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OncoMatch/Clinical Trials/NCT05629702

ARISTOCRAT: Blinded Trial of Temozolomide +/- Cannabinoids

Is NCT05629702 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Nabiximols and Temozolomide for glioblastoma.

Phase 2RecruitingUniversity of BirminghamNCT05629702Data as of May 2026

Treatment: Nabiximols · TemozolomideARISTOCRAT is a phase II, multi-centre, double-blind, placebo-controlled, randomised trial to compare the cannabinoid Nabiximols with placebo in patients with recurrent MGMT methylated glioblastoma (GBM) treated with temozolomide (TMZ).

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Extracted eligibility criteria

Cancer type

Glioblastoma

Biomarker criteria

Required: MGMT promoter methylation

MGMT promoter methylated

Required: IDH1 wild-type

IDH wild type (WT)

Required: IDH2 wild-type

IDH wild type (WT)

Excluded: BRAF mutation

patients with molecular features of PXA or BRAF mutation will be excluded

Prior therapy

Must have received: radiation therapy — first-line

initial first-line treatment with standard dose conventionally fractionated radiotherapy (i.e. 40 Gy in 15 fractions or 54-60 Gy in 28-33 fractions; other regimes may be considered in consultation with the ARISTOCRAT Trial Office) with concomitant and adjuvant TMZ

Must have received: alkylating agent (temozolomide) — first-line

concomitant and adjuvant TMZ

Cannot have received: stereotactic radiotherapy

Prior treatment with stereotactic radiotherapy

Cannot have received: brachytherapy

Prior treatment with...brachytherapy

Cannot have received: Convection Enhanced Delivery

Prior treatment with...Convection Enhanced Delivery (CED) of any agent

Cannot have received: systemic therapy

Exception: apart from debulking surgery

Prior treatment, apart from debulking surgery, for first recurrence of GBM

Cannot have received: temozolomide (temozolomide)

Prior allergic reaction or significant toxicity (≥Grade 3 CTCAE) related to TMZ treatment

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥1.5 x 10^9/L; Platelet count ≥100 x 10^9/L

Kidney function

Serum creatinine clearance >30ml/min

Liver function

Total serum bilirubin ≤1.5 x upper limit of normal (ULN); Liver transaminases <2.5 x ULN

Adequate hematologic, renal, and hepatic function within 14 days prior to randomisation: * Absolute neutrophil count (ANC) ≥1.5 x 10^9/L * Platelet count ≥100 x 10^9/L * Serum creatinine clearance (measured or calculated (using local standard practice)) >30ml/min * Total serum bilirubin ≤1.5 x upper limit of normal (ULN) * Liver transaminases <2.5 x ULN

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

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