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Prospective Evaluation of T-cell Immune Status in Patients With Newly Diagnosed High Grade Gliomas

Not Applicable
Completed
Conditions
High Grade Glioma
Interventions
Procedure: Blood collections
Registration Number
NCT02041611
Lead Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Brief Summary

The primary goal of this study is evaluate T cell immune status and immune reconstitution and the association with specific cytokines in patients with newly diagnosed HGGs undergoing the standard RT/TMZ and adjuvant TMZ.

Detailed Description

Numbers of T-cell subtypes at six time points in patients with newly diagnosed HGGs undergoing standard RT/TMZ and adjuvant TMZ:

1. Baseline within 2 weeks before initiation of RT/TMZ

2. At the end of RT/TMZ approximately week 6

3. Before adjuvant TMZ approximately week 10

4. After 2 cycle of TMZ approximately week 18

5. After 4 cycle of TMZ approximately week 26

6. Three month after last cycle of TMZ

Secondary Endpoints

1. Changes in serial T cell subtypes and cytokines levels

2. Incidence of lymphopenia related infections

3. Changes in T-cell numbers and subtypes with TMZ administration

4. Overall survival

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Patients must be at least 18 years of age.
  2. Patients must have histologically confirmed new diagnosed high grade glioma by pathology (WHO grade III and IV).
  3. Patients proposed post-operative treatment plan must include standard radiation and temozolomide.
  4. Patients must have a Karnofsky performance status ≥ 60% (i.e. the patient must be able to care for himself/herself with occasional help from others).
  5. Patients must be able to provide written informed consent.
  6. Steroid use is allowed.
Exclusion Criteria
  1. Patients with HIV are excluded.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Standard Care Pts Eval of T-Cell Immune StatusBlood collectionsPts undergoing standard radiation/TMZ and adjuvant TMZ will have blood collections at 6 different time points throughtout their treatment to evaluate T Cell changes
Primary Outcome Measures
NameTimeMethod
Changes in T Cell subtypes and cytokines as a function of treatment6 time points in pts undergoing standard RT/TMZ and adjuvant TMZ

baseline approx 6wks approx 10wks aprox 18wks approx 26wks 3 months after last cycle of TMZ

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Johns Hopkins

🇺🇸

Baltimore, Maryland, United States

Washington University

🇺🇸

Saint Louis, Missouri, United States

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