INO-5401 and INO-9012 Delivered by Electroporation (EP) in Combination With Cemiplimab (REGN2810) in Newly-Diagnosed Glioblastoma (GBM)
Glioblastoma
About this trial
This is an interventional treatment trial for Glioblastoma focused on measuring Glioblastoma, immunotherapy, DNA therapy, checkpoint inhibitor
Eligibility Criteria
Inclusion Criteria:
- Newly-diagnosed brain cancer with histopathological diagnosis of GBM;
- Karnofsky Performance Status (KPS) rating of >/=70 at baseline;
- Receive dexamethasone equivalent dose </=2 mg per day, stable or decreased for >/= three days prior to Day 0;
- Recovery from the effects of prior GBM surgery as defined by the Investigator;
- Electrocardiogram (ECG) with no clinically significant findings as assessed by the Investigator;
- Adequate organ function as demonstrated by hematological, renal, hepatic laboratory assessments;
- Agree that during the trial, men will not father a child, and women cannot be or become pregnant. Participants must be of non-child bearing potential or agree to use one highly effective or combined contraceptive methods that result in a failure rate of <1% per year during the treatment period and at least through week 12 after last dose;
- Ability to tolerate magnetic resonance imaging (MRI).
Exclusion Criteria:
- Presence of greater than 1 cm x 1 cm residual tumor enhancement on postoperative MRI;
- Multifocal disease or leptomeningeal disease (LM) disease on post-operative MRI;
- Not scheduled to start radiation within 42 days of surgical resection of tumor;
- Dexamethasone equivalent dose >2 mg per day;
- Prior treatment with an agent that blocks the PD-1/PD-Ligand 1 pathway;
- Receipt of previous approved or investigative immune modulatory agent within 28 days of receiving the first dose of treatment;
- Prior treatment with idelalisib;
- Past, current or planned treatment with tumor treatment fields; oncolytic viral treatment; or prior exposure to an investigational agent or device within 28 days of receiving the first dose of treatment;
- Allergy or hypersensitivity to cemiplimab or to any of its excipients;
- History of documented allergic reactions or acute hypersensitivity reaction attributed to antibody treatments;
- Ongoing or recent (within 5 years) evidence of autoimmune disease that required treatment with systemic immunosuppressive treatments;
- Diagnosis of immunodeficiency or treatment with systemic immunosuppressive therapy within 28 days prior to the first dose of trial treatment, other than dexamethasone for the underlying disease under investigation, as noted in the inclusion criteria;
- History of clinically significant, medically unstable disease which, in the judgment of the investigator, would jeopardize the safety of the subject, interfere with trial assessments or endpoint evaluation, or otherwise impact the validity of the trial results.
Sites / Locations
- City of Hope
- Stanford University, School of Medicine
- University of California, San Francisco
- University of Miami - Sylvester Comprehensive Cancer Center
- Moffitt Cancer Center
- Emory University School of Medicine
- Dana-Farber Cancer Institute
- Henry Ford Health System
- Rutgers University - Cancer Institute of New Jersey
- New York University Langone Medical Center; Perlmutter Cancer Center
- Icahn School of Medicine at Mount Sinai
- Columbia University Medical Center The Neurological Institute of New York
- New York-Presbyterian Hospital/Weill Cornell Medical Center
- University of North Carolina School of Medicine
- Stephenson Cancer Center
- Oregon Health & Science University
- University of Pennsylvania Health System: Penn Medicine
- UPMC Cancer Center Neuro-Oncology; UPMC Cancer Pavilion
- Texas Oncology
- Baylor College of Medicine
- Huntsman Cancer Institute
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Cohort A: Unmethylated MGMT Promoter
Cohort B: Methylated MGMT Promoter
Cohort A will include participants with a glioblastoma tumor with an unmethylated MGMT promoter. Participants will receive INO-5401 and INO-9012 and cemiplimab as well as radiation and temozolomide (TMZ; only during radiation therapy), if clinically indicated.
Cohort B will include participants with a glioblastoma tumor with a methylated MGMT promoter or with indeterminate MGMT status. Participants will receive INO-5401 and INO-9012 and cemiplimab as well as radiation and temozolomide (TMZ), if clinically indicated. Participants will continue to receive TMZ following radiation therapy, for up to six additional cycles, if clinically indicated.