Purpose

The study is an open-label expanded access study for patients for whom vaccine was manufactured during the Northwest Biotherapeutics' 020221 DCVax-L for GBM screening process, but who subsequently failed to meet specific enrollment criteria. Patients will receive therapy per investigator discretion (standard of care) as well as active vaccine per the 020221 protocol administration schedule. It is estimated that approximately 99 patients will enroll in this study.

Conditions

Eligibility

Eligible Ages
Between 18 Years and 70 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Screen-Fail for protocol 020221 due to either: - Radiographic evidence of disease progression or pseudoprogression at the Baseline visit under protocol 020221, as determined by central imaging review, OR - Insufficient vaccine manufactured for protocol 020221 (i.e. less than 5 doses). 2. Patients must have a KPS rating of ≥70 at the Baseline Visit (Visit 5) (refer to Appendix D, Performance Status Scales). 3. Patients may have received steroid therapy as part of their primary treatment. Steroid treatment should preferably be stopped; or if continued steroid use is clinically indicated, be tapered down to no more than 4 mg dexamethasone qd at least 7 days prior to the first immunization . 4. DCVax-L product manufactured and released.

Exclusion Criteria

  1. Active uncontrolled infection, or acute infection requiring antibiotic or antifungal therapy. Antibiotic and antifungal therapy should be completed approximately 7 days prior to the first immunization. 2. Fever ≥101.5oF. If considered possibly transient, retesting is allowed. 3. Unstable or severe intercurrent medical conditions. 4. Females of child-bearing potential who are pregnant or lactating or who are not using adequate contraception (abstinence, surgical, hormonal or double barrier, i.e. condom and diaphragm). 020221 Baseline lab results and or local lab results are acceptable.

Study Design

Phase
Study Type
Expanded Access

Recruiting Locations

University of Arkansas for Medical Sciences
Little Rock, Arkansas 72205
Contact:
Shana Fetters
501-686-8274
FettersShanaM@uams.edu

UCLA Medical Center
Los Angeles, California 90095
Contact:
Diana Moughon
310-794-4223
dmoughon@mednet.ucla.edu

Hoag Memorial Hospital
Newport Beach, California 92663
Contact:
Robin Bogardus
949-764-4624
alicia.bogardus@hoag.org

St. Joseph Hospital of Orange
Orange, California 92868
Contact:
Martha French
714-734-6200
Martha.French@stjoe.org

University of California, Irvine Medical Center
Orange, California 92868
Contact:
Jinah Chung
714-456-8442
jinahec@uci.edu

University of Colorado Cancer Center
Aurora, Colorado 80045
Contact:
Monica Robischon
720-848-0661
Monica.robischon@ucdenver.edu

Colorado Neurological Institute
Englewood, Colorado 80113
Contact:
Alicia Novak
303-806-7423
anovak@thecni.org

University of Florida
Gainesville, Florida 32611
Contact:
Whitney McNeal
352-273-7774
Whitney.McNeal@neurosurgery.ufl.edu

Memorial Healthcare System Memorial Cancer Institute
Hollywood, Florida 33021
Contact:
Nithya Sundararaman, MA, MS, MBA, CCRP
+1-954-265-1846
NSundararaman@mhs.net

Cadence Cancer Center at Warrenville
Warrenville, Illinois 60555
Contact:
Claudia Fredian
630-352-5261
claudia.fredian@cadencehealth.org

Beth Israel Deaconess Medical Center
Boston, Massachusetts 02215
Contact:
Emma Breault
617-667-5984
ebreault@bidmc.harvard.edu

Spectrum Health
Grand Rapids, Michigan 49503
Contact:
Marianne Morrissey
616-391-1129
marianne.morrissey@spectrumhealth.org

John Nasseff Neuroscience Institute - Abott Northwestern Hospital
Minneapolis, Minnesota 55407
Contact:
Anna Kistner
612-863-9166
Anna.Kistner@allina.com

Saint Luke's Hospital of Kansas City
Kansas City, Missouri 64111
Contact:
Jennifer McIntire
816-932-7985
jmcintire@saint-lukes.org

Washington University School of Medicine
St. Louis, Missouri 63110
Contact:
Andrew Wegrzyn
314-747-1825
awegrzyn@dom.wustl.edu

John Theurer Cancer Center at Hackensack University Medical Center
Hackensack, New Jersey 07601
Contact:
Lori Cappello
201-996-5098
LCappello@HackensackUMC.org

Capital Health
Trenton, New Jersey 08638
Contact:
Cynthia Lewis-Diaz
609-394-6287
CDiaz@capitalhealth.org

North Shore University Hospital
Manhasset, New York 11030
Contact:
Louise Purcell
516-941-1263
lpurcell@nshs.edu

Columbia University Medical Center Neurological Institute of New York
New York, New York 10032
Contact:
Christina Corpus
212-342-1653
cc2638@cumc.columbia.edu

Stony Brook University Hospital
Stony Brook, New York 11794
Contact:
Susan Fiore, M.S.
631-444-9425
susan.fiore@stonybrookmedicine.edu

Ohio State University
Columbus, Ohio 043210
Contact:
Aubrey Hastings
614-293-8607
aubrey.hastings@osumc.edu

University of Oklahoma Health Science Center
Oklahoma City, Oklahoma 73104
Contact:
Stephanie McKnight
405-271-8777
Stephanie-Mcknight@ouhsc.edu

Geisinger Medical Center
Danville, Pennsylvania 17822
Contact:
Lynne Belles
570-271-6780
lmbelles@geisinger.edu

Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania 19104
Contact:
Suzanne Frangos, RN, CNRN
215-285-2885
suzanne.frangos@uphs.upenn.edu

Saint Thomas Research Institute
Nashville, Tennessee 37205
Contact:
Nancy Grimes, RN
615-222-4356
ngrimes@sth.org

Swedish Neuroscience Institute
Seattle, Washington 98122
Contact:
Nathan Hansen
206-320-3542
Nathan.Hansen@swedish.org

Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin 23215
Contact:
Lynda Yanny
414-649-6685
lynda.yanny@aurora.org

More Details

NCT ID
NCT02146066
Status
Available
Sponsor
Northwest Biotherapeutics

Study Contact

Marnix Bosch, MBA PhD
240 497 9022
marnix@nwbio.com

Detailed Description

Patients who are being screened under protocol 020221 who are not eligible for enrollment due to a) evidence of disease progression or pseudo-progression post chemo-radiation or b) insufficient (<5 doses) vaccine manufactured, and for whom the DCVax-L treatment was manufactured and released are eligible for this study. Treatment Schedule: Open label vaccine injections will be give per the associated 020221 protocol. Injections will be given at days 0, 10, 20, and at months 2, 4, 8, 12, 18, 24 and 30. There are no therapeutic restrictions, but guidelines for drug administration are recommended as per the 020221 protocol. Data collected includes vaccine administration information, and any vaccine related adverse event. Patient MRIs will be collected centrally for future review. Patients will be followed for disease progression and survival.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.