The purpose of this research study is to determine if an investigational dendritic cell vaccine, called pp65 DC, is effective for the treatment of a specific type of brain tumor called glioblastoma (GBM) when given with stronger doses of routine chemotherapy.
Dendritic cells (DC) are involved in activating, or turning-on, your body's immune system. Your immune system helps guard your body from germs, viruses, and other threats. Although dendritic cells are very strong, the number of them in the body is not high enough to cause a powerful immune response; therefore, more DC are made in a laboratory with cells collected from an individual's blood. In this study, we will make a vaccine that we hope will educate immune cells to target the pp65 antigen, a type of immune marker in GBM, thus resulting in what we call the pp65 DC vaccine. Use of a vaccine that activates your immune system is a type of immunotherapy. It is hoped that by giving the pp65 DC vaccine as a shot under the skin, the immune system will be activated to attack tumor cells in the brain while leaving normal cells alone. To see if the pp65 DC vaccine is effective for the treatment of GBM, subjects will be assigned to different treatment groups. Two groups of subjects will receive the pp65 DC vaccine and one group will receive a placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
175
All subjects will receive a Td booster before study drug dose #1. Subjects in the experimental arms will receive Td skin prep before study drug doses #3, #6, and #9.
University of Florida
Gainesville, Florida, United States
Orlando Health
Orlando, Florida, United States
Duke University Medical Center
Durham, North Carolina, United States
Comparison of Overall Survival (OS) Between the Active Treatment Group (Arms 1 and 2) and the Control Group (Arm 3)
Kaplan-Meier survival curves and the log rank test will be used to characterize and compare OS in patients who received pp65-LAMP mRNA DC vaccine (Arms 1 and 2) and in control patients (Arm 3). OS will be defined as the time between first vaccination and death and will be censored at the last follow-up if death has not occurred.
Time frame: From date of first vaccine until the date of death, up to 48 months
Comparison of Progression-free Survival Between the Active Treatment Group (Arms 1 and 2 Combined) and the Control Group (Arm 3)
Calculated as dated of first vaccine to date first progression/recurrence or death. Kaplan-Meier survival curves and the log rank test will be used to characterize and compare PFS in patients who received pp65-LAMP mRNA DC vaccine (Arms 1 and 2) and in control patients (Arm 3). PFS is defined as the time between first vaccination and first documentation of either disease progression/recurrence, or death without prior progression/recurrence.
Time frame: From date of first vaccine until time disease progression or death without prior progression/recurrence, up to 48 months
ELISPOT Assay (pp65)
Within patient changes from baseline to vaccine 3.
Time frame: baseline, post-vaccine #3
Flow Cytometric Analysis (T Cell)
Percentage of circulating cellular subsets of T cells within PBMCs.
Time frame: baseline, post-vaccine #3
Cytokine Array Analysis (IFN-g)
Change in concentration (pg/mL) of IFN-g as measured by multiplex array from Baseline (V1) to post-Vaccine #3.
Time frame: baseline, post-vaccine #3
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ELISPOT Assay (Actin)
Within patient changes from baseline to vaccine 3.
Time frame: baseline, post-vaccine #3
Flow Cytometric Analysis (NK Cell)
Percentage of circulating cellular subsets of NK cells within PBMCs.
Time frame: baseline, post-vaccine #3
Flow Cytometric Analysis (CD4.CD25 T Reg)
Percentage of circulating cellular subsets of CD4.CD25 T Reg within PBMCs.
Time frame: baseline, post-vaccine #3