Randomized Phase 2 Study to Investigate Efficacy of ALECSAT in Patients With GBM Measured Compared to Avastin/Irinotecan
Last updated on April 2022Recruitment
- Recruitment Status
- Terminated
- Estimated Enrollment
- 175
Inclusion Criteria
- Expected survival time (life expectancy) of over 3 months
- Minimum height of 155 cm
- Histologically confirmed GBM tumour with recurrence during or after completing the recognized first-line treatments, tumor recurrence, documented by MRI,
- ...
- Expected survival time (life expectancy) of over 3 months
- Minimum height of 155 cm
- Histologically confirmed GBM tumour with recurrence during or after completing the recognized first-line treatments, tumor recurrence, documented by MRI,
- Women in fertile conditions can only be included with a negative pregnancy test at screening and must use appropriate contraceptives during the study
- Minimum age of 18 years old,
- Adequate performance status equal or below 2
- Clinically normal Erythrocyte Volume Fraction (EVF)
- Capable of understanding the information and giving informed consent
Exclusion Criteria
- Inclusion in other clinical studies 4 weeks prior to inclusion in the study
- Treatment with any immunotherapy, cytotoxic therapy or, biologic therapy 4 weeks prior to enrolment in this study
- Patients that either may be put at risk due to the blood donation or where it is not expected that an ALECSAT product of good quality can be produced, as judged by the Investigator
- ...
- Inclusion in other clinical studies 4 weeks prior to inclusion in the study
- Treatment with any immunotherapy, cytotoxic therapy or, biologic therapy 4 weeks prior to enrolment in this study
- Patients that either may be put at risk due to the blood donation or where it is not expected that an ALECSAT product of good quality can be produced, as judged by the Investigator
- Any medical condition that will render participation in the study risky or, according to the Investigator will make the assessment of the study endpoints difficult
- Patients who may have been exposed to West Nile virus, or Dengue virus or human T-cell lymphotrophic virus (HTLV-1) virus should be excluded, unless the patient has been tested negative
- Clinically significant autoimmune disorders or conditions of immune suppression
- Clinically abnormal ECG as judged by the Investigator
- Body weight below 40 kg (men) and 50 kg (women)
- Lymphocyte-numbers below 0.5 x 109/l
- Patients with uncontrolled serious bacterial, viral, fungal or parasitic infection
- Blood transfusions within 48 hours prior to donation of blood for ALECSAT production
- Positive tests for HIV-1/2; HBsAg, hemoglobin C, hepatitis C virus, or being positive in a Treponema Pallidum test (syphilis)
- Pregnant or breast feeding women
- Concurrent illness, e.g. uncontrolled epilepsy, cardiovascular-, cerebrovascular-, and/or respiratory disease which can worsen or cause complications in connection with blood donation
- Known or suspected intolerance to Avastin, Irinotecan or any of the excipients as well as intolerance to recombinant humanized antibodies Performance status ≥ 3
- Hemoglobin count ≤ 7.5mmol/l (men & women)
Summary
- Conditions
- Glioblastoma Multiforme
- Type
- Interventional
- Phase
- Phase 2
- Design
- Allocation: Randomized
- Intervention Model: Parallel Assignment
- Masking: None (Open Label)
- Primary Purpose: Treatment
Participation Requirements
- Age
- Between 18 years and 125 years
- Gender
- Both males and females
Description
This study is an open-label, randomized, prospective, parallel group phase II study with ALECSAT compared to Bevacizumab/Irinotecan in patients with verified relapsed glioblastoma multiforme after or during treatment with recognised first-line treatment. After 62 PFS events have been recorded, an in...
This study is an open-label, randomized, prospective, parallel group phase II study with ALECSAT compared to Bevacizumab/Irinotecan in patients with verified relapsed glioblastoma multiforme after or during treatment with recognised first-line treatment. After 62 PFS events have been recorded, an interim analysis will be conducted under the auspices of the Data Monitoring Committee. The patients in the two treatment groups will be followed for up to 62 weeks by planned study visits. Patients with, at least, stable disease will continue the allocated treatment after the study period as judged by the Investigator. Patients allocated to the Bevacizumab/Irinotecan (control group) will receive their treatment according to standard praxis, i.e. up to 16 treatment cycles with 4 weeks duration. Each cycle of Bevacizumab/Irinotecan consist of 2 dosing days; day 1 and day 15 in the cycle.
Inclusion Criteria
- Expected survival time (life expectancy) of over 3 months
- Minimum height of 155 cm
- Histologically confirmed GBM tumour with recurrence during or after completing the recognized first-line treatments, tumor recurrence, documented by MRI,
- ...
- Expected survival time (life expectancy) of over 3 months
- Minimum height of 155 cm
- Histologically confirmed GBM tumour with recurrence during or after completing the recognized first-line treatments, tumor recurrence, documented by MRI,
- Women in fertile conditions can only be included with a negative pregnancy test at screening and must use appropriate contraceptives during the study
- Minimum age of 18 years old,
- Adequate performance status equal or below 2
- Clinically normal Erythrocyte Volume Fraction (EVF)
- Capable of understanding the information and giving informed consent
Exclusion Criteria
- Inclusion in other clinical studies 4 weeks prior to inclusion in the study
- Treatment with any immunotherapy, cytotoxic therapy or, biologic therapy 4 weeks prior to enrolment in this study
- Patients that either may be put at risk due to the blood donation or where it is not expected that an ALECSAT product of good quality can be produced, as judged by the Investigator
- ...
- Inclusion in other clinical studies 4 weeks prior to inclusion in the study
- Treatment with any immunotherapy, cytotoxic therapy or, biologic therapy 4 weeks prior to enrolment in this study
- Patients that either may be put at risk due to the blood donation or where it is not expected that an ALECSAT product of good quality can be produced, as judged by the Investigator
- Any medical condition that will render participation in the study risky or, according to the Investigator will make the assessment of the study endpoints difficult
- Patients who may have been exposed to West Nile virus, or Dengue virus or human T-cell lymphotrophic virus (HTLV-1) virus should be excluded, unless the patient has been tested negative
- Clinically significant autoimmune disorders or conditions of immune suppression
- Clinically abnormal ECG as judged by the Investigator
- Body weight below 40 kg (men) and 50 kg (women)
- Lymphocyte-numbers below 0.5 x 109/l
- Patients with uncontrolled serious bacterial, viral, fungal or parasitic infection
- Blood transfusions within 48 hours prior to donation of blood for ALECSAT production
- Positive tests for HIV-1/2; HBsAg, hemoglobin C, hepatitis C virus, or being positive in a Treponema Pallidum test (syphilis)
- Pregnant or breast feeding women
- Concurrent illness, e.g. uncontrolled epilepsy, cardiovascular-, cerebrovascular-, and/or respiratory disease which can worsen or cause complications in connection with blood donation
- Known or suspected intolerance to Avastin, Irinotecan or any of the excipients as well as intolerance to recombinant humanized antibodies Performance status ≥ 3
- Hemoglobin count ≤ 7.5mmol/l (men & women)
Tracking Information
- NCT #
- NCT02060955
- Collaborators
- Not Provided
- Investigators
- Study Director: Martin Roland Jensen, PhD CytoVac A/S (Sponsor)