Personalized Cancer Stem Cell High-Throughput Drug Screening for Glioblastoma

A panel of FDA approved drugs will be tested by high throughput screening, which is CLIA certified allowing for clinical decisions based on the results, to identify a combination of up to 3 drug candidates for treating individual patients. Lead candidates will be evaluated by pharmacists and a team of physicians, to confirm that prescribed drugs do not utilize pharmacological/ metabolic pathways that are known to increase the likelihood of toxicity, prior to initiating treatment. Investigational drug therapy, targeting CSCs, will be initiated alongside standard of care chemoradiation with TMZ.

Inclusion criteria

• Histological diagnosis of GBM (WHO grade 4)
• Subjects ≥18 years of age
• Patients must have a life expectancy of >6 months
• Patients must have a surgically accessible tumor with the intent for a gross or near total resection of the tumor mass (GBM, WHO grade 4)
• Patients must have a KPS rating of ≥70
• Patients should not have received any prior systemic anti-cancer therapy
• Patients must be negative for HIV, Hepatitis B and C
• Baseline hematologic studies and chemistry and coagulation profiles must meet the following criteria:

• Hemoglobin (Hgb)> 8 g/dL
• Absolute Neutrophil Count (ANC) > 1,000/mm3
• Platelet count > 100,000/mm3
• Creatinine < 2 mg/dL
• Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) < 3x upper limit of normal (ULN)

Exclusion criteria

• Metastatic disease
• Diseases or conditions that obscure toxicity or dangerously alter drug metabolism
• Serious intercurrent medical illness
• Inadequately controlled hypertension
• History of myocardial infarction or unstable angina within 6 months
• History of stroke or transient ischemic attack within 6 months