SurVaxM Plus Adjuvant Temozolomide for Newly Diagnosed Glioblastoma (SURVIVE) (SURVIVE)
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ClinicalTrials.gov Identifier: NCT05163080 |
Recruitment Status :
Recruiting
First Posted : December 20, 2021
Last Update Posted : August 25, 2022
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Condition or disease | Intervention/treatment | Phase |
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Newly Diagnosed Glioblastoma | Biological: SurVaxM | Phase 2 |
This is a randomized, placebo-controlled study. That means that some patients will receive an active drug (SurVaxM) and some will receive an inactive drug (placebo). Patients who agree to participate will be randomized (chance) to one of two groups. Patients that are randomized by chance to receive SurVaxM will be treated with standard-of-care temozolomide plus an injection under the skin of SurVaxM in Montanide (a milky white substance that helps SurVaxM to be recognized by the patient's immune system). Patients in this group will also receive a second separate injection of a drug called sargramostim that boosts the patient's immune system at the site of the first injection. These injections will be repeated at regular intervals according to a schedule.
Patients that are randomized to receive placebo will be treated with standard-of-care temozolomide plus an injection under the skin of saline (salt water) in Montanide (a milky white substance). Patients in this group will also receive a second separate injection of saline to simulate the injection of sargramostim that patient's in the SurVaxM group receive. These injections will be repeated at regular intervals according to a schedule.
The treatments in the two groups (SurVaxM and placebo groups) will be completely indistinguishable to patients and their treating doctors.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 265 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | This is a prospective, randomized, placebo-controlled, multi-center study of patients with newly diagnosed Glioblastoma (nGBM)to evaluate a peptide vaccine (SurVaxM) in emulsion with Montanide given together with locally administered sargramostim plus adjuvant oral temozolomide (Arm A) versus saline-Montanide emulsion with locally administered saline (instead of sargramostim) plus adjuvant oral temozolomide (Arm B) |
Masking: | Triple (Participant, Care Provider, Investigator) |
Masking Description: | Double-Blind |
Primary Purpose: | Treatment |
Official Title: | Prospective Randomized Placebo-Controlled Trial of SurVaxM Plus Adjuvant Temozolomide for Newly Diagnosed Glioblastoma (SURVIVE) |
Actual Study Start Date : | November 18, 2021 |
Estimated Primary Completion Date : | August 18, 2023 |
Estimated Study Completion Date : | April 18, 2024 |

Arm | Intervention/treatment |
---|---|
Active Comparator: Arm A
Peptide Vaccine (SurVaxM) in emulsion with Montanide given together with locally administered Sargramostim plus adjuvant oral Temozolomide
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Biological: SurVaxM
Consists of a synthetic peptide conjugate that stimulates immune responses capable of killing cancer cells that express the survivin molecule. Multiple copies of the multiplied peptide (SVN53-67/M57) are conjugated to Keyhole Limpet Hemocyanin (KLH) yielding a molecule designated as SVN53-67/M57-KLH. The SVN53-67/M57-KLH conjugate (SurVaxM)produces immune responses in mice and humans that are cross-reactive to the wild-type survivin molecule expressed by tumor cells. The survivin peptide in SurVaxM is a defined antigenic peptide comprised of 15 amino acids that encompass multiple epitopes capable of binding human MHC Class I and murine H2-Kb molecules. SurVaxM also contains a core antigenic epitope that has been modified by substitution of methionine for cysteine at amino acid position 57 (i.e., M57). |
Placebo Comparator: Arm B
Saline-Montanide emulsion with locally administered saline (instead of sargramostim) plus adjuvant oral temozolomide
|
Biological: SurVaxM
Consists of a synthetic peptide conjugate that stimulates immune responses capable of killing cancer cells that express the survivin molecule. Multiple copies of the multiplied peptide (SVN53-67/M57) are conjugated to Keyhole Limpet Hemocyanin (KLH) yielding a molecule designated as SVN53-67/M57-KLH. The SVN53-67/M57-KLH conjugate (SurVaxM)produces immune responses in mice and humans that are cross-reactive to the wild-type survivin molecule expressed by tumor cells. The survivin peptide in SurVaxM is a defined antigenic peptide comprised of 15 amino acids that encompass multiple epitopes capable of binding human MHC Class I and murine H2-Kb molecules. SurVaxM also contains a core antigenic epitope that has been modified by substitution of methionine for cysteine at amino acid position 57 (i.e., M57). |
- Overall Survival [ Time Frame: 36 Months ]To compare overall survival (OS) in patients with newly diagnosed glioblastoma between treatment arms A & B
- Grade 3 & Grade 4 Toxicities [ Time Frame: 36 Months ]To tabulate the number and type of Grade 3 & Grade 4 toxicities, according to the NCI Common Toxicity Criteria for Adverse Events (NCI CTCAEs) Version 5
- Progression Free Survival Comparison [ Time Frame: 36 months ]To compare Progression Free Survival in patients with newly diagnosed glioblastoma between treatment arms A & B.
