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A Study Using Allogenic-Cytomegalovirus (CMV) Specific Cells for Glioblastoma Multiforme (GBM)

A Phase I-II Study of Allogeneic CMV Specific Cytotoxic T Lymphocytes (CTL) for Patients With Refractory Glioblastoma Multiforme (GBM)

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00990496
Enrollment
25
Registered
2009-10-06
Start date
2009-09-30
Completion date
2010-10-28
Last updated
2018-05-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Glioblastoma Multiforme

Keywords

Glioblastoma multiforme, GBM, Cytomegalovirus, CMV, Cytotoxic T lymphocyte, CTL

Brief summary

The primary purpose of this study is to determine the safety and efficacy of the infusion of partially matched, allogeneic, CMV specific cytotoxic T cells (CTL) for patients with GBM that have failed primary therapy.

Detailed description

Tumor specimens of consenting patients will be tested by immunohistochemistry (IHC) for the presence of IE-1 and/or pp65. Subjects whose tumors test positive for either or both CMV antigens will be consented for the treatment phase which will include a regimen of fludarabine and cyclophosphamide daily for two days, cyclophosphamide only for a third day, followed by one day of rest prior to the day of CTL infusion. This trial intended to be a Phase 1/2 trial, but it never progressed to Phase 2 before termination.

Interventions

DRUGFludarabine

30 mg/m2

DRUGCyclophosphamide

600 mg/m2

BIOLOGICALCMV Specific Cytotoxic T Lymphocytes (CTL)

CTL Infusion (3 - 5 x 10E6 cells/kg)

Sponsors

Milton S. Hershey Medical Center
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
5 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

FOR SCREENING * Patients must have a histopathologic diagnosis of GBM. * Patients from 5 to 65 years of age with GBM. FOR TREATMENT * GBM has progressed following primary therapy. * Tumor is CMV pp65 or IE1 positive by immunohistochemistry (IHC). * Subjects must have pulse oximetry \> or = 94 % on no supplemental oxygen. * Creatinine clearance must be \> 50 cc/min as estimated by patient's serum creatinine, weight, and age. * Bilirubin must be \< 2.0 mg/dl and SGOT/SGPT \< 2.5 X normal. * ECOG performance status must be \< or = 2, and for patients \<16 years of age, Lansky performance status must be \> or = 70%.

Exclusion criteria

* Pregnant females * Subjects who are moribund or who because of cardiac, pulmonary, renal, hepatic or neurologic dysfunction are not expected to survive one month following the T cell infusion

Design outcomes

Primary

MeasureTime frame
To determine the incidence of tumor responses, as defined as stable disease, partial, or complete responses after the infusion of CMV CTL.2 years

Secondary

MeasureTime frame
To determine the duration and magnitude of donor chimerism post infusion by micro chimerism assays.2 years
To determine the incidence of increases in CMV pp65 or IE-1 T cells post infusion of allogeneic CMV CTL of GBM patients.2 years
To determine safety of allogeneic CTL infusions in this patient population.2 years

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026