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CAR T-cell Therapy
Genetically Modified T-cell Therapy for Brain Cancer
Phase 1
Waitlist Available
Led By Behnam Badie
Research Sponsored by City of Hope Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from surgery to death from any cause or six months, whichever occurred first
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new immunotherapy for brain cancer. T cells from the patient's blood are modified in the lab to better recognize and kill cancer cells. This may also help the body build an immune response against the tumor.
Who is the study for?
This trial is for patients with malignant glioma that has returned or hasn't responded to treatment. They must have had progression after initial radiation, be able to consent, not need excessive steroids during therapy, and meet specific blood and organ function criteria. Pregnant women can't participate, nor those needing dialysis, with other active cancers, severe infections or major surgery recovery.
What is being tested?
The trial tests genetically modified T-cells designed to target and kill glioma cells in the brain. Patients' own T-cells are engineered in a lab to recognize tumor cells better. The study also includes MRI scans and quality-of-life assessments to monitor effects.
What are the potential side effects?
Potential side effects may include immune reactions where the body attacks its own tissues, symptoms similar to flu (fever, fatigue), possible damage at the infusion site or allergic reactions due to cell modification process.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ an average of 11 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~an average of 11 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Number of Participants Experiencing a Dose Limiting Toxicity (DLT)
Number of Participants With Grade 3 or Higher Toxicity Related to CAR T Cells
Secondary study objectives
Number of Participants Alive at 6 Months
Number of Participants With Active Response Determined by Response Assessment in Neuro-Oncology (RANO) Criteria
Side effects data
From 2019 Phase 1 trial • 9 Patients • NCT0356536733%
Anosmia
33%
Dysgeusia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Healthy Volunteers
Known CNS Malignancy
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
5Treatment groups
Experimental Treatment
Group I: Arm 5 (Tn/mem-derived CAR T cells, Dual delivery: both ICTb/r AND ICV)Experimental Treatment5 Interventions
Arm 5 (Tn/mem-derived CAR T cells, Dual delivery: both ICTb/r AND ICV)
Group II: Arm 4 (Tcm-derived CAR T cells, Dual delivery: both ICTb/r AND ICV)Experimental Treatment5 Interventions
Arm 4 (Tcm-derived CAR T cells, Dual delivery: both ICTb/r AND ICV)
Group III: Arm 3 (Tcm-derived CAR T cells, Intraventricular [ICV])Experimental Treatment5 Interventions
Arm 3 (Tcm-derived CAR T cells, Intraventricular \[ICV\])
Group IV: Arm 2 (Tcm-derived CAR T cells, ICTb/r)Experimental Treatment5 Interventions
Arm 2 (Tcm-derived CAR T cells, Intratumoral a/f biopsy \[ICTb\] or Intracavitary a/f resection \[ICTr\])
Group V: Arm 1 (Tcm-derived CAR T cells, Intratumoral a/f biopsy [ICTb])Experimental Treatment5 Interventions
Arm 1 (Tcm-derived CAR T cells, Intratumoral a/f biopsy \[ICTb\]
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Magnetic Resonance Imaging
2017
Completed Phase 3
~1160
Magnetic Resonance Spectroscopic Imaging
2012
Completed Phase 1
~430
Find a Location
Who is running the clinical trial?
National Cancer Institute (NCI)NIH
13,917 Previous Clinical Trials
41,014,388 Total Patients Enrolled
City of Hope Medical CenterLead Sponsor
602 Previous Clinical Trials
1,923,515 Total Patients Enrolled
Food and Drug Administration (FDA)FED
181 Previous Clinical Trials
1,548,713 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You have completed a specific type of chemotherapy called nitrosourea at least 6 weeks ago.You need help to support your blood pressure or have heart rhythm problems that cause symptoms.You need to undergo dialysis treatment.You have seizures that are not well controlled or you have a worsening brain condition.You are expected to live for at least 4 more weeks.You have another type of cancer that is currently active.You are not in need of medication to support your blood pressure, and you do not have any serious heart rhythm problems that cause symptoms.You need extra oxygen to keep your oxygen levels above 95%, and this is not expected to get better within 2 weeks.You do not have frequent or uncontrollable seizures after surgery before starting the first T cell dose.
Research Study Groups:
This trial has the following groups:- Group 1: Arm 1 (Tcm-derived CAR T cells, Intratumoral a/f biopsy [ICTb])
- Group 2: Arm 2 (Tcm-derived CAR T cells, ICTb/r)
- Group 3: Arm 3 (Tcm-derived CAR T cells, Intraventricular [ICV])
- Group 4: Arm 4 (Tcm-derived CAR T cells, Dual delivery: both ICTb/r AND ICV)
- Group 5: Arm 5 (Tn/mem-derived CAR T cells, Dual delivery: both ICTb/r AND ICV)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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