- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04758533
Clinical Trial to Assess the Safety and Efficacy of AloCELYVIR With Newly Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG) in Combination With Radiotherapy or Medulloblastoma in Monotherapy (AloCELYVIR)
Phase IB Clinical Trial to Assess the Safety, Tolerability, and Preliminary Efficacy of AloCELYVIR (Mesenchymal Allogenic Cells + ICOVIR-5) in Children, Adolescent and Young Adults With Newly Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG) in Combination With Radiotherapy or Medulloblastoma in Relapse/Progression in Monotherapy
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Álvaro Lassaletta Atienza, MD
- Phone Number: +34 91 5035938
- Email: alvaro.lassaletta@salud.madrid.org
Study Locations
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Madrid, Spain, 28009
- Recruiting
- Hospital Infantil Universitario Nino Jesus
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Contact:
- Álvaro Lassaletta Atienza, MD
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Contact:
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Principal Investigator:
- Álvaro Lassaletta Atienza, MD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
INCLUSION CRITERIA COMMON TO THE TWO COHORTS
- Patients aged 1 to 21 years.
- Written informed consent signed by the patients legal representative and, if applicable, the minor (informed consent in patients 12 years of age or older).
- Measurable or evaluable disease according to RANO criteria.
Appropriate functional status, organic function (renal, hepatic) and hematological values:
- Lanksy and karnofsky functional status ≥50%. Patients who use a wheelchair due of tumor-associated paralysis will be considered as outpatients for functional status evaluation.
Haematology function:
- Platelet count ≥75.000/µL (without support for 3 days)
- Absolute neutrophil count (ANC) ≥500/ µL (without growth factor for 3 days)
- Hemoglobin ≥ 8 g/dL (Transfusion allowed)
Liver and renal function
- Glomerular filtration rate (GFR) (estimated by Schwartz ) >60 mL/min/1.73 m2
- Total bilirubin ≤ 1.5 × the upper limit of normal (ULN)
- Transaminases (GOT and GPT) ≤3 × the upper limit of normal (ULN). ≤ 5 times ULN for patients with hepatic metastasis.
- Patient able to comply with treatment and schedule of visits and assessments
- Life expectancy of ≥8 weeks.
- Appropriate contraceptive methods for sexually active males and females of childbearing age
- Negative pregnancy test in blood or urine for females of childbearing age
INCLUSION CRITERIA COMMON TO THE COHORT A
- Patient with new DIPG diagnosis (clinical, radiological, or histological in case a biopsy was performed before being included in the study).
- Not having received previous treatment with radiotherapy or chemotherapy.
- Patient able to receive radiotherapy
INCLUSION CRITERIA COMMON TO THE COHORT B
- Patient diagnosed with relapsed and/or refractory medulloblastoma. Patients must have received at least surgery, radiation therapy and chemotherapy as part of standard treatment and have failed these treatments before they can participate in this study.
- To be recovered to ≤ G1 from the toxic effects according to CTCAE derived from the previous treatments, excluding ototoxicity, alopecia and peripheral neurotoxicity.
EXCLUSION CRITERIA COMMON TO THE TWO COHORTS
- Previous treatment with CELYVIR or AloCELYVIR.
- Known active bacterial, viral, fungal or parasitic infection not controlled
- Known active Hepatitis B or C virus or VIH infection.
- If patients are treated with corticosteroids, they should be clinically stable and on stable or tapering doses of steroids for at least one week.
- To be receiving another anti-cancer treatment not foreseen in this protocol or to anticipate receiving it during the patient's participation in the same concomitant with the experimental treatment.
- Clinically significant or uncontrolled serious active and past systemic diseases that may pose an added risk to the patient
EXCLUSION CRITERIA COMMON TO THE COHORT A
- Spontaneous massive intratumoral bleeding. Patients with postoperative bleeding (in case of biopsy or surgery) may be included in the study provided that the bleeding is controlled. The same rule applies for other postoperative complications (infection, loss of cerebrospinal fluid, absence of wound closure, subdural collection ...)
