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Brief Title: Study of a Drug [DCVax®-L] to Treat Newly Diagnosed GBM Brain Cancer
Official Title: A Phase III Clinical Trial Evaluating DCVax®-L, Autologous Dendritic Cells Pulsed With Tumor Lysate Antigen For The Treatment Of Glioblastoma Multiforme (GBM)
Study ID: NCT00045968
Brief Summary: The primary purpose of the study is to determine the efficacy of an investigational therapy called DCVax(R)-L in patients with newly diagnosed GBM for whom surgery is indicated. Patients must enter screening at a participating site prior to surgical resection of the tumor. Patients will receive the standard of care, including radiation and Temodar therapy and two out of three will additionally receive DCVax-L, with the remaining one third receiving a placebo. All patients will have the option to receive DCVax-L in a crossover arm upon documented disease progression. (note: DCVax-L when used for patients with brain cancer is sometimes also referred to as DCVax-Brain)
Detailed Description: This Phase III trial is designed to evaluate the impact on survival time, as well as safety, in patients following treatment with DCVax(R)-L, an immunotherapy treatment for GBM. The experimental therapy uses a patient's own tumor lysate and white blood cells from which precursors of the dendritic cells are isolated. The dendritic cell is the starter engine of the immune system. The white cells are then made into dendritic cells and they are educated to "teach" the immune system how to recognize brain cancer cells. Eligible patients will receive a series of injections of DCVax-L, to activate and then boost the immune response to the tumor cells. The primary study endpoint is OS (overall survival) compared to external controls in newly diagnosed glioblastoma, and the first secondary endpoint is OS compared to external controls in recurrent glioblastoma. Side effects reported from early trials are mostly mild, and may include skin reactions of redness, pain \& swelling at the injection site.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of Alabama at Birmingham, Birmingham, Alabama, United States
University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
Sutter East Bay Neuroscience Institute-Eden Medical Center, Castro Valley, California, United States
City of Hope, Duarte, California, United States
UCSD Moores Cancer Center, La Jolla, California, United States
Kaiser Permanente - Los Angeles, Los Angeles, California, United States
UCLA Medical Center, Los Angeles, California, United States
Hoag Memorial Hospital Presbyterian, Newport Beach, California, United States
St. Joseph Hospital of Orange, Orange, California, United States
University of California, Irvine Medical Center, Orange, California, United States
Kaiser Permanente - Redwood City, Redwood City, California, United States
Sutter Institute for Medical Research, Sacramento, California, United States
University of Colorado Cancer Center, Aurora, Colorado, United States
Colorado Neurological Institute, Englewood, Colorado, United States
Georgetown University Medical Center, Washington, District of Columbia, United States
University of Florida, Gainesville, Florida, United States
Memorial Cancer Institute, Hollywood, Florida, United States
Mount Sinai Community Clinical Oncology Program, Miami Beach, Florida, United States
Moffitt Cancer Center, Tampa, Florida, United States
Piedmont Atlanta Hospital, Atlanta, Georgia, United States
Rush University Medical Center, Chicago, Illinois, United States
Illinois Cancer Care, Peoria, Illinois, United States
Cadence Cancer Center, Warrenville, Illinois, United States
IU Simon Cancer Center, Indianapolis, Indiana, United States
University of Kansas Cancer Center, Westwood, Kansas, United States
Markey Cancer Center/University of Kentucky, Lexington, Kentucky, United States
Norton Cancer Institute, Louisville, Kentucky, United States
Tufts Medical Center, Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
University of Michigan Cancer Center, Ann Arbor, Michigan, United States
Henry Ford Hospital, Detroit, Michigan, United States
Spectrum Health, Grand Rapids, Michigan, United States
