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CompletedNCT01156584Updated May 21, 2018

A Study of a Retroviral Replicating Vector Combined With a Prodrug Administered to Patients With Recurrent Malignant Glioma

A Phase 1 interventional study of Toca 511 vector and Toca FC in Glioblastoma, Anaplastic Astrocytoma and Anaplastic Oligodendroglioma, sponsored by Tocagen Inc.. Completed at 10 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-21.

Sponsored by Tocagen Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
54
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, open-label, ascending-dose trial of the safety and tolerability of increasing doses of Toca 511, a Retroviral Replicating Vector (RRV), administered to patients with recurrent high grade glioma (rHGG) who have undergone surgery followed by adjuvant radiation therapy and chemotherapy. Patients will receive Toca 511 either via stereotactic, transcranial injection into their tumor or as an intravenous injection given daily for 3 \& 5 days, depending on cohort. Approximately 3-4 weeks following injection of the RRV, treatment with Toca FC, an antifungal agent, will commence and will be repeated approximately every 6 weeks until study completion. After completion of this study, all patients will be eligible for enrollment and encouraged to enter a long-term continuation protocol that enables additional Toca FC treatment cycles to be given, as well as permits the collection of long-term safety and survival data.

02

Conditions studied

  • Glioblastoma
  • Anaplastic Astrocytoma
  • Anaplastic Oligodendroglioma
  • Anaplastic Oligoastrocytoma

Keywords

  • glioma
  • glioblastoma
  • glioblastoma multiforme
  • Grade IV astrocytoma
  • brain cancer
  • recurrent glioblastoma
  • GBM
  • AA
  • AOD
  • anaplastic astrocytoma
  • anaplastic oligodendroglioma
  • anaplastic oligoastrocytoma
  • malignant glioma
  • high grade glioma
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 54 is above the median of 36 across 1,618 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

Tocagen Inc. is the lead sponsor of 8 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

  • at least 18 years of age
  • for intratumoral cohorts, supratentorial HGG (WHO grade III or IV)
  • technically unresectable HGG
  • initial definitive therapy such as surgery with or without adjuvant radiation
  • subject elected not to undergo treatment with Gliadel wafer
  • if receiving corticosteroids, dose is stable or decreasing for past 7 days
  • KPS: at least 70
  • absolute neutrophil count > 1500/mm\^3
  • absolute lymphocyte count > 500/mm\^3
  • platelet count > 100,000/mm\^3
  • hemoglobin > 10 g/dL
  • for intratumoral cohort, coagulation profile favorable to surgery
  • estimated glomerular filtration rate > 50 mL/min
  • ALT \< 3 times ULN and bilirubin \< 1.5 mg/dL
  • negative serum pregnancy test

Exclusion criteria

Exclusion Criteria:

  • cytotoxic therapy within the past 4 weeks (6 weeks for BCNU/CCNU)
  • more than 2 recurrences including present recurrence
  • Gliadel wafer or wafers implanted within the past 8 weeks
  • taking more than 8 mg of dexamethasone per day
  • for intratumoral cohorts, injection of tumor would require violation of ventricular system
  • any infection requiring antibiotic, anticoagulant, or antiplatelet agents within the past 4 weeks
  • for intratumoral cohort, bleeding diathesis or use of anticoagulants/antiplatelet agents that cannot be stopped
  • allergy or intolerance to 5-FC
  • HIV positive
  • g.i. condition that would prevent ingestion or absorption of 5-FC
  • any investigational treatment within the past 30 days
  • pregnant or breast feeding
  • received Avastin
  • history of prior malignancy, excluding basal or squamous cell carcinoma of the skin, with an expected survival of less than 5 years.
05

Study design

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

Study arms

  • Experimental
    Single arm

    Toca 511 vector/ Toca FC prodrug

    Biological: Toca 511 vector · Drug: Toca FC

Interventions

  • BiologicalToca 511 vector

    Single, stereotactic, transcranial, intratumoral injection or intravenous injection

    Also known as: Retroviral Replicating Vector (RRV), Gene Therapy, Gene Transfer

  • DrugToca FC

    4-6 week cycles of Toca FC. Doses evaluated from 120 mg/kg/day or 300 mg/kg/day. Duration of dosing evaluated: 6 days, 7 days or 14 days.

    Also known as: flucytosine, 5-FC, 5-FC XR, Toca FC (extended release flucytosine)

06

What researchers measure

Primary outcomes

  1. Maximum Feasible, Safe and Well Tolerated Dose of Toca 511

    Time frame: 8-10 weeks

Secondary outcomes

  1. Safety and tolerability of repeated treatment with Toca FC following administration of Toca 511

    Review of adverse events including laboratory safety data (specifically any Grade 3 or higher non-hematologic toxicity or any Grade 4 or higher hematologic toxicity, felt to be related to Toca 511 or the Toca 511/Toca FC combination)

    Time frame: 6 months

  2. Overall survival of Subjects

    Time frame: Overall survivial, Overall survivial at 6 months (OS6), 9 months (OS9), and 12 months (OS12)

  3. Evaluate progression free survival (PFS) at 6 months

    Time frame: 6 months

07

Study locations

10 sites
  • City of Hope
    Duarte, California 91010, United States
  • UCLA
    Los Angeles, California 90095, United States
  • UCSD
    San Diego, California 92093, United States
  • UCSF
    San Francisco, California 94143, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • The Ohio State University
    Columbus, Ohio 43210, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15232, United States
  • The Methodist Hospital Research Institute
    Houston, Texas 77030, United States
08

References and documents

Publications

  • Tai CK, Wang WJ, Chen TC, Kasahara N. Single-shot, multicycle suicide gene therapy by replication-competent retrovirus vectors achieves long-term survival benefit in experimental glioma. Mol Ther. 2005 Nov;12(5):842-51. doi: 10.1016/j.ymthe.2005.03.017. PubMed 16257382 ↗
  • Ostertag D, Amundson KK, Lopez Espinoza F, Martin B, Buckley T, Galvao da Silva AP, Lin AH, Valenta DT, Perez OD, Ibanez CE, Chen CI, Pettersson PL, Burnett R, Daublebsky V, Hlavaty J, Gunzburg W, Kasahara N, Gruber HE, Jolly DJ, Robbins JM. Brain tumor eradication and prolonged survival from intratumoral conversion of 5-fluorocytosine to 5-fluorouracil using a nonlytic retroviral replicating vector. Neuro Oncol. 2012 Feb;14(2):145-59. doi: 10.1093/neuonc/nor199. Epub 2011 Nov 9. PubMed 22070930 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 21, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01156584
Lead sponsor
Tocagen Inc.
Responsible party
Sponsor
First posted
Jul 5, 2010
Start date
Jul 2010
Primary completion
Aug 18, 2016
Completion
Aug 18, 2016
Last update
May 21, 2018

Study contacts

Asha Das, MD
study director · Tocagen Inc.
Manish Aghi, MD, NS
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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