GlioblastomaPhase 3ACT IVNCT01480479
Phase III Study of Rindopepimut/GM-CSF in Patients With Newly Diagnosed Glioblastoma
A Phase 3 study testing Rindopepimut (CDX-110) with GM-CSF, Temozolomide and KLH in people with Glioblastoma and Small Cell Glioblastoma, run by Celldex Therapeutics at 223 sites in 24 countries.
Trial summary
This 2-arm, randomized, phase III study will investigate the efficacy and safety of the addition of rindopepimut (an experimental cancer vaccine that may act to promote anti-cancer effects in patients who have tumors that express the EGFRvIII protein) to the current standard of care (temozolomide) in patients with… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Glioblastoma, Small Cell Glioblastoma, Giant Cell Glioblastoma
- What is being tested?
- Rindopepimut (CDX-110) with GM-CSF, Temozolomide and KLH
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 745 participants
- Where
- 223 sitesin 24 countries
- Study dates
- Nov 2011to Nov 2016
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Among other criteria, patients must meet the following conditions to be eligible for the study:
- Adult patients, ≥ 18 years old
- Newly diagnosed glioblastoma
- Attempted surgical resection followed by conventional chemoradiation
- Documented EGFRvIII positive tumor status by a Sponsor designated laboratory
- No evidence of progressive disease from the post-operative period to the post-chemoradiation period
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- Candidate for, and agrees to receive, adjuvant (maintenance) temozolomide therapy
- Systemic corticosteroid therapy at ≤2 mg of dexamethasone or equivalent per day for at least 3 days prior to randomization
- WHO-ECOG Performance Status ≤ 2
- Patients of childbearing/reproductive potential will be instructed to use birth control as defined by your doctor.
Who cannot join
- Among other criteria, patients who meet the following conditions are NOT eligible for the study:
- Stereotactic biopsy only (without further surgical resection)
- Presence of diffuse leptomeningeal disease, gliomatosis cerebri, or infratentorial disease.
- History, presence, or suspicion of metastatic disease
- Patients who have received any additional treatment for glioblastoma, aside from surgical resection and chemoradiation with temozolomide
- Active systemic infection requiring treatment
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- History of any malignancy (other than glioblastoma) during the last three years except non-melanoma skin cancer, in situ cervical cancer, treated superficial bladder cancer, cured, early-stage prostate cancer in a patient with PSA level less than ULN,or other carcinoma in situ that has been adequately treated and cured.
- Planned major surgery
- Evidence of current drug or alcohol abuse
- Known allergy or hypersensitivity to keyhole limpet hemocyanin (KLH), GM-CSF (sargramostim; LEUKINE®), polysorbate 80 or yeast derived products, or a history of anaphylactic reactions to shellfish proteins
- Severe acute or chronic medical or psychiatric condition or laboratory abnormality that could increase the risk associated with participating in a clinical trial
- Women who are pregnant or lactating
Trial locations and contacts
223 sites in 24 countries.
