VXM01 Phase I Pilot Study in Patients With Operable Recurrence of a Glioblastoma

Study Purpose

VXM01 phase I pilot study in patients with operable recurrence of a glioblastoma to examine safety, tolerability, immune and biomarker response to the investigational VEGFR-2 DNA vaccine VXM01

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Written informed consent, signed and dated 2. Histologically diagnosed intracranial supratentorial malignant glioma (contrast-enhancing anaplastic astrocytoma WHO Grade III or glioblastoma WHO Grade IV). 3. Male or female patients who must be post-menopausal for at least 2 years or surgically sterile. 4. Age ≥18 years 5. Evidence of tumor progression following at least one therapy regimen that must have contained radiation and chemotherapy with temozolamid, as measured by MRI 6. Candidates for a tumor reoperation 7. Neurosurgical intervention should be postponable for 30 days 8. Laboratory results (clinical chemistry, hematology, urine, liver enzymes, creatinine) without clinically relevant abnormalities 9. Patients must be able to undergo MRI 10. No concomitant medication with dexamethasone at the time of vaccination 11. No active infection at the time of vaccination 12. Karnofsky performance status >70 13. Appropriate hematologic parameters (for immunomonitoring): leukocytes ≥4.0 x 109 / L, lymphocytes ≥0.6 x 109 / L 14. Tumor samples available for pathology review, central detection of T-cell responses in the peripheral blood and in the tumor tissue 15. No medical or social conditions that may interfere with study outcome and follow-up

Exclusion Criteria:

1. Treatment in any other clinical trial within 30 days before screening 2. Known positive test results for Hepatitis B surface antigen , hepatitis C virus antibodies, human immunodeficiency virus antibodies -1/-2 3. Any other condition or treatment that, in the opinion of the investigator, might interfere with the study or current drug or substance abuse 4. Inability to understand the protocol requirements, instructions and study-related restrictions, the nature, scope, and possible consequences of the study 5. Unlikely to comply with the protocol requirements, instructions and study-related restrictions; e.g., uncooperative attitude, inability to return for follow-up visits, and improbability of completing the study 6. Pregnancy or breast feeding 7. Positive for anti-typhoid IgG/IgM antibodies according to the onsite test on Day 0 8. Cardiovascular disease defined as: Uncontrolled hypertension (systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg) Arterial thromboembolic event within 6 months before randomization including:
  • - Myocardial infarction - Unstable angina pectoris - Cerebrovascular accident - Transient ischemic attack 9.
Congestive heart failure New York Heart Association grade III to IV 10. Serious ventricular arrhythmia requiring medication 11. Clinically significant peripheral artery disease > grade 2b according to Fontaine 12. Intracranial ischemic stroke within 6 months before randomization 13. History of intracranial hemorrhage 14. Hemoptysis within 6 months before randomization 15. Esophageal varices 16. Upper or lower gastrointestinal bleeding within 6 months before inclusion (Day 0) 17. Significant traumatic injury or surgery within 4 weeks before randomization 18. Non-healing wound, incomplete wound healing, bone fracture or any history of gastrointestinal ulcers within three years before inclusion, or positive gastroscopy within 3 months before inclusion 19. Gastrointestinal fistula 20. Thrombolysis therapy within 4 weeks before randomization 21. Presence of any acute or chronic systemic infection 22. Major surgical procedures, or open biopsy within 4 weeks before randomization 23. Chronic concurrent therapy within 2 weeks before and during the treatment period up to Day 35 with:
  • - Corticosteroids (except steroids for adrenal failure or emesis prophylaxis up to 4 mg daily dose) or immunosuppressive agents - Antibiotics - Bevacizumab - Any cancer anti-angiogenic treatment 24.
Chemotherapy from screening until reoperation (Day 35) 25. Known multi-drug resistant gram-negative germ 26. History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that might affect the interpretation of the study results or render the patient at high risk for treatment complications 27. Women of childbearing potential 28. Any condition which results in an undue risk for the patient during the study participation according to the investigator

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT02718443
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Vaximm GmbH
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Wolfgang Wick, MD
Principal Investigator Affiliation Neurology Clinic and National Center for Tumor Diseases
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Germany
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Glioblastoma

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Heidelberg, Germany

Status

Recruiting

Address

Neurology Clinic and National Center for Tumor Diseases

Heidelberg, , 69120

Site Contact

Wolfgang Wick, MD

neuroonkologie@med.uni-heidelberg.de

+49 6221 567075

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