ClinicalTrials.gg
CompletedNCT05938387Updated Feb 18, 2026

Safety and Tolerability of CVGBM in Adults With Newly Diagnosed MGMT-Unmethylated Glioblastoma or Astrocytoma

A Phase 1 interventional study of CV09050101 mRNA vaccine (CVGBM) 12 μg and CV09050101 mRNA vaccine (CVGBM) 25 μg in Glioblastoma, sponsored by CureVac. Completed at 13 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-18.

Sponsored by CureVac (part of BioNTech SE) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
37
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is an open-label, first-in-human, dose-escalation study of CV09050101 mRNA vaccine (CVGBM) in patients with newly diagnosed "MGMT-unmethylated" Glioblastoma (GBM). Patients with isocitrate dehydrogenase (IDH)-wildtype astrocytoma with a molecular signature of "unmethylated" GBM are also eligible.

After surgical resection and completion of radiotherapy for GBM with or without chemotherapy, patients will receive CVGBM i.e. as monotherapy after radiotherapy with or without chemotherapy.

The study consists of a dose-escalation part (Part A) which completes enrollment in February 2024 and a dose-expansion part (Part B) which is anticipated to begin enrolling in June/July 2024.

Patients will receive a total of 7 administrations of CVGBM on Days 1, 8, 15, 29, 43, 57, and 71. At the discretion of the Investigator in alignment with the Sponsor's medical monitor the vaccinations may continue beyond Day 71 every 6 weeks until one year after the first CVGBM vaccination or upon disease progression or undue toxicity.

02

Conditions studied

  • Glioblastoma

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03

In context

Glioblastoma

2,132 studies on the registry are indexed under Glioblastoma; 464 are open to participants now.

This study's enrollment of 37 is close to the median of 36 across 1,753 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

CureVac is the lead sponsor of 18 studies on the registry; none are open to participants now.

First submitted before CureVac became part of BioNTech SE.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. confirmed, newly diagnosed GBM (CNS WHO Grade 4) and IDH-wildtype astrocytoma with a molecular signature of "unmethylated" GBM.
  2. Specific HLA genotype.
  3. Gross total or partial resection (i.e., ≥50% of tumor volume resected).
  4. Having completed radiotherapy with or without chemotherapy post-surgery at least 2 weeks before study treatment initiation with no signs of disease progression. Patients must have recovered from any radiotherapy or chemotherapy related side effects to ≤ Grade 1 (with the exception of ALC and WBC as per eligibility criteria). Pretreatment (and concomitant treatment) with TTFields therapy for GBM is allowed.
  5. Age ≥18 years.
  6. Performance Status (KPS) ≥70%.
  7. >6 months.
  8. Absolute lymphocyte count (ALC) >0.5 x109/L.
  9. Each patient must voluntarily sign and date an form (ICF) approved by an Independent Ethics Committee (IEC), prior to the initiation of any pre-screening, screening or study-specific procedures. Note: Patients will sign a separate ICF to allow pre-screening/HLA genotyping.
  10. Female patients who are (no menses for at least 12 months before the Screening Visit), or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy).

    Females of must:

    1. Have a negative serum pregnancy test with a sensitivity of at least 25 mIU/mL within 10 to 14 days, and within 24 hours prior to starting the study treatment a negative urine pregnancy test.
    2. Agree to ongoing pregnancy testing during the study.
    3. Use effective at least 28 days before starting study treatment through to 30 days after the last dose of study treatment. Effective methods of birth control include:

      • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation:

        • oral
        • intravaginal
        • transdermal
      • progestogen-only hormonal contraception associated with inhibition of ovulation:

        • oral
        • injectable
        • implantable
      • intrauterine device
      • intrauterine hormone-releasing system
      • bilateral tubal occlusion
      • vasectomised partner + barrier method
      • sexual abstinence: Either agree to practice true abstinence, when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal (coitus interruptus), spermicides only and lactational amenorrhoea method (LAM) are not acceptable methods of contraception.
  11. Male patients, even if surgically sterilized (i.e., status postvasectomy), must:

    1. Agree to practice true abstinence, when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal (coitus interruptus), spermicides only and LAM are not acceptable methods of contraception.
    2. Agree to practice effective barrier contraception during the entire study treatment period (e.g., condom) and through to 3 months after the last dose of study treatment if their partner is of childbearing potential, even if they have had a successful vasectomy.

