Vaccine Therapy in Treating Patients With Malignant Glioma
Study Details
Study Description
Brief Summary
RATIONALE: Vaccines made from a person's white blood cells mixed with tumor proteins may make the body build an immune response to kill tumor cells.
PURPOSE: This phase I trial is studying the side effects and best dose of vaccine therapy in treating patients with malignant glioma.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Detailed Description
OBJECTIVES:
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Determine the dose-limiting toxicity and maximum tolerated dose of autologous tumor lysate-pulsed dendritic cells in patients with malignant gliomas.
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Determine survival, tumor progression, and cellular immune response in patients treated with this regimen.
OUTLINE: This is a dose-escalation study.
Patients undergo leukapheresis for the collection of peripheral blood mononuclear cells (PBMC). Autologous dendritic cells (DC) are prepared from autologous PBMC exposed to sargramostim (GM-CSF) and interleukin-4 and pulsed with autologous tumor lysate. Patients receive autologous tumor lysate-pulsed DC intradermally on days 0, 14, and 28 in the absence of unacceptable toxicity.
Cohorts of 6-12 patients receive escalating doses of autologous tumor lysate-pulsed DC until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.
Patients are followed every 2 months for 2 years.
PROJECTED ACCRUAL: A total of 3-18 patients will be accrued for this study within 9-18 months.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: autologous tumor lysate-pulsed DC
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Biological: therapeutic autologous dendritic cells
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Outcome Measures
Primary Outcome Measures
- Dose Limiting Toxicity [4 weeks]
Secondary Outcome Measures
- Time to tumor progression, overall survival and cellular immune responses in brain tumor patients injected with tumor lysate pulsed dendritic cells [2 years]
Eligibility Criteria
Criteria
Eligibility Criteria:
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Histologically confirmed diagnosis of one of the following malignant gliomas:
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Anaplastic astrocytoma
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Glioblastoma multiforme
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Anaplastic oligodendroglioma
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Malignant mixed oligoastrocytoma
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WHO grade III or IV disease
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Newly diagnosed disease
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Bidimensionally measurable disease by contrast-enhancing MRI
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Surgically accessible tumor for which resection is indicated
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Previously treated with or plan to undergo treatment with conventional external beam radiotherapy
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Age 18 and over
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Performance status Karnofsky 60-100%
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Life expectancy at least 8 weeks
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Hemoglobin at least 10 g/dL
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Absolute granulocyte count at least 1,500/mm^3
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Platelet count at least 100,000/mm^3
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SGOT and SGPT no greater than 2 times normal
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Alkaline phosphatase no greater than 2 times normal
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Bilirubin no greater than 1.5 mg/dL
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Hepatitis B negative
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Hepatitis C negative
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BUN no greater than 1.5 times normal
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Creatinine no greater than 1.5 times normal
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HIV negative
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Syphilis serology negative
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Afebrile
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Negative pregnancy test
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Fertile patients must use effective contraception
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At least 2 weeks since prior chemotherapy (6 weeks for nitrosoureas) and recovered.
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At least 2 weeks since prior corticosteroids
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At least 2 weeks since prior radiotherapy and recovered
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More than 72 hours since prior systemic antibiotics
Exclusion Criteria:
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active infection
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immunodeficiency
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autoimmune disease that may be exacerbated by immunotherapy, including any of the following:
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Rheumatoid arthritis
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Systemic lupus erythematosus
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Vasculitis
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Polymyositis-dermatomyositis
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Scleroderma
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Multiple sclerosis
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Juvenile-onset insulin-dependent diabetes
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allergy to study agents
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pregnant or nursing
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underlying condition that would contraindicate study therapy
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concurrent severe or unstable medical condition that would preclude giving informed consent
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psychiatric condition that would preclude study participation or giving informed consent
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other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, localized prostate cancer, or carcinoma in situ of the cervix
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concurrent chemotherapy during and for 2 weeks after administration of study vaccine
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concurrent corticosteroids prior organ allograft
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antihistamine therapy within 5 days before or after administration of study vaccine
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other concurrent investigational agents
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concurrent adjuvant therapy during and for 2 weeks after administration of study vaccine
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Jonsson Comprehensive Cancer Center at UCLA | Los Angeles | California | United States | 90095-1781 |
Sponsors and Collaborators
- Jonsson Comprehensive Cancer Center
- National Institutes of Health (NIH)
Investigators
- Principal Investigator: Linda M. Liau, MD, PhD, Jonsson Comprehensive Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000327711
- UCLA-0304053