Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT06504381

DB107-RRV, DB107-FC, and Radiation Therapy With or Without Temozolomide (TMZ) for High Grade Glioma

Led by University of California, San Francisco · Updated on 2026-03-11

70

Participants Needed

5

Research Sites

890 weeks

Total Duration

On this page

Sponsors

U

University of California, San Francisco

Lead Sponsor

C

California Institute for Regenerative Medicine (CIRM)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a multicenter, open-label study of DB107-RRV (formerly Toca 511) and DB107-FC (formerly Toca FC) when administered following surgical resection in newly diagnosed High Grade Glioma (HGG) patients. The study is designed to evaluate whether treatment with DB107-RRV in combination with DB107-FC when added to standard of care provides clinical benefit to newly diagnosed HGG when compared to historical performance previously determined in well controlled clinical trials published in the peer reviewed literature. This study is going to be conducted in newly diagnosed HGG patients receiving with maximum surgical resection treatment followed by radiation and temozolomide treatment using the established Stupp Protocol for O6-methylguanine-DNA methyl-transferase (MGMT) methylated patients or radiation therapy for MGMT unmethylated patients.

CONDITIONS

Official Title

DB107-RRV, DB107-FC, and Radiation Therapy With or Without Temozolomide (TMZ) for High Grade Glioma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provided written informed consent
  • Between 18 and 75 years of age
  • Karnofsky Performance Scale (KPS) score of 70 or higher
  • Newly diagnosed adult-type diffuse gliomas (astrocytoma, IDH-mutant or glioblastoma, IDH-wildtype) with no prior surgery, radiation, or chemotherapy
  • Candidate for at least 80% resection of the enhancing tumor region
  • Primary tumor available for IDH1 mutation and MGMT methylation testing
  • Willing to provide blood sample for Denovo Genomic Marker 7 (DGM7) status
  • Adequate lab values for surgery including platelet count ≥ 60,000/mm³, hemoglobin ≥ 10 g/dL, ANC ≥ 1,500/mm³, lymphocytes ≥ 500/mm³, bilirubin ≤1.5 x ULN (unless Gilbert's syndrome), ALT ≤ 2.5 x ULN, and estimated glomerular filtration rate ≥ 50 mL/min
  • Agree to use effective contraception for 30 days before first study drug dose, during study, and for 90 days after therapy completion if of child-bearing potential or male
  • Not breastfeeding
  • Ability and willingness to comply with study schedule and requirements
Not Eligible

You will not qualify if you...

  • Prior treatment for High Grade Glioma
  • History of other cancers unless disease-free for 5 years (except treated basal cell or squamous skin cancer, localized prostate carcinoma, or cervical carcinoma in situ)
  • Histologically confirmed oligodendroglioma or mixed glioma
  • Brain tumor that is multi-focal, has diffuse subependymal or leptomeningeal spread, or is larger than 5 cm in any dimension
  • Active infection requiring treatment within 4 weeks before study start
  • Bleeding disorders or need for anticoagulants or antiplatelet drugs that cannot be stopped for surgery
  • HIV positive
  • Hepatitis B, Hepatitis C, or co-infection
  • Allergy or intolerance to flucytosine (DB107-FC)
  • Gastrointestinal disease preventing swallowing or absorption of DB107-FC
  • Use or planned use of Gliadel wafer within 30 days before study
  • Severe lung, heart, or other systemic disease preventing surgery
  • Any other condition that may affect compliance or increase treatment risk per investigator assessment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 5 locations

1

University of Southern California

Los Angeles, California, United States, 90089

Actively Recruiting

2

University of California, San Diego

San Diego, California, United States, 92093

Actively Recruiting

3

University of California

San Francisco, California, United States, 94143

Actively Recruiting

4

University of Miami

Miami, Florida, United States, 33136

Actively Recruiting

5

Northwell Health

Lake Success, New York, United States, 11042

Actively Recruiting

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Research Team

S

Stephanie Lewis, RN

CONTACT

N

Neuro-Oncology New Patient Coordinator

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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