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Sponsored by: |
Advantagene, Inc. |
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Information provided by: | Advantagene, Inc. |
ClinicalTrials.gov Identifier: | NCT00589875 |
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).
Condition | Intervention | Phase |
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Malignant Glioma Glioblastoma Multiforme Anaplastic Astrocytoma |
Biological: AdV-tk Drug: Valacyclovir |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study |
Official Title: | A Phase 2a Study of AdV-tk + Valacyclovir Gene Therapy in Combination With Standard Radiation Therapy for Malignant Glioma |
Estimated Enrollment: | 24 |
Study Start Date: | March 2007 |
Estimated Primary Completion Date: | September 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Single arm, Arm B: 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. |
Biological: AdV-tk
Single dose of 3x10e11 vector particles of AdV-tk delivered into remaining tumor or tumor bed after resection on day 0.
Drug: Valacyclovir
Single course of valacyclovir at dose of 2 grams orally three times per day for 14 days starting on day 1-3
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Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United States, California | |
City of Hope Medical Center | Recruiting |
Duarte, California, United States, 91010 | |
Contact: Greta Manila, NP 626-471-9393 | |
Contact: Roger Harthrong, NP 626-471-9393 | |
Principal Investigator: Jana Portnow, MD | |
United States, Ohio | |
The Ohio State University Medical Center, Dept. Neurological Surgery | Recruiting |
Columbus, Ohio, United States, 43210 | |
Contact: Susan D Bell, RN,MS 614-293-3143 Susan.Bell@osumc.edu | |
Contact: E. Antonio Chiocca, MD, PhD 614-293-9312 | |
Principal Investigator: E. Antonio Chiocca, MD, PhD | |
United States, Texas | |
The Methodist Hospital Neurological Institute | Recruiting |
Houston, Texas, United States, 77030 | |
Contact: Pamela Z. New, MD 713-441-3800 pnew@tmhs.org | |
Principal Investigator: Pamela Z New, MD | |
Sub-Investigator: David Baskin, MD | |
Sub-Investigator: Todd Trask, MD |
Principal Investigator: | E. Antonio Chiocca, MD, PhD | The Ohio State University Medical Center |
Responsible Party: | Advantagene, Inc. ( Dr. Laura Aguilar/VP Clinical Research ) |
Study ID Numbers: | BrTK02, 5R44CA107745 |
Study First Received: | December 27, 2007 |
Last Updated: | February 4, 2009 |
ClinicalTrials.gov Identifier: | NCT00589875 History of Changes |
Health Authority: | United States: Food and Drug Administration |
Immunotherapy Cytotoxicity Tumor vaccine |
Valacyclovir Neuroectodermal Tumors Glioblastoma Astrocytoma Neoplasms, Germ Cell and Embryonal |
Neuroepithelioma Glioblastoma Multiforme Glioma Antiviral Agents Neoplasms, Glandular and Epithelial |
Glioblastoma Anti-Infective Agents Neoplasms by Histologic Type Astrocytoma Neoplasms, Nerve Tissue Antiviral Agents Pharmacologic Actions Valacyclovir |
Neuroectodermal Tumors Neoplasms Therapeutic Uses Neoplasms, Germ Cell and Embryonal Glioma Neoplasms, Neuroepithelial Neoplasms, Glandular and Epithelial |