Official Title: Phase I Trial of a Measles Virus Derivative Producing CEA MV-CEA in Patients With Recurrent Glioblastoma Multiforme GBM
Status: COMPLETED
Status Verified Date: 2019-01
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: This phase I trial studies the side effects and best dose of carcinoembryonic antigen-expressing measles virus MV-CEA in treating patients with glioblastoma multiforme that has come back A virus called MV-CEA which has been changed in a certain way may be able to kill tumor cells without damaging normal cells
Detailed Description: PRIMARY OBJECTIVES
I To assess the safety and toxicity of intratumoral and resection cavity administration of an Edmonstons strain measles virus genetically engineered to produce CEA MV-CEA in patients with recurrent glioblastoma multiforme
II To determine the maximum tolerated dose MTD of MV-CEA III To characterize viral gene expression at each dose level as manifested by CEA titers
IV To assess viremia viral replication and measles virus sheddingpersistence following intratumoral administration
V To assess humoral and cellular immune response to the injected virus VI To assess in a preliminary fashion antitumor efficacy of this approach
OUTLINE This is a dose-escalation study Patients are assigned to 1 of 2 sequential treatment arms
ARM A RESECTION CAVITY ADMINISTRATION Patients undergo en block resection of their tumor after confirming diagnosis on day 1 followed by MV-CEA administered into the resection cavity
ARM B INTRATUMORAL AND RESECTION CAVITY ADMINISTRATION Patients undergo stereotactic biopsy to confirm the diagnosis and placement of a catheter within the tumor followed by carcinoembryonic antigen-expressing measles virus intratumorally IT through the catheter over 10 minutes on day 1 Patients then undergo en block resection of their tumor with computer-assisted stereotactic techniques on day 5 followed by MV-CEA administered around the tumor bed
After completion of study treatment patients are followed up at 28 days non-cohort I patients 7 weeks patients in cohort I only every 2 months until progression every 3 and 12 months after progression and then yearly thereafter for up to 15 years