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OncoMatch/Clinical Trials/NCT04555577

Peposertib and Radiation Therapy, Followed by Temozolomide for the Treatment of Patients With Newly Diagnosed MGMT Unmethylated Glioblastoma or Gliosarcoma

Is NCT04555577 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Peposertib and Temozolomide for glioblastoma.

Phase 1RecruitingM.D. Anderson Cancer CenterNCT04555577Data as of May 2026

Treatment: Peposertib · TemozolomideThis phase I trial investigates the side effects and best dose of Peposertib, and to see how well it works in combination with radiation therapy in treating patients with newly diagnosed MGMT unmethylated glioblastoma or gliosarcoma. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Peposertib may further stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Chemotherapy drugs, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving Peposertib with radiation therapy may work better than radiation therapy alone in treating patients with glioblastoma or gliosarcoma.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Biomarker criteria

Required: IDH1 wild-type

IDH wild-type, per WHO 2021 classification .IDH status is to be determined by IDH1 R132H immunohistochemistry except for patients ≤ age 54 in whom IDH sequencing will be required to detect non-canonical IDH mutations.

Required: MGMT unmethylated

Documentation of MGMT unmethylated GBM per testing at any Clinical Laboratory Improvement Amendment (CLIA) certified laboratory

Disease stage

Required: Stage WHO GRADE 4 (WHO 2021)

Grade: 4 (WHO)

Histologically confirmed World Health Organization (WHO) grade 4 glioma (GBM) or gliosarcoma, IDH wild-type, per WHO 2021 classification

Prior therapy

Must have received: brain surgery or biopsy

Patients must have undergone brain surgery or biopsy and must not have had any further cancer treatments following surgery

Cannot have received: interstitial brachytherapy

Has received prior interstitial brachytherapy or implanted chemotherapy.

Cannot have received: implanted chemotherapy

Has received prior interstitial brachytherapy or implanted chemotherapy.

Cannot have received: re-radiation for GBM

Exception: except for stereotactic radiosurgery

Has not received re-radiation for GBM in the past except for stereotactic radiosurgery

Cannot have received: concomitant chemotherapy, immunotherapy, or radiotherapy (other than as pertained to GBM as described in section 1.1)

Patients may not receive concomitant chemotherapy, immunotherapy, or radiotherapy (other than as pertained to GBM as described in section 1.1) while patients are on study.

Cannot have received: bevacizumab (bevacizumab)

Exception: Patients in stage II C and D (recurrent GBM) may receive bevacizumab as clinically indicated during the adjuvant phase of treatment (physician choice) once 6 weeks has elapsed from the surgery and if there are no wound healing concerns

Prior exposure to bevacizumab. Patients in stage II C and D (recurrent GBM) may receive bevacizumab as clinically indicated during the adjuvant phase of treatment (physician choice) once 6 weeks has elapsed from the surgery and if there are no wound healing concerns

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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