 (0%)
Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 40/2 (0%)0/2 (0%)2/2 (100%)
Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 51/2 (50%)0/2 (0%)2/2 (100%)
Phase 1 - Recurrent GBM / GS - Level 32/3 (66.7%)0/3 (0%)3/3 (100%)
Phase 1 - Recurrent GBM / GS - Level 44/4 (100%)2/4 (50%)4/4 (100%)
Phase 1 - Recurrent GBM / GS - Level 512/19 (63.2%)2/19 (10.5%)16/19 (84.2%)
Phase 1 - Newly Diagnosed GBM / GS - Level 32/4 (50%)1/4 (25%)4/4 (100%)
Phase 1 - Newly Diagnosed GBM / GS- Level 48/11 (72.7%)4/11 (36.4%)10/11 (90.9%)
Phase 1 - Newly Diagnosed GBM / GS- Level 511/16 (68.8%)9/16 (56.3%)16/16 (100%)
Most frequent serious events
Showing 10 of 16
Most frequent serious events
EventPhase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5
AspirationRespiratory, thoracic and mediastinal disorders1/20/20/20/20/30/40/190/40/110/16
SeizureGeneral disorders0/20/20/20/20/30/40/191/43/111/16
DysphasiaGeneral disorders0/20/20/20/20/31/40/190/40/110/16
Muscle weakness right-sidedMusculoskeletal and connective tissue disorders0/20/20/20/20/31/40/190/40/110/16
Aortic injuryBlood and lymphatic system disorders0/20/20/20/20/30/40/191/40/110/16
Rash maculo-papularSkin and subcutaneous tissue disorders0/20/20/20/20/30/40/190/41/110/16
Cerebrospinal fluid leakageGeneral disorders0/20/20/20/20/30/40/190/40/111/16
FallGeneral disorders0/20/20/20/20/30/40/190/40/111/16
FatigueGeneral disorders0/20/20/20/20/30/40/190/40/111/16
HypokalemiaGeneral disorders0/20/20/20/20/30/40/190/40/111/16
Most frequent other events
Showing 10 of 82
Most frequent other events
EventPhase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5
FatigueGeneral disorders2/20/21/21/23/33/47/194/48/1113/16
ConstipationGastrointestinal disorders0/20/20/20/20/30/40/194/47/1112/16
Lymphocyte count decreasedInvestigations0/20/20/20/20/30/40/192/47/1115/16
NauseaGastrointestinal disorders0/20/20/20/22/31/46/192/49/1114/16
CushingoidRespiratory, thoracic and mediastinal disorders1/20/20/20/21/30/40/190/40/110/16
DeliriumPsychiatric disorders0/20/20/21/20/30/40/190/40/110/16
DepressionPsychiatric disorders0/20/21/20/20/30/40/190/40/111/16
Gastroesophageal reflux diseaseGastrointestinal disorders1/20/20/20/21/30/40/190/40/110/16
Generalized muscle weaknessMusculoskeletal and connective tissue disorders1/20/20/20/20/30/41/191/40/112/16
HeadacheGeneral disorders0/20/21/20/21/31/47/192/43/116/16

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5Total
<=18 years00000000000
Between 18 and 65 years21112113291042
>=65 years011113622623
Sex: Female, Male
Sex: Female, Male(Participants)Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5Total
Female111122502621
Male11111214491044
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5Total
Hispanic or Latino00000010001
Not Hispanic or Latino222234184111664
Unknown or Not Reported00000000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5Total
American Indian or Alaska Native00000000000
Asian00000000101
Native Hawaiian or Other Pacific Islander00000000000
Black or African American00000020002
White222234154101660
More than one race00000000000
Unknown or Not Reported00000020002
Region of Enrollment
Region of Enrollment(participants)Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 2Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 3Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 4Phase 0 - Recurrent Glioblastoma (GBM) / Gliosarcoma (GS) - Level 5Phase 1 - Recurrent GBM / GS - Level 3Phase 1 - Recurrent GBM / GS - Level 4Phase 1 - Recurrent GBM / GS - Level 5Phase 1 - Newly Diagnosed GBM / GS - Level 3Phase 1 - Newly Diagnosed GBM / GS- Level 4Phase 1 - Newly Diagnosed GBM / GS- Level 5Total
United States222234194111665
08

Study locations

1 site
09

References and documents

Publications

  • Zhao G, Newbury P, Ishi Y, Chekalin E, Zeng B, Glicksberg BS, Wen A, Paithankar S, Sasaki T, Suri A, Nazarian J, Pacold ME, Brat DJ, Nicolaides T, Chen B, Hashizume R. Reversal of cancer gene expression identifies repurposed drugs for diffuse intrinsic pontine glioma. Acta Neuropathol Commun. 2022 Oct 23;10(1):150. doi: 10.1186/s40478-022-01463-z. PubMed 36274161 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2020 to primary completion in Jan 2025, 53 months.

Results were first posted in May 2026, 1 year 4 months after primary completion.

Of 240 non-industry phase 1 interventional studies under Glioblastoma, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 76. This study's 53 months is above that.

Counting every sponsor, half of 322 studies reached it within 44 months; a quarter within 29 and three quarters within 73.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 14, 2020
First posted
Jul 20, 2020
StartActual
Aug 5, 2020
Primary completionActual
Jan 6, 2025
CompletionEst.
Nov 5, 2027
Results first posted
May 14, 2026
Last update
May 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04477200
Responsible party
Sponsor
First posted
Jul 20, 2020
Start date
Aug 5, 2020
Primary completion
Jan 6, 2025
Completion
Nov 5, 2027 (estimated)
Results posted
May 14, 2026
Last update
May 14, 2026

Study contacts

Nathan Clarke, MD
principal investigator · University of Michigan Rogel Cancer Center

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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