Exclusion criteria

Exclusion Criteria:

  1. Abnormal (≥Grade 2 v5.0) laboratory values for hematology, liver and renal function (serum creatinine). The following values apply as exclusion criteria:

    1. \<10 g/dL (6.2 mmol/L)
    2. White blood cell (WBC) count decrease (\<2.5 x109/L)
    3. (ANC) decrease \<1.5 x109/L
    4. count decrease \<75 x109/L
    5. >1.5 x (ULN according to the performing lab's reference range), except for patients with Gilbert's syndrome
    6. (ALT) >3 x ULN
    7. Aspartate aminotransferase (AST) >3 x ULN
    8. Gamma glutamyltransferase (GGT) >2.5 x ULN
    9. Serum creatinine increased >1.5 x ULN
  2. Tumor only without gross total or partial resection (i.e., ≥50% of tumor volume resected).
  3. Any prior therapy for GBM (except surgery, radiotherapy with or without chemotherapy (e.g., temozolomide [TMZ]), TTFields, and ) including immunotherapy.
  4. Patient on stable or decreasing steroid levels exceeding 10 mg/day prednisone (or equivalent doses of other steroids) during the last 3 days prior to enrollment. Expectation that the patient will need steroid doses >10 mg/day prednisone or equivalent during the next 3 months. Note: Steroid treatment during the study will be allowed for treatment of cerebral edema or other life-threatening conditions.
  5. Active (HIV) infection (ie, below the normal range) or active or C infection (i.e., detectable levels of Hepatitis B DNA or RNA), or active infections requiring oral or intravenous antibiotics or that can cause a severe disease.
  6. diseases that could impact the assessment of vaccine safety and efficacy (with the exception of clinically stable thyroid diseases under medication and vitiligo).
  7. , not related to prior treatment for . Any medical condition that requires chronic systemic immunosuppressive therapy including chronic corticosteroids (except physiologic maintenance/replacement doses), methotrexate, tacrolimus or any other immunosuppressive agents within 28 days of treatment start, including, but not limited, to organ transplant-related immunosuppression.
  8. Patients with prior hematopoietic stem cell transplantation/prior organ allograft.
  9. Any condition that in the judgment of the Investigator is likely to prevent compliance with study procedures.
  10. Patients with impaired coagulation or any bleeding disorder in whom an intramuscular injection or blood draw is .
  11. History of myocarditis or pericarditis within the last 3 months or history of myocarditis or pericarditis following COVID-19 vaccination.
  12. Previous mRNA vaccination (e.g., SARS-CoV2) or within 1 month prior to study treatment initiation, other vaccines within 2 weeks prior to study treatment initiation.
  13. Serious illness or condition, which according to the Investigator poses an undue risk for the patient when participating in the trial, including, but not limited to, any of the following:

    1. Clinically significant cardiovascular disease (myocardial infarction or stroke within last 6 months, uncontrolled angina within last 3 months, diagnosed or suspected clinically significant ventricular arrhythmias, \<35%, cerebrovascular event within last 6 months, uncontrolled hypertension [blood pressure ≥180 mm Hg systolic and 110 mmHg diastolic despite medication])
    2. Class III to IV congestive heart failure
    3. Symptomatic peripheral vascular disease
    4. Severe pulmonary disease (e.g., severe , pneumonitis or interstitial lung disease)
    5. Uncontrolled diabetes (repeated episodes of severe hypo- or hyperglycemia requiring hospitalization)
    6. Severe mental retardation/impairment, psychiatric conditions or substance abuse resulting in inability to understand or affecting the patient's cooperation in the study
    7. Severe infection/inflammatory conditions
  14. History of other malignancies (except for those which have been adequately treated and have had no recurrence).
  15. Previous anaphylactic or severe allergic reaction to an LNP formulated drug or vaccine (e.g., Comirnaty or Spikevax) or known allergy to any other component of CVGBM (e.g., PEG).
  16. Allergy to aminoglycoside antibiotics.
  17. Pregnant or breastfeeding.
  18. Prior (within 30 days prior to study enrollment) or concurrent participation in another interventional clinical trial studying an product, drug or treatment regimen. At least 30 days should have passed prior to the first study treatment with the investigational product (exceptions may be considered on a case-by-case basis after consultation with the CureVac Medical Director).
Terms in these criteria, in plain language(30)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    Dose escalation: CVGBM Dose Level -1

    Dose Level -1 represents a dose that may be evaluated if dose level 1 is poorly tolerated. No dose de-escalation below this level is planned for this study. If the dose level -1 is poorly tolerated, the study will be terminated.

