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Not yet recruitingNCT07365280Updated Jan 26, 2026

Neoantigen-Pulsed Autologous Dendritic Cell Vaccine Combined With Temozolomide for Newly Diagnosed Glioblastoma

A Phase 2 interventional study of Personalized Dendritic Cell Vaccine ZSNeo-DC1.1 and Temozolomide (TMZ) in Glioblastoma, sponsored by ZSky Biotech Inc. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-01-26.

Sponsored by ZSky Biotech Inc · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a multicenter, open-label, randomized Phase II clinical study designed to evaluate the efficacy and safety of a personalized dendritic cell (DC) vaccine, ZSNeo-DC1.1, in combination with temozolomide (TMZ) as adjuvant therapy in patients with newly diagnosed glioblastoma (GBM).

Eligible patients with histologically confirmed, IDH1/IDH2 wild-type newly diagnosed glioblastoma who have undergone tumor debulking surgery followed by standard concurrent chemoradiotherapy will be enrolled. After confirmation of tumor neoantigens and eligibility, patients will be randomized in a 1:1 ratio to receive either ZSNeo-DC1.1 in combination with TMZ or TMZ alone.

The primary objective is to evaluate progression-free survival (PFS) as assessed by an Independent Radiological Review Committee (IRRC) according to RANO 2.0 criteria. Secondary objectives include overall survival (OS), survival rates, tumor response outcomes, and safety. Exploratory objectives include assessment of antigen-specific T-cell immune responses induced by ZSNeo-DC1.1.

02

Conditions studied

  • Glioblastoma

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Keywords

  • DC
  • Personalized neoantigen-pulsed autologous dendritic cells vaccine
03

In context

Glioblastoma

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

This study's planned enrollment of 78 is above the median of 36 across 1,753 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

ZSky Biotech Inc is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

Participants must meet all the following criteria to be eligible:

Inclusion Criteria

  1. Age 18 to 75 years, inclusive
  2. confirmed newly diagnosed glioblastoma (WHO grade IV)
  3. Molecular diagnosis of IDH1/IDH2 wild-type
  4. Completion of tumor debulking surgery followed by standard concurrent chemoradiotherapy
  5. Performance Status (KPS) score of 50 to 100
  6. Adequate hematologic, hepatic, renal, and coagulation function
  7. Availability of sufficient tumor tissue and blood samples for neoantigen identification
  8. Adequate venous access for PBMC collection
  9. greater than 3 months
  10. Willingness to use effective during study treatment and for 3 months thereafter
  11. Ability to understand and willingness to sign written

Exclusion Criteria:

Exclusion Criteria:

Subjects meeting any of the following criteria are ineligible:

  1. Not suitable for standard temozolomide-based chemoradiotherapy
  2. Prior participation in another interventional clinical trial within 4 weeks before randomization
  3. Prior implantation of carmustine wafers within 6 months
  4. Known to temozolomide or dacarbazine
  5. Active disease or requirement for systemic therapy
  6. Active infection including , active or C, or syphilis
  7. Use of systemic immunosuppressive therapy within 30 days before randomization
  8. Uncontrolled cardiovascular, metabolic, or systemic disease
  9. Pregnancy or breastfeeding
  10. Any condition that, in the investigator's judgment, would interfere with study participation or interpretation of results
Terms in these criteria, in plain language(10)

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
78 participants (estimated)

Study arms

  • Experimental
    Experimental

    Personalized dendritic cell vaccine ZSNneo-DC1.1 in combination with temozolomide.

    Biological: Personalized Dendritic Cell Vaccine ZSNeo-DC1.1 · Drug: Temozolomide (TMZ)

  • Active comparator
    Control

    Standard adjuvant temozolomide chemotherapy alone

    Drug: Temozolomide (TMZ)

Interventions

  • Patients receive six subcutaneous injections of ZSNeo-DC1.1 during adjuvant temozolomide chemotherapy. ZSNeo-DC1.1 is administered at a fixed dose of 1 × 10⁷ cells per injection according to the assigned immunization schedule. Temozolomide is administered as per protocol.

    Also known as: Temozolomide

  • Patients receive standard adjuvant temozolomide chemotherapy alone

06

What researchers measure

Primary outcomes

  1. PFS

    Progression-free survival assessed by an Independent Radiological Review Committee according to RANO 2.0 criteria

    Time frame: From randomization until disease progression or death, whichever occurs first,assessed up to 24 months

Secondary outcomes

  1. OS

    From randomization until death from any cause

    Time frame: From randomization until death from any cause,assessed up to 36 months

  2. Overall Survival Rates

    Time frame: 12 months, 18 months, and 24 months

  3. Investigator-Assessed Progression-Free Survival

    Time frame: From randomization until disease progression or death,assessed up to 24 months

  4. Disease Control Rate (DCR)

    Time frame: During treatment period

  5. Best Overall Response (BOR)

    Time frame: During treatment period

  6. 6. Clinical Benefit Rate (CBR)

    Time frame: During treatment period

  7. Safety and Tolerability

    Incidence and severity of adverse events and serious adverse events graded according to NCI CTCAE v5.0

    Time frame: From first dose until 30 days after last dose,assessed up to 24 months

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Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07365280
Lead sponsor
ZSky Biotech Inc
Responsible party
Sponsor
First posted
Jan 26, 2026
Start date
Jan 9, 2026 (estimated)
Primary completion
Dec 24, 2028 (estimated)
Completion
Dec 24, 2028 (estimated)
Last update
Jan 26, 2026

Study contacts

Xiaomin Ma, M.M
Contact
xiaomin.ma@zskybio.com
+0518-82342973

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Temozolomide

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