Glioblastoma Multiforme
Conditions
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
30 mg/m2
600 mg/m2
CTL Infusion (3 - 5 x 10E6 cells/kg)
Sponsors
Study design
Eligibility
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
| Measure | Time 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
| Measure | Time 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 |