    Biological: CV09050101 mRNA vaccine (CVGBM) 6 μg

  • Experimental
    Dose escalation: CVGBM Dose Level 1

    Biological: CV09050101 mRNA vaccine (CVGBM) 12 μg

  • Experimental
    Dose escalation: CVGBM Dose Level 2

    Biological: CV09050101 mRNA vaccine (CVGBM) 25 μg

  • Experimental
    Dose escalation: CVGBM Dose Level 3

    Biological: CV09050101 mRNA vaccine (CVGBM) 50 μg

  • Experimental
    Dose escalation: CVGBM Dose Level 4

    Biological: CV09050101 mRNA vaccine (CVGBM) 100 μg

  • Experimental
    Dose expansion

    After completion of the dose-escalation part and safety data review by the DSMB, approximately 20 patients will be enrolled at the selected Recommended Dose for Expansion (RDE) to generate more data on safety, tolerability and immunogenicity.

    Biological: CV09050101 mRNA vaccine RDE 100 μg

Interventions

  • BiologicalCV09050101 mRNA vaccine (CVGBM) 12 μg

    CVGBM will be administered as an IM injection.

  • BiologicalCV09050101 mRNA vaccine (CVGBM) 25 μg

    CVGBM will be administered as an IM injection.

  • BiologicalCV09050101 mRNA vaccine (CVGBM) 50 μg

    CVGBM will be administered as an IM injection.

  • BiologicalCV09050101 mRNA vaccine (CVGBM) 100 μg

    CVGBM will be administered as an IM injection.

  • BiologicalCV09050101 mRNA vaccine RDE 100 μg

    CVGBM will be administered as an IM injection.

  • BiologicalCV09050101 mRNA vaccine (CVGBM) 6 μg

    CVGBM will be administered as an IM injection.

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-related adverse events (TRAEs)

    Time frame: 1 year

  2. Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: 1 year

  3. Incidence of serious adverse events (SAEs)

    Time frame: 1 year

  4. Incidence of immune related adverse events (irAEs)

    Time frame: 1 year

  5. Incidence of injection site reactions (ISRs)

    Time frame: 1 year

  6. Incidence of clinically significant laboratory abnormalities per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v.5.0

    Time frame: 1 year

  7. Incidence dose-limiting toxicities (DLTs)

    Time frame: Through the first 2 weeks of treatment

  8. Severity of DLTs (Unit: Grading via NCI-CTCAE v5.0)

    Time frame: Through the first 2 weeks of treatment

Secondary outcomes

  1. Time to relapse from the day of surgery until the last scheduled visit of the study

    Time frame: 1 year

  2. Progression-Free Survival (PFS) rate from the day of surgery until the last scheduled visit of the study

    Time frame: 1 year

  3. Overall survival (OS) rate from the day of surgery until the last scheduled visit of the study

    Time frame: 1 year

  4. Change in the patients' quality of life measured using a patient-reported-outcome questionnaire

    Time frame: 1 year

07

Study locations

13 sites
  • Universitair Ziekenhuis Brussel - PPDS
    Brussels, Belgium
  • CHU de Liège
    Liège, Belgium
  • Universitätsklinikum Freiburg
    Freiburg im Breisgau, Baden-Wurttemberg, Germany
  • University Clinic Heidelberg
    Heidelberg, Baden-Wurttemberg, Germany
  • Universitätsmedizin Mannheim
    Mannheim, Baden-Wurttemberg, Germany
  • Universitätsklinikum Tübingen
    Tübingen, Baden-Wurttemberg, Germany
  • University Clinic Regensburg
    Regensburg, Bavaria, Germany
  • Universitätsklinikum Frankfurt
    Frankfurt am Main, Hesse, Germany
  • Universitätsklinikum Bonn
    Bonn, North Rhine-Westphalia, Germany
  • University Hospital Essen
    Essen, North Rhine-Westphalia, Germany
  • Universitatsklinikum Leipzig
    Leipzig, Saxony, Germany
  • Neurosurgical Clinic at the LMU Munich
    München, Germany
  • Erasmusmc Cancer institute
    Rotterdam, South Holland, Netherlands
08

References and documents

Publications

  • Lutz J, Feist RK, Sonntag T, Peguero-Sanchez E, Wolter K, Bick R, Bauer J, Walz JS, Heidenreich R. Preclinical development of an mRNA-based multiepitope immunotherapeutic for glioblastoma. Cancer Immunol Immunother. 2025 Oct 6;74(11):329. doi: 10.1007/s00262-025-04178-x. PubMed 41051649 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05938387
Lead sponsor
CureVac
Responsible party
Sponsor
First posted
Jul 10, 2023
Start date
Jun 1, 2023
Primary completion
Feb 2, 2026
Completion
Feb 2, 2026
Last update
Feb 18, 2026

Study contacts

Clinical Trial Information
study director · CureVac SE

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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