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A Phase I Study to Investigate Tolerability and Efficacy of ALECSAT Administered to Glioblastoma Multiforme Patients (ALECSAT-GBM)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01588769
Recruitment Status : Completed
First Posted : May 1, 2012
Last Update Posted : June 6, 2016
Information provided by (Responsible Party):
CytoVac A/S

Brief Summary:
It is the primary objective of this study to show safety and tolerability for administration of the cell based immunotherapy ALECSAT to patients with Glioblastoma brain cancer. It is a secondary objective to establish if any indications of positive therapeutic or palliative effects may be observed.

Condition or disease Intervention/treatment Phase
Glioblastoma Multiforme Biological: ALECSAT cell based immunotherapy Phase 1

Detailed Description:

The primary objective for this study is to establish if any side effects or toxicity issues occur, that will prevent further clinical development of the autologous cell based immunotherapy ALECSAT in Glioblastoma (GBM) or to establish if there are side effects or toxicity issues, that will suggest that the further clinical development planned, has to change course significantly. It is a primary objective to show safety and tolerability for administration of ALECSAT, thus not meeting this endpoint, may stop further clinical development of ALECSAT.

The secondary objective for this study is to establish if any indications of a positive therapeutic or palliative effect may be observed. As this is a secondary objective, no observed significant positive clinical effect, will not prevent further clinical development or in itself, trigger changes in the further clinical development planned.

The overall endpoint of the study is to develop a new therapeutic approach that may slow down or stop disease progression in late stage GBM patients.

ALECSAT is an autologous cell based immunotherapy based on the patient's own Natural Killer cells and CytoToxic T cells. The cells are isolated from the patient's own blood - activated and expanded in number before re administering i. v.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 23 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase I Study to Investigate Tolerability and Efficacy of Autologous Lymphoid Effector Cells Specific Against Tumour-cells (ALECSAT) Administered to Patients With Glioblastoma Multiforme (GBM)
Study Start Date : August 2011
Actual Primary Completion Date : November 2012
Actual Study Completion Date : April 2013

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: One arm
3 doses of ALECSAT cell based immunotherapy planned for all enrolled patients
Biological: ALECSAT cell based immunotherapy
I.V. injected Cell Based Medicinal Product, containing between 10 million and one billion autologous Cytotoxic T cells and Natural Killer cells.

Primary Outcome Measures :
  1. Observation of tolerability and sideeffects of treatment monitored by objective medical examinations, Karnofsky score and QOL interviews. [ Time Frame: 3 months ]

Secondary Outcome Measures :
  1. Potential clinical effect will be monitored by PET-MRI and SPECT scanning of the brain. [ Time Frame: 3 months ]
    A total of 4 scanannings are performed during the study: 2 PET-MRI scans and 2 SPECT (Single-photon emission computed tomography) scans.

Information from the National Library of Medicine

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.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Recurrence of GBM tumour documented by MRI and PET in patients having received all available standard treatment.
  2. Be over the age of 18 and capable of understanding the information and giving informed consent.
  3. Adequate performance status > 50% (see below*).

    • Performance is monitored according to the Karnofsky Performance Score (KPS)

      • 100% - normal, no complaints, no signs of disease
      • 90% - capable of normal activity, few symptoms or signs of disease
      • 80% - normal activity with some difficulty, some symptoms or signs
      • 70% - caring for self, not capable of normal activity or work
      • 60% - requiring some help, can take care of most personal requirements
      • 50% - requires help often, requires frequent medical care
      • 40% - disabled, requires special care and help
      • 30% - severely disabled, hospital admission indicated but no risk of death
      • 20% - very ill, urgently requiring admission, requires supportive measures or treatment
      • 10% - moribund, rapidly progressive fatal disease processes
      • 0% - death.

Exclusion Criteria:

  1. A low blood count (haemoglobin < 6.0 mmol/l).
  2. Lymphocyte counts below 0.8 x 109/l.
  3. Positive tests for anti-HIV-1/2;
  4. Positive tests for HBsAg,
  5. Positive tests for anti-HBc and Anti-HCV.
  6. Syphilis i.e. being positive in a Treponema Pallidum test.
  7. Uncontrolled serious bacterial, viral, fungal or parasitic infection.
  8. Clinically significant autoimmune disorders or conditions of immune suppression.
  9. Treatment with chemotherapy three weeks prior to inclusion in the clinical trial.
  10. Pregnant women cannot be included in the trial. Fertile women can only be included with a negative pregnancy test and must use contraceptives during the study.
  11. Blood transfusions within 48 hours prior to donation of blood for ALECSAT production.
  12. Inclusion in other clinical trials 6 weeks prior to inclusion in the trial.
  13. The patient's medical condition is evaluated to be so poor that there is a significant risk for the patient to be part of the trial and to evaluate any effects of the treatment.

Information from the National Library of Medicine

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 identifier (NCT number): NCT01588769

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Department of Neurosurgery, Rigshospitalet
Copenhagen, Denmark, DK 2100
Sponsors and Collaborators
CytoVac A/S
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Study Director: Martin R Jensen, PhD CytoVac A/S (Sponsor)
Additional Information:
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Responsible Party: CytoVac A/S Identifier: NCT01588769    
Other Study ID Numbers: CV003
2011-002180-22 ( EudraCT Number )
First Posted: May 1, 2012    Key Record Dates
Last Update Posted: June 6, 2016
Last Verified: June 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Keywords provided by CytoVac A/S:
Glioblastoma Multiforme
Brain cancer
Cell based therapy
Autologous cell based therapy
Adoptive immunotherapy
Cytotoxic T cells
Natural Killer cells
Additional relevant MeSH terms:
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Neoplasms, Neuroepithelial
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue