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Procedure

LITT + Pembrolizumab for Glioblastoma

Phase 1 & 2
Recruiting
Led By Andrew Sloan, MD
Research Sponsored by Case Comprehensive Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Adequate Organ Function Laboratory Values: ANC ≥1,500/mcL, Platelets ≥100,000/mcL, Hemoglobin ≥9.0 g/gL, Creatine ≤1.7 x upper limit of normal, Total bilirubin ≤ 1.5 x ULN, AST and ALT ≤ 2.5 x ULN, INR or PT ≤ 1.5 x ULN, aPTT ≤ 1.5 x ULN
Histopathologically proven diagnosis of glioblastoma or gliosarcoma prior to registration by pathology report
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 6 months after diagnosis
Awards & highlights

Study Summary

This trial will test the side effects and best dose of using LITT with Pembrolizumab to treat brain tumors.

Who is the study for?
This trial is for adults with confirmed glioblastoma or gliosarcoma who've completed standard chemoradiation. They must have good organ function, a Karnofsky performance status of ≥60, and be able to consent. Women of childbearing potential must test negative for pregnancy and agree to contraception. The tumor should be treatable with LITT, unifocal & unilateral, and not exceed 6 cm in diameter.Check my eligibility
What is being tested?
The study tests the effectiveness and side effects of combining Laser Interstitial Thermotherapy (LITT), a minimally invasive surgery using lasers on brain tumors, with Pembrolizumab—an immune system-boosting drug—to treat recurrent Glioblastoma Multiforme (GBM).See study design
What are the potential side effects?
Possible side effects include typical surgical risks from LITT like infection or bleeding at the site. Pembrolizumab may cause immune-related reactions affecting organs, fatigue, infusion reactions similar to allergic responses, skin rash or itching.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My blood and organ function tests are within normal ranges.
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My diagnosis of glioblastoma or gliosarcoma is confirmed by a pathology report.
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I completed standard treatment with radiation and Temozolomide for my primary tumor.
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I have had 3 or fewer treatments for my recurrent brain cancer.
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My tumor is 6.0 cm or smaller across.
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My tumor tissue sample is available for review.
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I can care for myself but may need occasional help.
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My tumor is located in the upper part of my brain.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 6 months after diagnosis
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 6 months after diagnosis for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Phase I endpoint: Optimal timing of LITT with pembrolizumab
Phase II endpoint: Tumor Response
Secondary outcome measures
Overall survival (OS)
Progression free survival (PFS)
The proportion of patients who achieve progression free survival at 12 months (PFS12)
+2 more

Trial Design

3Treatment groups
Experimental Treatment
Group I: Pembrolizumab injections 7 days before surgeryExperimental Treatment2 Interventions
Patients will have intravenous pembrolizumab 7 days before surgery with Laser Interstitial Thermotherapy
Group II: Pembrolizumab injections 35 days after surgeryExperimental Treatment2 Interventions
Patients will have intravenous pembrolizumab 35 days after surgery with Laser Interstitial Thermotherapy
Group III: Pembrolizumab injections 14 days after surgeryExperimental Treatment2 Interventions
Patients will have intravenous pembrolizumab 14 days after surgery with Laser Interstitial Thermotherapy

Find a Location

Who is running the clinical trial?

Case Comprehensive Cancer CenterLead Sponsor
452 Previous Clinical Trials
31,876 Total Patients Enrolled
15 Trials studying Glioblastoma
412 Patients Enrolled for Glioblastoma
Andrew Sloan, MDPrincipal InvestigatorUniversity Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center
4 Previous Clinical Trials
109 Total Patients Enrolled
3 Trials studying Glioblastoma
36 Patients Enrolled for Glioblastoma
Tiffany Hodges, MDPrincipal InvestigatorUniversity Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Media Library

Laser Interstitial Thermotherapy (Procedure) Clinical Trial Eligibility Overview. Trial Name: NCT03277638 — Phase 1 & 2
Glioblastoma Research Study Groups: Pembrolizumab injections 35 days after surgery, Pembrolizumab injections 14 days after surgery, Pembrolizumab injections 7 days before surgery
Glioblastoma Clinical Trial 2023: Laser Interstitial Thermotherapy Highlights & Side Effects. Trial Name: NCT03277638 — Phase 1 & 2
Laser Interstitial Thermotherapy (Procedure) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03277638 — Phase 1 & 2

Frequently Asked Questions

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

How many participants have thus far enrolled in this research endeavor?

"Currently, this research project is not accepting patients. It was initially posted on November 29th 2017 and its information was most recently updated on the 21st of November 2022. If you're looking for alternative studies, there are 442 clinical trials involving glioblastoma and 961 Laser Interstitial Thermotherapy experiences recruiting participants."

Answered by AI

What is the primary goal of this clinical investigation?

"This clinical trial has a primary goal of determining the efficacy of timing LITT with pembrolizumab. Secondary objectives include assessing progression free survival at 12 and 24 months, as well as measuring overall PFS over up to two years for patients enrolled in the study."

Answered by AI

Has Laser Interstitial Thermotherapy been studied in any other research initiatives?

"Currently, 961 medical studies regarding Laser Interstitial Thermotherapy are being conducted. Of those investigations, 122 have progressed to Phase 3 trials. The most common city for this research is Houston, Texas; however, a total of 35 731 locations across the world are running clinical tests related to the therapy's efficacy."

Answered by AI

What diseases are most commonly treated with Laser Interstitial Thermotherapy?

"Laser Interstitial Thermotherapy is most commonly used to treat malignant neoplasms, but can also be used in instances of unresectable melanoma and microsatellite instability high. In some cases, it might even help with disease progression after chemotherapy."

Answered by AI

Is this research effort currently searching for participants?

"Clinicaltrials.gov confirms that this trial is not presently accepting patients; it was first posted on the 29th of November 2017, with its most recent update occurring on the 21st of November 2022. Despite this particular study's inactive status, there are 1403 other clinical trials actively seeking patient enrolment at present."

Answered by AI
~0 spots leftby Jun 2024