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CompletedNCT01081223Updated Jun 1, 2023Results posted

Phase I/II Study To Test The Safety and Efficacy of TVI-Brain-1 As A Treatment For Recurrent Grade IV Glioma

A Phase 1/2 interventional study of Cancer vaccine plus immune adjuvant in Glioma, High Grade Astrocytoma and Glioblastoma Multiforme, sponsored by TVAX Biomedical. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-01.

Sponsored by TVAX Biomedical · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

TVI-Brain-1 is an experimental treatment that takes advantage of the fact that your body can produce immune cells, called 'killer' white blood cells that have the ability to kill large numbers of the cancer cells that are present in your body. TVI-Brain-1 is designed to generate large numbers of those 'killer' white blood cells and to deliver those cells into your body so that they can kill your cancer cells.

Read the detailed description

TVI-Brain-1 involves several steps. First, the patient's cancer will be surgically removed to provide cells for the vaccine. Second, the patient will be vaccinated twice with those cells and GM-CSF. Third, the patient's blood will be filtered for white cells which will then be cultured and stimulated to reach a higher (killer) activity level. Fourth, the activated white blood cells will be infused into the patient's bloodstream so that they will be able to attack the cancer. Finally, the entire process starting with vaccination will be repeated, for a total of two rounds of therapy.

02

Conditions studied

  • Glioma
  • High Grade Astrocytoma
  • Glioblastoma Multiforme

Keywords

  • Brain Neoplasms
  • Central Nervous System Neoplasms
  • Brain Diseases
  • Neoplasms
  • Nervous System Neoplasms
  • Glioblastoma
  • Astrocytoma
  • Nervous System Diseases
  • Central Nervous System Diseases
  • Glioma
  • Recurrent astrocytoma
  • Recurrent glioma
  • Cancer vaccine
  • Immunotherapy
  • Killer T cells
  • Activated T cells
  • GM-CSF
  • Low dose IL-2
  • Activated lymphocytes
03

In context

Glioblastoma

1,920 studies on the registry are indexed under Glioblastoma; 450 are open to participants now.

This study's enrollment of 12 is below the median of 36 across 1,618 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

TVAX Biomedical is the lead sponsor of 4 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

Inclusion criteria

  • Age > 18
  • Informed consent
  • Diagnosis of grade IV glioma with progression following standard treatment.
  • Must be able to tolerate surgery to provide tumor tissue for vaccine.
  • Must be able to produce viable vaccine from tumor tissue.
  • Eastern Cooperative Oncology Group (ECOG) performance status must be \< 2 or Karnofsky Performance Status must be 70 or greater.
  • Negative HIV test.
  • Negative for hepatitis B and C virus.
  • Respiratory reserve must be reasonable.
  • Sufficient renal function.
  • Satisfactory blood counts.
  • Negative pregnancy test for women of childbearing potential.

Exclusion criteria

Exclusion Criteria:

  • Surgically removed cancer reveals that it is not grade IV glioma.
  • Concomitant life-threatening disease.
  • Active autoimmune disease.
  • Currently receiving chemotherapy or biological therapy for the treatment of cancer.
  • Currently receiving immunosuppressive drugs for any reason.
  • Prior treatment with Avastin or other anti-angiogenesis treatment within 6 months.
  • Prior treatment with Gliadel wafers.
  • Corticosteroids beyond peri-operative period.
  • Psychological, familial, sociological or geographical conditions that do not permit adequate medical follow-up and compliance with the study protocol.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    TVI-Brain-1

    Cancer vaccine plus immune adjuvant Biological/vaccine Other

    Biological: Cancer vaccine plus immune adjuvant

Interventions

  • BiologicalCancer vaccine plus immune adjuvant

    Tumor tissue is used for cancer vaccine. Following vaccinations, white blood cells are collected, stimulated and expanded, and are then reinfused. The infusion is followed by a course of low-dose IL-2.

06

What researchers measure

Primary outcomes

  1. Number of Participants Experiencing the Incidence of Grade One or Higher Adverse Events

    To determine the relative toxicity (safety) of vaccinating recurrent grade IV glioma patients four times with live, attenuated cancer cells combined with granulocyte-macrophage colony-stimulating factor (GM-CSF). Toxicity will be assessed following delivery of each treatment component.

    Time frame: 8 weeks

  2. Immunogenicity as Measured by Delayed Type Hypersensitivity Reactions

    The potency of the modified vaccination regimen will be assessed by measuring immune responses following each vaccination. The study is designed to determine whether vaccinating recurrent grade IV glioma subjects four times with attenuated cancer cells stimulates more powerful immune responses than vaccinating subjects twice. Clinical effects also will be measured to determine whether the treatment causes the cancer to regress.