- Overall Survival at Specified Time Points [ Time Frame: 24 months ]To compare treatment-associated OS at pre-specified time points (OS-15, OS-18, and OS-24) between treatment arms A & B.
- Progression-Free Survival at specific time points [ Time Frame: 12 months ]To compare treatment associated PFS at pre-specified time points (PFS-3, PFS-6, PFS-12) between treatment arms A & B
- Predictive Value of perfusion-weighted imaging - pseudo-progression [ Time Frame: 36 months ]To evaluate the predictive value of perfusion-weighted imaging in assessing pseudo-progression and post-vaccination enhancement in patents receiving SurVaxM
- Objective Image Based Tumor Response Rate [ Time Frame: 36 months ]To evaluate the objective image based tumor response rate (applicable only for patients with valuable disease at study entry as defined by RANO criteria)
- Evaluate molecular predictors of response to SurVaxM [ Time Frame: 36 months ]To evaluate the molecular predictors of response to SurVaxM, including MGMT methylation status, anti-surviving immunoglobin titers, surviving-specific CD8+ responses, tumor survivin expression levels and other molecular tumor tissue markers

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
To be included in this study, participants must meet the following criteria:
- Age ≥ 18 years of age.
- Have a Karnofsky performance status ≥ 70 (i.e., the patient must be able to care for him/herself with occasional help from others; refer to Appendix A).
3 .Pathologically confirmed diagnosis of glioblastoma of the cerebrum.
4 .The result of tumor MGMT methylation study must be available.
5 .The result of tumor IDH-1 mutation test must be available.
6. Have the following clinical laboratory values obtained within 14 days prior to registration:
- Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
- Platelets ≥ 100 x 109/L
- Hemoglobin (Hgb) ≥ 9.0 g/dL
- Total bilirubin: ≤ 1.5 x ULN
- ALT and AST ≤ 4.0 x ULN
- Creatinine ≤ 1.8 mg/dL
- Prothrombin time (PT) within 1.5x normal limits
- Activated partial thromboplastin time (aPPT) within 1.5x control
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International Normalized Ration (INR) less than or equal to 1.5x control
7. Patient must have no active bleeding or pathological condition that carries a high risk of bleeding (e.g., coagulopathy)
8. Available results from a contrast-enhanced, post-operative brain MRI that was completed within 72 hours after surgery documenting either:
a. gross total resection consisting of no gadolinium enhancement; or b. near-total resection consisting of either ≤ 1 cm3 nodular (i.e. volumetric) enhancement or ≤ 100 mm2 in cross sectional area (i.e. linear enhancement). Note: Patients who undergo either stereotactic biopsy or open biopsy for tissue diagnosis, or partial tumor resection, and who subsequently have a definitive surgical resection may still be eligible for inclusion, provided that randomization can occur within 16 weeks of the date of surgical resection. To be eligible, such patients must still meet postoperative imaging entry criteria as defined in item #8 above.
9. Patients must have completed initial radiation therapy with TMZ (chemoradiation) according to established Stupp protocol (Stupp, 2005) for the treatment of their glioblastoma (i.e., completed 6-week course of RT and completed ≥ 75% of a course of concurrent TMZ chemotherapy).
10. Patients must be randomized within 16 weeks of surgical resection of their newly diagnosed glioblastoma.
11. No evidence of progressive disease at the post-chemoradiation timepoint based on changes in: neurologic exam, corticosteroid use or radiographic progression (i.e., baseline MRI evaluation). (See Section 14.5 for suspected pseudo-progression.)
12. Participants of child-bearing potential (not surgically sterile or postmenopausal) must agree to use adequate contraceptive methods (e.g., hormonal or barrier method of birth control; abstinence) prior to study entry and have a negative pregnancy test prior to starting study treatment. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately.
13. Dexamethasone dose less than or equal to 4 mg daily at time of study enrollment. Every reasonable effort should be made to reduce the dose of corticosteroids to the absolute minimum dose required to control neurologic symptoms prior to receiving SurVaxM.
