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Activated Autologous T Cells Against Glioma Cancer Stem Cell Antigens for Patients With Recurrent Glioblastoma

Phase 1
Not yet recruiting
Conditions
Recurrent Glioblastoma
Interventions
Registration Number
NCT05341947
Lead Sponsor
Jeremy Rudnick, M.D
Brief Summary

The purpose of this study is to examine the use of activated T cells (ATCs) to assess the safety and tolerability of autologous activated T cells, as measured by the number of Grade 3 or higher toxicities, the number of serious adverse events, and treatment-related toxicities, according to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) Version 5, to find the maximum tolerated dose. The secondary objectives include evaluating the rate of overall survival, rate of progression-free survival, health-related quality of life parameters, overall response rate, immune response, and tumor stem cell antigen expression.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Recurrent glioblastoma
  • HLA-A1 and HLA-A2 positive
  • Complete resection of tumor
Exclusion Criteria
  • Clinically significant pulmonary, cardiac or other systemic disease
  • Presence of an acute infection requiring active treatment with antibiotics/antivirals; prophylactic administration is allowed.
  • Known human immunodeficiency virus positivity or acquired immunodeficiency syndrome related illness or other serious medical condition.
  • Known history of Hepatitis B or Hepatitis C
  • Allergy to Dimethyl sulfoxide (DMSO)
  • Allergy to gentamicin

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Activated T cellsActivated T cells-
Primary Outcome Measures
NameTimeMethod
Number of Grade 3 or higher toxicities, number of serious adverse events, and the number of treatment-related toxicities to find the maximum tolerated doseFrom start of study treatment until End of Study, an average of 2 months

Recorded and graded according to National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAEs) Version 5

Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)From date of enrollment to date of death of any cause or withdrawal of consent, whichever came first. Assessed up to 3 years.
Progression-Free Survival (PFS)From start of study treatment, until confirmation of disease progression or withdrawal of consent, whichever came first. Assessed up to 3 years.
Health-related quality of life parametersFrom baseline visit to End of Study, an average of 2 months

Measured by change in the Functional Assessment of Cancer Therapy - Brain (FACT-Br) survey score. The FACT-Br total score has a range of 0-200 and higher scores indicate better quality of life

Tumor stem cell antigen expressionAt Baseline visit and at time of recurrence. Assessed up to 3 years.

Assessed by quantitative PCR for expression of CD133, housekeeping genes, and tumor associated antigens (including HER2, TRP-2, gp100, MAGE-1, IL13Rα2, AIM-2).

Immune ResponseAt Visit 1, Post-immunotherapy infusion follow-up Day 14, and Survival follow-up Month 2

Assessed by cytotoxic T cell activity in vitro pre- vs post-infusion.

Overall Response Rate (ORR)From pre-study Brain MRI through study completion or withdrawal of consent, whichever came first. Assessed up to 3 years.

Percentage of patients showing either partial response or complete response, in patients with subtotal resection, will be measured using Magnetic Resonance Imaging (MRI) and Immunotherapy Response Assessment in Neuro-Oncology (iRANO) Response Criteria

Trial Locations

Locations (1)

Cedars-Sinai Medical Center

🇺🇸

Los Angeles, California, United States

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