Prospective Evaluation of T-cell Immune Status in Patients With Newly Diagnosed High Grade Gliomas
Study Details
Study Description
Brief Summary
The primary goal of this study is evaluate T cell immune status and immune reconstitution and the association with specific cytokines in patients with newly diagnosed HGGs undergoing the standard RT/TMZ and adjuvant TMZ.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Numbers of T-cell subtypes at six time points in patients with newly diagnosed HGGs undergoing standard RT/TMZ and adjuvant TMZ:
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Baseline within 2 weeks before initiation of RT/TMZ
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At the end of RT/TMZ approximately week 6
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Before adjuvant TMZ approximately week 10
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After 2 cycle of TMZ approximately week 18
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After 4 cycle of TMZ approximately week 26
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Three month after last cycle of TMZ
Secondary Endpoints
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Changes in serial T cell subtypes and cytokines levels
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Incidence of lymphopenia related infections
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Changes in T-cell numbers and subtypes with TMZ administration
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Overall survival
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Standard Care Pts Eval of T-Cell Immune Status Pts undergoing standard radiation/TMZ and adjuvant TMZ will have blood collections at 6 different time points throughtout their treatment to evaluate T Cell changes |
Procedure: Blood collections
pts will have 6 blood collections (30ml/collection) throughout course of standard treatment
|
Outcome Measures
Primary Outcome Measures
- Changes in T Cell subtypes and cytokines as a function of treatment [6 time points in pts undergoing standard RT/TMZ and adjuvant TMZ]
baseline approx 6wks approx 10wks aprox 18wks approx 26wks 3 months after last cycle of TMZ
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients must be at least 18 years of age.
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Patients must have histologically confirmed new diagnosed high grade glioma by pathology (WHO grade III and IV).
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Patients proposed post-operative treatment plan must include standard radiation and temozolomide.
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Patients must have a Karnofsky performance status ≥ 60% (i.e. the patient must be able to care for himself/herself with occasional help from others).
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Patients must be able to provide written informed consent.
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Steroid use is allowed.
Exclusion Criteria:
- Patients with HIV are excluded.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Johns Hopkins | Baltimore | Maryland | United States | 21231 |
2 | Washington University | Saint Louis | Missouri | United States | 63110 |
Sponsors and Collaborators
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Washington University School of Medicine
Investigators
- Study Chair: Stuart A Grossman, MD, Johns Hopkins University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- J1389
- NA_00086826