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Phase 2a Study of AdV-tk With Standard Radiation Therapy for Malignant Glioma
This study is currently recruiting participants.
Verified by Advantagene, Inc., February 2009
First Received: December 27, 2007   Last Updated: February 4, 2009   History of Changes
Sponsored by: Advantagene, Inc.
Information provided by: Advantagene, Inc.
ClinicalTrials.gov Identifier: NCT00589875
  Purpose

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
Malignant Glioma
Glioblastoma Multiforme
Anaplastic Astrocytoma
Biological: AdV-tk
Drug: Valacyclovir
Phase II

MedlinePlus related topics: Cancer Radiation Therapy
Drug Information available for: Valaciclovir Valacyclovir hydrochloride
U.S. FDA Resources
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

Further study details as provided by Advantagene, Inc.:

Primary Outcome Measures:
  • 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 ]

Secondary Outcome Measures:
  • 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 ]

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
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

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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).
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00589875

Locations
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            
Sponsors and Collaborators
Advantagene, Inc.
Investigators
Principal Investigator: E. Antonio Chiocca, MD, PhD The Ohio State University Medical Center
  More Information

No publications provided

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

Keywords provided by Advantagene, Inc.:
Immunotherapy
Cytotoxicity
Tumor vaccine

Study placed in the following topic categories:
Valacyclovir
Neuroectodermal Tumors
Glioblastoma
Astrocytoma
Neoplasms, Germ Cell and Embryonal
Neuroepithelioma
Glioblastoma Multiforme
Glioma
Antiviral Agents
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
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

ClinicalTrials.gov processed this record on May 07, 2009