Glioblastoma Multiforme Clinical Trial
Official title:
Immunological Targeting of CD-133 in Recurrent Glioblastoma: A Multi-center Phase I Translational and Clinical Study of an Autologous CD-133 DC Vaccine
This study will evaluate a type of immunotherapy in which the patient's immune system will be stimulated to kill tumor cells. ICT-121 dendritic cell (DC)vaccine is made from patient's white blood cells. This vaccine will be tested in patients with recurrent glioblastoma to assess safety, tolerability and clinical response. Patient's white blood cells (WBC) will be collected from blood and cultured to yield autologous DC. The DC will be mixed with purified peptides from the CD133 antigen. The DC vaccine will be given back to the patient over several months. The goal is to stimulate the patient's immune system to CD133 to kill the patient's glioblastoma tumor cells.
Immunotherapy holds promise in oncology for the potential to provide targeted anti-tumor
therapy with minimal adverse events. The goal of this study is to assess immunotherapy
directed to CD133 in an autologous dendritic cell product called ICT-121. CD133 antigen is
overexpressed on many types of cancer cells and is associated with shortened survival. CD133
positive cancer stem cells are resistant to chemotherapy. Patients with recurrent
glioblastoma who have the HLA A2 phenotype will receive autologous vaccine of DC pulsed with
purified peptides from CD133.
Approximately 20 patients with any recurrence of glioblastoma multiforme (GBM) will be
treated. After informed consent and screening, patients will undergo apheresis to collect
peripheral blood mononuclear cells (PBMCs). Monocytes will be purified and cultured into
dendritic cells (DC) that are pulsed with purified peptides from CD133 antigen. The pulsed
dendritic cells will then be aliquoted and frozen. Patients will have the autologous DCs
reinfused intradermally. Patients will receive at least four intradermal injections of the
autologous DC vaccine and additional vaccines during a maintenance phase. The goal is to
induce a cytotoxic T cell response to CD133 positive cells. The primary objective of the
study is to assess safety and tolerability. Clinical response rates will be monitored as well
as the immune responses to CD133.
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