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CompletedNCT00006268Updated Jun 24, 2013

Immunotoxin Therapy in Treating Patients With Malignant Glioma

A Phase 1/2 interventional study of cintredekin besudotox and isolated perfusion in Brain and Central Nervous System Tumors, sponsored by New Approaches to Brain Tumor Therapy Consortium. Completed at 11 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-06-24.

Sponsored by New Approaches to Brain Tumor Therapy Consortium · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Immunotoxins can locate tumor cells and kill them without harming normal cells. This may be an effective treatment for malignant glioma.

PURPOSE: Phase I/II trial to study the effectiveness of immunotoxin therapy in treating patients who have malignant glioma.

Read the detailed description

OBJECTIVES:

  • Determine the toxic effects and maximum tolerated dose (MTD) of interstitial interleukin-13 PE38QQR immunotoxin in patients with malignant glioma.
  • Determine the response rate, duration of response, time to response, overall survival, and time to progression in patients treated with this regimen.
  • Determine the toxic effects of this drug at the MTD in these patients.

OUTLINE: This is a dose-escalation, multicenter study.

Patients undergo stereotactic biopsy of brain tumor followed by CT guided stereotactic placement of 2 intratumoral catheters on day 0. Patients with histologically confirmed malignant glioma receive interleukin-13 PE38QQR immunotoxin interstitially over 96 hours beginning on day 1. Patients with a residual enhancing mass undergo repeat catheter placement on day 56 and then receive a second interstitial infusion beginning on day 57 in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of interleukin-13 PE38QQR immunotoxin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 2 of 6 patients experience dose-limiting toxicity. Additional patients are treated at the MTD.

Patients are followed every 8 weeks.

PROJECTED ACCRUAL: A maximum of 30 patients will be accrued for phase I of the study within 6 months and a total of 12-35 patients will be accrued for phase II of the study within 10-12 months.

02

Conditions studied

  • Brain and Central Nervous System Tumors

Keywords

  • recurrent adult brain tumor
  • adult glioblastoma
  • adult anaplastic astrocytoma
  • adult mixed glioma
  • adult giant cell glioblastoma
  • adult gliosarcoma
03

In context

Glioma

1,397 studies on the registry are indexed under Glioma; 351 are open to participants now.

Browse Glioma studies →

Lead sponsor

New Approaches to Brain Tumor Therapy Consortium is the lead sponsor of 11 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically proven malignant glioma (grade 3 or 4)

    • Anaplastic astrocytoma
    • Glioblastoma multiforme
    • Malignant mixed oligoastrocytoma
  • Must have undergone cranial radiotherapy with tumor dose of at least 48 Gy and at least 12 weeks prior to study
  • Must have undergone supratentorial brain tumor surgery or biopsy
  • Must have radiographic evidence of recurrent or progressive supratentorial tumor compared with prior study

    • Must have solid portion measuring 1.0-5.0 cm in maximum diameter
    • Maximum of 1 satellite lesion allowed if separated from the primary mass by less than 3 cm
    • No tumor crossing the midline
    • No leptomeningeal tumor dissemination
    • No impending herniation or spinal cord compression
  • No uncontrolled seizures

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • Karnofsky 60-100%

Life expectancy:

  • Not specified

Hematopoietic:

  • Absolute neutrophil count at least 1,500/mm\^3
  • Hemoglobin at least 10 g/dL
  • Platelet count at least 100,000/mm\^3

Hepatic:

  • PT and PTT no greater than upper limit of normal (ULN)
  • SGOT and SGPT no greater than 2.5 times ULN
  • Bilirubin no greater than 2.0 mg/dL

Renal:

  • Not specified

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No other malignancy within the past 5 years except curatively treated carcinoma in situ or basal cell skin cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • No prior intralesional chemotherapy for malignant glioma
  • At least 3 weeks since other prior chemotherapy (6 weeks since prior nitrosoureas) and recovered
  • No concurrent chemotherapy

Endocrine therapy:

  • Concurrent corticosteroids allowed, but dose must remain stable or be tapered during study

Radiotherapy:

  • See Disease Characteristics
  • No prior focal radiotherapy (e.g., any form of stereotactic radiotherapy or brachytherapy) for malignant glioma

Surgery:

  • See Disease Characteristics

Other:

  • Recovered from any prior therapy
  • No other concurrent investigational agent
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment

Interventions

  • Biologicalcintredekin besudotox
  • Drugisolated perfusion
  • Procedureconventional surgery
06

Study locations

11 sites
  • University of Alabama at Birmingham Comprehensive Cancer Center
    Birmingham, Alabama 35294-3300, United States
  • H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
    Tampa, Florida 33612-9497, United States
  • Winship Cancer Institute of Emory University
    Atlanta, Georgia 30322, United States
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21231-2410, United States
  • Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
    Bethesda, Maryland 20892-1182, United States
  • National Institute of Neurological Disorders and Stroke
    Bethesda, Maryland 20892-1414, United States
  • Massachusetts General Hospital Cancer Center
    Boston, Massachusetts 02114, United States
  • Josephine Ford Cancer Center at Henry Ford Health System
    Detroit, Michigan 48202, United States
  • Comprehensive Cancer Center at Wake Forest University
    Winston-Salem, North Carolina 27157-1082, United States
  • Abramson Cancer Center at the University of Pennsylvania
    Philadelphia, Pennsylvania 19104-4283, United States
  • University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78284-7811, United States
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00006268
Lead sponsor
New Approaches to Brain Tumor Therapy Consortium
Collaborators
National Cancer Institute (NCI)
First posted
Jan 27, 2003
Start date
Oct 2000
Completion
Mar 2005
Last update
Jun 24, 2013

Study contacts

Jon Weingart, MD
study chair · Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2005. You cannot join it, but the record below documents what was studied.

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