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Monoclonal Antibodies

Anti-Tim-3 + Anti-PD-1 + SRS for Glioblastoma

Phase 1
Waitlist Available
Led By Lawrence Kleinberg, MD
Research Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test within -7 days prior to the start of therapy. Women must not be breastfeeding
Patients tumor target (GTV) should be ≤ 5 cm
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from the date of initial diagnosis until the date of death from any cause assessed up to 24 months
Awards & highlights

Study Summary

This trial studies the side effects of MBG453 and spartalizumab when given together with stereotactic radiosurgery in treating patients with recurrent GBM.

Who is the study for?
This trial is for adults over 18 with recurrent GBM who've had first-line therapy including surgery, radiation, and Temozolomide. They must have a Karnofsky Performance Status ≥ 70, no more than two recurrences of GBM or gliosarcoma confirmed by biopsy or MRI, normal organ/marrow function, and be able to undergo MRIs. Women must not be pregnant/breastfeeding and use contraception.Check my eligibility
What is being tested?
The trial tests the safety of stereotactic radiosurgery combined with MBG453 and spartalizumab in treating recurrent GBM. It aims to see if this combination can better target cancer cells while sparing healthy tissue compared to current treatments.See study design
What are the potential side effects?
Potential side effects may include typical reactions from immunotherapy such as fatigue, allergic reactions to the monoclonal antibodies (MBG453 and spartalizumab), inflammation in organs due to immune response, as well as localized effects from the high-dose radiation.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am not pregnant or breastfeeding and have a recent negative pregnancy test.
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My tumor is 5 cm or smaller.
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I am able to care for myself but may not be able to do active work.
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I've had surgery, radiation, and Temozolomide for my cancer, unless my tumor is MGMT unmethylated.
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I am 18 years old or older.
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I have been diagnosed with Grade IV brain cancer.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from the date of initial diagnosis until the date of death from any cause assessed up to 24 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and from the date of initial diagnosis until the date of death from any cause assessed up to 24 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Number of participants with serious adverse events (SAE) graded according to the National Cancer Institute Common Toxicity Criteria (NCI CTC) version 5.0
Secondary outcome measures
Objective Response
Overall survival
Progression-free survival
+1 more

Side effects data

From 2019 Phase 1 & 2 trial • 172 Patients • NCT02325739
58%
Diarrhoea
50%
Aspartate aminotransferase increased
42%
Hyperphosphataemia
33%
Pyrexia
33%
Anaemia
33%
Alanine aminotransferase increased
25%
Blood bilirubin increased
25%
Abdominal distension
25%
Fatigue
17%
Neutrophil count decreased
17%
Oedema peripheral
17%
Abdominal pain
17%
Nausea
17%
Nasopharyngitis
17%
Gamma-glutamyltransferase increased
17%
Arthralgia
17%
Back pain
17%
Rash
17%
Pruritus
17%
Hot flush
8%
Oesophageal varices haemorrhage
8%
Flank pain
8%
Dysgeusia
8%
Myalgia
8%
Tinea cruris
8%
Hyperglycaemia
8%
Liver carcinoma ruptured
8%
Oedema
8%
Blood creatinine increased
8%
Hypokalaemia
8%
Palpitations
8%
Abdominal discomfort
8%
Headache
8%
Constipation
8%
Vomiting
8%
Folliculitis
8%
Rash pustular
8%
Sinusitis
8%
Bilirubin conjugated increased
8%
Blood albumin decreased
8%
Blood creatine phosphokinase increased
8%
Blood phosphorus decreased
8%
Weight decreased
8%
Platelet count decreased
8%
Hyponatraemia
8%
Insomnia
8%
Dyspnoea exertional
8%
Peripheral sensory neuropathy
8%
Cough
8%
Dysphonia
8%
Epistaxis
8%
Pneumonitis
8%
Productive cough
8%
Dry skin
8%
Hyperthyroidism
8%
Blood alkaline phosphatase increased
100%
80%
60%
40%
20%
0%
Study treatment Arm
All Patients of Combination Dose
Phase I: FGF401 120 mg + PDR001 300 mg
Phase I: 120 mg Fed
Phase I: 150 mg Fasted
Phase II: Group 1 - FGF401 120 mg QD
Phase II: Group 2 - FGF401 120 mg QD
Phase II: Group 3 - FGF401 120 mg QD
All Patients of Single Agent FGF401
Phase I: FGF401 80 mg + PDR001 300 mg
All Patients
Phase I: 50 mg Fasted
Phase I: 80 mg Fasted
Phase I: 80 mg Fed
Phase I: 120 mg Fasted

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (MBG453, spartalizumab, stereotactic radiosurgery)Experimental Treatment1 Intervention
Patients receive MBG453 and spartalizumab IV over 30 minutes on Day 1. Patients then undergo stereotactic radiosurgery on Day 8. Courses with MBG453 and spartalizumab repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
MBG453
2017
Completed Phase 1
~250

Find a Location

Who is running the clinical trial?

Novartis PharmaceuticalsIndustry Sponsor
2,863 Previous Clinical Trials
4,199,319 Total Patients Enrolled
23 Trials studying Glioblastoma
1,676 Patients Enrolled for Glioblastoma
Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsLead Sponsor
560 Previous Clinical Trials
33,033 Total Patients Enrolled
31 Trials studying Glioblastoma
967 Patients Enrolled for Glioblastoma
Lawrence Kleinberg, MDPrincipal InvestigatorJohns Hopkins University/Sidney Kimmel Cancer Center
3 Previous Clinical Trials
74 Total Patients Enrolled
2 Trials studying Glioblastoma
53 Patients Enrolled for Glioblastoma

Media Library

MBG453 (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT03961971 — Phase 1
MBG453 (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03961971 — Phase 1
Glioblastoma Research Study Groups: Treatment (MBG453, spartalizumab, stereotactic radiosurgery)
Glioblastoma Clinical Trial 2023: MBG453 Highlights & Side Effects. Trial Name: NCT03961971 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Will MBG453 usage have any detrimental effects on patients?

"Judging from the available evidence, MBG453's safety rating is 1 on a scale of 1 to 3. This can be attributed to this being Phase I trial with limited data confirming its efficacy and safety."

Answered by AI

Is this trial a pioneering venture into new territory?

"Currently, Novartis Pharmaceuticals has 37 active trials for MBG453 distributed over 44 nations and 207 cities. This drug first entered clinical testing in 2011 with the goal of passing its Phase 1 approval stage; since then 21 studies have been completed successfully."

Answered by AI

Is this research study still open to participants?

"Unfortunately, the trial is not presently accepting new participants. It was first posted on February 18th 2020 and last updated November 22nd 2022. If you're looking for other trials however, there are currently 442 glioblastoma studies recruiting patients as well as 37 clinical trials in need of MBG453 test subjects."

Answered by AI

What prior research has been conducted involving MBG453?

"A total of 37 clinical trials dedicated to MBG453 are underway, two of which have progressed into the third phase. The vast majority of these medical studies take place in New york City, yet 873 sites across the world are running their own investigations."

Answered by AI

What is the sample size of this experiment?

"Unfortunately, there is no current recruitment for this clinical trial. It was first listed on February 18th 2020 and its information has been most recently updated on November 22nd 2022. If you are looking to participate in other trials, 442 studies that deal with glioblastoma have open registration while 37 others involve MBG453 and need participants."

Answered by AI
~3 spots leftby May 2025