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TVI-Brain-1 is an experimental treatment that takes advantage of the fact that your body can produce immune cells, called 'killer' white blood cells that have the ability to kill large numbers of the cancer cells that are present in your body. TVI-Brain-1 is designed to generate large numbers of those 'killer' white blood cells and to deliver those cells into your body so that they can kill your cancer cells.
The TVI-Brain-1 treatment involves several steps. First, the patient's cancer will be surgically removed to provide cells for the vaccine. Second, the patient will be vaccinated with the vaccine formulation. Third, the patient's blood will be filtered for killer T cell precursors which will then be cultured and stimulated to reach a higher (killer) activity level. Fourth, the activated cells will be infused into the patient's bloodstream so that they will be able to attack the cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TVI-Brain-1 | Experimental | All patients will receive the full TVI-Brain-1 treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TVI-Brain-1 | Biological | Following surgery, tumor tissue is used to generate a cancer vaccine. Patients are vaccinated with neutralized cells to initiate an immune response. Following vaccinations, the patient's white blood cells are collected, the white blood cells are stimulated and expanded, and are then reinfused into the patient's blood. |
| Measure | Description | Time Frame |
|---|---|---|
| Progression of Disease | To assess the efficacy of TVI-Brain-1 on patients to evaluate progression free survival. MRI data is used to evaluate tumor progression; success is defined if a patient is still alive and has < 25 % increase in Tumor volume in MRI collected at 6 month timepoint. | 6-months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival | All patients will be followed until death or the end of the study to measure overall survival. | 32 months |
| Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gary Wood, Ph.D. | Sponsor GmbH | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Luke's Hospital | Kansas City | Missouri | 64111 | United States | ||
| Washington University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16817692 | Background | Sloan AE, Dansey R, Zamorano L, Barger G, Hamm C, Diaz F, Baynes R, Wood G. Adoptive immunotherapy in patients with recurrent malignant glioma: preliminary results of using autologous whole-tumor vaccine plus granulocyte-macrophage colony-stimulating factor and adoptive transfer of anti-CD3-activated lymphocytes. Neurosurg Focus. 2000 Dec 15;9(6):e9. doi: 10.3171/foc.2000.9.6.10. |
| Label | URL |
|---|---|
| Sponsor website | View source |
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The recruitment was prematurely closed to allow a change in protocol design based on clinical findings from the small study. The data justified change in protocol design (study #008) to treat subjects with minimal residual disease and healthy immune system.
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| ID | Title | Description |
|---|---|---|
| FG000 | TVI-Brain-1 | All patients will receive the full TVI-Brain-1 treatment. TVI-Brain-1: Following surgery, tumor tissue is used to generate a cancer vaccine. Patients are vaccinated with neutralized cells to initiate an immune response. Following vaccinations, the patient's white blood cells are collected, the white blood cells are stimulated and expanded, and are then reinfused into the patient's blood. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | TVI-Brain-1 | All patients will receive the full TVI-Brain-1 treatment. TVI-Brain-1: Following surgery, tumor tissue is used to generate a cancer vaccine. Patients are vaccinated with neutralized cells to initiate an immune response. Following vaccinations, the patient's white blood cells are collected, the white blood cells are stimulated and expanded, and are then reinfused into the patient's blood. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Progression of Disease | To assess the efficacy of TVI-Brain-1 on patients to evaluate progression free survival. MRI data is used to evaluate tumor progression; success is defined if a patient is still alive and has < 25 % increase in Tumor volume in MRI collected at 6 month timepoint. | Posted | Count of Participants | Participants | 6-months |
|
32 months
Adverse events were collected at all clinic visits through evaluation of blood chemistry and hematology labs, vital sign measurements, physical exams, and direct patient questioning.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | TVI-Brain-1 | All patients will receive the full TVI-Brain-1 treatment. TVI-Brain-1: Following surgery, tumor tissue is used to generate a cancer vaccine. Patients are vaccinated with neutralized cells to initiate an immune response. Following vaccinations, the patient's white blood cells are collected, the white blood cells are stimulated and expanded, and are then reinfused into the patient's blood. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fever and Chills | Immune system disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Tachycardia | Cardiac disorders | Systematic Assessment | Mild AE |
Recruitment was stopped to allow a change in protocol design. Some positive clinical effects were observed but this study design treated Subjects whose cancers have progressed following surgery, radiotherapy, and temozolomide chemotherapy and therefore have immune systems that are too compromised to allow maximal benefit from the use of TVI-Brain-1. Study #008 is changed to treat newly diagnosed Subjects with healthy immune systems and minimal residual disease.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Michael E. Salacz,MD and David Tran,MD, PH.D | Saint Lukes Hospital KC, Missouri and Washington University School of Medicine, St.Louis Missouri | 9134922221 | gwood@tvaxbiomedical.com |
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| ID | Term |
|---|---|
| D005909 | Glioblastoma |
| D001932 | Brain Neoplasms |
| D016543 | Central Nervous System Neoplasms |
| D001927 | Brain Diseases |
| D009369 | Neoplasms |
| D009423 | Nervous System Neoplasms |
| D001254 | Astrocytoma |
| D009422 | Nervous System Diseases |
| D002493 | Central Nervous System Diseases |
| D005910 | Glioma |
| ID | Term |
|---|---|
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D019496 | Cancer Vaccines |
| D000276 | Adjuvants, Immunologic |
| ID | Term |
|---|---|
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D007155 | Immunologic Factors |
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|
|
Toxicity will be assessed throughout the study by recording clinical symptoms, performing physical examinations, measuring vital signs and performing clinical laboratory tests, including complete blood counts and differentials, blood chemistries and autoimmune profiles.
