Recurrent Central Nervous System Neoplasm Clinical Trial
Official title:
Recurrent GBM Stem Cell Tumor Amplified RNA Immunotherapy Trial
Verified date | October 2016 |
Source | Duke University |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Food and Drug Administration |
Study type | Interventional |
RATIONALE: Vaccines made from a person's tumor cells and dendritic cells may help the body
build an effective immune response to kill tumor cells.
PURPOSE: This phase I trial is studying the side effects of vaccine therapy in treating
patients undergoing surgery for recurrent glioblastoma multiforme (GBM).
Status | Completed |
Enrollment | 50 |
Est. completion date | February 2016 |
Est. primary completion date | October 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Age >18 years of age - First recurrence of GBM (WHO Grade IV glioma or astrocytoma) in surgically accessible areas with prior histologic diagnosis of GBM - No known contraindications to receiving Avastin - Karnofsky Performance Status (KPS) of > 70% - Radiation Therapy (RT) with = 45 Gy tumor dose, completed = 8 weeks prior to study entry Exclusion Criteria: - Contrast-enhancing tumor component crossing the midline, multi-focal tumor, or tumor dissemination (subependymal or leptomeningeal) - Clinically significant increased intracranial pressure (e.g., impending herniation), uncontrolled seizures, or requirement for immediate palliative treatment - Pregnant or need to breast feed during the study period (Negative beta-human chorionic gonadotropin (HCG) test required), or unable to maintain use of contraception while on study - Active infection requiring treatment or an unexplained febrile (> 101.5 degrees F) illness - Known immunosuppressive disease, autoimmune disease or human immunodeficiency virus infection, Hepatitis B or Hepatitis C - Unstable or severe intercurrent medical conditions such as severe heart (New York Association Class 3 or 4) or lung (FEV1 < 50%) disease, uncontrolled diabetes mellitus - Prior brachytherapy, carmustine wafer therapy, radiolabeled monoclonal antibodies, or stereotactic radiosurgery - Prior inguinal lymph node dissection Avastin-Specific Exclusion Criteria Subjects meeting any of the following criteria are ineligible for study entry: - Inadequately controlled hypertension (defined as systolic blood pressure >150 mmHg and/or diastolic blood pressure > 100 mmHg) - Prior history of hypertensive crisis or hypertensive encephalopathy - New York Heart Association (NYHA) Grade II or greater congestive heart failure - History of myocardial infarction or unstable angina within 6 months prior to enrollment - History of stroke or transient ischemic attack within 6 months prior to enrollment - Significant vascular disease (e.g. aortic aneurysm, requiring surgical repair or recent peripheral arterial thrombosis) (within 6 months prior to enrollment) - History of hemoptysis (> or = 1/2 teaspoon of bright red blood per episode) within 28 days prior to enrollment - Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic anticoagulation) - Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to enrollment - Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to enrollment - Serious, non-healing wound, active ulcer or untreated bone fracture - Proteinuria as defined by > +1 on urinalysis dipstick - Known hypersensitivity to any component of Avastin - Pregnant (positive pregnancy test) or lactation |
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Duke University Medical Center | Durham | North Carolina |
Lead Sponsor | Collaborator |
---|---|
John Sampson | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feasibility and safety | 12 months | Yes | |
Secondary | Humoral and cellular immune responses | 12 months | No |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT00619112 -
Temozolomide in Treating Patients With Recurrent High-Grade Glioma
|
Phase 2 |