A Phase I/IIa Study to Evaluate the Efficacy of DB107-RRV (Formerly Toca511), Administered to Subjects at Time of Resection and Intravenously Thereafter, in Combination With DB107-FC (Formerly Toca FC) and Radiation Therapy or DB107-FC, Temozolomide (TMZ) and Radiation Therapy in Patients With Newly Diagnosed High Grade Glioma

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Radiation, Drug, Procedure, Genetic
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a multicenter, open-label study of DB107-RRV (formerly Toca 511) and DB107-FC (formerly Toca FC) when administered following surgical resection in newly diagnosed High Grade Glioma (HGG) patients. The study is designed to evaluate whether treatment with DB107-RRV in combination with DB107-FC when added to standard of care provides clinical benefit to newly diagnosed HGG when compared to historical performance previously determined in well controlled clinical trials published in the peer reviewed literature. This study is going to be conducted in newly diagnosed HGG patients receiving with maximum surgical resection treatment followed by radiation and temozolomide treatment using the established Stupp Protocol for O6-methylguanine-DNA methyl-transferase (MGMT) methylated patients or radiation therapy for MGMT unmethylated patients.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Each patient must meet all of the following inclusion criteria to be eligible for study entry:

• Participant has provided written informed consent.

• Participant is between 18 years of age and 75 years of age, inclusive.

• Participant must have a Karnofsky Performance Scale (KPS) of \>= 70.

• Participant must have newly diagnosed adult-type diffuse gliomas (World Health Organization Classification 2021) that has not been previously treated with surgery, radiation or chemotherapy (specifically astrocytoma, Isocitrate dehydrogenase (IDH)-mutant or glioblastoma, IDH-wildtype).

• Based on the pre-operative evaluation by neurosurgeon, participant is a candidate for \>= 80% resection of the enhancing region.

• The primary tumor must be made available for central testing for IDH1 mutation, O6-methylguanine-DNA methyl-transferase (MGMT) methylation status.

• Willing to provide a blood sample to determine Denovo Genomic Marker 7 (DGM7) status.

• Laboratory values adequate for patient to undergo surgery, including:

∙ Platelet count \>= 60,000/mm\^3

‣ Hemoglobin \>= 10 g/dL

‣ Absolute neutrophil count (ANC) \>= 1,500/mm\^3

‣ Absolute lymphocyte count \>= 500/mm\^3

‣ Total bilirubin \<=1.5 x upper limit of normal (ULN) (unless patient had Gilbert's syndrome)

‣ alanine aminotransferase (ALT) \<= 2.5 x ULN

‣ Estimated glomerular filtration rate of at least 50 mL/min by Cockcroft Gault Formula

• Female participants of child-bearing potential and male participants must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) for 30-days prior to the first administration of study drug, for the duration of study participation, and for 90-days following completion of the therapy. Should a female participant become pregnant or suspect a pregnancy while participating in this study, the treating physician must be informed immediately. IF a male participant impregnates or is suspected of impregnating a woman while participating in this study, the treating physician must be informed immediately.

• • A female of child-bearing potential is any women (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:

⁃ Has not undergone a hysterectomy or bilateral oophorectomy or

⁃ Has not had \>= 12 months of non-therapy-induced amenorrhea.

⁃ Participants must not be breastfeeding.

⁃ Participants must have the ability to understand, and the willingness to comply with the scheduled visits, treatment schedule, laboratory testing and other requirements of the study.

Locations
United States
California
University of Southern California
RECRUITING
Los Angeles
University of California, San Diego
RECRUITING
San Diego
University of California
RECRUITING
San Francisco
Florida
University of Miami
RECRUITING
Miami
Contact Information
Primary
Stephanie Lewis, RN
stephanie.lewis2@ucsf.edu
(415) 353-2193
Backup
Neuro-Oncology New Patient Coordinator
NeuroOncNewPatientCoord@ucsf.edu
Time Frame
Start Date: 2025-01-08
Estimated Completion Date: 2042-01-31
Participants
Target number of participants: 70
Treatments
Experimental: No MGMT Methylation (DB107-RRV, DB107-FC, Radiation therapy)
Participants receive a 4.0 x 10\^8 transduction units per milliliter (TU/mL)) dose of DB107-RRV intracranially (IC) at resection and a 1.4 x 10\^9 TU/mL dose IV prior to leaving surgery room. Participants have up to 6 weeks for surgical recovery. Unmethylated MGMT participants receive 300 mg/kg/day DB107-FC PO during RT over 5 days during weeks 1-2, \& 5-6. 2 gray (Gy)/day standard of care (SOC) RT will be given for 5 consecutive days for 6 weeks. After RT, participants receive 1.4 x 10\^9 TU/mL of DB107-RRV IV on days 7 and 14 and continue during a 4-week rest period between RT and adjuvant therapy. Participants who begin adjuvant therapy receive 300 mg/kg/day DB107-FC PO on days 1-5 of a 28-day cycle up to 6 cycles or until PD. Participants with no PD during adjuvant treatment may receive additional cycles of DB107-FC until PD, withdrawal, death or study closure. Participants will be followed up for safety and survival status for up to 15 years.
Experimental: Low to High MGMT Methylation (DB107-RRV, DB107-FC, Temozolomide (TMZ), Radiation therapy)
Participants receive a 4.0 x 10\^8 TU/mL dose of DB107-RRV IC at resection and a 1.4 x 10\^9 TU/mL dose IV prior to prior to leaving surgery room. Participants have up to 6 weeks for surgical recovery. Low to high MGMT methylation participants receive 75 mg/m\^2 TMZ per SOC and 300mg/kg/day DB107-FC PO concurrent with 2 Gy/day over 5 consecutive days during weeks 1-2, \& 5-6. After RT, participants receive 1.4 x 10\^9 TU/mL DB107-RRV IV on days 7 and 14. IV DB107-RRV occurs during a 4-week rest period between RT and adjuvant portions of the protocol. Participants who begin adjuvant therapy receive 300 mg/kg/day DB107-FC PO on days 1-5 of a 28-day cycle for up to 6 cycles or until PD with 150-200 mg/m\^2 adjuvant TMZ per SOC on days 1-5 of each cycle for up to 6 cycles. Participants with no PD may continue to receive additional cycles of DB107-FC PD, withdrawal, death or study closure. Participants will be followed up for safety and survival status for up to 15 years.
Sponsors
Leads: University of California, San Francisco
Collaborators: Anova Enterprises, Inc, California Institute for Regenerative Medicine (CIRM), Denovo Biopharma LLC

This content was sourced from clinicaltrials.gov

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