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Dose Escalation Study to Determine the Safety of IFN-Beta Gene Transfer in the Treatment of Grade III & Grade IV Gliomas

Primary Purpose

Glioblastoma Multiforme, Anaplastic Astrocytoma, Oligoastrocytoma, Mixed

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Interferon-beta
Sponsored by
Biogen
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glioblastoma Multiforme focused on measuring Glioma, Brain Tumor, Adenovirus, Gene Therapy, Biogen

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Must be greater than or equal to 18 years of age. Subjects must have histologically proven GBM, AA, AMO, malignant astrocytoma NOS or gliosarcoma and recurrent or progressive tumor following prior treatment. Tumor must be amenable to radical resection, and resection must be clinically indicated. Must have an ECOG performance status of 0-2. Must be on anticonvulsant therapy, and must have therapeutic serum levels within 2 weeks prior to Day 1, if therapeutic levels are defined for the anticonvulsant being used. Exclusion Criteria: Abnormal blood tests exceeding any of the limits defined below: Alanine transaminase (ALT) > four times (4X) the upper limit of normal (ULN). Aspartate transaminase (AST) > 4X the ULN. Total bilirubin >1.5 mg/dL. Absolute neutrophil count <1,500 cells/mm3. Platelet count <100,000 cells/mm3. Serum creatinine >2X ULN. Prothrombin time (PT) >2 seconds above the ULN. Serum sodium (Na) <125 mEq/L or >150 mEq/L. Serum potassium (K) <3.5 mEq/L or > 5.5 mEq/L. Brainstem, or optic chiasm involvement of tumor. Uncontrolled seizure disorder. History of a new diagnosis or treatment of an invasive malignancy other than Grade III or Grade IV Glioma within 5 years of enrollment. Curatively treated subjects with a history of basal cell or squamous cell carcinoma of the skin, superficial transitional cell carcinoma of the bladder, and non-invasive carcinoma of the uterine cervix are not excluded. Treatment History: Treatment with radiation therapy, including interstitial radiation or radiosurgery, must be completed at least 8 weeks prior to Day 1. Treatment with nitrosoureas must be completed at least 6 weeks prior to Day 1. Treatment with other chemotherapeutic agents must be completed at least 4 weeks prior to Day 1. Treatment with any investigational drug or approved therapy for investigational use must be completed at least 4 weeks prior to Day 1. History of intolerance to corticosteroids that would preclude use during this study, or history of any medical condition that precludes the use of corticosteroids. Any prior treatment with a gene delivery vector, or an adenovirus therapeutic. Women of child bearing potential must have a negative serum pregnancy test. Women who are not postmenopausal, surgically sterile, or willing to practice effective contraception during the study. Men who are not surgically sterile or willing to practice effective contraception during the study. Nursing mothers, pregnant women and women planning to become pregnant while on study. Previous treatment with BG00001.

Sites / Locations

  • University of Alabama at Birmingham
  • University of Arizona at Tucson
  • University of Colorado Health Sciences Center
  • Massachusetts General Hospital
  • Hospital of the University of Pennsylvania

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
February 20, 2002
Last Updated
November 13, 2020
Sponsor
Biogen
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1. Study Identification

Unique Protocol Identification Number
NCT00031083
Brief Title
Dose Escalation Study to Determine the Safety of IFN-Beta Gene Transfer in the Treatment of Grade III & Grade IV Gliomas
Official Title
A Multi-center, Open Label, Two Part, Dose Escalation Study to Determine the Tolerability of Interferon-Beta Gene Transfer (BG00001) in the Treatment of Recurrent or Progressive Grade III and Grade IV Gliomas
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
April 2, 2002 (Actual)
Primary Completion Date
undefined (undefined)
Study Completion Date
October 10, 2003 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biogen

4. Oversight

5. Study Description

Brief Summary
In this study an investigational replication-defective, recombinant adenovirus expressing the interferon-beta gene (BG00001) will be directly injected into tumors, in patients with recurrent Grade III and Grade IV Gliomas, in order to deliver the hIFN-beta gene. The purpose of the study is to evaluate the safety and any harmful effects of injection of BG00001 into brain tumors. Also, this study will help determine whether the virus carrying the beta interferon gene will enter brain tumor cells and cause the cancer cells to die. This study will require one hospital admission for the actual procedure of drug administration. All other visits will be conducted on an out-patient basis

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glioblastoma Multiforme, Anaplastic Astrocytoma, Oligoastrocytoma, Mixed, Gliosarcoma
Keywords
Glioma, Brain Tumor, Adenovirus, Gene Therapy, Biogen

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (false)

8. Arms, Groups, and Interventions

Intervention Type
Genetic
Intervention Name(s)
Interferon-beta

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Must be greater than or equal to 18 years of age. Subjects must have histologically proven GBM, AA, AMO, malignant astrocytoma NOS or gliosarcoma and recurrent or progressive tumor following prior treatment. Tumor must be amenable to radical resection, and resection must be clinically indicated. Must have an ECOG performance status of 0-2. Must be on anticonvulsant therapy, and must have therapeutic serum levels within 2 weeks prior to Day 1, if therapeutic levels are defined for the anticonvulsant being used. Exclusion Criteria: Abnormal blood tests exceeding any of the limits defined below: Alanine transaminase (ALT) > four times (4X) the upper limit of normal (ULN). Aspartate transaminase (AST) > 4X the ULN. Total bilirubin >1.5 mg/dL. Absolute neutrophil count <1,500 cells/mm3. Platelet count <100,000 cells/mm3. Serum creatinine >2X ULN. Prothrombin time (PT) >2 seconds above the ULN. Serum sodium (Na) <125 mEq/L or >150 mEq/L. Serum potassium (K) <3.5 mEq/L or > 5.5 mEq/L. Brainstem, or optic chiasm involvement of tumor. Uncontrolled seizure disorder. History of a new diagnosis or treatment of an invasive malignancy other than Grade III or Grade IV Glioma within 5 years of enrollment. Curatively treated subjects with a history of basal cell or squamous cell carcinoma of the skin, superficial transitional cell carcinoma of the bladder, and non-invasive carcinoma of the uterine cervix are not excluded. Treatment History: Treatment with radiation therapy, including interstitial radiation or radiosurgery, must be completed at least 8 weeks prior to Day 1. Treatment with nitrosoureas must be completed at least 6 weeks prior to Day 1. Treatment with other chemotherapeutic agents must be completed at least 4 weeks prior to Day 1. Treatment with any investigational drug or approved therapy for investigational use must be completed at least 4 weeks prior to Day 1. History of intolerance to corticosteroids that would preclude use during this study, or history of any medical condition that precludes the use of corticosteroids. Any prior treatment with a gene delivery vector, or an adenovirus therapeutic. Women of child bearing potential must have a negative serum pregnancy test. Women who are not postmenopausal, surgically sterile, or willing to practice effective contraception during the study. Men who are not surgically sterile or willing to practice effective contraception during the study. Nursing mothers, pregnant women and women planning to become pregnant while on study. Previous treatment with BG00001.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Biogen
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
University of Arizona at Tucson
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
Facility Name
University of Colorado Health Sciences Center
City
Denver
State/Province
Colorado
ZIP/Postal Code
80262
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
2114
Country
United States
Facility Name
Hospital of the University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Dose Escalation Study to Determine the Safety of IFN-Beta Gene Transfer in the Treatment of Grade III & Grade IV Gliomas

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