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Glioblastoma MultiformePhase 3NCT02546102

Phase 3 Randomized, Double-blind, Controlled Study of ICT-107 in Glioblastoma

A Phase 3 study testing ICT-107 in people with Glioblastoma Multiforme, run by Precision Life Sciences Group at 65 sites in 3 countries.

Suspended

Paused. Enrolment is on hold for now and may resume.

Official record
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Trial summary

ICT-107 consists of dendritic cells, prepared from autologous mononuclear cells that are pulsed with six synthetic peptides that were derived from tumor associated antigens (TAA) present on glioblastoma tumor cells. This is a Phase 3 study to evaluate ICT-107 in patients with newly diagnosed glioblastoma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Glioblastoma Multiforme
What is being tested?
ICT-107
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
234 participants
Where
65 sitesin 3 countries
Study dates
Dec 2024to Dec 2025
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must understand and sign the study specific informed consent
  • Subjects must be in primary remission
  • Subjects should have < 1 cm3 disease by MRI within the previous 4 weeks (by central read)
  • Subjects must be HLA-A2 positive by central lab
  • Subjects must have adequate renal, hepatic and bone marrow function based on screening laboratory assessments. Baseline hematologic studies and chemistry and coagulation profiles must meet the following criteria:
  • Hemoglobin (Hgb) > 8 g/dL
Show all 14Show fewer
  • Absolute Neutrophil Count (ANC) > 1000/mm3
  • Platelet count > 100,000/mm3
  • Blood Urea Nitrogen (BUN) < 30 mg/dL
  • Creatinine < 2 mg/dL
  • Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) < 2 x upper limit of normal (ULN)
  • Prothrombin Time (PT) and activated partial thromboplastin time (PTT) ≤ 1.6x unless therapeutically warranted
  • Subjects must use effective contraceptive methods during the study and for three months following the last dose of study product, if of reproductive age and still retain fertility potential.
  • Subjects must have at least one positive DTH skin response (more than 5 mm) to test item challenge prior to randomization.

Who cannot join

  • Subjects receiving investigational study drug for any indication or immunological-based treatment for any reason (Filgrastim may be used for prevention of severe neutropenia).
  • Subjects with glioblastoma mutated IDH by Immunohistochemistry (IHC)
  • Subjects with concurrent conditions that would jeopardize the safety of the subject or compliance with the protocol.
  • Subjects with a history of chronic or acute hepatitis C or B infection.
  • Subjects require or are likely to require more than a 2-week course of corticosteroids for intercurrent illness. Subjects must have completed the course of corticosteroids at the time of apheresis to meet eligibility.
  • Subjects have any acute infection that requires specific therapy. Acute therapy must have been completed within seven days prior to study enrollment.
  • Subjects with active other malignancy diagnosed in the past 3 years (excepting in situ tumors)
  • Subjects known to be pregnant or nursing.

Trial locations and contacts

65 sites in 3 countries.

65 sites in 3 countries

United States58 sites
  • New Mexico Cancer Care Alliance

    Albuquerque, New Mexico, 87131

  • University of Michigan Health System

    Ann Arbor, Michigan, 48109

  • Piedmont Hospital

    Atlanta, Georgia, 30309

  • Georgia Regents University

    Augusta, Georgia, 30912

  • University of Colorado Denver

    Aurora, Colorado, 80045

  • Texas Oncology

    Austin, Texas, 78705

  • Johns Hopkins University School of Medicine

    Baltimore, Maryland, 21287

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Delray Medical Center

    Boca Raton, Florida, 33484

  • Boca Raton Regional Hospital Lynn Cancer Institute

    Boca Raton, Florida, 33486

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02114

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Harvard Medical School Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • University of Virginia Health System

    Charlottesville, Virginia, 22903

  • Northwestern University

    Chicago, Illinois, 60611

  • The Ohio State University Medical Center

    Columbus, Ohio, 43210

  • Baylor Health Charles Sammons Cancer Center

    Dallas, Texas, 75246

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • City of Hope Cancer Center

    Duarte, California, 91010

  • JFK New Jersey Neuroscience Institute

    Edison, New Jersey, 08820

  • NorthShore University Health System

    Evanston, Illinois, 60201

  • Associated Neurologists of Southern Connecticut

    Fairfield, Connecticut, 06824

  • Penn State College of Medicine Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Houston Methodist Hospital

    Houston, Texas, 77030

  • University of Texas Health Science Center Memorial Hermann Hospital

    Houston, Texas, 77030

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Tennessee Medical Cancer Institute

