No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 1
Study type
Interventional
Purpose
Treatment
Participants needed
18 (estimated)
Sponsor
Henry Ford Health System · Other
Who this trial is looking for
This trial is looking for patients with recurrent high-grade astrocytoma. Participants will receive a new gene therapy along with radiation treatment and will need to undergo surgery to remove the tumor.
Are You a Good Fit for This Trial?
You may be able to join if
I am at least 18 years old.
I have a recurrent high-grade astrocytoma.
I have completed previous treatments and have recovered from side effects.
I am eligible for tumor surgery.
I have good overall health as assessed by tests.
I have not had certain prior treatments for my tumor.
I am willing to follow all study requirements.
I am able to give informed consent.
You may not be able to join if
I have an active infection that needs treatment.
I have a history of liver disease.
I have tested positive for Hepatitis B or C.
I have a serious medical or psychiatric illness that affects treatment.
I am pregnant or breastfeeding.
I am allergic to any product used in this trial.
I cannot undergo a brain MRI.
I am not eligible for surgery.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
The primary goal of this Phase I study is to determine the maximum tolerated dose of oncolytic adenovirus mediated double suicide-gene therapy in combination with fractionated stereotactic radiosurgery in patients with recurrent high-grade astrocytoma undergoing resection.
Trial Locations
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Status
Eligibility Criteria
Inclusion Criteria:
1. Subjects with radiologic evidence of intracranial recurrence or progression of a previously diagnosed high-grade astrocytoma.
To be eligible for this trial, the subjects must have:
* Histologically documented glioblastomas or anaplastic astrocytoma prior to the debulki…
Inclusion Criteria:
1. Subjects with radiologic evidence of intracranial recurrence or progression of a previously diagnosed high-grade astrocytoma.
To be eligible for this trial, the subjects must have:
* Histologically documented glioblastomas or anaplastic astrocytoma prior to the debulking surgery that is suspicious to have progressed on imaging. An interval of at least 3 months must have elapsed since the completion of the most recent course of radiation while at least 4 weeks must have elapsed since the completion of a non-nitrosourea containing chemotherapy regimen and at least 6 weeks since the completion of a nitrosourea containing chemotherapy regimen.
* Patients must be ≥ 18 years of age, able to provide informed consent and express a willingness to meet all the expected requirements of the protocol for the duration of the study.
* Must have recovered from toxicity (grade 2 or less) of prior therapy.
* Eligible for partial or total resection of the recurrent tumor
* No anticipated physical connection between post-resection tumor cavity and cerebral ventricle
* Karnofsky performance status (KPS) ≥ 60 at time of surgery
* No prior treatment of the tumor with gene or virus therapy, immunotherapy, brachytherapy, or implants of polymers containing chemotherapeutic agents (e.g. Gliadel Wafer)
* No immunosuppressive or immune disorder
* Baseline organ function testing intact
* Patients who are candidates for surgical debulking (re-resection) following recurrence of diseases based on multidisciplinary evaluation by neurosurgeons, radiation oncologists, neuro-radiologists, and neuro-oncologists.
2. Subjects must have adequate baseline organ function, as assessed by the following laboratory values, within 30 days before initiating the study therapy:
* Adequate renal function with creatinine clearance ≥ 50 mL/min/m2
* Platelet count ≥ 100,000/μL
* Absolute neutrophil count ≥ 1,000/μL
* Hemoglobin \> 10.0 g/dL
* Bilirubin \< 1.5 mg/dL; SGOT and SGPT \< 2.5 times upper limit of normal (ULN).
3. Women of child-bearing potential will be required to practice birth control for the duration of the treatment and for at least 90 days after surgery with intratumor virus inoculation. Men must use barrier protection for the duration of treatment and for at least 90 days after surgery with intratumor virus inoculation treatment.
Exclusion Criteria:
* Acute infection. Acute infection is defined by any viral, bacterial, or fungal infection that has required active treatment and caused oral temperature \>38.5oC and/or clinically significant leukocytosis
* Serum antibodies to human immunodeficiency virus (HIV)
* Previous history of liver disease including autoimmune or viral hepatitis
* Positive serologic test for Hepatitis B or C at baseline
* Immunosuppressive therapy except for corticosteroid use
* Serious medical or psychiatric illness or concomitant medication, which, in the judgment of the investigator, might interfere with the subject's ability to respond to or tolerate the treatment or complete the trial
* Impaired immunity or susceptibility to serious viral infections
* Pregnant or lactating females
* Allergy to any product used on the protocol
* Patient is not able to undergo a brain MRI.
* Patients who are not eligible for debulking surgery or resection of recurrent disease will be considered ineligible.
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