Status:

COMPLETED

Cellular Adoptive Immunotherapy Using Genetically Modified T-Lymphocytes in Treating Patients With Recurrent or Refractory High-Grade Malignant Glioma

Lead Sponsor:

City of Hope Medical Center

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Brain and Central Nervous System Tumors

Eligibility:

All Genders

18-70 years

Phase:

PHASE1

Brief Summary

RATIONALE: Cellular adoptive immunotherapy may stimulate the immune system in different ways and stop cancer cells from growing. PURPOSE: This clinical trial is studying the side effects of cellular ...

Detailed Description

OBJECTIVES: Primary * To assess the feasibility and safety of cellular immunotherapy utilizing ex vivo expanded autologous CD8-positive T-cell clones genetically modified to express the IL-13 zetaki...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed malignant glioma at original diagnosis
  • Grade III or IV disease
  • Refractory or recurrent disease
  • Unifocal site of original disease in cerebral cortex
  • No clinical evidence of progressive encephalopathy
  • Has not undergone recent re-resection of recurrent or progressive disease
  • No communication between the tumor resection cavity and the ventricles and deep cerebrospinal fluid pathways as documented by post-operative MRI scan
  • PATIENT CHARACTERISTICS:
  • Karnofsky performance status 70-100%
  • Life expectancy \> 3 months
  • WBC ≥ 2,000/dL
  • ANC \> 1,000/dL
  • Platelet count ≥ 100,000/dL (unsupported by transfusion or growth factor)
  • Creatinine \< 1.6 mg/dL
  • Bilirubin \< 1.5
  • SGOT and SGPT \< 2 times upper limit of normal
  • Not pregnant
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Able to understand protocol basic elements and/or risks/benefits of participating in this pilot study
  • No requirement for supplemental oxygen to keep saturation \> 95% that is not expected to resolve within 2 weeks
  • No uncontrolled cardiac arrhythmia
  • No hypotension requiring pressor support
  • No renal dialysis dependency
  • No refractory seizure disorder
  • No concurrent non-malignant illness that is poorly controlled with treatment or is of such severity the investigators deem it unwise to enter the patient on protocol
  • No severe infection for which patient is being treated
  • No history of ganciclovir and/or Prohance contrast allergy or intolerance
  • No HIV positivity within the past 3 months
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • Must have recovered from major surgery
  • At least 4 weeks since primary therapy and no steroid dependence
  • At least 2 weeks since prior adjuvant cytotoxic chemotherapy and recovered
  • No concurrent systemic corticosteroids, except for use in managing T-cell therapy toxicity
  • No concurrent immunotherapy (i.e., interferons, vaccines, or other cellular products)
  • No concurrent pentoxifylline
  • No other concurrent investigative agents
  • No concurrent ganciclovir or ganciclovir derivative
  • No concurrent acyclovir for non-life threatening herpes virus infection

Exclusion

    Key Trial Info

    Start Date :

    February 1 2002

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 1 2011

    Estimated Enrollment :

    3 Patients enrolled

    Trial Details

    Trial ID

    NCT00730613

    Start Date

    February 1 2002

    End Date

    August 1 2011

    Last Update

    October 9 2017

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