Table of contents
- Trial overview
- Study design and phases
- Who can participate
- What is being measured
- Main aims of the trial
Trial overview
The study called MecMeth/ NOA-24 is a Phase 2 interventional trial of Meclofenamate Sodium in people with progressive MGMT-methylated glioblastoma.[1] The trial is authorised and plans to include 72 participants.[1]
This trial tests Meclofenamate Sodium together with standard temozolomide, which means the researchers are looking at the added effect of Meclofenamate Sodium on top of usual treatment.[1]
Study design and phases
The study has two parts.[1] In Phase I, the main goal is to check safety and find the dose that should be used in Phase II.[1] In Phase II, the main goal is to see whether the treatment works better when Meclofenamate Sodium is added to standard therapy.[1]
Participants may receive Meclofenamate 50 or Meclofenamate 100, both listed as oral treatment, along with temozolomide.[1] The trial data do not explain the difference between the dose labels beyond the names used in the study record.[1]
Who can participate
The target population is people with progressive glioblastoma that is MGMT-methylated.[1] The source data do not give more detailed inclusion or exclusion rules, so only this main patient group can be confirmed from the trial record.[1]
Because the study is about second-line therapy, it is focused on patients whose disease is being treated after earlier treatment has not been enough.[1]
What is being measured
In Phase I, the main endpoint is the incidence of dose-limiting toxicities during the first 8 weeks, or 56 days, of Meclofenamate Sodium treatment.[1] Dose-limiting toxicities are side effects that are serious enough to affect how much treatment can be given.[1]
In Phase II, the main endpoint is progression-free survival, which is measured from randomization until progressive disease is found on MRI using RANO criteria in the local center.[1] Progression-free survival means the time a patient lives without the cancer getting worse.[1]
The study also includes a sensitivity analysis, which is an extra way to check the results.[1] This analysis also includes some Phase I patients if they received the same Meclofenamate Sodium dose used in Phase II, with progression-free survival measured from trial inclusion.[1]
Main aims of the trial
The Phase I aim is to understand toxicity and choose the daily Meclofenamate Sodium dose that can be recommended for Phase II.[1] The Phase II aim is to test whether adding Meclofenamate Sodium to standard therapy improves outcomes in this patient group.[1]
In simple terms, the researchers want to learn two main things: first, whether the treatment can be given safely enough, and second, whether it may help delay tumor growth in progressive MGMT-methylated glioblastoma.[1]