223 sites in 24 countries
United States88 sites
Lehigh Valley Physician Group-Hematology-Oncology Associates
Allentown, Pennsylvania, 18103
Dent Neurosciences Research Institute
Amherst, New York, 14226
University of Michigan Health System
Ann Arbor, Michigan, 48109
Anne Arundel Medical Center
Annapolis, Maryland, 21401
Atlanta Cancer Care
Atlanta, Georgia, 30005
Winship Cancer Institute, Emory University School of Medicine
Atlanta, Georgia, 30322
Georgia Regents University
Augusta, Georgia, 30912
Texas Oncology Midtwon
Austin, Texas, 78705
Johns Hopkins University School of Medicine
Baltimore, Maryland, 21231
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, 70809
Center for Cancer and Blood Disorders, PC
Bethesda, Maryland, 20817
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Dana-Farber Cancer Institute and Mass General Hospital
Boston, Massachusetts, 02115
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
New York Methodist Hospital
Brooklyn, New York, 11215
Fletcher Allen Health Care
Burlington, Vermont, 05405
Medical University of South Carolina - Department of Neuroscience
Charleston, South Carolina, 29425
University of Virginia Healthcare System
Charlottesville, Virginia, 22908
Northwestern University Robert H. Lurie Comprehensive Cancer Center
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
University of Chicago
Chicago, Illinois, 60637
University of Cincinnati Cancer Institute
Cincinnati, Ohio, 45267
University Hospitals, Case Medical Center (Cleveland)
Cleveland, Ohio, 44106
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Ellis Fischel Cancer Center
Columbia, Missouri, 65203
Ohio State University
Columbus, Ohio, 43210
Baylor Research Institute
Dallas, Texas, 75246
City of Hope Cancer Center
Duarte, California, 91010
The Preston Robert Tisch Brain Tumor Center at Duke University Medical Center
Durham, North Carolina, 27710
New Jersey Neuroscience Institute, JFK Medical Center
Edison, New Jersey, 08818
North Shore University Health System
Evanston, Illinois, 60201
University of Florida
Gainesville, Florida, 32611
The Long Island Brain Tumor Center at Neurology Surgery, P.C.
Great Neck, New York, 11021
John Theurer Cancer Center at Hackensack University Medical Center
Hackensack, New Jersey, 07601
Hartford Hospital
Hartford, Connecticut, 06102
Kaiser Permanente Hawaii Moanalua Medical Center
Honolulu, Hawaii, 96819
The Methodist Neurological Institute
Houston, Texas, 77030
University of Tennessee Medical Center - Knoxville
Knoxville, Tennessee, 37920
UC San Diego Moores Cancer Center
La Jolla, California, 92093
Edward W. Sparrow Hospital Association - Sparrow Regional Cancer Center
Lansing, Michigan, 48912
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
University of Kentucky
Lexington, Kentucky, 40536-0093
Southeast Nebraska Cancer Center
Lincoln, Nebraska, 68510
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Monmouth Medical Center
Long Branch, New Jersey, 07740
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Norton Cancer Institute
Louisville, Kentucky, 40202
University of Wisconsin Paul P Carbone Comprehensive Cancer Center
Madison, Wisconsin, 53792
North Shore University Hospital
Manhasset, New York, 11030-3186
Loyola University Medical Center
Maywood, Illinois, 60153
Mount Sinai Medical Center, Comprehensive Cancer Center
Miami Beach, Florida, 33140
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Allina Health, Abbott Northwestern Hospital, John Nasseff Neuroscience Institute
Minneapolis, Minnesota, 55407
University of South Alabama Mitchell Cancer Institute
Mobile, Alabama, 36604
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232
Yale University Medical Center
New Haven, Connecticut, 06520
Columbia University Medical Center - The Neurologic Institute of New York
New York, New York, 10032
Weill Cornell Medical College
New York, New York, 10065
Christiana Care Health Services
Newark, Delaware, 19713
Chao Family Comprehensive Cancer Center
Orange, California, 92868