    Knoxville, Tennessee, 37920

  • UCSD Moores Cancer Center

    La Jolla, California, 92093

  • North Shore University Hospital

    Lake Success, New York, 11042

  • University of Kentucky

    Lexington, Kentucky, 40536

  • Southern California Permanente Medical Group

    Los Angeles, California, 90027

  • University of Southern California

    Los Angeles, California, 90033

  • Cedars Sinai Medical Center

    Los Angeles, California, 90048

  • Norton Cancer Institute

    Louisville, Kentucky, 40202

  • John Nasseff Neuroscience Institute

    Minneapolis, Minnesota, 55407

  • Smilow Cancer Hospital

    New Haven, Connecticut, 06519

  • Perlmutter Cancer Center

    New York, New York, 10016

  • Mount Sinai Medical Center

    New York, New York, 10029

  • Columbia University Medical Center

    New York, New York, 10032

  • Weil Cornell Medical Center

    New York, New York, 10065

  • Christiana Care Health Services

    Newark, Delaware, 19711

  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

  • University of California Irvine Chao Family Cancer Center

    Orange, California, 92868

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania, 19107

  • Dignity Health - St. Joseph's Hospital and Medical Center

    Phoenix, Arizona, 85013

  • University of Pittsburgh Medical Center Cancer Pavilion

    Pittsburgh, Pennsylvania, 15232

  • Kaiser Permanente

    Redwood City, California, 94063

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • Kaiser Permanente

    Sacramento, California, 95825

  • Metro-Minnesota Community Oncology Research Consortium

    Saint Louis Park, Minnesota, 55416

  • Huntsman Cancer Institute

    Salt Lake City, Utah, 84112

  • CTRC at UTHSCSA

    San Antonio, Texas, 78229

  • John Wayne Cancer Institute

    Santa Monica, California, 90404

  • Ivy Center for Advanced Brain Tumor Treatment Swedish Medical Center

    Seattle, Washington, 98122

  • University of Washington Medical Center

    Seattle, Washington, 98195

  • Stanford Cancer Institute

    Stanford, California, 95124

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina, 27157

Other trials in United States

Canada4 sites
  • Juravinski Cancer Centre

    Hamilton, Ontario, L8V 5C2

  • Montreal Neurological Institute & Hospital

    Montreal, Quebec, H3A2B4

  • CHUS Service de Neurochirurgie

    Sherbrooke, Quebec, J1K2R1

  • Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Austria3 sites
  • Medical University Innsbruck, Dept. of Neurology

    Innsbruck, 6020

  • Kepler Universitätsklinikum, Neuromed Campus

    Linz, 4020

  • University Clinic for Neurology

    Salzburg, 5020

Other trials in Austria

About this study

Official title: A Phase 3 Randomized Double-blind, Controlled Study of ICT-107 With Maintenance Temozolomide (TMZ) in Newly Diagnosed Glioblastoma Following Resection and Concomitant TMZ Chemoradiotherapy

ICT-107 consists of dendritic cells, prepared from autologous mononuclear cells that are pulsed with six synthetic peptides that were derived from tumor associated antigens (TAA) present on glioblastoma tumor cells. This is a Phase 3 study to evaluate ICT-107 in patients with newly diagnosed glioblastoma. Subjects will be randomized to receive standard of care chemoradiation (temozolomide (TMZ) with either ICT-107 or a blinded control. Reinfusion with the pulsed dendritic cells should stimulate cytotoxic T cells to specifically target glioblastoma tumour cells.

Read the detailed description

This is a double blind Phase III study where eligible subjects are randomized into two treatment arms following the SOC primary treatment with chemoradiation: Arm 1 will receive ICT-107 in combination with the standard of care, temozolomide (TMZ), Arm 2 will receive TMZ with a blinded control. A 1:1 randomization will be employed, where ARM 1 will receive ICT-107 and Arm 2 will receive placebo control. All subjects must be HLA-A2+. All subjects must have glioblastoma tissue that has tumor assessment for MGMT methylation status prior to randomization (for stratification). Subjects will have had tumor resection and magnetic resonance imaging (MRI) prior to enrollment into the study. After signing of written informed consent and any required privacy compliance forms and screening, enrolled subjects will undergo large volume apheresis at the study site for collection of PBMCs. Apheresis product will be sent to the manufacturing site where both active therapy (ICT-107) and control will be prepared for each subject prior to randomization The study period consists of 4 time periods; a 6-week Post-Surgery Standard of Care Treatment Phase where subjects receive radiotherapy and TMZ; TMZ and radiation to be initiated no more than 8 weeks after surgical resection of glioblastoma; a Rest Period of no more than 14 days where subjects are reassessed for eligibility, and then randomized; a 4 week Induction Phase where study therapy (ICT-107 or Control) is given weekly; followed by a Maintenance Phase where study therapy is given monthly for 11 months, and then every 6 months until either progression, withdrawal from the study, death, or the supply of autologous study therapy is exhausted. Randomized subjects will receive 4 weekly administrations of subject-specific study therapy (ICT-107 or Control) during the Induction Phase. No TMZ will be given during the 4 week Induction Phase. Each study therapy injection will be delivered intradermally (axilla).

