Actively Recruiting
Efficacy of Intrathecal Injection of Active Allogeneic Natural Killer Cells in High-grade Gliomas A Multi-center Phase II Clinical Trial
Led by Marzieh Ebrahimi · Updated on 2025-04-09
40
Participants Needed
1
Research Sites
104 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Gliomas are the most common malignant brain tumors often linked to high-grade tumors with poor prognosis and low survival rates in both children and adults. Standard treatments include surgical tumor removal and whole-brain radiation therapy, which has limited benefit and significant side effects. Targeted therapies have shown some tumor shrinkage but usually followed by recurrence. Immunotherapy using natural killer (NK) cells is a newer approach being studied to better identify and destroy cancer cells, especially when traditional treatments have limited success. This phase II clinical trial evaluates the use of active allogeneic NK cell injections delivered through lumbar puncture into the spinal fluid. Patients with newly diagnosed grade 3 or 4 gliomas, including several specific tumor types, will be randomly assigned to receive either three courses of intrathecal NK cell infusions every three weeks in addition to conventional treatment or conventional treatment alone. The study spans multiple centers and focuses on patients aged 3 to 60 years with adequate blood counts and organ function. Participants will undergo monitoring for tumor response over a 12-month period following treatment. Safety and adverse events will be tracked for one month after enrollment. The study involves regular clinical assessments, blood tests, and imaging to evaluate the tumor and overall health. Consent is obtained from patients or guardians for children, and performance status is assessed to ensure suitability for participation. Researchers aim to measure how well the tumor responds to NK cell therapy and evaluate any treatment-related side effects.
CONDITIONS
Brief Title
Injection of Active Allogeneic Natural Killer Cells in Patients With Gliomas
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Newly diagnosed grade 3 or 4 brain tumor based on WHO classification in one of these types: Astrocytoma IDH-mutant, Oligodendroglioma IDH-mutant, Glioblastoma IDH-wild type, Diffuse midline glioma, Diffuse hemispheric glioma, or Diffuse pediatric-type high-grade glioma IDH-wild type
- Age between 3 and 60 years, any sex
- Lansky/Karnofsky performance score above 60
- Informed consent obtained from patient or legal guardian
- Hemoglobin level above 10 gr/dL
- Absolute granulocyte count above 500 per microliter
- Platelet count above 50,000 per microliter
- INR below 2 and PTT less than 1.5 times normal maximum
- Plasma bilirubin less than 1.5 times normal maximum
- Plasma ALT and AST less than 3 times normal maximum
- Plasma creatinine less than 1.5 times normal maximum
You will not qualify if you...
- Evidence of radio necrosis on MRI or MRS
- Intolerance to new treatment due to emergency conditions
- History of other malignancies
- History of immunodeficiency or immune-compromising conditions
- Ruptured cerebral shunt or inability to undergo lumbar puncture
- Pregnancy
- Uncontrolled chronic diseases such as diabetes, congestive heart failure, liver cirrhosis, or chronic kidney disease
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Approximately 9 weeks
Participants receive 3 courses of intrathecal infusion of active allogeneic natural killer (NK) cells every 3 weeks or conventional treatment depending on group assignment.
3 visits for NK cell infusions every 3 weeks
Duration - Up to 12 months from enrollment
Participants are monitored for tumor response and adverse events after treatment ends.
Visit schedule may vary for monitoring during follow-up
Trial Site Locations
Total: 1 location
1
Rasoul Akram hospital
Tehran, Iran, 1343864331
Actively Recruiting
Research Team
M
Marzieh Ebrahimi, PhD
M
Mohammad Faranoush, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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