MD Anderson Cancer Center Orlando
Orlando, Florida, 32806
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Temple University Hospital
Philadelphia, Pennsylvania, 19140
Barrow Neurological Institute at St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013
West Penn. Allegheny Health System
Pittsburgh, Pennsylvania, 15212
University of Pittsburgh Cancer Institute
Pittsburgh, Pennsylvania, 15232
Providence Portland Medical Center, Oncology & Hematology Care
Portland, Oregon, 97213
Pacific Neurosurgical
Portland, Oregon, 97227
Kaiser Permanente, Redwood City Medical Center
Redwood City, California, 94063
University of Rochester Medical Center
Rochester, New York, 14642
University of California, Davis
Sacramento, California, 95817
St. Mary's of Michigan Medical Center/Field Neurosciences Institute
Saginaw, Michigan, 48604
University of Utah Department of Neurosurgery
Salt Lake City, Utah, 84112
University of California, San Francisco
San Francisco, California, 94143
Swedish Neuroscience Institute
Seattle, Washington, 98122
University of Washington Medical Center
Seattle, Washington, 98195
LSU Health Sciences Center, Feist-Weiller Cancer Center
Shreveport, Louisiana, 71103
Washington University in St. Louis
St Louis, Missouri, 63110
Stanford Cancer Institute, Stanford University
Stanford, California, 94305
SUNY Upstate Medical University
Syracuse, New York, 13210
Tampa General Hospital
Tampa, Florida, 33606
Montefiore Medical Center
The Bronx, New York, 10467
University of Arizona Health Network
Tucson, Arizona, 85724
Covenant Clinic / Iowa Spine and Brain Institute
Waterloo, Iowa, 50702
Brain and Spine Surgeons of New York
White Plains, New York, 10604
Wake Forest Baptist Health
Winston-Salem, North Carolina, 27157
University of Massachusetts Memorial Medical Center
Worcester, Massachusetts, 01655
Australia14 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Monash Medical Centre
Clayton, Victoria, 3199
Austin Health
Heidelberg, Victoria, 3084
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
Royal Hobart Hospital
Hobart, Tasmania, 7000
Launceston General Hospital
Launceston, Tasmania, 7250
Liverpool Hospital
Liverpool, 2107
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 06008
Calvary North Adelaide Hospital
North Adelaide, South Australia, 5006
Prince of Wales Hospital
Randwick, New South Wales, 2031
Epworth Healthcare
Richmond, Victoria, 3121
Mater Adult Hospital, Mater Misericordiae Health Services Brisbane Limited
South Brisbane, Queensland, 4101
Royal North Shore Hospital
St Leonards, New South Wales, 2605
The Crown Princess Mary Cancer Centre, Westmead Hospital
Westmead, New South Wales, 2145
Canada13 sites
Foothills Hospital Medical Centre
Calgary, Alberta, T3J 5N6
QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 1V7
Juravinski Cancer Centre
Hamilton, Ontario, L8V 5C2
London Regional Cancer Program, London Health Sciences Centre
London, Ontario, N6A 4L6
Centre Hospitalier de l'Universite de Montreal (CHUM) - Hopital Notre-Dame
Montreal, Quebec, H2L 4M1
Montreal Neurological Institute and Hospital
Montreal, Quebec, H3A 2B4
Ottawa Hospital, Regional Cancer Centre
Ottawa, Ontario, K1H 8L6
CHUQ L'Hotel Dieu de Qujebec
Québec, Quebec, G1R 2J6
CHUS Hôpital Fleurimont
Shenbrooke, Quebec, J1H5N4
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N3M5
British Columbia Cancer Agency, Vancouver Clinic
Vancouver, British Columbia, V5Z 4E6
BC Cancer Agency - Vancouver Island Centre
Victoria, British Columbia, V8X 4V6
University of Manitoba-Cancer Care Manitoba
Winnipeg, Manitoba, R3E0V9
India11 sites
Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute
Andheri-West, Mumbai, 400 053
HCG - Bangalore Institute of Oncology, Bangalore
Bengaluru, Karnataka, 560027
Dr. Rai Memorial Medical Centre, Chennai
Chennai, Tamil Nadu, 600018
Marathwada Regional Cancer Centre and Research Institute - Government
Chhatrapati Sambhajinagar, Maharashtra, 431001
HCG Shanti Mukand Hospital - Curie Cancer Centre, Delhi
Delhi, 110092
Sahyadri Hospitals Limited
Erandauame, Pune, 411004
Indraprastha Apollo Hospital, New Delhi
Jasola Viha, New Delhi, 110076
Amrita Institute of Medical Sciences and Research Centre, Kochi
Kochi, Kerala, 682 026
Tata Memorial Hospital , Mumbai
Parel, Mumbai, 400012
Sree Chitra Tirunal Institute for Medical Sciences & Technology, Thiruvananthapuram
Thiruvananthapuram, Kerala, 695 011
City Cancer Centre, Vijayawada
Vijayawada, Andhra Pradesh, 520002
France9 sites
Institut de Cancerologie de I'Quest-Paul Papin
Angers, 49933
Institute Bergonie
Bordeaux, 33076
Centre Leon Berard de Lyon
Lyon, 69373
ICM Val d'Aurel Montpellier
Montpellier, 342298
Institut de Cancerologie de L'Quest-Center Rane Gauducheau
Nantes, 44805
Service de Neurologie-GH
Paris, 75013
Centre Eugene Marquis
Rennes, 35042
Institut de Cancerologie de l'ouest-Center Rene Gauducheau
Saint-Herblain, 44805
Institut Gustave Roussy
Villejuif, 94805
Brazil8 sites
Centro de Pesquisas Clinicas da Fundação Dr Amaral Carvalho
Jaú, São Paulo, 17210-120
Hospital Mae de Deus-Centro de Pesquisa em Oncologia Clinica
Porto Alegre, Rio Grande do Sul, 90840-440
Instituto Nacional do Cancer (INCA)
Rio de Janeiro, 20231-050
Fundação Faculdade Regional de Medicina de de São José do Rio Preto - Hospital de Base
São José do Rio Preto, São Paulo, 15090-000
Instituto do Câncer do Estado de São Paulo - ICESP
São Paulo, 01246-000
Real e Benemerita Associação Portuguesa de Beneficiência/ Hospital São José
São Paulo, 01321-001
Hospital A C Camargo
São Paulo, 01509-900
Hospital Albert Einstein
São Paulo, 05652-900
Germany8 sites
Strahlenklinik Universitatsklinikum Erlangen
Erlangen, D-91054
Dr. Senchkenbergisches Institut fur Neuroonkologie
Frankfurt, D-60528
University Hospital Hamburg Kopf und Neurozentrum
Hamburg, 20246
Universitaetsklinikum Heidelberg, Neurologische Klinik, IM Neuenheimer Feld 672
Heidelberg, 69120
University Medical Centre
Kiel, 24105
LMU Munich
Munich, D-81377
Universitaetsklinikum Muenster
Münster, 48149
Klinik und Poliklinik fur Neurologie der Universitat Regensburg
Regensburg, Bavaria, 93053
Hungary6 sites
Országos Onkológiai Intézet Sugárterápiás Osztály
Budapest, 1122
Debreceni Egyetem Orvos- és Egészségtudományi Centrum Onkológiai Intézet
Debrecen, 4032
Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház, Sugárterápiás Osztály
Miskolc, 3526
Pécsi Tudományegyetem Általános Orvostudományi Kar
Pécs, 7624
Szegedi Tudományegyetem Onkoterápiás Klinika
Szeged, 6720
Vas Megyei Markusovszky Lajos Általános Rehabilitációs és Gyógyfürdő Kórház, Egyetemi Oktatókórház Nonprofit Zrt
Szombathely, 9700
Switzerland6 sites
Kantonsspital Aarau Medizinische Onkologie Tellstrasse
Aarau, Canton of Aargau, 5001
Oncology Institute of Southern Switzerland (IOSI)
Bellinzona, 6500
Inselspital, Universitatsspital Bern, Universitatsklinik fur Medizinische Onkologie, Freiburgstrasse
Bern, 3010
Hopitaux Universitaires de Geneve-HUG-Centre d'Oncologie
Geneva, 1211
CHUV, Centre Hospitalier Universitaire Vaudois
Lausanne, Canton of Vaud, 1011
Brain Tumor Center, University Hospital Zurich
Zurich, 8091
Taiwan6 sites
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
Chang Gung Memorial Hospital Linkou Branch
Taichung, 40705
Taichung Veterans General Hospital
Taichung, 40705
National Cheng Kung University Hospital
Tainan, Bei District, 704
Chi Mei Medical Center
Tainan City - Yongkang District, 710
Tri-Service General Hospital
Taipei City - Neihu District, 00114
United Kingdom6 sites
The Bristol Haematology and Oncology Centre
Bristol, BS2 8ED
Edinburgh Cancer Centre Western General Hospital
Edinburgh, EH4 2XU
Beatson West of Scotland Cancer Centrel
Glasgow, G12 0NY
Guy's and St Thomas' NHS, Westminister Bridge Road
London, SE17EH
Nottingham City Hospital
Nottingham, NG5 1PB
Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT
Czechia5 sites
Hospital Ceske Budejovice
České Budějovice, 370 01
Umiversity Hospital (Fakultni Nemocnice)
Prague, 150 06
Hospital Na Homolce
Prague, 150 30
Multiscan s.r.o.
