Brain and Central Nervous System Tumors Clinical Trial
Official title:
A Phase I Trial of Intratumoral Bispecific Antibody and Activated Monocytes in Patients With Recurrent or Refractory Glioblastoma Multiforme
RATIONALE: Bispecific antibodies plus white blood cells may be able to locate tumor cells
and either kill them or deliver tumor-killing substances to them without harming normal
cells.
PURPOSE: Phase I trial to study the effectiveness of combining bispecific antibodies with
white blood cells in treating patients who have recurrent or refractory glioblastoma
multiforme.
OBJECTIVES:
- Assess the safety and tolerability of bispecific antibody MDX447 and activated
monocytes in patients with recurrent or refractory glioblastoma multiforme.
- Determine the response, time to tumor progression, and overall survival of these
patients treated with this regimen.
OUTLINE: This is a dose escalation study.
Patients undergo maximal surgical debulking of the tumor at the time of reservoir placement.
Within 2-4 weeks after surgery, patients receive one treatment of intratumoral bispecific
antibody MDX447 and activated monocytes. Stable or responding patients may receive a second
treatment 1 month later.
Cohorts of 1 or 3 patients receive escalating doses of bispecific antibody MDX447 and
activated monocytes until the maximum tolerated dose (MTD) is determined. The MTD is defined
as the dose preceding that at which 2 of 3 patients experience dose limiting toxicities.
PROJECTED ACCRUAL: A total of 13 patients will be accrued for this study.
;
Primary Purpose: Treatment
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