REO13 Brain - A study to evaluate the effects of intravenous injection of reovirus in patients prior to planned surgical removal of aggressive brain tumours that have relapsed, or tumours that have spread to the brain from elsewhere in the body.

ISRCTN ISRCTN70443973
DOI https://doi.org/10.1186/ISRCTN70443973
Secondary identifying numbers R&D number: CO11/10054
Submission date
22/07/2012
Registration date
28/08/2012
Last edited
12/08/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

http://www.cancerresearchuk.org/cancer-help/trials/a-study-looking-effects-drug-reolysin-people-cancer-affecting-brain-reo-13-brain

Contact information

Prof Alan Melcher
Scientific

Leeds Institute of Molecular Medicine
Wellcome Trust Brenner Building
St James'’s University Hospital
Leeds
LS9 7TF
United Kingdom

Study information

Study designOpen-label non-randomised interventional phase 1b clinical study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleREO13 Brain: A clinical study to evaluate the biological effects of preoperative intravenous administration of wild-type reovirus (REOLYSIN®) in patients prior to surgical resection of recurrent high grade primary or metastatic brain tumours.
Study objectivesIntravenously injected wild-type reovirus (REOLYSIN®) can access recurrent high-grade primary or metastatic brain tumours in patients.
Ethics approval(s)Leeds East Ethics Committee, 04/09/2012
Health condition(s) or problem(s) studiedRecurrent high-grade brain tumours and metastatic brain tumours
InterventionPatients will be allocated to one of two groups:
Group A will be patients undergoing surgery for recurrent high grade primary brain tumours who require further debulking.
Group B will be patients planned for resection of brain metastases from any known solid tumour type. Patients will be enrolled in cohorts of 3 as follows.
In each group, the first 3 patients will have a single infusion of REOLYSIN on Day 1 only (cohort 1). The next 3 will have infusions on Days 1, 2 and 3 (cohort 2), and the final cohort of 3 will receive REOLYSIN on days 1 through 5. All doses of REOLYSIN will be at 1x10^10 TCID50, administered as a 1-hour IV infusion.
Intervention typeBiological/Vaccine
Pharmaceutical study type(s)
PhasePhase I
Drug / device / biological / vaccine name(s)Reolysin
Primary outcome measureAssessment for the presence of reovirus within recurrent high grade primary or metastatic brain tumours in patients by examination of the resected surgical specimen
Secondary outcome measures1. Assessment of the replication and antineoplastic effects of reovirus in brain tumours
2. Assessment of the safety profile of REOLYSIN before surgery for brain tumours
3. Monitoring of the humoral and cellular immune response to REOLYSIN
Overall study start date01/09/2012
Completion date31/08/2015

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsAt least 6 and up to 18
Key inclusion criteria1. Male or female subjects with a diagnosis of recurrent high grade primary or secondary brain tumour, planned for surgical management
2. Have evidence of measurable or evaluable disease on standard of care imaging
3. Have NO continuing acute toxic effects of any prior radiotherapy, chemotherapy, or surgical procedures, i.e., all such effects must have resolved to Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0) Grade ≤1. Radiotherapy/chemotherapy/surgery (except biopsies) must have occurred at least 28 days prior to study enrolment
4. Be at least 18 years of age
5. Have completed any previous systemic chemotherapy at least 4 weeks before entry into the study
6. Have an ECOG Performance Score of ≤ 1
7. Have a life expectancy of at least 1 month
8. Have baseline laboratory results at the time of consent as follows:
8.1. Absolute neutrophil count (ANC) ≥ 1.5 x 109 [SI units 109/L]
8.2. Platelets ≥ 100 x109 [SI units 109/L] (without platelet transfusion)
8.3. Haemoglobin ≥ 9.0 g/dL [SI units gm/L] (with or without RBC transfusion)
8.4. Serum creatinine ≤ 1.5 x upper limit of normal (ULN)
8.5. Bilirubin ≤ 1.5 x ULN
8.6. AST/ALT ≤ 2.5 x ULN
8.7. Negative serum pregnancy test for females of childbearing potential
9. Have signed an informed consent indicating that the patient is aware of the neoplastic nature of their disease and have been informed of the procedures of the protocol, the experimental nature of the therapy, alternatives, potential benefits, side effects, risks, and discomforts
10. Be willing and able to comply with scheduled visits, the treatment plan, and laboratory tests
Key exclusion criteria1. Receive concurrent therapy with any other investigational anticancer agent while on study
2. Patients on immunosuppressive therapy other than steroids, or known HIV infection or hepatitis B or C
3. Be a pregnant or breast-feeding woman. Female patients of childbearing potential must agree to use effective contraception, must be surgically sterile, or must be postmenopausal. Male patients must agree to use effective contraception or be surgically sterile. Barrier methods are a recommended form of contraception.
4. Have clinically significant cardiac disease (New York Heart Association, Class III or IV) including pre-existing arrhythmia, uncontrolled angina pectoris, myocardial infarction 1 year prior to study entry, or grade 2 or higher compromised left ventricular ejection fraction
5. Have dementia or altered mental status that would prohibit informed consent
6. Have any other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the Principal Investigator, would make the patient inappropriate for this study
Date of first enrolment01/09/2012
Date of final enrolment31/08/2015

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

St James'’s University Hospital
Leeds
LS9 7TF
United Kingdom

Sponsor information

University of Leeds (UK)
University/education

c/o Clare Skinner
Joint Leeds Sponsor Office
R&D Department
34 Hyde Terrace
Leeds
LS2 9NJ
England
United Kingdom

Website http://www.leeds.ac.uk/
ROR logo "ROR" https://ror.org/024mrxd33

Funders

Funder type

Charity

Brain Tumour Research and Support across Yorkshire [BTRS] (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

12/08/2020: No publications found.
05/03/2019: Internal review.
14/09/2017: No publications found, verifying study status with principal investigator.