| 12 weeks |
| Time to Progression of Tumor Per MRI | Time to progression is defined date of evidence of increase in tumor volume as evaluated by review and analysis of imaging, using MacDonald Criteria in review of serial MRI's taken at specific timepoints | 32-months |
| Objective Response Rate | Time to progression is defined as assessed by neurologists and radiologists evaluation of time to worsening of patient's neurological status and/or increase in tumor volume measurements as evaluated by review and analysis of serial physical exams and MRI's taken at specific timepoints | 32-months |
| Delayed-type Hypersensitivity (DTH) Skin Testing | Skin Test using attenuated autologous cancer cells will be performed to assess the immunogenicity of the Subject's cancer. Evidence of a Resulting wheal or flare reaction from sub-cutanous injection of test will be evaluated in each patient | 48 hours |
| Quality of Life as Measured by FACT-Br Tool Score | Quality of life data using the FACT-Br score tabulation from responses on validated tool | 32 months |
| St Louis |
| Missouri |
| 63110 |
| United States |
| Baylor University Medical Center | Dallas | Texas | 75246 | United States |
| Aurora BayCare Medical Center | Green Bay | Wisconsin | 54311 | United States |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Units | Counts |
|---|
| Participants |
|
|
| Secondary | Overall Survival | All patients will be followed until death or the end of the study to measure overall survival. | Posted | Count of Participants | Participants | 32 months |
|
|
|
| Secondary | Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0 | Toxicity will be assessed throughout the study by recording clinical symptoms, performing physical examinations, measuring vital signs and performing clinical laboratory tests, including complete blood counts and differentials, blood chemistries and autoimmune profiles. | Toxicity was assessed throughout the study by recording clinical symptoms, physical examinations, vital signs, clinical laboratory tests, including blood counts and differentials, blood chemistries and autoimmune profiles. Patients were monitored for toxicities during the study and for one month following removal from the study for any reason. | Posted | Count of Participants | Participants | 12 weeks |
|
|
|
| Secondary | Time to Progression of Tumor Per MRI | Time to progression is defined date of evidence of increase in tumor volume as evaluated by review and analysis of imaging, using MacDonald Criteria in review of serial MRI's taken at specific timepoints | MRI data not collected | Posted | 32-months |
|
|
| Secondary | Objective Response Rate | Time to progression is defined as assessed by neurologists and radiologists evaluation of time to worsening of patient's neurological status and/or increase in tumor volume measurements as evaluated by review and analysis of serial physical exams and MRI's taken at specific timepoints | MRI data not collected nor analyzed | Posted | 32-months |
|
|
| Secondary | Delayed-type Hypersensitivity (DTH) Skin Testing | Skin Test using attenuated autologous cancer cells will be performed to assess the immunogenicity of the Subject's cancer. Evidence of a Resulting wheal or flare reaction from sub-cutanous injection of test will be evaluated in each patient | Posted | Count of Participants | Participants | 48 hours |
|
|
|
| Secondary | Quality of Life as Measured by FACT-Br Tool Score | Quality of life data using the FACT-Br score tabulation from responses on validated tool | QOL tool data was not collected | Posted | 32 months |
|
|
| 14 |
| 14 |
| 9 |
| 14 |
| 5 |
| 14 |
| Urinary Tract Infection | Renal and urinary disorders | Systematic Assessment |
|
| Hypokalemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hemiparesis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Hemisensory Neglect | Nervous system disorders | Systematic Assessment |
|
| Paresthesia | Nervous system disorders | Systematic Assessment |
|
| Seizures | Nervous system disorders | Systematic Assessment |
|
| disorientation | Nervous system disorders | Systematic Assessment |
|
| Pulmonary Edema | Cardiac disorders | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Systematic Assessment | Mild AE |
|
| Chills | General disorders | Systematic Assessment | Mild AE |
|
| Redness at injection sites | General disorders | Systematic Assessment | Mild AE |
|
| Fever | General disorders | Systematic Assessment | Mild AE |
|
| Generalized Aching | General disorders | Systematic Assessment | Mild AE |
|
| Infusion Site irritation/pain | General disorders | Systematic Assessment | Mild AE |
|
| Rigors | General disorders | Systematic Assessment | Mild AE |
|
| Calcium Low | Investigations | Systematic Assessment | Mild AE |
|
| Hypocalcemia | Metabolism and nutrition disorders | Systematic Assessment | Mild AE |
|
| Hypokalemia | Metabolism and nutrition disorders | Systematic Assessment | Mild AE |
|
| Hypomagnesae | Metabolism and nutrition disorders | Systematic Assessment | Mild AE |
|
| Vomiting | Gastrointestinal disorders | Systematic Assessment | Moderate AE |
|
| Chills | General disorders | Systematic Assessment | Moderate AE |
|
| Hypocalcemia | Metabolism and nutrition disorders | Systematic Assessment | Moderate AE |
|
| Hypokalemia | Metabolism and nutrition disorders | Systematic Assessment | Moderate AE |
|
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| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
| D009371 | Neoplasms by Site |
| D045505 |
| Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |