18 Participants Needed

Adoptive Cellular Therapy for Brain Cancer

(ACTION Trial)

Recruiting at 2 trial locations
MH
JK
Overseen ByJennifer King, RN
Age: < 65
Sex: Any
Trial Phase: Phase 1
Sponsor: University of Florida
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

It is believed that the body's immune system protects the body by attacking and killing tumor cells. T-lymphocytes (T-cells) are part of the immune system and can attack when they recognize special proteins on the surface of tumors. In most patients with advanced cancer, T-cells are not stimulated enough to kill the tumor. In this research study, we will use a patient's tumor to make a vaccine which we hope will stimulate T-cells to kill tumor cells and leave normal cells alone.High grade gliomas (HGGs) are very aggressive and difficult for the body's immune system to attack. Before T-cells can become active against tumor cells, they require strong stimulation by special "stimulator" cells in the body called Dendritic Cells (DCs) which are also part of the immune system. DCs can recognize the cancer cells and then activate the T lymphocytes, and create this strong stimulation.The purpose of this research study is to learn whether anti-tumor T-cells and anti-tumor DC vaccines can be given safely. Most importantly, this study is also to determine whether the T-cells and DC vaccines can stimulate a person's immune system to fight off the tumor cells in the brain.

Research Team

Elias Sayour, MD, PhD » Lillian S ...

Elias Sayour, MD, PhD

Principal Investigator

University of Florida

DM

Duane Mitchell, MD, PhD

Principal Investigator

University of Florida

Eligibility Criteria

This trial is for pediatric patients with high-grade gliomas who are scheduled for tumor removal surgery. They must have a certain level of physical function, normal kidney and liver tests, and agree to use birth control. It's not open to those with autoimmune diseases, HIV, severe medical conditions, or pregnant/breastfeeding individuals.

Inclusion Criteria

Signed informed consent according to institutional guidelines
I am mostly able to care for myself and carry out daily activities.
Bone Marrow: ANC (Absolute neutrophil count) ≥ 1000/µl (unsupported); Platelets ≥ 100,000/µl (unsupported for at least 3 days); Hemoglobin > 8 g/dL (may be supported)
See 7 more

Exclusion Criteria

I have an autoimmune disease, immunosuppression, or HIV.
I do not have major heart, kidney, liver, lung, or other organ problems.
Prior allergic reaction to TMZ, GM-CSF, or Td
See 3 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Chemoradiation

Participants receive dose-intensified temozolomide with TTRNA-DC vaccines and GM-CSF

10 months

Immunotherapy

Participants receive TTRNA-xALT vaccine and Td vaccine, with or without autologous hematopoietic stem cells

10 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

8 years

Treatment Details

Interventions

  • TTRNA-DC vaccines with GM-CSF
  • TTRNA-xALT
Trial Overview The study is testing whether vaccines made from a patient's own tumor can stimulate the immune system to fight brain tumors in children. It involves creating T-cell and Dendritic Cell (DC) vaccines that aim to activate the body’s natural defenses against aggressive brain cancer.
Participant Groups
2Treatment groups
Experimental Treatment
Group I: Group BExperimental Treatment5 Interventions
Dose-intensified TMZ with TTRNA-DC vaccines with GM-CSF and TTRNA-xALT plus Td vaccine with Autologous Hematopoietic Stem cells (HSCs)
Group II: Group AExperimental Treatment4 Interventions
Dose-intensified TMZ with TTRNA-DC vaccines with GM-CSF and TTRNA-xALT plus Td vaccine without Autologous Hematopoietic Stem cells (HSCs)

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Florida

Lead Sponsor

Trials
1,428
Recruited
987,000+

National Pediatric Cancer Foundation

Collaborator

Trials
8
Recruited
300+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Moffitt Clinical Research Network (MCRN)

Collaborator

Trials
1
Recruited
20+

National Institutes of Health (NIH)

Collaborator

Trials
2,896
Recruited
8,053,000+
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