Study of Neoantigen-specific Adoptive T Cell Therapy for Newly Diagnosed MGMT Negative Glioblastoma Multiforme (GBM)

Last updated: June 26, 2025
Sponsor: TVAX Biomedical
Overall Status: Active - Not Recruiting

Phase

2/3

Condition

Astrocytoma

Gliomas

Treatment

Standard of Care

Radiotherapy

Temozolomide

Clinical Study ID

NCT05685004
TVI-AST-008
  • Ages 18-80
  • All Genders

Study Summary

This randomized study is designed to compare the combination of TVI-Brain-1 immunotherapy and standard therapy compared to standard therapy alone as a treatment for newly diagnosed MGMT unmethylated glioblastoma patients. The patients' own cancer cells collected after surgery are combined into a vaccine to produce an immune response that significantly increases the number of cancer neoantigen-specific effector T cell precursors in the patient's body. These cancer neoantigen-specific T cells are harvested from the blood, subsequently stimulated and expanded, and infused back into the patient.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Newly diagnosed MGMT unmethylated glioblastoma multiforme (no prior treatment)

  • Sufficient cancer tissue obtained to allow for manufacture of autologous cancer cellvaccines

  • The attenuated autologous cancer cell product generated has satisfied the productrelease criteria as determined by the sponsor quality control department

  • Medical history, physical examination and laboratory testing performed withinapproximately 7 days before enrollment revealing kidney and liver organ functionwithin normal limits

  • not currently receiving glucocorticoids and have been off glucocorticoids for atleast 24 hours prior to vaccination as well as when they receive the T cellinfusion.

  • Patient function assessment (Karnofsky score is > 60)

  • a life expectancy of > 12 weeks.

  • Hemoglobin is > 10 g/dL (may be transfused)

  • White blood cell count is > 3,000 cells/microliter (mcL) of blood.

  • Platelet count is > 100,000 platelets per mcL of blood (transfusion independent)

  • Lymphocyte count is > 1,000 cells/mcL of blood.

Exclusion

Exclusion Criteria:

  • another concomitant life-threatening disease (not including glioblastoma multiforme)

  • a second malignancy that is not in remission as determined by the clinicalinvestigator. Exception: squamous or basal cell carcinoma of the skin.

  • requirement for treatment with glucocorticoids to control brain swelling

  • presence of active autoimmune disease that is currently being actively treated.

  • psychological, familial, sociological or geographical conditions that do not permitadequate medical follow-up and compliance with the study protocol.

  • Current pregnancy or a plan to become pregnant within 1-year following the study.

Study Design

Total Participants: 120
Treatment Group(s): 4
Primary Treatment: Standard of Care
Phase: 2/3
Study Start date:
September 15, 2023
Estimated Completion Date:
March 31, 2027

Study Description

This randomized study is designed to compare the combination of TVI-Brain-1 immunotherapy and standard therapy compared to standard therapy alone as a treatment for newly diagnosed MGMT unmethylated glioblastoma patients. The general procedures include the collection and testing of cancer tissue samples after surgery and chemoradiation therapy (radiation and temozolomide). For the patients randomized into the investigational study treatment group, they will also receive two vaccinations created from their own cancer cells, undergo leukapheresis to collect immune T-cells from their blood, and transfer of those activated effector T-cells after chemoradiation therapy. All patients are followed with MRIs at follow-up visits.

Connect with a study center

  • Center for Neurosciences

    Tucson, Arizona 85718
    United States

    Site Not Available

  • Cedar-Sanai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • University of Southern California Keck School of Medicine

    Los Angeles, California 90048
    United States

    Site Not Available

  • Advent Health

    Orlando, Florida 32801
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • Aaron Mammoser

    Atlanta, Georgia 30309
    United States

    Site Not Available

  • University of Kansas Medical Center

    Kansas City, Kansas 66061
    United States

    Site Not Available

  • University of Kansas Medical Center

    Olathe, Kansas 66061
    United States

    Site Not Available

  • Capital Health

    Newark, New Jersey 08638
    United States

    Site Not Available

  • Capital Health

    Pennington, New Jersey 08534
    United States

    Site Not Available

  • Providence St. Vincent

    Portland, Oregon 97225
    United States

    Site Not Available

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