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Trial ยท NCT03727841

Marizomib for Recurrent Low-Grade and Anaplastic Supratentorial, Infratentorial, and Spinal Cord Ependymoma

NCT03727841, Phase 2, Terminated, National Cancer Institute (NCI); results first posted 2021-11-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Marizomib for Recurrent Low-Grade and Anaplastic Supratentorial, Infratentorial, and Spinal Cord Ependymoma. Trials, record NCT03727841. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03727841

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Marizomib for Recurrent Low-Grade and Anaplastic Supratentorial, Infratentorial, and Spinal Cord Ependymoma
NCT number
NCT03727841
Status
Terminated
Phases
Phase 2
Enrollment
4 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Anaplastic Ependymoma, Ependymoma, Ependymomas
Interventions
Marizomib
First posted
2018-11-01
Last updated
2022-07-27
Results first posted
2021-11-30

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants That Are Progression-free at 6 Months Time Point After Initiation of Treatment6 months
Progression was assessed by the Response assessment in neuro-oncology criteria (RANO) and is defined as a 25% increase in the sum of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline. Appearance of new lesions, or clear worsening of any evaluable disease. Failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).
SecondaryNumber of Toxicities by Grade Using the Common CTCAE Version 5.0.At end of study, up to 16 monthsTo determine the safety of marizomib in recurrent ependymoma patients and in a subset of patients with more than 2 prior chemotherapies (RELA-fusion Cohort 2 and non-RELA-fusion Cohort 4).
SecondaryNumber of Participants That Have Progressive Disease After 6 Months6 months
To estimate the efficacy of marizomib in recurrent ependymoma patients (RELA- fusion Cohort 2 and non RELA-fusion Cohort 4) with more than 2 prior chemotherapies as measured by progression free disease after 6 months. Progression was assessed by the Response Assessment in Neuro-oncology (RANO) criteria and is defined as a 25% increase in the sum of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline. Appearance of new lesions, or clear worsening of any evaluable disease. Failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).
SecondaryNumber of Participants With 12-month Progression-free Survival (PFS12)12 months
Progression was assessed by the Response Assessment in Neuro-oncology criteria (RANO) and is defined as a 25% increase in the sum of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline. Appearance of new lesions, or clear worsening of any evaluable disease. Failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).
SecondarySymptom Severity Using the MD Anderson Symptom Inventory- Brain Tumor (MDASI-BT) and/or MD Anderson Symptom Inventory - Spine Tumor Module (MDASI-SP) InstrumentEnd of study
Changes in quality of life using the MD Anderson Symptom Inventory- Brain Tumor (MDASI-BT) and/or MD Anderson Symptom Inventory - Spine Tumor Module (MDASI-SP) instrument was used to determine symptom severity.To longitudinally evaluate participant reported outcome measures using self-reported symptom severity with daily activities using the MDASI-BT and/or MDASI-SP instrument.
SecondaryNumber of Participants Assessed Using the Response Assessment in Neuro-oncology Criteria (RANO) for Complete Response (CR) + Partial Response (PR)Up to 16 months
To estimate the efficacy of marizomib in recurrent ependymoma patients (RELA- fusion Cohort 2 and non RELA-fusion Cohort 4) with more than 2 prior chemotherapies as measured by objective response. Complete Response is complete disappearance of all measurable and evaluable disease. No new lesions. No evidence of non-evaluable disease. Partial Response is greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. No new lesions.
SecondaryMedian Amount of Time Subject Survives 12 Months After Therapy12 months after therapyMedian amount of time subject survives 12 months after therapy
SecondaryOverall Survival (OS) of RELAfusion and Non RELA-fusion Recurrent Ependymoma Patients Treated With Marizomib.Start of treatment until end of studyOS is defined as the time from treatment start date until date of death or date last known alive.
SecondarySymptom Interference Using the MD Anderson Symptom Inventory- Brain Tumor (MDASI-BT) and/or MD Anderson Symptom Inventory - Spine Tumor Module (MDASI-SP) InstrumentEnd of study
Changes in quality of life using the MD Anderson Symptom Inventory- Brain Tumor (MDASI-BT) and/or MD Anderson Symptom Inventory - Spine Tumor Module (MDASI-SP) instrument was used to determine symptom interference.To longitudinally evaluate participant reported outcome measures using self-reported symptom interference with daily activities using the MDASI-BT and/or MDASI-SP instrument.
OtherNumber of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)Date treatment consent signed to date off study, approximately 14 months and 27 days, and 7 months and 22 days for the first and second group respectively.
Here is the number of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants That Are Progression-free at 6 Months Time Point After Initiation of Treatment6 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Toxicities by Grade Using the Common CTCAE Version 5.0.At end of study, up to 16 monthsToxicitiesNUMBER
SECONDARYNumber of Participants That Have Progressive Disease After 6 Months6 monthsThe one participant in Cohort 2 had progressive disease prior to 6 month mark and we did not enroll in Cohort 4 due to early study termination.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With 12-month Progression-free Survival (PFS12)12 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSymptom Severity Using the MD Anderson Symptom Inventory- Brain Tumor (MDASI-BT) and/or MD Anderson Symptom Inventory - Spine Tumor Module (MDASI-SP) InstrumentEnd of studyThis outcome measure was not done because we were unable to determine due to low accrual and few data timepoints for which meaningful data could be extracted.
SECONDARYNumber of Participants Assessed Using the Response Assessment in Neuro-oncology Criteria (RANO) for Complete Response (CR) + Partial Response (PR)Up to 16 monthsWe did not enroll to Cohort 4 due to early termination of the study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMedian Amount of Time Subject Survives 12 Months After Therapy12 months after therapyThis outcome measure was not done. We were unable to determine as participants were taken off study for early study termination prior to the 12 months post therapy timepoint.
SECONDARYOverall Survival (OS) of RELAfusion and Non RELA-fusion Recurrent Ependymoma Patients Treated With Marizomib.Start of treatment until end of study
This outcome measure was not done. We were unable to determine for non RELA-fusion recurrent ependymoma patients since we did not enroll in those cohorts due to early study termination. And for the 4 participants with RELA-fusion recurrent ependymoma enrolled, the study was prematurely terminated pharmaceutical sponsor.
SECONDARYSymptom Interference Using the MD Anderson Symptom Inventory- Brain Tumor (MDASI-BT) and/or MD Anderson Symptom Inventory - Spine Tumor Module (MDASI-SP) InstrumentEnd of studyThis outcome measure was not done because we were unable to determine due to low accrual and few data timepoints for which meaningful data could be extracted.
OTHER_PRE_SPECIFIEDNumber of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)Date treatment consent signed to date off study, approximately 14 months and 27 days, and 7 months and 22 days for the first and second group respectively.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants That Are Progression-free at 6 Months Time Point After Initiation of Treatment1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies1Participants
Number of Participants That Are Progression-free at 6 Months Time Point After Initiation of Treatment2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies0Participants
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior ChemotherapiesGrade 135Toxicities
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior ChemotherapiesGrade 113Toxicities
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior ChemotherapiesGrade 224Toxicities
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior ChemotherapiesGrade 25Toxicities
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior ChemotherapiesGrade 36Toxicities
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior ChemotherapiesGrade 30Toxicities
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior ChemotherapiesGrade 40Toxicities
Number of Toxicities by Grade Using the Common CTCAE Version 5.0.2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior ChemotherapiesGrade 40Toxicities