14. Participant or legal representative must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure.
Exclusion Criteria:
Participants with any of the following will be excluded from this study:
- Recurrent or progressive glioblastoma.
- Gliosarcoma, anaplastic astrocytoma, oligodendroglioma, ependymoma, low grade glioma or any histology other than glioblastoma.
- Multicentric glioblastoma or glioblastoma involving the brainstem or cerebellum, or leptomeningeal or spinal extension present at diagnosis.
- Residual contrast enhancement > 1 cm3 on post-operative scan obtained within 72 hours of surgery.
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Absence of MRI obtained within 72 hours of craniotomy documenting
≤ 1 cm3 contrast-enhancing tumor.
- Patients who elect to have Optune therapy (Tumor Treating Fields) are not eligible to participate in this trial.
- Patient has had non-standard radiation therapy for glioblastoma (i.e., whole brain radiation therapy, gamma knife or LINAC stereotactic radiosurgery).
- Prior or concurrent immunotherapy for brain tumor, including immune checkpoint inhibitors (pembrolizumab, nivolumab or ipilimumab) or other cancer vaccine therapy.
- Prior or concurrent treatment with bevacizumab.
- Patients with serious concurrent infection or medical illness, which in the treating physician's opinion would jeopardize the ability of the patient to receive the treatment outlined in this protocol with reasonable safety.
- History of tuberculosis or other granulomatous disease.
- Patient is pregnant or breast-feeding.
- Patient has received any other chemotherapeutic agent or investigational drug in addition to standard of care radiation therapy with concomitant temozolomide (chemoradiation per Stupp protocol).
- Patient with concurrent or prior malignancy is ineligible unless he or she has had curatively treated carcinoma-in-situ or basal cell carcinoma of the skin.
- Patients who have had repeat craniotomy for tumor therapy after receiving RT and TMZ treatment (i.e., chemoradiation).
- Patients who have had surgical implantation of carmustine (Gliadel) wafers are not eligible to participate in this study.
- Known history of systemic autoimmune disorder.
- Known human immunodeficiency virus (HIV) positivity or acquired immunodeficiency syndrome (AIDS) related illness or other serious medical illness.
- Patient has a contraindication to MRI scans or to gadolinium contrast agent.
- Patient has a contraindication to temozolomide.
- Patient is unwilling or unable to follow protocol requirements.
- Patient has received any other investigational treatment for the glioblastoma.
- Any condition which in the Investigator's opinion makes the candidate unsuitable to receive the study drug or protocol procedures.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05163080
Contact: Danielle M Casucci, BS | 7168614169 | dcasucci@mimivax.com | |
Contact: Steve Norton, MBA, PhD | 208.840.0119 | snorton@td2inc.com |
United States, California | |
University of California | Recruiting |
San Francisco, California, United States, 94143 | |
Contact: Meghan Tedesco, CRC 415-353-2653 Meghan.tedesco@ucsf.edu | |
Principal Investigator: Nicholas Butowski, MD | |
Sub-Investigator: Susan Chang, MD | |
Sub-Investigator: Nancy A Oberheim, MD | |
Sub-Investigator: Jennifer Clarke, MD | |
Sub-Investigator: Jenny Taylor, MD | |
Sub-Investigator: Mariza Daras, MD | |
Sub-Investigator: Jane Rabbitt, RN | |
Sub-Investigator: Courtney Miyamoto, RN | |
Sub-Investigator: Martina Kroll, RN | |
Sub-Investigator: Ute Vogrinec, RN | |
Sub-Investigator: Kerynne O'Malley, RN | |
Sub-Investigator: Gay Capistrano, RN | |
United States, Florida | |
Miami Cancer Institute | Recruiting |
Miami, Florida, United States, 33176 | |
Contact: Juliana Montoya 786-527-8864 Juliana.montoya@baptisthealth.net | |
Principal Investigator: Yazmin Odia, MD | |
Sub-Investigator: Alex Mohler, MD | |
