Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT05686798

Adenovirus Mediated Suicide Gene Therapy With Radiotherapy in Progressive Astrocytoma.

Led by Henry Ford Health System · Updated on 2025-12-16

18

Participants Needed

1

Research Sites

261 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The primary goal of this Phase I study is to determine the maximum tolerated dose of oncolytic adenovirus mediated double suicide-gene therapy in combination with fractionated stereotactic radiosurgery in patients with recurrent high-grade astrocytoma undergoing resection.

CONDITIONS

Official Title

Adenovirus Mediated Suicide Gene Therapy With Radiotherapy in Progressive Astrocytoma.

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or older
  • Radiologic evidence of intracranial recurrence or progression of a previously diagnosed high-grade astrocytoma
  • Histologically confirmed glioblastoma or anaplastic astrocytoma prior to surgery
  • At least 3 months since last radiation therapy
  • At least 4 weeks since last non-nitrosourea chemotherapy or 6 weeks since nitrosourea chemotherapy
  • Ability to provide informed consent and willingness to follow study requirements
  • Recovery from prior therapy toxicity to grade 2 or less
  • Eligible for partial or total resection of recurrent tumor
  • No physical connection between post-resection tumor cavity and cerebral ventricle
  • Karnofsky performance status of 60 or higher at surgery
  • No prior gene or virus therapy, immunotherapy, brachytherapy, or chemotherapeutic polymer implants on tumor
  • No immunosuppressive or immune disorder
  • Adequate baseline organ function based on lab tests
  • Candidates for surgical debulking based on multidisciplinary evaluation
  • Adequate renal function with creatinine clearance ≥ 50 mL/min/m2
  • Platelet count ≥ 100,000/µL
  • Absolute neutrophil count ≥ 1,000/µL
  • Hemoglobin > 10.0 g/dL
  • Bilirubin < 1.5 mg/dL; liver enzymes SGOT and SGPT less than 2.5 times upper limit of normal
  • Women of childbearing potential must use birth control during treatment and for 90 days after surgery
  • Men must use barrier protection during treatment and for 90 days after surgery
Not Eligible

You will not qualify if you...

  • Acute infection requiring treatment with fever > 38.5°C or significant leukocytosis
  • Positive HIV antibodies
  • History of liver disease including autoimmune or viral hepatitis
  • Positive Hepatitis B or C test at baseline
  • Immunosuppressive therapy except corticosteroids
  • Serious medical or psychiatric illness that may interfere with treatment or study completion
  • Impaired immunity or susceptibility to serious viral infections
  • Pregnant or breastfeeding females
  • Allergy to any study product
  • Unable to undergo brain MRI
  • Not eligible for surgical removal of recurrent tumor

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Henry Ford Health System

Detroit, Michigan, United States, 48202

Actively Recruiting

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Research Team

T

Tobias Walbert, MD, PhD

CONTACT

N

Nyati Shyam, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

1

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Adenovirus Mediated Suicide Gene Therapy With Radiotherapy in Progressive Astrocytoma. | DecenTrialz