John Nasseff Neuroscience Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota, United States
St. Luke's Hospital, Kansas City, Missouri, United States
Washington University School of Medicine, Saint Louis, Missouri, United States
The Brain Tumor Center at JFK Medical Center, Edison, New Jersey, United States
John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, New Jersey, United States
The Valley Hospital, Ridgewood, New Jersey, United States
Overlook Hospital, Summit, New Jersey, United States
Capital Health Regional Medical Center, Trenton, New Jersey, United States
Long Island Brain Tumor Center at Neurological Surgery, P.C., Lake Success, New York, United States
North Shore University Hospital, Manhasset, New York, United States
New York University Clinical Cancer Center, New York, New York, United States
Mount Sinai Medical Center, New York, New York, United States
Columbia University Medical Center, New York, New York, United States
University of Rochester Medical Center, Rochester, New York, United States
Stony Brook Medicine, Stony Brook, New York, United States
Brain and Spine Surgeons of New York and Northern Westchester Hospital, White Plains, New York, United States
University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, United States
Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, United States
University of Cincinnati Cancer Institute, Cincinnati, Ohio, United States
University Hospitals Seidman Cancer Center, Cleveland, Ohio, United States
Cleveland Clinic Foundation, Cleveland, Ohio, United States
Ohio State University, Columbus, Ohio, United States
OhioHealth, Columbus, Ohio, United States
Oklahoma University Health Science Center, Oklahoma City, Oklahoma, United States
Geisinger Medical Center, Danville, Pennsylvania, United States
Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States
Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania, United States
Temple University School of Medicine, Philadelphia, Pennsylvania, United States
Rhode Island Hospital, Providence, Rhode Island, United States
Medical University of South Carolina Hospitals and Clinics, Charleston, South Carolina, United States
Saint Thomas Research Institute, Nashville, Tennessee, United States
Vanderbilt Ingram Cancer Center, Nashville, Tennessee, United States
Baylor Research Institute, Dallas, Texas, United States
The Methodist Hospital, Houston, Texas, United States
University of Texas Health Science Center at Houston, Houston, Texas, United States
Cancer Therapy & Research at University of Texas Health Science Center San Antonio, San Antonio, Texas, United States
Benaroya Research Institute at Virginia Mason, Seattle, Washington, United States
Swedish Hospital Neuroscience Research, Seattle, Washington, United States
Aurora Saint Luke's Medical Center, Milwaukee, Wisconsin, United States
Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
CHUS - Hôpital Fleurimont, Sherbrooke, Quebec, Canada
Universitätsklinikum Heidelberg Neurochirurgische Klinik, Heidelberg, Baden-Württemberg, Germany
Katharinenhospital, Stuttgart, Baden-Württemberg, Germany
Universitätsklinikum FrankfurtKlinik und Poliklinik für Neurochirurgie, Frankfurt, Hesse, Germany
Universitätsklinikum Bonn Nervenklinik (Zentrum), Klinik und Poliklinik für Neurochirurgie, Bonn, North Rhine-Westphalia, Germany
Universitätsklinikum Klinik für allgemeine Neurochirurgie, Köln, North Rhine-Westphalia, Germany
BG-Kliniken Bergmannstrost, Klinik für Neurochirurgie, Halle, Saxony-Anhalt, Germany
Klinik für Neurochirurgie, Klinikum Chemnitz gGmbH, Chemnitz, Saxony, Germany
Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Saxony, Germany
Neurochirurgische Klinik, Hamburg, , Germany
Addenbrookes NHS Trust, Cambridge, Cambridgeshire, East Anglia, United Kingdom
Kings College Hosital NHS Foundation Trust, London, Greater London, United Kingdom
University College Hospital London, London, Greater London, United Kingdom
University Hospital of Birmingham NHS Foundation Trust, Birmingham, West Midlands, United Kingdom
Name: Linda Liau, M.D.
Affiliation: University of California, Los Angeles
Role: PRINCIPAL_INVESTIGATOR
Name: Marnix L. Bosch, MBA, PhD
Affiliation: Northwest Biotherapeutics
Role: STUDY_DIRECTOR