The Maintenance Phase will consist of administration of subject-specific study therapy monthly for 11 months after the Induction Phase (for a total of 15 injections over 12 months during the Induction and Maintenance Phases), and then every 6 mos. thereafter until depletion or confirmation of progressive disease (PD). During the Maintenance Phase (where ICT-107 or control are given monthly), the administration of TMZ and subject specific study therapy or control will be separated in time by approximately 2 weeks (see Section 9.1.4). Pre-treatment, treatment and assessment schedules will be the same for all subjects.

Being tested
ICT-107, Placebo
Medical subject headings
Glioblastoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ICT-107Biological

    Autologous dendritic cells pulsed with peptides associated with tumor antigens

  • PlaceboBiological

    Control, autologous monocytes-enriched PBMC.

Study groups in NCT02546102
Study groupRoleWhat they receive
1ExperimentalArm 1 will receive ICT-107 in combination with the standard of care, temozolomide (TMZ). ICT-107 will be given once a week for 4 weeks in the induction phase. During the maintenance phase, ICT-107 will be given monthly for the 11 months after induction and once every 6 months thereafter until depletion of supply or confirmation of progressive disease (PD). Administration is intradermal in axilla.
Receives: Biological: ICT-107
2Placebo comparatorArm 2 will receive TMZ with a blinded control. Control will be given once a week for 4 weeks in the induction phase. During the maintenance phase, Control will be given monthly for the 11 months after induction and once every 6 months thereafter until depletion of supply or confirmation of progressive disease (PD). Administration is intradermal in axilla.
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall survival

    Overall survival (OS) of subjects treated with ICT-107 and standard of care (radiation (RT) and TMZ) vs. placebo control and standard of care (RT and TMZ)

    Measured: 46 months

Secondary outcomes (4)
  1. Overall survival in patients with unmethylated MGMT tumors

    OS of subjects with unmethylated MGMT (O6-methylguanine-DNA methyltransferase) tumors treated with ICT-107 and standard of care vs. control and standard of care

    Measured: 46 months

  2. Overall survival in patients with methylated MGMT (O6-methylguanine-DNA methyltransferase) tumors

    OS of subjects with methylated MGMT tumors treated with ICT-107 and standard of care vs. control and standard of care.

    Measured: 46 months

  3. Progression-free survival

    Progression-free survival (PFS) of subjects treated with ICT-107 and standard of care vs. control and standard of care

    Measured: 46 months

  4. Type and frequency of treatment emergent adverse events

    Compare the type and frequency of treatment emergent adverse events of ICT-107 vs. control treatment groups

    Measured: 46 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Sep 2015 (estimated)
  2. Study startDec 2024 (estimated)
  3. Primary completionDec 2025 (estimated)
  4. Study completionDec 2025 (estimated)

Why it stopped: Company is discussing with FDA to reinitiate the trial now.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
234 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02546102
Sponsor's protocol ID
ICT-107-301
Status last verified
Apr 2024
First submitted
7 Sep 2015
Last updated
3 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Phuphanich S, Wheeler CJ, Rudnick JD, Mazer M, Wang H, Nuno MA, Richardson JE, Fan X, Ji J, Chu RM, Bender JG, Hawkins ES, Patil CG, Black KL, Yu JS. Phase I trial of a multi-epitope-pulsed dendritic cell vaccine for patients with newly diagnosed glioblastoma. Cancer Immunol Immunother. 2013 Jan;62(1):125-35. doi: 10.1007/s00262-012-1319-0. Epub 2012 Jul 31.

    PubMed 22847020

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ICT-107 in people with Glioblastoma Multiforme, run by Precision Life Sciences Group at 65 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: paused, as of the sponsor's last update on 3 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in United States, Canada, Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall survival (time frame: 46 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02546102, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2024.

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