Can adding lenvatinib to standard care outsmart a tough brain cancer?
NCT ID NCT07754734
First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time
Summary
This phase II trial is asking whether adding the drug lenvatinib to the standard STUPP regimen (temozolomide plus radiation) can improve outcomes for people newly diagnosed with a type of brain cancer called glioblastoma that has a specific genetic marker (MGMT promoter methylation). About 138 adults aged 18-75 will be randomly assigned to receive either the standard regimen alone or the standard regimen plus lenvatinib. The study will track how long participants live without the cancer progressing, overall survival, and safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lenvatinib combined with temozolomide and radiotherapy (the STUPP regimen)
- What this could lead to
- If adding lenvatinib to the standard STUPP regimen slows tumor growth, it could offer a new first-line treatment option for a subset of glioblastoma patients.
- What could go wrong
- This is an early-phase trial, so the benefit is unproven. Lenvatinib may add side effects without improving survival, and results may not apply to all glioblastoma patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 138 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2029
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Newly diagnosed GBM confirmed by post-op pathology/biopsy, MGMT promoter methylation positive, no prior RT or chemo. * Surgery/biopsy ≤ 21 days before enrollment. * Age 18-75 years any gender. * KPS ≥ 70. * Organ function (no blood components or growth factors within 14 days): 1. ANC ≥ 1.5 × 10⁹/L; PLT ≥ 100 × 10⁹/L; Hb ≥ 90 g/L. 2. Total bilirubin ≤ 1.5 × ULN. 3. ALT, AST ≤ 3 × ULN. 4. Serum creatinine ≤ 1.5 × ULN or CrCl ≥ 50 mL/min. * Life expectancy ≥ 12 weeks. * Stable or tapering corticosteroid dose for 14 days. * Voluntary participation, signed informed consent, and good compliance. Exclusion Criteria: * Allergy to Lenvatinib, TMZ, or components. * Other malignancies within 5 years or concurrent, or prior anti-tumor therapy. * Concurrent participation in another clinical trial (except observational). * Comorbidities interfering with treatment: 1. Grade 4 non-hematological toxicity (except hair loss, nausea, vomiting). 2. Conditions interfering with oral drugs (dysphagia, chronic diarrhea, bowel obstruction). * Evidence of increased intracranial pressure (midline shift \> 5 mm, papilledema, vomiting, decreased consciousness). * History of drug/alcohol abuse. * Pregnancy or lactation. * Other conditions judged by the investigator (e.g., unstable heart/kidney disease, uncontrolled diabetes, mood disorders).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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