A Phase 1b / 2 Drug Resistant Immunotherapy With Activated, Gene Modified Allogeneic or Autologous γδ T Cells (DeltEx) in Combination With Maintenance Temozolomide in Subjects With Recurrent or Newly Diagnosed Glioblastoma

Last updated: April 28, 2025
Sponsor: In8bio Inc.
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Astrocytoma

Gliomas

Treatment

Autologous genetically modified gamma-delta T cells

Allogeneic genetically modified gamma-delta T cells

Clinical Study ID

NCT05664243
INB-400
  • Ages > 18
  • All Genders

Study Summary

This multicenter, Phase 1b/2 study is being conducted to determine if the experimental cell therapy is safe, tolerable and can delay the return of cancer in patients with a newly diagnosed or recurrent glioblastoma multiforme (GBM) in combination with standard chemotherapy treatment temozolomide (TMZ). If there is a 25% or greater improvement in survival in this study then the therapy should be studied further.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Subjects with histologically or cytologically confirmed history of IDH-wild typeglioblastoma

  • Phase 1b and Arm B of Phase 2: Subjects must have completed no more than onestandard therapy for glioblastoma, have received no prior Avastin® therapy (unless solely used for edema management) and be eligible for resection

  • Arms A and C: Subjects must have newly diagnosed, treatment naïve glioblastoma

  • Phase 1b and Arm B and Arm C: Subjects must have a partially matchedhaploidentical or matched related donor.

  • Subjects with magnetic resonance imaging (MRI) features consistent with andsuspicious for recurrent malignant glioma in Phase 1b and Arm B.

  • Agreeable to inserting and maintaining a Rickham catheter.

  • ≥ 18 years of age.

  • Karnofsky Performance Status ≥ 70%

  • Female subjects of childbearing potential must have a negative urine/serum pregnancytest within 72 hours of study enrollment. Female subjects of childbearing potentialare those who have not been surgically sterilized or have not been free of mensesfor > 2 years.

  • Male subjects and their female partners and female subjects of childbearingpotential must be willing to use a combination of two methods of birth control or besurgically sterile or abstain from heterosexual activity for the course of thestudy.

Exclusion

Exclusion Criteria:

  • Subject in Arm A or donor from Phase 1b, Arms B, and Arm C received vaccinationswithin 4 weeks or underwent surgery (major or minor) within 72 hours beforeleukapheresis collection.

  • Cellular immunotherapy or gene therapy or within six weeks prior to entering thestudy, surgical resection or alkylating agent chemotherapy within four weeks priorto entering the study, receiving tumor treating fields (TTF) Optune therapy, or havereceived experimental immunotherapy at any time

  • Subjects receiving any other investigational agents concurrently while on study.

  • Have not recovered from adverse events (≤ Grade 1) from previously administeredtherapy. Subjects with alopecia unless of immune origin are an exception to thiscriterion and may qualify for this study

  • Have received prior treatment with an allogeneic therapy, including bone marrow orsolid tumor transplant.

  • Concurrent malignancy or an active second malignancy. Subjects with a history ofsecond malignancy must have no evidence of cancer for two years prior to enrolmentor have a surgically cured cancer with low risk of recurrence to enroll. Discusswith medical monitor prior to enrolment.

  • Contraindication to the placement of an intracranial access device (Rickhamcatheter) at the time of surgery.

  • Prior history of encephalitis, multiple sclerosis, or other CNS infection <1 yearprior to glioblastoma diagnosis.

  • Uncontrolled intercurrent illness including, but not limited to ongoing or activeinfection, or any other medical condition that precludes surgery. Also,medical/surgical/psychiatric illness/social situations that would limit compliancewith study requirements or confound interpretation of safety and efficacy data.Subjects with a history of seizure as a result of their glioblastoma must be seizurefree and on appropriate anti-epileptic medication for 3 weeks prior to dosing withthe investigational agent.

  • Allergies/hypersensitivity to amino bisphosphonates such as Zoledronate®,Pamidronate® or similar.

  • History of HIV or active hepatitis even if well controlled or history of anautoimmune condition.

Study Design

Total Participants: 4
Treatment Group(s): 2
Primary Treatment: Autologous genetically modified gamma-delta T cells
Phase: 1/2
Study Start date:
September 08, 2023
Estimated Completion Date:
December 31, 2025

Study Description

This is a Phase 1b and 2 open-label cellular therapy trial using genetically modified gamma-delta (γδ) T cells or DeltEx Drug Resistant Immunotherapy (DRI). Gamma-delta T cells are a type of immune cell that may help the immune system recognize and kill cancer cells. The cells have been modified to make them resistant to the killing effects of chemotherapy such that they may be administered in combination with chemotherapy without being destroyed. The chemotherapy that is being used in this study is called temozolomide (TMZ) which is the standard-of-care used to treat glioblastoma patients. The DRI cells are given in combination with a standard dose of TMZ and are administered through a catheter directly into the brain where the tumor is located.

There are four arms to this study for eligible subjects with either newly diagnosed or relapsed IDH wild-type (IDH-wt) glioblastoma (GBM). Arm A will enroll newly diagnosed glioblastoma subjects to receive DRI cells derived from their own cells (autologous). The Phase 1b, Arms B and C will enroll subjects to receive DRI cells derived from a donor's cells (allogeneic). Subjects in the Phase 1b portion and Arm B must have relapsed disease, that is disease that has returned after initial treatment, while Arm A and C subjects must have newly diagnosed disease.

Prescreening subjects will have a standard-of-care surgical resection of their tumor. Once their preliminary eligibility is confirmed, they will have a Rickham catheter placed which is a device typically used to deliver chemotherapy into the brain that will be used to deliver the DRI cells directly to the tumor.

Following the surgical resection, subjects in Arm A will return to the study doctor's office/clinic to undergo a procedure called an apheresis. This procedure will isolate the immune cells from the blood to help make the DRI product for the subject. These cells include the gamma-delta T cells that will be used to make the DRI cells. Once the cells for the DRI product are made, they are frozen and stored for future use. In the Phase Ib and Arms B and C of the trial, a donor will undergo apheresis to provide the source of cells for the DRI product.

Following apheresis and confirmation that the required number of gamma-delta T cells were successfully collected; subjects in Arm A and C will begin the recommended or standard-of-care treatment for newly diagnosed GBM. This will include six weeks of chemotherapy with TMZ and radiation. Subjects will then have about a four week break prior to beginning the maintenance phase of treatment. Maintenance therapy includes five days of chemotherapy, every 28 days, which is repeated for six cycles. The previously frozen DRI product is thawed, prepared and is infused on the first day of each five-day cycle through the Rickham catheter. Subjects received a total of 6 infusions.

Subjects in the Phase Ib and Arm B will only receive one dose of TMZ along with the DRI product every 28 days for a total of six cycles.

Subjects will be observed for a of minimum 30 days after receiving the first dose of the DRI gamma-delta T cells. Subjects will be followed for potential side effects. The approximate duration of the study may be up to 15 years, or until disease progression or subjects withdraw from the study.

Connect with a study center

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • UC San Diego Moores Cancer Center

    La Jolla, California 92093
    United States

    Site Not Available

  • UCLA

    Los Angeles, California 90024
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • University of Louisville Hospital/James Graham Brown Cancer Center

    Louisville, Kentucky 40202
    United States

    Site Not Available

  • MHealth Clinics and Surgery Center

    Minneapolis, Minnesota 55455
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Ohio State University Wexner Medical Center- James Cancer Center

    Columbus, Ohio 43210
    United States

    Site Not Available

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