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PTPRZ1-METFU融合基因(ZM-FUGEN)试验:一项多中心、随机、开放标签的II/III期试验研究方案。

PTPRZ1-METFUsion GENe (ZM-FUGEN) trial: study protocol for a multicentric, randomized, open-label phase II/III trial.

作者信息

Bao Zhaoshi, Li Shouwei, Wang Liang, Zhang Bisi, Zhang Peilong, Shi Hepeng, Qiu Xiaoguang, Jiang Tao

机构信息

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.

Chinese Glioma Genome Atlas Network (CGGA) and Asian Glioma Genome Atlas Network (AGGA), Beijing, China.

出版信息

Chin Neurosurg J. 2023 Jul 14;9(1):21. doi: 10.1186/s41016-023-00329-0.

Abstract

BACKGROUND

PTPRZ1-MET fusion was reported to associate with glioma progression from low-grade to high-grade glioma, which was a target by a MET inhibitor vebreltinib. However, little is known about the further efficacy of vebreltinib among more glioma patients. This trial aims to evaluate the safety and efficacy of vebreltinib enteric-coated capsules in the treatment of sGBM/IDH mutant glioblastoma patients with the ZM fusion gene.

METHODS

This multicentric, randomized, open-label, controlled trial plans to include 19 neurosurgical centers and recruit 84 sGBM or IDH mutant glioblastoma patients with the ZM fusion gene. This trial enrolls sGBM or IDH mutant glioblastoma patients with the inclusion criteria and without the exclusion criteria. It was registered with chinadrugtrials.org.cn (CTR20181664). The primary efficacy endpoint is overall survival (OS). The secondary endpoints are progression-free survival (PFS) and objective response rate (ORR).

DISCUSSION

If proven effective, this targeted multifaceted intervention protocol will be extended for more glioma patients as a protocol to evaluate the safety and efficacy of MET inhibitors.

TRIAL REGISTRATION

It was registered with chinadrugtrials.org.cn (CTR20181664).

摘要

背景

据报道,PTPRZ1-MET融合与胶质瘤从低级别向高级别进展相关,这是MET抑制剂维布替尼的一个靶点。然而,关于维布替尼在更多胶质瘤患者中的进一步疗效知之甚少。本试验旨在评估维布替尼肠溶胶囊治疗具有ZM融合基因的sGBM/IDH突变型胶质母细胞瘤患者的安全性和疗效。

方法

这项多中心、随机、开放标签、对照试验计划纳入19个神经外科中心,招募84例具有ZM融合基因的sGBM或IDH突变型胶质母细胞瘤患者。本试验纳入符合纳入标准且无排除标准的sGBM或IDH突变型胶质母细胞瘤患者。该试验已在中国药物临床试验登记与信息公示平台(CTR20181664)注册。主要疗效终点是总生存期(OS)。次要终点是无进展生存期(PFS)和客观缓解率(ORR)。

讨论

如果被证明有效,这种靶向多方面干预方案将作为评估MET抑制剂安全性和疗效的方案扩展到更多胶质瘤患者。

试验注册

该试验已在中国药物临床试验登记与信息公示平台(CTR20181664)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ed/10347714/56cd10a64b8a/41016_2023_329_Fig1_HTML.jpg

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