Evidence map›Paper›PMID 38806504›Full record

Trial reportNature communications2024

L-RNA aptamer-based CXCL12 inhibition combined with radiotherapy in newly-diagnosed glioblastoma: dose escalation of the phase I/II GLORIA trial.

Frank A Giordano, Julian P Layer, Sonia Leonardelli, Lea L Friker, Roberta Turiello, Dillon Corvino, Thomas Zeyen, Christina Schaub, Wolf Müller, Elena Sperk and 12 more

Registry-linked trialAbstract readClinical Trial, Phase IIClinical Trial, Phase I
In one paragraph

Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04121455 (Single-arm, Dose-escalation Phase 1/2 Study of Olaptesed Pegol), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04121455 phase1 / phase2active not recruitingnot on this map

Single-arm, Dose-escalation Phase 1/2 Study of Olaptesed Pegol (NOX-A12) in Combination With Irradiation in Inoperable or Partially Resected First-line Glioblastoma Patients With Unmethylated MGMT Promoter With a Multiple-arm Expansion Group

TypeinterventionalSponsorTME Pharma AGRan2019 to 2028Enrolled117ConditionsGlioblastomaArmsOlaptesed pegol, Radiotherapy, Bevacizumab, Pembrolizumab, Temozolomide (TMZ)
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. RNA therapeutics: current status and future directions.Signal transduction and targeted therapy · 2026
    Review
  4. Review
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  6. Review
  7. Article
  8. Aptamers in cancer therapy: Why has clinical translation lagged behind preclinical promise?Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2026
    Review
  9. Review
  10. Designing nucleic acid-based therapeutics for cancer treatment: Updates on the state of the art.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Frank A Giordano *Department of Radiation Oncology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany. Frank.Giordano@umm.de.
Julian P Layer *Department of Radiation Oncology, University Hospital Bonn, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0001-7692-7775
Sonia Leonardelli *Institute of Experimental Oncology, Medical Faculty, University Hospital Bonn, University of Bonn, Bonn, Germany.
Lea L FrikerInstitute of Experimental Oncology, Medical Faculty, University Hospital Bonn, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0009-0005-5642-9062
Roberta TurielloInstitute of Experimental Oncology, Medical Faculty, University Hospital Bonn, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0009-0000-6356-3917
Dillon CorvinoInstitute of Experimental Oncology, Medical Faculty, University Hospital Bonn, University of Bonn, Bonn, Germany.
Thomas ZeyenDepartment of Neurooncology, Center for Neurology, University Hospital Bonn, Bonn, Germany.
Christina SchaubDepartment of Neurooncology, Center for Neurology, University Hospital Bonn, Bonn, Germany.
Wolf MüllerInstitute of Neuropathology, University Hospital Leipzig, University of Leipzig, Leipzig, Germany.
Elena SperkDepartment of Radiation Oncology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.ORCID http://orcid.org/0000-0002-8771-8124
Leonard Christopher SchmeelDepartment of Radiation Oncology, University Hospital Bonn, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-3901-4122
Katharina SahmDKFZ-Hector Cancer Institute at the University Medical Center Mannheim, Mannheim, Germany.
Christoph OsterDivision of Clinical Neurooncology, Department of Neurology, Center for Translational Neuro- and Behavioral Sciences (C-TNBS) and West German Cancer Center, German Cancer Consortium, Partner Site Essen, University Hospital Essen, University Duisburg-Essen, Essen, Germany.ORCID http://orcid.org/0000-0002-0683-0430
Sied KebirDivision of Clinical Neurooncology, Department of Neurology, Center for Translational Neuro- and Behavioral Sciences (C-TNBS) and West German Cancer Center, German Cancer Consortium, Partner Site Essen, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Peter HambschDepartment of Radiation Oncology, University Hospital Leipzig, University of Leipzig, Leipzig, Germany.
Torsten PietschInstitute of Neuropathology, University Hospital Bonn, University of Bonn, Bonn, Germany.
Sotirios BisdasLysholm Department of Neuroradiology, University College London, London, UK.ORCID http://orcid.org/0000-0001-9930-5549
Michael PlattenDKFZ-Hector Cancer Institute at the University Medical Center Mannheim, Mannheim, Germany.ORCID http://orcid.org/0000-0002-4746-887X
Martin GlasDivision of Clinical Neurooncology, Department of Neurology, Center for Translational Neuro- and Behavioral Sciences (C-TNBS) and West German Cancer Center, German Cancer Consortium, Partner Site Essen, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Clemens SeidelDepartment of Radiation Oncology, University Hospital Leipzig, University of Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0001-8178-5089
Ulrich Herrlinger *Department of Neurooncology, Center for Neurology, University Hospital Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-4011-9327
Michael Hölzel *Institute of Experimental Oncology, Medical Faculty, University Hospital Bonn, University of Bonn, Bonn, Germany. michael.hoelzel@ukbonn.de.ORCID http://orcid.org/0000-0003-4048-8824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The chemokine CXCL12 promotes glioblastoma (GBM) recurrence after radiotherapy (RT) by facilitating vasculogenesis. Here we report outcomes of the dose-escalation part of GLORIA (NCT04121455), a phase I/II trial combining RT and the CXCL12-neutralizing aptamer olaptesed pegol (NOX-A12; 200/400/600 mg per week) in patients with incompletely resected, newly-diagnosed GBM lacking MGMT methylation. The primary endpoint was safety, secondary endpoints included maximum tolerable dose (MTD), recommended phase II dose (RP2D), NOX-A12 plasma levels, topography of recurrence, tumor vascularization, neurologic assessment in neuro-oncology (NANO), quality of life (QOL), median progression-free survival (PFS), 6-months PFS and overall survival (OS). Treatment was safe with no dose-limiting toxicities or treatment-related deaths. The MTD has not been reached and, thus, 600 mg per week of NOX-A12 was established as RP2D for the ongoing expansion part of the trial. With increasing NOX-A12 dose levels, a corresponding increase of NOX-A12 plasma levels was observed. Of ten patients enrolled, nine showed radiographic responses, four reached partial remission. All but one patient (90%) showed at best response reduced perfusion values in terms of relative cerebral blood volume (rCBV). The median PFS was 174 (range 58-260) days, 6-month PFS was 40.0% and the median OS 389 (144-562) days. In a post-hoc exploratory analysis of tumor tissue, higher frequency of CXCL12

Indexed as

Aptamers, NucleotideBrain NeoplasmsChemokine CXCL12GlioblastomaAdultAgedFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasm Recurrence, LocalQuality of LifeAptamers, NucleotideChemokine CXCL12CXCL12 protein, human

Identifiers

PMID38806504
PMCPMC11133480

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.