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A Phase l Trial of Tumor Associated Antigen Pulsed Dendritic Cell Immunotherapy for Patients With Brain Stem Glioma and Glioblastoma

Phase 1
Not Enrolling
Brain Stem Glioma, Glioblastoma

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Trial Information

A Phase l Trial of Tumor Associated Antigen Pulsed Dendritic Cell Immunotherapy for Patients With Brain Stem Glioma and Glioblastoma

Patients will have their white blood cells removed and grown in culture under conditions to
make dendritic cells. Dendritic cells are a small group of cells that belong to the white
blood cell population. These cells are responsible for letting the immune system know that
something foreign, like bacteria or a tumor, is in the body. Dendritic cells help the body
ward off disease by alerting the immune system. In previous clinical trials, brain tumor
cells called astrocytoma tumor cells and glioblastoma tumor cells were taken from the tumor
that was removed during surgery. The brain tumor cells were then placed into a solution in
the laboratory that made them grow. Certain parts of the brain tumor's proteins (peptides)
were removed from the growing tumor cells and mixed together with the dendritic cells in the
blood taken from a vein. This combination of dendritic cells and brain tumor peptides were
injected into the patient's skin, like a vaccination. This process is similar to that used
in vaccinations. The patients were given three and four injections of dendritic cells mixed
with the tumor peptides over the course of a twenty-eight day period.

In this study, the proteins that are manufactured and known to be associated with brain
cancers will be mixed with the dendritic cells obtained during leukopheresis (a procedure in
which the dendritic cells are separated from the patients' blood). They will then undergo
three vaccinations along with follow up clinic visits (which include evaluations and
laboratory tests) to check their status.

The investigators learned that it was possible to generate an immune response in a subset of
patients with malignant glioma. In addition, these cells were able to reach the brain and
kill brain tumor cells. The survival of patients in this study was prolonged when compared
to historical controls. Based on clinical data in subjects with brain tumors, the
investigators believe that peripheral injection of dendritic cells will generate a more
potent immune response for patients with brain stem gliomas and/or glioblastomas. The
investigators hope to determine whether this therapy will translate into a longer survival
and better quality of life in these patients in whom survival is measured in months. Through
this study the investigators hope to learn more about the role of the body's immune response
against cancer and about the use of dendritic cells for immunotherapy. This information may
prove useful in the therapy of patients with glioblastoma and/or brainstem gliomas.

Inclusion Criteria:

- Patients must be HLA -A1 or HLA - A2 positive

- Both male and female of child bearing age must use medically accepted form of birth

- Confirmed brain stem glioma and glioblastoma with MRI

- Presence of at least one of the antigens by immunohistochemistry

- Karnofsky performance of at least 60%

- On maintenance glucocorticoid therapy at no more 2 mg BID

- Hematologic and chemistry profiles within the parameters of the protocol

- Wash ou periods from previous therapies: 6 weeks from nitrosurea, 4 weeks from
chemotherapy, 2 weeks after resolution of Grade 3 or 4 toxicity

- Able to sign IRB approved Informed consent

- Three adults will be treated prior to any study agent administration to subjects
younger than 18 years of age

Type of Study:


Study Design:

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Evaluate safety/toxicity of Dendritic cell vaccine, Monitor survival and time to progression and monitor the cellular immune responses.

Outcome Time Frame:

1 year

Safety Issue:


Principal Investigator

Surasak Phuphanich, M.D.

Investigator Role:

Principal Investigator

Investigator Affiliation:

Cedars-Sinai Medical Center


United States: Food and Drug Administration

Study ID:




Start Date:

May 2007

Completion Date:

April 2012

Related Keywords:

  • Brain Stem Glioma
  • Glioblastoma
  • Glioblastoma
  • Glioma



Cedars Sinai Medical CenterLos Angeles, California  90048-1804