Prague, 155-00
Masaryk´s Hospital Usti nad Labem
Ústí nad Labem, 401-13
Israel5 sites
Soroka University M.C.
Beersheba, 84101
Rambam Health Care Campus
Haifa, 3109601
Hadassah Medical Center
Jerusalem, 91120
Tel-Aviv Sourasky Medical Center
Tel Aviv, 64239
SHEBA Medical Center
Tel HaShomer, 52126
Mexico5 sites
Ensayos Clínicos y Medicina de Alta Especialidad, S.C.
Culiacán, Sinaloa, 80020
Servicios Medicos de Investigacion Clinica Sc
Durango, 34000
Hospital Civil de Guadalajara "Fray Antonio Alcalde"
Guadalajara, Jalisco, 34000
Grupo Médico Camino S.C.
México, D.F, 03310
Hospital Central "Ignacio Morones Prieto"
San Luis Potosí City, 78240
Peru5 sites
Hospital Almanzor Aguinaga Asenjo
Chiclayo
Instituto Oncologico Miraflores
Lima, Lima 18
Clinica Anglo Americana
Lima, Lima 27
Clinica Ricardo Palma
Lima, Lima 27
Oncosalud
Lima, Lima 41
Spain5 sites
Hospital Clinic
Barcelona, 8036
ICO Badalona-Hospital Germans Trias i Pujol
Barcelonia, 08916
Dra. Sonia Del Barco Berron, ICO Girona Avda,
Franca, Girona, 17007
Institut Catala d Oncologia
LaHospitalet de Lubregat, Catalonia, 08908
Hospital 12 de Octubre
Madrid, 28041
Italy4 sites
UO Oncologie Medica Dipartimento Oncologico
Bologna, 40139
Fondazione IRCCS Instituto Neurologico Carlo Besta
Milan, 20133
Sacred Heart Catholic University
Rome, 00168
Universita e AO Citta delia Scienza, Universita Di Torino
Torino, 10126
New Zealand4 sites
Christchurch Hospital
Christchurch Central, Christchurch, 8011
Waikato Hospital, Regional Cancer Centre
Hamilton, Waikato District, 3240
Waikato Hospital, Regional Cancer Center
Hamilton, Waikato Distric, 3240
Palmerston North Hospital
Roslyn, Palmerston North, 4414
Thailand4 sites
Maharaj Nakorn Chiang Mai Hospital
Amphoe Muang, Chiang Mai, 50200
Siriraj Hospital
Bangkoknoi, Bangkok, 10700
Songkhlanagarind Hospital
Hat Yai, Changwat Songkhla, 90110
King Chulalongkorn Memorial Hospital
Patumwan, Bankok, 10330
Belgium3 sites
ZNA Middelheim
Antwerp, B-2020
Universitair Ziekenhuis Antwerpen
Edegem, Antwerp, 2650
Ghent University Hospital
Ghent, 9000
Netherlands3 sites
VUMC
Amsterdam, 1081HV
Radboud University Nijmegen Medical Center
Nijmegen, 6525 GA
Medisch Centrum Haaglanden
The Hague, South Holland, 2512 VA
Austria2 sites
Medical University Innsbruck, Dept of Neurology, Anichstrabe 35
Innsbruck, 6020
Medizinische Universität Wien, Innere Medizin I, Onkologie
Vienna, 1090
Greece2 sites
NNA
Athens, Attica, 11521
"HYGEIA" Hospital
Marousi, District of Attica, 151 23
About this study
Official title: An International, Randomized, Double-Blind, Controlled Study of Rindopepimut/GM-CSF With Adjuvant Temozolomide in Patients With Newly Diagnosed, Surgically Resected, EGFRvIII-positive Glioblastoma
This 2-arm, randomized, phase III study will investigate the efficacy and safety of the addition of rindopepimut (an experimental cancer vaccine that may act to promote anti-cancer effects in patients who have tumors that express the EGFRvIII protein) to the current standard of care (temozolomide) in patients with recently diagnosed glioblastoma, a type of brain cancer.
All patients will be administered temozolomide, the standard treatment for glioblastoma. Half the patients will be randomly assigned to receive rindopepimut and half the patients will be randomly assigned to receive a control called keyhole limpet hemocyanin.
Patients will be treated in a blinded fashion (neither the patient or the doctor will know which arm of the study the patient is on). Patients will be treated until disease progression or intolerance to therapy and all patients will be followed for survival.
Read the detailed description
The purpose of this research study is to find out whether adding an experimental vaccine called rindopepimut (also known as CDX-110) to the commonly used chemotherapy drug temozolomide can help improve the life expectancy of patients with newly diagnosed, resected EGFRvIII positive glioblastoma.
The duration of participation in this study may be up to 5 years. After you are screened and enrolled in the study, you will be administered temozolomide and either rindopepimut/GM-CSF or KLH until either disease progression or intolerance to the medications. If your tumor progresses while on this study, your doctor may treat you with other therapies that are not part of the study.
- Conditions
- Glioblastoma, Small Cell Glioblastoma, Giant Cell Glioblastoma, Gliosarcoma, Glioblastoma With Oligodendroglial Component
- Being tested
- Rindopepimut (CDX-110) with GM-CSF, Temozolomide, KLH
- Keywords
- EGFRvIII, Glioblastoma, Small cell, Giant cell, Gliosarcoma, oligodendroglial, Brain Cancer, Brain Tumor, radiotherapy, chemoradiation, Tumor, temozolomide, EGFR variant III
- Medical subject headings
- Glioblastoma, Gliosarcoma, Brain Neoplasms, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rindopepimut (CDX-110) with GM-CSFDrug
Also called CDX-110 with sargramostim (GM-CSF) (Leukine®)
Two intradermal injections two weeks apart, followed by monthly injections until tumor progression or intolerance.
Each dose will be 0.8 mL containing approximately 500 mcg CDX-110 and 150 mcg GM CSF.
TemozolomideDrug
Also called Temodar, Temodal
150 to 200 mg/m2 for 5 days during each 28-day cycle for a minimum of six cycles or a maximum of 12 cycles, or until intolerance or progression.
KLHDrug
Two intradermal injections two weeks apart, followed by monthly injections until tumor progression or intolerance. Each dose will be 0.8mL containing approximately 100mcg of KLH.
| Study group | Role | What they receive |
|---|---|---|
| Rindopepimut/GM-CSF plus Temozolomide | Experimental | Not described Receives: Drug: Rindopepimut (CDX-110) with GM-CSF; Drug: Temozolomide |
| KLH plus Temozolomide | Active comparator | Not described Receives: Drug: Temozolomide; Drug: KLH |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
The primary efficacy endpoint of Overall Survival is defined as the number of months from randomization to the date of death (whatever the cause), and will be censored for patients who remain alive at completion of the study for patients with a gross total resection (~n=374). The overall survival of patients will be monitored and compared between the two study arms until the end of the study.
Measured: During treatment and every three months from end of treatment through end of study or approximately up to 5 years.
Secondary outcomes (2)
Progression-free survival
Compare progression-free survival between the two treatment arms
Measured: Every 12 weeks from Day 1 through progression or initiation of other anti-cancer therapy
Safety and Tolerability
Safety and tolerability will be measured by comparing the two arms in regards to vital sign measurement, physical and neurological examination, adverse events reporting, ECOG performance status, and EORTC core Quality of Life Questionnaire
Measured: Until day 28 of follow up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2011 (estimated)
- Study startNov 2011
- Primary completionNov 2016
- Study completionNov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for GlioblastomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 745 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celldex Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01480479
- Sponsor's protocol ID
- CDX110-04
- Acronym
- ACT IV
- Status last verified
- Apr 2017
- First submitted
- 21 Nov 2011
- Last updated
- 16 Jan 2018
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Weller M, Butowski N, Tran DD, Recht LD, Lim M, Hirte H, Ashby L, Mechtler L, Goldlust SA, Iwamoto F, Drappatz J, O'Rourke DM, Wong M, Hamilton MG, Finocchiaro G, Perry J, Wick W, Green J, He Y, Turner CD, Yellin MJ, Keler T, Davis TA, Stupp R, Sampson JH; ACT IV trial investigators. Rindopepimut with temozolomide for patients with newly diagnosed, EGFRvIII-expressing glioblastoma (ACT IV): a randomised, double-blind, international phase 3 trial. Lancet Oncol. 2017 Oct;18(10):1373-1385. doi: 10.1016/S1470-2045(17)30517-X. Epub 2017 Aug 23.
PubMed 28844499Seliger C, Oppong FB, Lefranc F, Chinot O, Stupp R, Nabors B, Gorlia T, Weller M; EORTC Brain Tumor Group. Association of antidepressant drug use with outcome of patients with glioblastoma. Int J Cancer. 2023 Apr 1;152(7):1348-1359. doi: 10.1002/ijc.34344. Epub 2022 Nov 17.
PubMed 36346112
Study at a glance
From the registry record, last updated by the sponsor on 16 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An International, Randomized, Double-Blind, Controlled Study of Rindopepimut/GM-CSF With Adjuvant Temozolomide in Patients With Newly Diagnosed, Surgically Resected, EGFRvIII-positive Glioblastoma
- ClinicalTrials.gov ID
- NCT01480479
- Acronym / sponsor ID
- ACT IV / CDX110-04
- Conditions
- Glioblastoma, Small Cell Glioblastoma, Giant Cell Glioblastoma, Gliosarcoma, Glioblastoma With Oligodendroglial Component
- Keywords
- EGFRvIII, Glioblastoma, Small cell, Giant cell, Gliosarcoma, oligodendroglial, Brain Cancer, Brain Tumor
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 745 participants (actual)
- Lead sponsor
- Celldex TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- Nov 2011
- Primary completion
- Nov 2016 (actual)
- Study completion
- Nov 2016 (actual)
- First posted
- 29 Nov 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This 2-arm, randomized, phase III study will investigate the efficacy and safety of the addition of rindopepimut (an experimental cancer vaccine that may act to promote anti-cancer effects in patients who have tumors that express the EGFRvIII protein) to the current standard of care (temozolomide) in patients with recently diagnosed glioblastoma, a type of brain cancer.
All patients will be administered temozolomide, the standard treatment for glioblastoma. Half the patients will be randomly assigned to receive rindopepimut and half the patients will be randomly assigned to receive a control called keyhole limpet hemocyanin.
Patients will be treated in a blinded fashion (neither the patient or the doctor will know which arm of the study the patient is on). Patients will be treated until disease progression or intolerance to therapy and all patients will be followed for survival.
Detailed description
The purpose of this research study is to find out whether adding an experimental vaccine called rindopepimut (also known as CDX-110) to the commonly used chemotherapy drug temozolomide can help improve the life expectancy of patients with newly diagnosed, resected EGFRvIII positive glioblastoma.
The duration of participation in this study may be up to 5 years. After you are screened and enrolled in the study, you will be administered temozolomide and either rindopepimut/GM-CSF or KLH until either disease progression or intolerance to the medications. If your tumor progresses while on this study, your doctor may treat you with other therapies that are not part of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rindopepimut/GM-CSF plus Temozolomide | Experimental | Drug: Rindopepimut (CDX-110) with GM-CSF, Drug: Temozolomide |
| KLH plus Temozolomide | Active comparator | Drug: Temozolomide, Drug: KLH |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Among other criteria, patients must meet the following conditions to be eligible for the study:
- Adult patients, ≥ 18 years old
- Newly diagnosed glioblastoma
- Attempted surgical resection followed by conventional chemoradiation
- Documented EGFRvIII positive tumor status by a Sponsor designated laboratory
Key exclusion criteria (12 listed)
- Among other criteria, patients who meet the following conditions are NOT eligible for the study:
- Stereotactic biopsy only (without further surgical resection)
- Presence of diffuse leptomeningeal disease, gliomatosis cerebri, or infratentorial disease.
- History, presence, or suspicion of metastatic disease
- Patients who have received any additional treatment for glioblastoma, aside from surgical resection and chemoradiation with temozolomide
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rindopepimut (CDX-110) with GM-CSFAlso: CDX-110 with sargramostim (GM-CSF) (Leukine®)Two intradermal injections two weeks apart, followed by monthly injections until tumor progression or intolerance. Each dose will be 0.8 mL containing approximately 500 mcg CDX-110 and 150 mcg GM CSF. | Drug | Rindopepimut/GM-CSF plus Temozolomide |
| TemozolomideAlso: Temodar, Temodal150 to 200 mg/m2 for 5 days during each 28-day cycle for a minimum of six cycles or a maximum of 12 cycles, or until intolerance or progression. | Drug | KLH plus Temozolomide, Rindopepimut/GM-CSF plus Temozolomide |
| KLHTwo intradermal injections two weeks apart, followed by monthly injections until tumor progression or intolerance. Each dose will be 0.8mL containing approximately 100mcg of KLH. | Drug | KLH plus Temozolomide |
Primary outcome
Overall Survival
Time frame: During treatment and every three months from end of treatment through end of study or approximately up to 5 years.
The primary efficacy endpoint of Overall Survival is defined as the number of months from randomization to the date of death (whatever the cause), and will be censored for patients who remain alive at completion of the study for patients with a gross total resection (~n=374). The overall survival of patients will be monitored and compared between the two study arms until the end of the study.
2 secondary outcomes
Progression-free survival
Time frame: Every 12 weeks from Day 1 through progression or initiation of other anti-cancer therapy
Safety and Tolerability
Time frame: Until day 28 of follow up
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jan 2018.
- Results publication: PubMed 28844499Weller M, Butowski N, Tran DD, Recht LD, Lim M, Hirte H, Ashby L, Mechtler L, Goldlust SA, Iwamoto F, Drappatz J, O'Rourke DM, Wong M, Hamilton MG, Finocchiaro G, Perry J, Wick W, Green J, He Y, Turner CD, Yellin MJ, Keler T, Davis TA, Stupp R, Sampson JH; ACT IV trial investigators. Rindopepimut with temozolomide for patients with newly diagnosed, EGFRvIII-expressing glioblastoma (ACT IV): a randomised, double-blind, international phase 3 trial. Lancet Oncol. 2017 Oct;18(10):1373-1385. doi: 10.1016/S1470-2045(17)30517-X. Epub 2017 Aug 23.
- Derived from this study: PubMed 36346112Seliger C, Oppong FB, Lefranc F, Chinot O, Stupp R, Nabors B, Gorlia T, Weller M; EORTC Brain Tumor Group. Association of antidepressant drug use with outcome of patients with glioblastoma. Int J Cancer. 2023 Apr 1;152(7):1348-1359. doi: 10.1002/ijc.34344. Epub 2022 Nov 17.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
223 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rindopepimut (CDX-110) with GM-CSF, Temozolomide and KLH in people with Glioblastoma and Small Cell Glioblastoma, run by Celldex Therapeutics at 223 sites in 24 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 223 sites in United States, Australia, Canada, India, France and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (time frame: During treatment and every three months from end of treatment through end of study or approximately up to 5 years.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01480479, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jan 2018.