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies3
Overall StudySTARTED2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies1
Overall StudyCOMPLETED1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies0
Overall StudyCOMPLETED2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies0
Overall StudyNOT COMPLETED1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies3
Overall StudyNOT COMPLETED2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies1

Adverse events80

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAgitationPsychiatric disorders1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies131
otherAgitationPsychiatric disorders2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies010
otherAnemiaBlood and lymphatic system disorders1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies030
otherAnemiaBlood and lymphatic system disorders2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies111
otherAnorexiaMetabolism and nutrition disorders1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies131
otherAnorexiaMetabolism and nutrition disorders2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies010
otherAtaxiaNervous system disorders1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies131
otherAtaxiaNervous system disorders2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies010
otherBlood lactate dehydrogenase increasedInvestigations1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies131
otherBlood lactate dehydrogenase increasedInvestigations2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies010

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies03
Total, all-cause mortality2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies01
Total, other adverse events1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies33
Total, other adverse events2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies11
Total, serious adverse events1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies13
Total, serious adverse events2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies01

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26681765BACKGROUNDPubMed
27022130BACKGROUNDPubMed
27117181BACKGROUNDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons7

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies vs 2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies: Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)
Trial comparisons
1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies vs 2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies: Number of Participants That Are Progression-free at 6 Months Time Point After Initiation of Treatment
Trial comparisons
1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies vs 2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies: Number of Participants That Have Progressive Disease After 6 Months
Trial comparisons
1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies vs 2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies: Number of Participants With 12-month Progression-free Survival (PFS12)
Trial comparisons
1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies vs 2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies: Number of Participants Assessed Using the Response Assessment in Neuro-oncology Criteria (RANO) for Complete Response (CR) + Partial Response (PR)
Trial comparisons
1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies vs 2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies: deaths from any causeTrial comparisons
1/Cohort 1 - Participants With Ependymoma Who Had None, One or Two Prior Chemotherapies vs 2/Cohort 2 - Participants With Ependymoma Who Had More Than Two Prior Chemotherapies: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03727841

GET https://conductscience.org/api/trials/v1/NCT03727841/events?page=2