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Phase 2a Study of AdV-tk With Standard Radiation Therapy for Malignant Glioma
This study is currently recruiting participants.
Study NCT00589875   Information provided by Advantagene, Inc.
First Received: December 27, 2007   Last Updated: October 27, 2009   History of Changes

December 27, 2007
October 27, 2009
March 2007
May 2011   (final data collection date for primary outcome measure)
Expand the safety evaluation at the maximum dose of AdV-tk evaluated in a completed phase Ib study [ Time Frame: 2 months ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00589875 on ClinicalTrials.gov Archive Site
  • Overall survival [ Time Frame: 24 motnhs ] [ Designated as safety issue: No ]
  • Progression free survival [ Time Frame: 24 months ] [ Designated as safety issue: No ]
  • Quality of life [ Time Frame: 24 months ] [ Designated as safety issue: No ]
Same as current
 
Phase 2a Study of AdV-tk With Standard Radiation Therapy for Malignant Glioma
A Phase 2a Study of AdV-tk + Valacyclovir Gene Therapy in Combination With Standard Radiation Therapy for Malignant Glioma

The purpose of this study is to evaluate the safety and potential efficacy of Gene Mediated Cytotoxic Immunotherapy for malignant gliomas. The approach uses an adenoviral vector (disabled virus) engineered to express the Herpes thymidine kinase gene (AdV-tk), followed by an antiherpetic prodrug, valacyclovir. The AdV-tk vector is injected into the tumor bed after standard tumor surgery and valacyclovir pills are taken for 14 days. Standard radiation and chemotherapy are administered which have been shown to work cooperatively with AdV-tk + prodrug to kill tumor cells. The hypothesis is that this combination therapy can be safely delivered and will lead to improvement in the clinical outcome for patients with newly diagnosed malignant gliomas, including glioblastoma multiforme (WHO grade IV) and anaplastic astrocytomas (WHO grade III).

 
Phase II
Interventional
Treatment, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study
  • Malignant Glioma
  • Glioblastoma Multiforme
  • Anaplastic Astrocytoma
  • Biological: AdV-tk
  • Drug: Valacyclovir
Experimental: This study is an extension of evaluation of the surgical resection arm, Arm B, from a phase Ib study in which dose escalation on arm B was completed. Arm A, biopsy only, is still enrolling on the phase Ib study.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
24
 
May 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Must have presumed malignant glioma based on clinical and radiologic evaluation and pathologic confirmation of malignant glioma must be made at the time of surgery if not previously determined
  • Tumor must be accessible for injection and must not be located in the brainstem, midbrain, contained within the ventricular system, or located in an infratentorial location.
  • Must be planning to undergo standard radiation therapy.
  • Performance status KPS 70 or more.
  • SGOT (AST) < 3x upper limit of normal.
  • Serum creatinine < 2mg/dl and calculated creatinine clearance >10ml/min.
  • Platelets > 100,000/mm3 and WBC > 3000/mm3.
  • Patients of reproductive age must agree to use a medically accepted form of birth control while on the study.
  • Must give study specific informed consent prior to enrollment.
  • Must be able to tolerate MRI scan procedure

Exclusion Criteria:

  • Prior or ongoing liver disease including known cirrhosis, hepatitis B or C infection but not to exclude patients with a distant history of resolved hepatitis A infection.
  • Patients on immunosuppressive drugs (with exception of corticosteroid)
  • Known HIV+ patients.
  • Acute infections (viral, bacterial or fungal infections requiring therapy).
  • Pregnant or breast feeding patients. Female patients of childbearing age must have negative serum or urine pregnancy test within 1 week of beginning therapy.
  • Evidence of metastatic disease or other malignancy (except squamous or basal cell skin cancers).
  • Prior radiation therapy to the brain or prior treatment for brain tumor (except prior biopsy or subtotal resection).
  • Other serious co-morbid illness or compromised organ function.
  • May not receive temozolomide until valacyclovir completed
  • May not receive other investigational anti-tumor agents within 30 days prior to study entry or during active participation in the study (defined as from study entry until tumor progression).
Both
18 Years and older
No
 
United States
 
NCT00589875
Dr. Laura Aguilar/VP Clinical Research, Advantagene, Inc.
BrTK02, 5R44CA107745
Advantagene, Inc.
 
Principal Investigator: E. Antonio Chiocca, MD, PhD The Ohio State University Medical Center
Advantagene, Inc.
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP