Clinical trial • Phase II • Oncology

AUTOLOGOUS MATURE DENDRITIC CELLS LOADED WITH AUTOLOGOUS TUMOR LYSATE for Glioblastoma

Phase II trial of AUTOLOGOUS MATURE DENDRITIC CELLS LOADED WITH AUTOLOGOUS TUMOR LYSATE for Glioblastoma.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Glioblastoma
Trial Stage
Phase II
Drug Modality
Cell therapy

Key dates

Initial CTIS Submission Date
13-08-2024
First CTIS Authorization Date
26-08-2024

Trial design

Standard of care consisting of resection, radiotherapy with concomitant temozolomide chemotherapy and subsequent adjuvant temozolomide chemotherapy (standard of care alone).-controlled Phase II trial across 5 sites in Germany.

Comparator
Standard of care consisting of resection, radiotherapy with concomitant temozolomide chemotherapy and subsequent adjuvant temozolomide chemotherapy (standard of care alone).
Target Sample Size
136

Eligibility

Recruits 136 adults.

Inclusion criteria

  • {"criterion_text":"- Newly diagnosed, monofocal GBM, IDH wildtype (WHO grade IV), including the histological variants of gliosarcoma and giant cell glioblastoma, confirmed by central neuropathologist according to the WHO classification of central nervous system tumors 2016. Tumors may cross into, but not beyond the corpus callosum.\n- Near-complete resection (≤ 5 ml residual contrast enhancing tumor volume) confirmed by central neuroradiologist on MRI scan within 72 h postoperative; awake surgery and second look surgery are possible, if medically indicated.\n- Sterile tumor sample of ≥ 150 mg with tumor cell frequency ≥ 60% as determined by central neuropathologist available for vaccine production."}

Exclusion criteria

  • {"criterion_text":"- Severe acute or chronic medical conditions that could increase the risk associated with study participation or study drug administration or could interfere with the interpretation of trial results and, in the opinion of the investigator, would make the patient inappropriate for entry into the study. This includes but is not limited to the following: Immunosuppressive disease / immunodeficiency, Chronic renal disease / failure, Cardiovascular: uncontrolled hypertension, unstable angina, myocardial infarction or symptomatic congestive heart failure within the past 12 months or serious uncontrolled cardiac arrhythmia, Severe poorly controlled diabetes, Planned other major surgery."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary efficacy endpoint is OS measured from the day of surgery until death.","definition_or_measurement_approach":"OS measured from the day of surgery until death."}

Secondary endpoints

  • {"endpoint_text":"- PFS as measured from the day of surgery until diagnosis of tumor progression by MRI according to modified RANO criteria (the exact time of progression may be defined retrospectively, when pseudoprogression and pseudoresponses can be excluded definitively) or death due to any cause.","definition_or_measurement_approach":"PFS measured from the day of surgery until diagnosis of tumor progression by MRI according to modified RANO criteria or death."}
  • {"endpoint_text":"- OS and PFS rates at 6, 12 and 24 months after the day of surgery.","definition_or_measurement_approach":"OS and PFS rates at 6, 12 and 24 months after the day of surgery."}
  • {"endpoint_text":"- Safety based on the frequency and severity of adverse events with toxicity graded according to the NCI CTCAE version 4.03.","definition_or_measurement_approach":"Adverse events frequency and severity graded per NCI CTCAE v4.03."}
  • {"endpoint_text":"- Overall and neurological performance as determined by the KPS and the MMSE-2.","definition_or_measurement_approach":"Performance assessed using KPS and MMSE-2."}
  • {"endpoint_text":"- Quality of life as determined by the EORTC questionnaires QLQ-C30 version 3.0 and QLQ-BN20 as well as the DT and HADS for psycho-oncological stress assessment.","definition_or_measurement_approach":"Quality of life assessed by EORTC QLQ-C30 v3.0 and QLQ-BN20; psycho-oncological stress assessed by DT and HADS."}

Recruitment

Registry Or Advocacy Recruitment
Yes
Planned Sample Size
136
Recruitment Window Months
110

Geography

Total Number Of Sites
5
Total Number Of Participants
136

Germany

Earliest CTIS Part Ii Submission Date
24-05-2024
Latest Decision Or Authorization Date
10-10-2025
Processing Time Days
504
Number Of Sites
5
Number Of Participants
136

Sites

Site Name
Universitaetsklinikum Knappschaftskrankenhaus Bochum GmbH
Department Name
Department of Neurology
Contact Person Name
Dorothea Miller
Contact Person Email
dorothea.miller@kk-bochum.de
Site Name
Sana Kliniken Duisburg GmbH
Department Name
Department for Neurosurgery
Contact Person Name
Martin Wettig
Contact Person Email
martin.wettig@sana.de
Site Name
Universitaetsklinikum Muenster AöR
Department Name
Department of Neurology
Contact Person Name
Oliver Grauer
Site Name
HELIOS Klinikum Krefeld GmbH
Department Name
Department of Neurosurgery
Contact Person Name
Michael Stoffel
Site Name
Universitaetsklinikum Duesseldorf AöR
Department Name
Department of Neurosurgery
Contact Person Name
Michael Sabel

Sponsor

Primary sponsor

Full Name
Heinrich-Heine-Universitaet Duesseldorf
Organisation Type
Educational Institution
Country Of Registered Address
Germany

Third parties

  • {"country":"","full_name":"Bundesministerium für Bildung und Forschung (BMBF)","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Autologous, tumor lysate-loaded, mature dendritic cells vaccine
Active Substance
AUTOLOGOUS MATURE DENDRITIC CELLS LOADED WITH AUTOLOGOUS TUMOR LYSATE
Modality
Cell therapy
Routes Of Administration
INTRADERMAL
Route
INTRADERMAL
Maximum Dose
Max daily dose 1 ml; max total dose 7 ml
Combination Treatment
Yes

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