- Patients who have previously received radiotherapy to the brain stem for another malignancy
EXCLUSION CRITERIA COMMON TO THE COHORT B
1. Washout period respect to previous treatments:
- At least two weeks since the last dose of chemotherapy. For patients receiving low-dose metronomic oral chemotherapy, this period is at least one week.
- At least four weeks since the autologous hematopoietic stem cell transplant
- At least two weeks since the last focal radiotherapy or six weeks in case of cranio-spinal radiotherapy.
- At least 2 weeks or 5 half-lifes (whichever occurs first) since the last dose of a biological or investigational treatment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: AloCELYVIR
Patients will received weekly infusion of AloCELYVIR during 8 weeks.
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Mesenchymal allogenic cells + ICOVIR-5: 500.000
cells/kg
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dose-Limiting Toxicities rate (DLTs)
Time Frame: 1 Month
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Proportion of patients who has experienced a DLT
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1 Month
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective response rate
Time Frame: 24 Months
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Percentage of patients that achieve complete response or partial response according to RECIST 1.1 criteria
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24 Months
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Feasibility of the combination/monotherapy
Time Frame: 1 Month
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Rate of patients meeting selection criteria who can receive at least one dose of AloCELYVIR
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1 Month
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Incidence of treatment-Emergent Adverse Event
Time Frame: 2,5 Months
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Rate of related-AEs
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2,5 Months
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Progression-free survival (PFS)
Time Frame: 24 Months
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Time from the date of first dose of study treatment to the date of progression or death (from ant cause).
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24 Months
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Overall Survival (OS)
Time Frame: 24 Months
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Time from the date of first dose of study treatment to the date of death
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24 Months
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Antiadenoviral humoral immune response in patients
Time Frame: 2,5 Months
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Anti-Adenovirus serotype 5 antibody titers
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2,5 Months
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Antiadenoviral tumoral immune response in patients
Time Frame: 2,5 Months
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Number of CD8 antiadenovirus T-lymphocytes
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2,5 Months
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Replication kinetics of Icovir-5
Time Frame: 2,5 Months
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Quantification of circulating adenoviral particles
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2,5 Months
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Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Álvaro Lassaletta Atienza, MD, Hospital Infantil Universitario Nino Jesus
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Brain Neoplasms
- Central Nervous System Neoplasms
- Nervous System Neoplasms
- Neuroectodermal Tumors, Primitive
- Brain Stem Neoplasms
- Infratentorial Neoplasms
- Glioma
- Medulloblastoma
- Diffuse Intrinsic Pontine Glioma
Other Study ID Numbers
- FIBHNJ-2020-01
- 2020-004838-37 (EudraCT Number)
- EUCT Number:2022-502516-37-00 (Other Identifier: EMA)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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National Cancer Institute (NCI)RecruitingRecurrent Malignant Glioma | Recurrent Medulloblastoma | Refractory Malignant Glioma | Refractory Medulloblastoma | Recurrent Diffuse Intrinsic Pontine Glioma | Recurrent Primary Central Nervous System Neoplasm | Refractory Primary Central Nervous System Neoplasm | Refractory Diffuse Intrinsic Pontine...United States, Canada
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Pediatric Brain Tumor ConsortiumNational Cancer Institute (NCI)CompletedMalignant Glioma | Recurrent Childhood Ependymoma | Recurrent Medulloblastoma | Recurrent Diffuse Intrinsic Pontine Glioma | Recurrent Atypical Teratoid/Rhabdoid Tumor | Refractory Diffuse Intrinsic Pontine Glioma | CNS Embryonal Tumor, Not Otherwise SpecifiedUnited States
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Cheng-Chia (Fred) WuFocused Ultrasound FoundationActive, not recruitingDiffuse Intrinsic Pontine Glioma | Diffuse Midline Glioma, H3 K27M-Mutant | Diffuse Pontine and Thalamic GliomasUnited States
Clinical Trials on AloCELYVIR
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