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OncoMatch/Clinical Trials/NCT06831526

Neoadjuvant Chemoradiotherapy With or Without Concurrent Azeliragon in Patients With Newly Diagnosed Glioblastoma

Is NCT06831526 recruiting? Yes, currently enrolling (May 2026). This Early Phase 1 trial studies multiple treatments including Azeliragon and Temozolomide for glioblastoma.

Early Phase 1RecruitingWashington University School of MedicineNCT06831526Data as of May 2026

Treatment: Azeliragon · TemozolomidePreclinical data have demonstrated the combination of azeliragon, a RAGE inhibitor, with radiation therapy (RT) can effectively reduce immune-suppressive myeloid cells and restore T-cell activation to improve tumor control in murine glioma models. Ongoing clinical studies of azeliragon with RT alone and RT plus temozolomide (TMZ) to treat patients with newly diagnosed glioblastoma (GBM) have demonstrated safety and tolerability. The purpose of this window-of-opportunity study is to validate that the combination of azeliragon with RT and TMZ would modulate immune-suppressive myeloid and T cells in the tumor microenvironment in patients with GBM.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Biomarker criteria

Required: IDH1 wild-type

Histologically proven diagnosis of IDH-wildtype GBM (WHO grade 4) according to the 2021 WHO classification

Excluded: IDH1 mutation

Known IDH mutation [excluded]. IDH status could be determined by either immunohistochemistry or sequencing as evaluated per routine clinical care.

Disease stage

Required: Stage WHO GRADE 4 (WHO)

Grade: 4 (WHO)

WHO grade 4

Prior therapy

Cannot have received: cranial radiation therapy

Prior cranial RT or RT to the head and neck where potential field overlap may exist

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥ 1.5 K/cumm; Platelets ≥ 100 K/cumm; Hemoglobin > 9.0 g/dL (transfusion or other intervention acceptable)

Kidney function

Creatinine ≤ 1.5 ULN or creatinine clearance ≥ 60 mL/min

Liver function

Total bilirubin ≤ 1.5 ULN; AST (SGOT) and ALT (SGPT) ≤ 3 x ULN

Adequate organ and bone marrow function as defined below: Absolute neutrophil count (ANC) ≥ 1.5 K/cumm; Platelets ≥ 100 K/cumm; Hemoglobin > 9.0 g/dL (Note: the use of transfusion or other intervention to achieve Hgb >9.0 g/dL is acceptable); Total bilirubin ≤ 1.5 ULN; AST (SGOT) and ALT (SGPT) ≤ 3 x ULN; Creatinine ≤ 1.5 ULN or creatinine clearance ≥ 60 mL/min

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

US trial sites

  • Washington University School of Medicine · St Louis, Missouri

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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