    Time frame: 48 hours

Secondary outcomes

  1. Overall Survival

    Evaluate overall survival of patients

    Time frame: 12 months

07

Results

Posted Jun 1, 2023
Limitations and caveats
small number of participants in study

Participant flow

Participant flow — Overall Study
MilestoneTVI-Brain-1
Started12
Completed12
Not completed0

Outcome measures

PrimaryNumber of Participants Experiencing the Incidence of Grade One or Higher Adverse Events

To determine the relative toxicity (safety) of vaccinating recurrent grade IV glioma patients four times with live, attenuated cancer cells combined with granulocyte-macrophage colony-stimulating factor (GM-CSF). Toxicity will be assessed following delivery of each treatment component.

Time frame:
8 weeks
Reported as:
Number · participants
Number of Participants Experiencing the Incidence of Grade One or Higher Adverse Events
participantsTVI-Brain-1
Number of Participants Experiencing the Incidence of Grade One or Higher Adverse Events12
PrimaryImmunogenicity as Measured by Delayed Type Hypersensitivity Reactions

The potency of the modified vaccination regimen will be assessed by measuring immune responses following each vaccination. The study is designed to determine whether vaccinating recurrent grade IV glioma subjects four times with attenuated cancer cells stimulates more powerful immune responses than vaccinating subjects twice. Clinical effects also will be measured to determine whether the treatment causes the cancer to regress.

Time frame:
48 hours
Reported as:
Count of participants · Participants
Immunogenicity as Measured by Delayed Type Hypersensitivity Reactions
ParticipantsTVI-Brain-1
Immunogenicity as Measured by Delayed Type Hypersensitivity Reactions10
SecondaryOverall Survival

Evaluate overall survival of patients

Time frame:
12 months
Reported as:
Mean · months
Overall Survival
monthsTVI-Brain-1
Overall Survival6.3 (1.8 to 12.6)

Adverse events

Collected over 12 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
TVI-Brain-112/12 (100%)12/12 (100%)12/12 (100%)
Most frequent serious events
Showing 10 of 12
Most frequent serious events
EventTVI-Brain-1
glioblastoma progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)12/12
hypocalcemiaInvestigations3/12
hypokalemiaInvestigations3/12
psychosis postoperativePsychiatric disorders2/12
astheniaNervous system disorders2/12
coagulopathyBlood and lymphatic system disorders1/12
dehydrationGastrointestinal disorders1/12
haemorrhage intracranialBlood and lymphatic system disorders1/12
vasogenic cerebral oedemaInjury, poisoning and procedural complications1/12
weight lossInvestigations1/12
Most frequent other events
Showing 10 of 22
Most frequent other events
EventTVI-Brain-1
hyperglycemiaMetabolism and nutrition disorders9/12
anxietyPsychiatric disorders5/12
nauseaGastrointestinal disorders4/12
headacheNervous system disorders4/12
depressionPsychiatric disorders3/12
insomniaPsychiatric disorders3/12
constipationGastrointestinal disorders2/12
sinusitisRespiratory, thoracic and mediastinal disorders2/12
diarrheaGastrointestinal disorders1/12
astheniaNervous system disorders1/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)TVI-Brain-1
<=18 years0
Between 18 and 65 years10
>=65 years2
Age, Continuous
Age, Continuous(years)TVI-Brain-1
Mean60 ± 10
Sex: Female, Male
Sex: Female, Male(Participants)TVI-Brain-1
Female5
Male7
Region of Enrollment
Region of Enrollment(participants)TVI-Brain-1
United States11
Latvia1
08

Study locations

1 site
  • Saint Luke's Hospital
    Kansas City, Missouri 64111, United States
09

References and documents

Publications

  • Sloan AE, Dansey R, Zamorano L, Barger G, Hamm C, Diaz F, Baynes R, Wood G. Adoptive immunotherapy in patients with recurrent malignant glioma: preliminary results of using autologous whole-tumor vaccine plus granulocyte-macrophage colony-stimulating factor and adoptive transfer of anti-CD3-activated lymphocytes. Neurosurg Focus. 2000 Dec 15;9(6):e9. doi: 10.3171/foc.2000.9.6.10. PubMed 16817692 ↗

Related links

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01081223
Lead sponsor
TVAX Biomedical
Responsible party
Sponsor
First posted
Mar 5, 2010
Start date
Apr 2010
Primary completion
Mar 2011
Completion
Mar 2011
Results posted
Jun 1, 2023
Last update
Jun 1, 2023

Study contacts

Michael Salacz, M.D.
principal investigator · St. Luke's Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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