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OncoMatch/Clinical Trials/NCT07476794

Daily Temozolomide for Elderly Patients With Unmethylated MGMT- Promoter Newly Diagnosed GliOblatoma

Is NCT07476794 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Daily TMZ for glioblastoma.

Phase 2RecruitingSunnybrook Health Sciences CentreNCT07476794Data as of May 2026

Treatment: Daily TMZGlioblastoma is an aggressive type of brain cancer. Standard treatment usually includes three weeks of radiation therapy alone or combined with chemotherapy using Temozolomide. After a four- to six-week break, more Temozolomide chemotherapy is usually given. However, some tumors have a marker ("unmethylated MGMT") that predicts the usual chemotherapy won't work. Because of this, this project will explore other treatment options to help slow the disease and improve survival. In this study, the same chemotherapy (Temozolomide) normally given after radiation therapy for glioblastoma. The only difference is that it will be given with a modified regimen.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Biomarker criteria

Required: MGMT unmethylated promoter

Unmethylated MGMT promoter, according to local assessment

Required: IDH1 wild-type

IDH wild-type GBM

Disease stage

Required: Stage WHO GRADE 4 (WHO)

Grade: 4 (WHO)

WHO grade 4, IDH wild-type GBM

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: radiation therapy

Completed treatment with 40 Gy in 15 fractions over three weeks

Must have received: cytotoxic chemotherapy (temozolomide) — concurrent with radiation

with concurrent TMZ, within six weeks prior to enrollment

Lab requirements

Blood counts

Absolute neutrophil count (ANC) >1.5 × 10⁹/L (1,500 cells/mm³). Platelet count >100 × 10⁹/L (100,000 cells/mm³).

Kidney function

Serum creatinine <1.5 times the upper limit of normal.

Liver function

Total serum bilirubin <1.5 times the upper limit of normal. ALT (SGPT) <2.5 times the upper limit of normal and/or AST (SGOT) <2.5 times the upper limit of normal.

Adequate organ function, as defined by the following laboratory values obtained within 28 days prior to enrollment: * Absolute neutrophil count (ANC) >1.5 × 10⁹/L (1,500 cells/mm³). * Platelet count >100 × 10⁹/L (100,000 cells/mm³). * Serum creatinine <1.5 times the upper limit of normal. * Total serum bilirubin <1.5 times the upper limit of normal. * ALT (SGPT) <2.5 times the upper limit of normal and/or AST (SGOT) <2.5 times the upper limit of normal.

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

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