Unique ID issued by UMIN | UMIN000031312 |
---|---|
Receipt number | R000035722 |
Scientific Title | Phase 1/2 clinical trial of immunotherapy with fusions of tumor cells and dendritic cells for pediatric refractory brain tumor |
Date of disclosure of the study information | 2018/02/15 |
Last modified on | 2018/02/15 12:38:32 |
Phase 1/2 clinical trial of immunotherapy with fusions of tumor cells and dendritic cells for pediatric refractory brain tumor
Dendritic cell-based immunotherapy for pediatric refractory brain tumor
Phase 1/2 clinical trial of immunotherapy with fusions of tumor cells and dendritic cells for pediatric refractory brain tumor
Dendritic cell-based immunotherapy for pediatric refractory brain tumor
Japan |
Pediatric refractory brain tumor
Pediatrics |
Malignancy
NO
To evaluate the safety and efficacy of immunotherapy with fusion cells of tumor cells and dendritic cells for refractory brain tumor in childhood and AYA.
Safety,Efficacy
Exploratory
Pragmatic
Phase I,II
Safety
2-year overall survival (OS) rate, 1-year progression free survival (PFS) rate, iRANO criteria
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Vaccine |
In Phase 1, we evaluate the safety (DLT) by three steps according to 3+3 design method. In Phase 2, we evaluate the safety and efficacy with 0.5-10 x10^6 cells in dendritic cell count. Fusion cell inoculation will be repeated 3-10 times in each 28-84 days cycle.
3 | years-old | <= |
25 | years-old | > |
Male and Female
<Tentative inclusion criteria>
Patients will be tentatively enrolled in this clinical trial, when they satisfy the following tentative inclusion criteria.
1) A patient who is suspected a relapse or refractory pediatric brain tumor with poor prognosis.
2) A patient who needs to receive a surgical tumor resection.
3) A patient who is tolerable to receive gathering peripheral blood mononuclear cells by an apheresis method.
4) Age at enrollment is 3 to <25 year-old
5) A patient who has grade 0 to 3 of the Performance Status. Patients with a PS score of 4 due to neurological symptoms associated with the primary disease may be eligible if patients could go to outpatient clinic without any respiratory supports.
6) A patient who is suspected to be alive for more than 3 months.
7) A patient who does not have multiple primary cancer.
8) A patient for whom either the legally acceptable representative or the patient (if aged > 16 years) have provided written voluntary consent to participation in this study after fully receiving and understanding the information about this study.
9) A patient who satisfies following criteria without functional failure of major organs, such as heart, lung, liver, kidney, and bone marrow etc.
WBC > 1,500/microL
Platelet > 50,000/microL
Hb > 9.0/dL
Serum creatinine < 3-fold the upper limit of the normal range based on each age (ULN)
Total bilirubin < 3-fold the ULN
AST, ALT < 120U/L
<Final inclusion criteria>
Tentatively enrolled patients will be truly enrolled as a subject of this clinical trial, when they satisfy the following final inclusion criteria.
1) A patient who is histologically proven recurrent or refractory brain tumor.
2) A patient who has autologous cultured tumor cells available to fuse with dendritic cells.
1) A patient who has sever immune deficiency.
2) A patient who has a past or current history of autoimmune disease.
3) A patient who is administrated immunosuppressive agents for a long period, and is difficult to stop it.
4) A patient who received chemotherapy (including with molecular target therapy) or radiotherapy within 21 days.
5) A patients who underwent allogeneic hematopoietic stem cell transplant.
6) A patient who had recovered from some viral infection (influenza virus or gastroenteritis) within 14 days.
7) A patient who has an allergy to biological medicines.
8) A patient who previously received WT1 peptide vaccine or other immunotherapy.
9) A patient who has positive of HBs antigen, HIV antibody, HCV antibody, or HTLV antibody.
10) A patient who has severe infectious disease over Grade 3 of CTCAE v4.0.
11) A patient who has sever lung disease (Class 3 or more in the Hugh-Jones classification).
12) A patient who has severe heart disease (Class 3 or more in the NYHA).
13) A patient who has some uncontrollable complication.
14) A pregnant or lactating patient.
15) A patient who is involved in other clinical trials.
16) A patients who are inappropriate for participation in the study for other reasons in the opinion of the investigator or sub-investigator.
20
1st name | |
Middle name | |
Last name | Takaaki Yanagisawa |
Jikei University School of Medicine
Neurosurgery
3-25-8 Nishishinbashi Minato-ku, Tokyo
81-3-3433-1111
takaakipno@jikei.ac.jp
1st name | |
Middle name | |
Last name | Masayoshi Yamaoka |
Jikei University School of Medicine
Pediatrics
3-25-8 Nishishinbashi Minato-ku, Tokyo
81-3-3433-1111
yamaoka@jikei.ac.jp
Jikei University School of Medicine
Jikei University School of Medicine
Self funding
NO
東京慈恵会医科大学附属病院
2018 | Year | 02 | Month | 15 | Day |
Unpublished
Open public recruiting
2018 | Year | 02 | Month | 08 | Day |
2018 | Year | 02 | Month | 15 | Day |
2018 | Year | 02 | Month | 15 | Day |
2018 | Year | 02 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035722