The Efficacy and Safety of Brain-targeting Immune Cells (EGFRvIII-CAR T Cells) in Treating Patients With Leptomeningeal Disease From Glioblastoma. Administering Patients EGFRvIII -CAR T Cells May Help to Recognize and Destroy Brain Tumor Cells in Patients

Last updated: September 30, 2021
Sponsor: Chembrain LTD
Overall Status: Active - Not Recruiting

Phase

1

Condition

Gliomas

Cancer/tumors

Astrocytoma

Treatment

N/A

Clinical Study ID

NCT05063682
6678EGFRvIII
  • Ages > 18
  • All Genders

Study Summary

This phase I trial investigates the efficacy and safety of brain-targeting epidermal growth factor receptor chimeric antigen receptor immune cells (EGFRvIII-CAR T cells) in treating patients with leptomeningeal disease from glioblastoma. T cells are part of the immune system and help the body fight malignant tumours. Immune cells can be genetically modified to destroy brain tumor cells in the laboratory. EGFRvIII -CAR T cells are brain tumor specific and can enter and express its genes in immune cells. Administering patients EGFRvIII -CAR T cells may help to recognize and destroy brain tumor cells in patients with leptomeningeal disease from glioblastoma.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participant has been treated for leptomeningeal metastases after intrathecalchemotherapy and/or radiation OR refuses to undergo additional radiation and/orintrathecal chemotherapy
  • Participant must have a Karnofsky performance status (KPS) >= 60
  • Participant must have a life expectancy of >= 2 months
  • Women of child-bearing potential must have negative serum pregnancy test and agree touse a reliable form of birth control prior to study entry and for at least two monthsfollowing study treatment. Male research participants must agree to use a reliableform of birth control and not donate sperm during the study and for at least twomonths following study treatment
  • Participant has a histologically confirmed EGFRvII+ (epidermal growth factor receptor)tumor expression by immunohistochemistry (IHC) at the initial tumor presentation orrecurrent disease (H-score >= 50)
  • Participant or legal guardian must have the ability to understand and the willingnessto sign a written informed consent

Exclusion

Exclusion Criteria:

  • Research participant requires supplemental oxygen to keep saturation greater than 95%
  • Research participant requires dialysis
  • Research participant has uncontrolled seizure activity and/or clinically evidentprogressive encephalopathy
  • Failure of research participant or legal guardian to understand the basic elements ofthe protocol and/or the risks/benefits of participating in the study.
  • Participant is unwilling to stop treatment with chemotherapy or endocrine therapyand/or radiation one week prior and during the first 4 cycles of the study
  • Participant has ventriculoperitoneal shunt
  • Participant has a coagulopathy or bleeding disorder
  • Participant is HIV+ (human immunodeficiency virus) or has acute CMV (cytomegalovirus)infection
  • Participant has any uncontrolled illness, including ongoing or active infection;participant has known active hepatitis B or C infection; participants with any signsor symptoms of active infection, positive blood cultures or radiological evidence ofinfections
  • Participant has an autoimmune disease that requires constant treatment
  • Participant has another active malignancy
  • Participant is unable to undergo a brain magnetic resonance imaging (MRI)
  • Participant is pregnant or breast feeding

Study Design

Total Participants: 10
Study Start date:
May 15, 2020
Estimated Completion Date:
October 31, 2023

Study Description

PRIMARY OBJECTIVES:

  1. Examine and describe the safety and feasibility of EGFRvIII-specific hinge-optimized CD3 ζ-stimulatory/41BB-co-stimulatory Chimeric Antigen Receptor autologous T-lymphocytes (EGFRvIII -CAR T cells) through intracerebroventricular (ICV) delivery as adjuvant therapy in participants with EGFRvIII+ leptomeningeal disease from glioblastoma.

  2. Determine the activity of EGFRvIII -CAR T cells based on survival rate at 12 months for both arms.

SECONDARY OBJECTIVES:

  1. Describe persistence, expansion and phenotype of endogenous and EGFRvIII -CAR T cells in peripheral blood (PB), tumor cyst fluid (TCF) and cerebral spinal fluid (CSF) at applicable time points

  2. Describe cytokine levels in PB, TCF, and CSF at applicable time points

  3. Estimate the rate of disease response by Response Assessment in Neuro-Oncology Leptomeningeal Metastases (RANO LM) criteria

  4. Estimate rate of progression free survival at 6 months. Estimate rate of overall survival (OS) at 12 months by study arm.

  5. Estimate time to next treatment

  6. Evaluate EGFRvIII -CAR T cell persistence in the tumor tissue and the location of the EGFRvIII -CAR T cells with respect to the infusion site.

  7. Evaluate biomarkers and cytokine levels

OUTLINE:

Patients receive EGFRvIII -CAR T cells intracerebroventricular over 15 minutes on day 1. Patients may receive additional cycles based on the persistence of the cells. The patients are followed extensively according to the clinical pharmacology sampling plan; on days 1-30, months 2-12, and three times per year up to 10 years based on response

Connect with a study center

  • Jyväskylä Central Hospital

    Jyväskylä,
    Finland

    Site Not Available

  • University Of Oulu

    Oulu,
    Finland

    Site Not Available

  • Apollo Hospital

    New Delhi,
    India

    Site Not Available

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