ADCTA for Adjuvant Immunotherapy in Standard Treatment of Recurrent Glioblastoma Multiforme (GBM)

  • STATUS
    Recruiting
  • participants needed
    118
  • sponsor
    Safe Save Medical Cell Sciences & Technology Co.,Ltd.
Updated on 19 February 2024
blood transfusion
neutrophil count
bevacizumab
karnofsky performance status
thromboplastin
blood urea nitrogen
aptt
renal function test
temozolomide
glioblastoma multiforme
recurrent glioblastoma
contrast-enhanced magnetic resonance imaging
adjuvant
glioma
supratentorial tumor

Summary

To confirm the result of previous Phase I/II and phase II clinical trials, this trial is to test the efficacy and safety of ADCTA immunotherapy plus the standard therapy in comparison with standard therapy alone in patients with recurrent GBM.

Details
Condition Glioblastoma Multiforme, Glioblastoma Multiforme
Age 18-70 years
Treatment Autologous Dendritic Cell/Tumor Antigen, ADCTA
Clinical Study IdentifierNCT04277221
SponsorSafe Save Medical Cell Sciences & Technology Co.,Ltd.
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Specimen collection screening
Karnofsky performance status (KPS) 60 at assessment prior to surgery
and 70 years of age
Subject has been diagnosed with GBM and has undergone resection surgery followed by standard brain RT + concurrent temozolomide and adjuvant temozolomide, and progression occurred. The foregoing progression is defined as when patients with primary GBM experience an image or clinical deterioration after receiving standard of care
Contrast-enhanced MRI suspects recurrent GBM
Supratentorial tumor
Must voluntarily sign and date informed consent form for specimen acquisition and future use, for study screening, approved by an Independent Ethics Committee (IEC)/ Institutional Review Board (IRB), prior to the initiation of any study-specific procedures
Study screening
Karnofsky performance status (KPS) 60 at randomization
Submission of fresh tumor
Post-operation contrast-enhanced MRI scan must be done after surgical resection, with the intent for cyto-reduction 80% of the contrast-enhancing tumor mass
Histologically confirmed WHO grade IV glioma by pathology tissue screening
Subjects receiving bevacizumab as standard of care for given indication
Subject has adequate bone marrow, renal, and hepatic function prior to randomization as follow
White blood cell (WBC) count 2,000/mm^3
Absolute neutrophil count (ANC) 1,000/mm^3
Platelets 100,000/mm^3
Hemoglobin (Hgb) 8.0 g/dL (Note: The use of transfusion or other intervention to achieve Hgb 8.0 g/dL is acceptable.)
Blood Urea Nitrogen (BUN) < 30 mg/dL
Creatinine < 2 mg/dL
Renal function: calculated creatinine clearance 30 mL/min
Hepatic function: Total bilirubin 3 times upper limit of normal (ULN), Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) 2 times ULN
Prothrombin Time (PT) and activated partial thromboplastin time (PTT) 1.6 times ULN unless therapeutically warranted
Subjects with recurrent GBM (Grade IV) are eligible for this protocol. An independent neuropathologist will review this diagnosis during the enrollment process
Must voluntarily sign and date informed consent form, for study participation, approved by an Independent Ethics Committee (IEC)/ Institutional Review Board (IRB), prior to the initiation of any study-specific procedures

Exclusion Criteria

Specimen collection screening
Multifocal GBM
Prior invasive malignancy (except for non-melanomatous skin cancer; carcinoma in situ of breast, oral cavity or cervix) unless disease free for 2 years
Subject has used bevacizumab or immune checkpoint blockade to treat GBM
Lactating or pregnant female
Positive viral serology for HIV or syphilis at time of screening
Study screening
Subjects having a biopsy only at surgery or tumor cell insufficiency at preparation
Inability to undergo contrast-enhanced MRI scans
Subjects receiving investigational study drug for any indication or immunological-based treatment for any reason (Filgrastim may be used for prevention of severe neutropenia)
Inability to stop or decrease the use of corticosteroid doses to 4 mg/day prior to randomization
Tumor progression documented according to modified RANO criteria prior to randomization (approximately 5 weeks after surgery)
Severe, active comorbidity, defined as follow
Subject with clinically defined Acquired Immune-Deficiency Syndrome (AIDS)-defining illness
Subjects with acute hepatitis C or B infection
Severe hepatic impairment (Child-Pugh category C or higher)
Electrocardiogram (ECG) with evidence of acute cardiac ischemia prior to randomization
Transmural myocardial infarction or ischemia prior to enrollment
Any other major medical illnesses or psychiatric impairments that in the Investigator's opinion will prevent administration or completion of protocol therapy
Subject used Gliadel wafer implant in surgery during screening process
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