Sub-Investigator: Ady Lazcano, NP | |
Sub-Investigator: Michelle Gamazo, NP | |
Sub-Investigator: Karelys Payret, NP | |
Sub-Investigator: Elizabeth Zike, NP | |
Sub-Investigator: Nohelia Gonzalez, NP | |
Sub-Investigator: Gail Pollen, NP | |
United States, Kentucky | |
Norton Cancer Center | Recruiting |
Louisville, Kentucky, United States, 40241 | |
Contact: Jennifer Patton, RN, BSN 502-394-6350 ext 19800 Jennifer.Patton@nortonhealthcare.org | |
Principal Investigator: Kaylyn Sinicrope, MD | |
Sub-Investigator: Lennea E Coombs, MHS, PA-C | |
Sub-Investigator: Kaylyn Sinicrope, MD | |
Sub-Investigator: Emily K Sturgeon, MSN, APRN | |
United States, Massachusetts | |
Dana Farber Cancer Institute | Recruiting |
Boston, Massachusetts, United States, 02215 | |
Contact: David Reardon, MD David_Reardon@DFCI.Harvard.edu | |
Contact: Corey Laforest-Roys corey_laforest-roys@dfci.harvard.edu | |
Sub-Investigator: Rameen Beroukhim, MD, PhD | |
Sub-Investigator: Eudocia Quant Lee, MD, MPH | |
Sub-Investigator: Ugonma Chukwueke, MD | |
Sub-Investigator: Lakshmi Nayak, MD | |
Sub-Investigator: Patrick Wen, MD | |
Sub-Investigator: Jose R McFaline Figueroa, MD, PhD | |
Sub-Investigator: Elisa Aquilanti, MD | |
Sub-Investigator: Luis N Gonzalez Castro, MD, PhD | |
Sub-Investigator: Tracy Batchelor, MD | |
United States, New Jersey | |
Atlantic Health | Recruiting |
Summit, New Jersey, United States, 07960 | |
Contact: Christopher Buck, MS, RN, OCN 201-572-9943 Christopher.Buck@atlantichealth.org | |
Contact: Samantha Caulfield, RN, BSN, OCN 908-598-6561 Samantha.caulfield@atlantichealth.org | |
Principal Investigator: Robert Aiken, MD | |
United States, New York | |
Roswell Park Comprehensive Cancer Center | Recruiting |
Buffalo, New York, United States, 14263 | |
Contact: Elongia Farrell Elongia.farrell@Roswellpark.org | |
Principal Investigator: Ajay Abad, MD | |
Sub-Investigator: Andrew Fabiano, MD | |
Sub-Investigator: Chainazom Ibegbu, MD | |
Sub-Investigator: Laszlo Metchler, MD | |
NYU Langone Health | Recruiting |
New York, New York, United States, 10016 | |
Contact: Antoine Mesidor 212-263-4403 Antoine.Mesidor@nyulangone.org | |
Principal Investigator: Marissa Barbaro, MD | |
Sub-Investigator: Erik Sulman, MD, PhD | |
Sub-Investigator: Joshua Silverman, MD | |
United States, Ohio | |
Cleveland Clinic | Recruiting |
Cleveland, Ohio, United States, 44195 | |
Contact: Marci Ciolfi Ciolfim@ccf.org | |
Principal Investigator: David Peereboom, MD | |
United States, Texas | |
Texas Oncology | Recruiting |
Austin, Texas, United States, 78705 | |
Contact: Andrew Brenner, MD, PhD. 512-421-4100 Andrew.Brenner@usoncology.com | |
Principal Investigator: Andrew Brenner, MD, PhD. | |
Sub-Investigator: Brian Vaillant, MD | |
United States, Washington | |
Fred Hutchinson Cancer Center (FHCC) | Recruiting |
Seattle, Washington, United States, 98109 | |
Contact: Rebecca Wood, CRC 206-606-6970 Rwood1@seattlecca.org | |
Principal Investigator: Vyshak Venur, MBBS | |
Sub-Investigator: Jerome Graber, MD, MPH | |
Sub-Investigator: Tresa McGranahan, MD, PhD | |
Sub-Investigator: Rafael Santana-Davila, MD | |
Sub-Investigator: Lynne Taylor, MD, FAAN, FANA |
Principal Investigator: | Robert Fenstermaker, MD | Chief Medical Officer | |
Study Director: | Michael Ciesielski, PhD | Chief Executive Officer | |
Principal Investigator: | Manmeet S Ahluwalia, MD, MBA | Study Principal Investigator |
Documents provided by MimiVax, LLC:
Responsible Party: | MimiVax, LLC |
ClinicalTrials.gov Identifier: | NCT05163080 |
Other Study ID Numbers: |
I-813720 |
First Posted: | December 20, 2021 Key Record Dates |
Last Update Posted: | August 25, 2022 |
Last Verified: | July 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Glioblastoma Astrocytoma Glioma Neoplasms, Neuroepithelial Neuroectodermal Tumors |
Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms Neoplasms, Glandular and Epithelial Neoplasms, Nerve Tissue |